PAC Skills Champion Course Its All In Your

PAC Skills Champion Course It’s All In Your Approach! © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Introductions v “Hi!” (turn into supportive stance) v “I’m ___ and you are…? ” v “I’m from ____ and you are…. ? ” v “I’m a job/hobby and you are…. ? ” © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

AGENDA Vision & Language Changes q PPA Sensorimotor Changes q Hu. H Zones of Human Awareness q VVT Cues: Connect to Task q PPC+PAS: Putting it All Together q PPA /Hu. H cheat sheet GEMs Overview q GEMs Roleplay © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

PAC Beliefs • The relationship is most critical, not the outcome of one encounter • We hold the key to make life better • People Living with Dementia (PLw. D) are doing the best they can • We must be willing to change ourselves, if we want to help © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

© Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Vision Changes With each new level of vision change, there is a decrease in safety awareness Less Peripheral Awareness • Tunnel Vision • Binocular Vision Object Use Confusion • Monocular Vision Limited Visual Regard © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

SKILL: Give a visual cue in visual range Approach 6 Feet Away in VISUAL RANGE Care Partner • • No Words! Hand at face. Smile! Make eye contact Gesture, “Come with me!” PLw. D Three ways: 1. Standing only 2. With binoculars 3. With binoculars + looking to side © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Language Changes Right Left RIGHT Automatic Speech Rhythm – Music Expletives Preserved LEFT Formal Speech and Language Center Huge Changes Right Left © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

SKILL: Give short verbal cue to match visual cue VISUAL RANGE Supportive Stance • • • Care Partner PLw. D Hand at face. Smile! Say: “Hi ______!” Visual cue on self Say: “I like your _____!” Point to item on PLw. D Standing © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Sensory Strip Motor Strip Right Left White Matter Connections Big Changes Left © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

SKILL: Hand-under-Hand® to connect PLw. D 1. Standing 2. Hu. H - Look away Supportive Stance Care Partner • • • Hand at face. Smile! Say: “Hi, I’m ______ and you are? ” Extend handshake: OFFER, ACCEPT Hu. H: SHAKE, SHIFT, SUPPORT Left Hand on shoulder – firm pressure Pump Right Hand – Gain visual attention © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Sensory Strip Motor Strip Right Left White Matter Connections Big Changes Left © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

SKILL: Hand-under-Hand® for task PLw. D 1. Standing 2. Standing w/Sunnies Supportive Stance Care Partner • • Hand at face. Smile! Say: “Hi, I’m ______ and you are? ” Extend handshake: OFFER, ACCEPT Hu. H: SHAKE, SHIFT, SUPPORT Say: “Oh!” (with facial expression) Left Hand gesture: to self/them - something on your shirt Hu. H assist to brush off © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Lunch Options Nearby Less than a Mile North Stella Link Road to West University • • • Whole Foods M 3 Pizza & Pizza Hut Yoshi Sushi & Ramen Firehouse Subs Fajita Pete’s Island Grill Mediterranean Delivery Options • Panera Bread: (713) 821 -1065 • Pizza Hut: (713) 664 -2222 • Molina’s Cantina: (713) 432 -1626 © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

3 Zones of Human Awareness • TOUCH • Within arm’s reach • Connect • VERBAL • 6 Feet, to arm’s reach • Friendly • VISUAL • > 6 Feet • Social interactions © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

SKILL: Cues in Zones of Awareness Care Partner PLw. D PUBLIC SPACE Visual Cue Short Verbal Sitting PERSONAL SPACE Visual: Offer handshake Verbal: “Hey ___, it’s ____” INTIMATE SPACE Visual: Accept offer/hand Touch: Move into Hu. H Get to Side & Low: Sit, squat & lean PAUSE: No words! © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Positive Personal Connections (PPC) 1. Greet: “Hi___I am ___. ” OR “I am___ and you are? ” 2. Compliment: “ You are looking really colorful today!” 3. Friendly Share: “I’m from (state) and you’re from? ” 4. Notice: Point out something. You must love (item). ” 5. Be Curious: It’s a bit chilly in here. A hot drink maybe? Would you like coffee or tea? ” © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Positive Action Starters (PAS) 1. Help: “You are so good at ______, would you please help me? 2. Try: “Well, let’s try this. ” 3. Choice: “This or that? ” 4. Short and Simple: “It’s about time to (first task). ” 5. Step by Step: “Lean forward. ” © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

SKILL: Positive Personal Connection & Positive Action Starter PLw. D Supportive Stance Standing Care Partner 2 PPCs: • “Hi, I’m _____, and you are? • “I’m from ______, and you are from? ” 2 PASs: • “Can you help me? • “Let’s go!” Gesture: “Come with me. ” © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

