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 Description•Location within the building•Design•Occupancy•Special Features
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
Fee Structure for Memory Care
• All Inclusive Rate
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.
Involving the Community• Intergenerational Programs
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
Resident Experience
•Sylvia's Story
Replication• Established Program• Resources• Barriers• Overcoming Barriers
Replication
•Suggestions: • Research and Education: Utilizing
Resources Available• Evaluate Your Population• Establish a Clear Vision and Mission • Appoint a Knowledgeable Experienced
Leader
Replication•Suggestions:• Caregivers• Be Adequately Capitalized• Solicit Feedback• Share Success Stories• Walk the Talk• Adapt the Program to Meet Resident
Needs