The purpose of this course is to familiarize the learner with the benefits of reminiscing and the use of nostalgia for residents living with dementia. Methodologies including the use of photos, music, clothing, and spiritual reminders are reviewed, as these may provide comfort to individuals living with varying degrees of dementia. The course engages learners in learning how to successfully interact and communicate with people living with dementia.
Relias Learning, LLC is approved as a Curriculum Developer by the Washington State Department of Social and Health Services. This activity is approved for 1.0000 contact hours for all WA State Direct Care Workers. Training Provider Code: WA0624. CE Approval Code: CO2034234
Relias, LLC is approved by the California Department of Social Services as a Continuing Education Program Vendor to provide Continuing Education training courses to administrators of Adult Residential Facilities.
Vendor/Provider # : 2000224-735-2
Approval # 224-0149-32622
This activity is approved by the California Department of Social Services for 1.0000 contact hours.
This course is approved as continuing education by the Oregon Department of Human Services in accordance with state regulation 411-057-0140 for Assisted Living Administrators, Residential Care facility Administrators and Memory Care Communities within the State of Oregon. This activity is approved by Oregon Department of Human Services for 1.00 contact hours.
Florida Board of Nursing Home Administrators (CEBroker Provider # 50-290)
Georgia Nursing Home Administrators Board (CEBroker Provider # 50-290)
This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 1.0000 clock hours. If you have any feedback regarding the NAB approved continuing education programs, send your email to the following address: [email protected]
Relias, LLC is approved by the California Department of Social Services as a Continuing Education Training Program Vendor to provide Continuing Education training courses to administrators of residential care facilities for the elderly.
Vendor/Provider # 2000224-740-2;
Approval # 224-0149-32685.
This activity is approved by the California Department of Social Services for 1.00 contact hours.
II.What is reminiscing?
i.Refers to sharing and talking about past-preferably cherished-memories
ii.For people living with dementia, encouraging the act of reminiscence can be positive.
iii.How it is different from life review
b.How it helps
i.It is about giving the person living with dementia a sense of value, importance, belonging, power, and peace.
ii.Reminiscing can be effective with almost anyone you are caring for, regardless of the type or stage of dementia.
iii.Because of the nature of Alzheimer's disease, reminiscence techniques can be beneficial.
c.Check point-true or false question
d.A quick review of dementia
i.What is dementia?
ii.Types of dementia
e.Reminiscing and dementia:Structured or unstructured
i.Can be powerful as a structured activity
ii.Perhaps most effective when incorporated into routine interactions and conversations with the person living with dementia
f.Learning Engagement Activity:Listen to a conversation between Mary and caregiver where reminiscence was not used.
g.Ways to use reminiscing
i.Examples of reminiscing
ii.Bathing and reminiscing
1.Video of revised shower after(40 seconds)
a.General guidelines for leading successful groups for persons with dementia
i.Hold at same time and place
ii.Invite same people
iii.Have the same leader
iv.Do it regularly
vi.Leader to greet each person as enter
vii.Ask participants to introduce selves and help as needed
viii.Be sure all assistive devices are in, clean, and working(glasses, hearing aids, dentures)
ix. Go at slow pace
x.Shift activity or focus routinely during session
xi.Go with the flow
xii.Keep the group small
b.Planning a reminiscence group
i.Follow guidelines above
ii.Pick a topic
iii.Choose residents wisely
iv.Gather tools and materials
v.Be active, enthusiastic, and engaged
c.Tools and materials useful for reminiscing
i.Think about things that stimulate all senses
ii.Using families, volunteers, and community to assist
d.Checkpoin-true or false
IV.Benefits of reminiscing
a.Maximizes strengths-short vs. long term memory
i.Focuses on the resident's abilities
c.Helps them grow, enjoy, cope
d.Stimulates the mind
e.Creates an opportunity to engage the resident and deepen relationships
i.Learning engagement activity:What are some ways you can think of where you have used reminiscing successfully? How can you see using it in the future?
ii.Learning engagement activity:Create a reminiscing activity-drag words/description into box
f.Communication is key-learn to speak the language of dementia
i.Using the reminiscing technique effectively depends on successfully communicating with the individual, both verbally and nonverbally
ii.Nonverbal communication techniques
iii.Attitude and mood are contagious
iv.Stay calm and reassuring
v.Make eye contact
vi.Use familiar gestures
viii.Focus on feelings
ix.Be aware of body language and its meaning
g.Verbal communication techniques
i.Do not interrupt
ii.Offer comfort and reassurance
iii.Speak to them as adults
iv.Avoid correcting or criticizing
v.Avoid arguing and reasoning
vi.Offer a guess
vii.Avoid negative statements
viii.Speak in normal tone of voice
ix.Keep sentences simple-one question or direction at a time
h.Learning engagement activity:Video AA 516-3 good comm(1 minute)
i.Revisit conversation between Mary and caregiver
V.Summary and conclusion
a.Reminiscing is a very powerful tool for you to learn and practice.
b.It brings many benefits to your residents and helps them feel connected and part of a community of friends.
c.Even if the person has lost many verbal skills, that person can understand laughter, smiles, a kind touch, and connecting through all the senses.
d.Through your attitude and caring and skillful use of reminiscence, you provide a bridge from past and present and a lifeline in uncertain moments.
Joanne Rader, RN, MN, has worked as a nurse in the field of long term care for more than 40 years. She graduated from University of Maryland, School of Nursing in 1968, with a BSN and from Oregon Health and Science University in 1979 with a Master's in Psychiatric-Mental Health Nursing. As a nurse clinical specialist, she worked to reduce the use of physical restraints, inappropriate psychoactive medications, and defensive, self-protective behaviors during bathing for persons with dementia. She was on the faculty of the Oregon Health Science University (OHSU), School of Nursing for 20 years and published numerous articles and books addressing the emotional needs and behavioral symptoms of persons with dementia and co-authored and produced manuals and videos on individualized wheelchair seating for older adults. In 1996, 2002 and 2008, her books, Individualized Dementia Care: Creative, Compassionate Approaches and Bathing Without a Battle, won AJN Book of the Year Awards. She is a founding member of the Pioneer Network, an organization working to change the culture of aging in America. Currently, she works as an independent consultant and babysitter for grandchildren. Disclosure: Joanne Rader, MN, RN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.Instructor: Cynthia McDaniel, MSN, RN
Cynthia McDaniel MSN RN, is a nurse and administrative consultant in long term care. She is the CEO of ElderWise Inc, a senior living consulting and education group. Cynthia has worked as a nurse consultant for the States of Oregon and Washington, a geriatric care manager, a regional director of clinical operations for a senior living company, and an assistant professor at Oregon Health & Science University School of Nursing. Her research in assisted living focused on the characteristics of residents in assisted living communities and the role of the nurse in assisted living. Cynthia holds a Master's of Science in Nursing from Gonzaga University in nursing education. She is a Fellow of the Sigma Theta Tau/John A. Hartford Foundation Geriatric Nursing Leadership Academy. Disclosure: Cynthia McDaniel, MSN, RN has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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