How is it going so far? q How are people doing? (visual cue) q Discuss check-off sheets q Demo Level 1 Skills q PPA song! q Lunch! © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Positive Physical Approach™ To the tune of Amazing Grace Come from the front, Go slow Get to the side, Get low Offer your hand, Call out their name Then wait…. . If you will try, then you will see How different life can be For those you’re car-ing for. © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Lunch Options Nearby Less than a Mile North Stella Link Road to West University • • • Whole Foods M 3 Pizza & Pizza Hut Yoshi Sushi & Ramen Firehouse Subs Fajita Pete’s Island Grill Mediterranean Delivery Options • Panera Bread: (713) 821 -1065 • Pizza Hut: (713) 664 -2222 • Molina’s Cantina: (713) 432 -1626 © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Core PPA™ Ingredients and Basic Recipe Observe visually - Seek visual regard Offer verbal greeting - If visual and verbal reactions are OK, progress (if not, pause) Offer friendly social contact: hand shake, eye contact - If offer is accepted, transition into supportive position, at a matched height (if not, pause) Transition into Hand-under-Hand® positioning, if accepted, to sustain connection (if not, pause and release and step-move back) - Offer a PPC, if accepted, transition to a PAS (if not, pause and try again) © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Skills Practice & Check-Off Mentor Groups - Work in Triads • Practice PPA/Hu. H skill • Video practice and review against CHECKLIST • Prep with VIDEO + CHECKLIST for Mentor will Rotate to Triads • Coach • Review video and checkoff with you • Approve Level 1 skills After Level 1 Skills Approved • Practice PPA/Hu. H with Care Partner Sitting & PLw. D Approaching © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

SKILL: Positive Physical Approach with Person Sitting Care Partner Observer & Videographer PPA and Hu. H Use at least 2 PPCs + 1 PAS 1. Practice w/PLw. D 2. Have video taken 3. Review video w/checklist: 2+ and 1 change 4. Video again trying 1 change PLw. D 1. Sitting only 2. Add sunnies: • Wait 3 secs to respond • Say, “What? ” if more than 4 words. © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

GEM State Model 1. Pace 2. Visual Cues 3. Verbal Cues 4. Physical Cues Notice Teepa’s cues Pick One Focus © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Diamond • Use GEMS card: What did you NOTICE? Why might Teepa have used this skill with Margaret? • What stood out for you that you’ve seen with Diamonds? • What do you want to TRY with a Diamond? © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Emerald • Use GEMS card: What did you NOTICE? Why might Teepa have used this skill with Gordon? • What stood out for you that you’ve seen with Emeralds? • What do you want to TRY with an Emerald? © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Amber • Use GEMS card: What did you NOTICE? Why might Teepa have used this skill with Alice? • What stood out for you that you’ve seen with Ambers? • What do you want to TRY with an Amber? © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Ruby • Use GEMS card: What did you NOTICE? Why might Teepa have used this skill with John? • What stood out for you that you’ve seen with Rubies? • What do you want to TRY with a Ruby? © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Pearl • Use GEMS card: What did you NOTICE? Why might Teepa have used this skill with Edna? • What stood out for you that you’ve seen with Pearls? • What do you want to TRY with a Pearl? © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Diamond Role Play Diamond: “Are you the boss around here? ” Support: “You’re looking for the boss around here? ” Diamond: “Yes, the boss. ” Support: “Hi, I’m ______, the boss. ” Diamond: “Well, I need to go home right now. ” Support: “(Diamond’s Name), you need to go home right now! To do something, or just to be there? ” © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

Wrap-up • Pins Awarded • Day Reflections: 5 Minute Practice (Manual, Page 32) • Evaluations • Tomorrow • Doors Open at 8: 30 AM • Start at 9: 00 AM • Finish by 5: 00 PM • Song, and Thank You!!! © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

I Will Change! (to the tune of This Little Light of Mine) By Teepa Snow © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

I am gonna meet and greet Before I start to treat I am gonna meet and greet Before I check your feet I am gonna meet and greet Before I help you eat How I start sets us up to succeed! © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

No more just ‘gettin’ it done’ I’m gonna do with you No more just ‘gettin’ it done’ I’m gonna help you through No more just ‘gettin’ it done’ We’re gonna work, we two Cause if I do it all, we both lose! © Teepa Snow, Positive Approach, LLC – to be reused only with permission.

I’m gonna laugh and dance with you Not just watch and frown I’m gonna laugh and dance with you Not just stand around I’m gonna laugh and dance with you We’ll really go to town For the power of joy I have found! © Teepa Snow, Positive Approach, LLC – to be reused only with permission.