It is Possible to Live a Normal Life

It is Possible to Live a Normal Life with Dementia in Assisted Living Re-imagine Life with Dementia June 27, 2017 Atlanta, GA Jayne Clairmont CEO, Owner & Consultant

Vision Our vision at English Rose Suites and b home Home Care is to change the landscape of memory and in-home care forever. We believe our residents, clients and staff will teach us, instruct us and lead us in surpassing all expectations for bringing remarkable, loving and compassionate care to our residents and clients.

Creating A Philosophy of Care s. Overall attitude of the employees

Selection of Employees s Are you exposing candidates to the milou? s Are your residents interviewing or interacting with candidates? s What are the qualifications/qualities you are looking for?

Leadership support Onboarding of New Employees Three day new employee learning model (24 hours) of learning: s “Show Me” s “Guide Me” s “Follow Me” v Transfer “Self Correction”

Leadership support Touch Points for Retooling What happens before retooling? s Modeling s Meet within 30 days to review performance and coach s Work on issues s An ever changing process of learning

Leadership support Touch Points for Retooling Group different than individual s Flows through training s Ongoing for individual s Personality s Habits s Philosophical s Flows of Communication s Everyone should be on the same page

Investing in Your Employees s. Pathways to Growth and Learning SM Definition: Custom designed learning model for caregivers in the assisted living environment. Designed to incorporate innovative practices that impact quality of care and enhance the employment relationship between the organization and caregivers.

Investing in Your Employees – Gateway to Investing In Your Employees – Person-Centered Care Gateway to Person-Centered Care s Provide staff with opportunities to take a leadership role in developing interests, skills and knowledge s Provide learning opportunities for staff to increase quality of care for residents while impacting job satisfaction and retention

What Brings you Joy? Tool: What brings me joy?

Embed Learning Teach Dementia s Education s Introductory s Daily s Informal s Formal s Video Vignettes s Specialty Categories s Retooling

Appreciated Staff Appreciating Staff Individualized Birthday Celebration s Hand selected gift, beautifully packaged s Special, customized note to highlight the person’s special character and personality

Resident Case Study at Braemar Hills Resident Study/Bathroom BH

Incorporating Life History Into Daily Life

Understanding. . . Understanding… s. Who they were s. Celebrate who they are s. Who they are becoming

“Celebrate Me” s Jewelry s Make up – Do it with taste s Sincere compliments s Hair care s Clothing style

Communication that Matters s Addressing person by full name / Nickname s first, middle, maiden, married name s Being present s Talking about real things s Adjust language s Mirroring

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Life Engagement s There is a daily calendar of activities from after breakfast until after dinner with 9 -10 scheduled activity options per day. s Activities that are failure free are offered on a parallel basis to engage residents at all functioning levels.

Approaches To Care s. Massage/Therapeutic Touch s. Music Therapy s. Physical Therapy s. Aromatherapy s. Pet Life

Therapeutic Touch

Provide Opportunities for Success

Celebrate & Learn From Honest Mistakes

Tips & Reminders, Cot’d. s. Built in activities (such as bird watching, plant discussion)

Essential Oils

Defining Aroma Therapy s“A skillful and controlled use of pure essential oils obtained from aromatic plant materials. ”

Defining Aroma Therapy s. Aromatherapy is both an art and a science. s. Affects the individual on all levels: body, mind and spirit. s. Utilizing the psychotherapeutic use of “scent” in a holistic framework. s. Jodi Baglien

Understanding our Sense of Smell – Using our Sense of Smell – the Olfactory System s When inhaled – s The aromatic molecules pass receptor sites along the olfactory pathway s Aromatic molecules are analyzed by the limbic system s Once analyzed, will elicit an appropriate biochemical response initiating a physical – biochemical change s Example: The smell of smoke initiates the fight or flight response – releasing stress hormones to help you physically take

Inhaling Aroma Molecules s. Is the fastest route for getting molecules into the respiratory system, blood stream and the brains limbic system. s. Is the most direct method for stress and emotional support, sleep & respiratory conditions.

Inhaling Aroma Molecules s. Bypasses logical thinking and goes directly to emotional response – helps us feel, and experience vs. think s. Presents the lowest level of risk to most people. (Tisserand)

Aromatherapy s. Hand body carrier oil/lotion s. Placed in foot and body spa baths s. Diffused into the air s. Spritzed from a spray bottle s. Put directly on washcloths, patches, tissues, cotton balls, boutonnieres, or floral necklaces

Master Aromatherapy Plan What (Oil) Why (used for) Who (which resident) When (time of day) Lavender Healing for the skin, burns, wounds, good support during cold and flu season, harmonizing effect on nervous system, great for insomnia. AM & PM *THIS OIL CAN ALSO BE USED THROUGHOUT THE DAY IF NEEDED. Strength Helps with giving courage, confidence, self-esteem, helps the body self-correct its balance and alignment giving relief from pain. AM & PM *THIS OIL CAN ALSO BE USED THROUGHOUT THE DAY IF NEEDED. Calming Eases tension, created happiness, calms agitation, promotes relaxation, release, rest. PM *THIS OIL CAN ALSO BE USED THROUGHOUT THE DAY IF NEEDED. Perk Up Helps to clear grogginess, encourage deeper breathing, clear mental fatigue and groggy heads, while it opens the breath and chest with respiratory support. Softens tightly held tension, uplifts and releases weariness. Serenity AM & PM *THIS OIL CAN ALSO BE USED THROUGHOUT THE DAY IF NEEDED.

Essential Oils

Carrier Supplies s. Lotion

Lavender Essential Oil Improved Sleep in Residents of a Memory Care Assisted Living Facility Leah R Hanson Ph. D 1, 2, Amanda Cagan BA 1, 2, Katie Rinehimer 3, Logan Stuck MS 2, Thomas Flottemesch Ph. D 2, Jayne Clairmont 3, Linda Sackett -Lundeen 2, Erhard Haus, MD 2 1 Health. Partners Center for Memory and Aging, Saint Paul, MN, USA; 2 Health. Partners Institute for Education and Research, Minneapolis, MN, USA; 3 English Rose Suites, Wayzata, MN, USA

Inhalations Delivery Method: Tissue Basin of Steaming Water Tabletop Diffuser Room Diffuser # of Drops: 1 - 2 1 drop/cup 5 -10 w/ diffuser in close proximity 10 -15 Lamp Ring 5 -10 w/ small amount of water Felt Material 1 - 2

Dilutions in Water Delivery Method: # of Drops: Foot Bath 2 - 4 Bath 2 - 6 Agitate the water and/or put in a handful of shampoo, egg yolk, or cream, then pour into the bath and agitate the water. Spray Bottle ( 4 – 8 oz. ) 10 -15 Spray Bottle (10 – 15 oz. ) 20 -30

Environment

Updating Your Environment Update Your Environment s. Lighting s. Color s. Furniture selections s. Accessories Create comfort!

Toileting s. Remove obstacles s. Provide visual cues s. Consistent schedule s. Monitor incontinence s. Be supportive s. Sing

Environment s Residential Model s Natural Cues s Kitchen s Resident Opportunities s Laundry Area s Resident Assists – load and folding s Social Opportunities s s Companionship Friendship Sisterhood Re-creation of Family s Personal Area s s Privacy – Bedroom Other

Environment Outdoors s s Water Feature Bird Feeders Programming Dining al Fresco

“Love is a language, the blind can see and the deaf can hear, and a caregiver can feel. ”