The Power of Laughter

Hello everyone, Think about the last time you had a really good laugh. A tears-flowing, belly-aching, almost-pee your pants laugh. Remember how you felt after that laugh? It should be no surprise then that a recent study found that exercise programs that included laughter as a core element benefited older adults. The study found “significant […]

Tips for Integrating Person-centered Approaches into Care Plans

Hello everyone, Many of you are working on integrating more person-centered approaches into your care plans, and looking for ways that GNAs and other staff can easily access information about the social histories and preferences of residents, which is critical information when caring for people who have dementia. Those “golden nuggets” of information can help […]

Create a Plan & Evaluate It–The Final Steps of DICE

Hello everyone, This week we’ll finish discussing the four steps of DICE. We hope you had a chance to discuss the “Describe” and “Investigate” parts with your staff, and are finding the process helpful as you work to assess and manage behaviors of your residents with dementia. The “C” in DICE stands for “Create a […]

Use your Sleuthing Skills for the Second Step of the DICE Model

Hello everyone, In last week’s tidbit, we discussed the DICE process for assessing and managing behavioral issues in residents with BPSD. We focused on the “D”—describing a resident’s behavior with specific details that provide important clues about the cause of the behavior. This week we focus on the “I”—Investigate. Once we have a detailed description of […]

Using “DICE” to Assess and Manage Challenging Behaviors

Hello everyone, This week we are introducing “DICE,” a tool you can use to assess and manage behavior change in people with dementia. DICE stands for: Describe the behavior Investigate the influence of things like cognitive status, environment, caregiver approach, physical/medical disorders, and psychiatric symptoms Create a person-centered plan to address the behavior Evaluate if the plan works (Kales, Gitlin, Lyketsos, 2014, […]

Wandering Worries

Hello everyone, Wandering is common for many people with dementia, and can sometimes be frustrating and nerve-wracking for caregivers. DailyCaring.com has an article about wandering this week. The article describes some reasons why people with Alzheimer’s disease might wander: Fear or stress: they might not recognize where they are, the environment is overstimulating, or a loud noise or […]

Breaking Down Language Barriers

Hello everyone, If you’ve ever traveled to a foreign country where you don’t speak the language, you know how difficult it can be to get directions to a museum or order a meal.  Imagine how frightening and depressing it would if everyone around you spoke a different language, but instead of being on vacation, you […]

Wisdom from Experienced GNAs

Hello everyone, A good rule to follow when teaching (especially when time is limited) is to first determine what your audience already knows. This way, you can meet them where they are and not only save time, but clarify misinformation and learn what to focus on and expand upon. As one of the nurse facilitators […]

Success Stories on Managing Apathy

Hello everyone, A few weeks ago, we asked you to share some of your strategies for helping residents with apathy become more involved in activities. Gina Gentilini-Borzilleri, the Activities Director at Lorien Elkridge in Maryland, sent us a few wonderful examples of things she has tried with residents where she’s has had success! We thought we’d […]