Best Practice: Creative Dementia Programs and Services:
The Whole Package
• The Orchards at Bartley Assisted Living
• Jackson, NJ
• Presented by: Sandra Uphold, Executive Director and Debbie Carswell, Dementia Program Coordinator
The Orchards at Bartley Assisted Living
•Community Description•History and Philosophy – Dementia Care
Memory Care Programs and Services
• Interdisciplinary Approach• Sample Programs• 1:1 Programming• Meal Service• Clinical Aspects
Determining Appropriateness
• Assessment• Required Diagnosis• Prospective Residents• Current Residents• Decision Making Process
Preparing Residents and Families for the Move
•Care Management Meetings•Education•Setting Clear Expectations• Communication•Day Trial on Memory Care•Handling Resistance
Staff Education
• Who Gets Alzheimer’s Dementia Training?• Alzheimer’s Training Curriculum – DOHSS
Training Modules• Orientation• Online Education – Silverchair Learning
System• Dementia Program Manager Involvement
Family Education• Highly Trained Staff Members –
Background• Education Begins During the Sales
Process• Care Management Meetings• Host Site for Monthly Support Group• Educational Programs• Resource Materials
Family Involvement
• Newsletters• Special Events• Monthly Calendars – Explanation of
Purpose• Pictures• Open Door Policy
Managing Difficult Behaviors• Resident Centered Approach• Recognizing Behavior as a Form of
Communication (Pain, Unmet Needs, etc…)
• Reassurance Therapies and Diversion Activities
• Evaluation of Pharmacological Measure, When No Other Alternative is Therapeutic.
Changes Made to Programming
• Analysis-Plan-Execute-Analysis: Approach• Elimination of our Sensory, “Snoozlin”
Room• Helping Families Understand Programming• Family Communication Book for Dining
Satisfaction• 1:1 Activity Programming• Care Management Program
Evaluation and Sustainability
•Actively Seek Resident, Family, and Staff Feedback•Results for Customer Satisfaction Showed 100% Rated Excellent/Good in 15 Categories in 2007 , and Showed 100% Rated Excellent/Good in 20 categories in 2008.
Determining Effectiveness
•Continuous Quality Improvement•Annual Customer Satisfaction
Survey Results•Resident Reactions to Programs•Family Feedback During
Meetings
Replication
•Suggestions: • Research and Education: Utilizing
Resources Available• Evaluate Your Population• Establish a Clear Vision and Mission • Appoint a Knowledgeable Experienced
Leader