Dementia

According to the U.S. Alzheimer’s Association:

  • 35% of Americans with dementia have a nursing home stay,
    compared to 4% of seniors without dementia
  • 19% of people over the age of 75 have dementia
  • 42% of people over the age of 85 have dementia
  • The prevalence of dementia grew 16% from 2000-2010 and is expected to double by 2050
  • 1 in 3 people will die with some form of dementia

In the past, facilities set aside specific wings for dementia residents as an optional specialty. Today, it is the new normal, and a requirement to care for the aging population. Dementia management is a facility-wide endeavor that requires expert guidance and management. Our Dementia Management Programs facilitate a strong interdisciplinary partnership with facility nursing, activities, and therapy staff to maximize resident function while minimizing behaviors.

Mission

To partner with our customers to implement strategies which enable the person with dementia to live a meaningful and productive life in a home-like setting.

Benefits

  • Sustains independence while lessening the burden of care.
  • Provides a safe environment.
  • Minimizes unwanted behaviors.
  • Taps into the 70% of seniors with Alzheimer’s Disease living at home (target  population 10% of seniors over 65 ) for increased census
  • Creates a product differentiator amongst competitors which increases census and improves payer mix.  –  Average facility gains: private payer mix +11%. Medicare A census +3%.
  • Increases therapy revenue and CMI.

How We Achieve This

  • Assist facility/staff to transition from a medical model “institution-like” setting to a psychosocial/behavioral model of care in a “home-like” setting.
  • Implement Person-Centered Care concepts utilizing each person’s Life Story to create meaningful activities and care strategies.
  • Create a home-like environment designed for residents to function at their optimal level. The environment will provide cues and familiar activities to enhance function.
  • Activity-based care – Implement failure-free activities geared for each resident’s cognitive level and abilities. These activities honor each person’s life roles, while fostering participation and a sense of belonging. Activities will be scheduled and unscheduled during all resident waking hours.  This improves marketability and decreases unwanted behaviors.
  • The Dementia Unit utilizes universal-care partners, with each staff member being cross-trained in activity implementation. Consistent staffing patterns allow relationships to develop and results in an intimate approach to care.

Keys to Success

  • Staff training is key to successful outcomes. We will assist you in selecting and training your staff on the dementia disease process, activity implementation, and care strategies.
  • Admission criteria:  Identifying which elders can benefit from the program model is key to your success. We will assist you in establishing admission criteria which ensures successful implementation over the long haul.
  • Activity programming: Activities staff benefit from training and assistance to identify which activities are best to honor life roles at each stage of the dementia disease process. We will partner with you to train your staff and customize the activity program.
  • Therapy involvement: Our therapists are onsite experts in functional activities. They will individualize the dementia management program for each resident and advise care partners on personalized care strategies.

The Role of CHS Therapy

CHS therapists use our Comprehensive Model of Care to maximize the functional abilities of the person with dementia and to individualize care on the Dementia Unit.  Our Dementia Management Program utilizes current evidenced-based theories to:

  • Determine each patient’s cognitive level, identifying what the patient is cognitively able to do.
  • Complete an in-depth assessment of the patient’s strengths and limitations.
  • Determine how the patient is currently functioning in his/her environment. Mismatches here identify opportunities for improvement or strengths to sustain.
  • Develop a plan to maximize the patient’s functional abilities.
  • Develops care strategies and routines that enable the person with dementia to be successful in their environment.
  • Trains staff to sustain gains. This involves structuring expectations and communication for success, and providing individualized care strategies.
  • Reassess patient and adjust care strategies as abilities change.

In addition, CRS can help design your dementia care facility or provide your staff with necessary training and education. We are proud to provide the Indiana Health Care Association, Kentucky Association of Health Care Facilities, and LeadingAge with dementia strategies and intervention education for 2013!