Slides presented at the HEAR Approach to Behavior Management live webinar of February 1, 2017, featuring presentations from Dr. Andrew Heck and Carol Garby.
Slides from Drs. Skillings and Arnold presentation: Bio-psycho-social model and cognitive-behavioral therapy in medical settings. Includes case example of cardiac disease and irritable bowel syndrome (IBS).
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
Not Criminally Responsible. You may have heard this term used in the news or in movies but what does it really mean? At our most recent Conversations at The Royal lecture, we answered this and many other questions about what it means to be a forensic client.
The evening was presented by Dr. Diane Hoffman-Lacombe, Dr. Anik Gosselin, and Raphaela Fleisher, from the Integrated Forensic program at The Royal.
Slides from Drs. Skillings and Arnold presentation: Bio-psycho-social model and cognitive-behavioral therapy in medical settings. Includes case example of cardiac disease and irritable bowel syndrome (IBS).
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
Not Criminally Responsible. You may have heard this term used in the news or in movies but what does it really mean? At our most recent Conversations at The Royal lecture, we answered this and many other questions about what it means to be a forensic client.
The evening was presented by Dr. Diane Hoffman-Lacombe, Dr. Anik Gosselin, and Raphaela Fleisher, from the Integrated Forensic program at The Royal.
A quick overview of best practice treatments for mental disorders. Great for personal study, as flashcards, for study for the NCMHCE or similar exams, or as a presentation.
Integrated Behavioral Health Care: Biopsychosocial Approach to Treatment Inte...Michael Changaris
This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.
We introduce the basics of adult ADHD and how it can be treated effectively with an online program based on the principles of Cognitive Behavioral Therapy.
Readiness for change and the stages of change modelHayleyLoschiavo
This power point reviews the stages of change model and it origins. It describes what readiness for change is, what are core concepts, and important characteristics, as well as using it in practice.
Learning Telehealth in the Midst of a PandemicJohn Gavazzi
This presentation outlines the basics of beginning to work with patients via telehealth. The workshop offers both pragmatic and technical assistance to start working with patients at a distance or online
A warm welcome to CREST.BD’s Bipolar Wellness Centre webinar series! These slides provide a summary of current research evidence on the relationship between home, bipolar disorder (BD) and quality of life (QoL), as well as pointing you to some tools and resources to help you manage your home life.
Ethics and Skills for Psychologist as Supervisor: Post-Doctoral Supervision i...John Gavazzi
This is the third in a 3-part series to help psychologists obtain requisite continuing education to function as a post-doctoral supervisor in Pennsylvania
As of December 15, 2015, psychologists acting as post-doctoral supervisors must complete either doctoral-level university coursework on supervision or 3 hours of continuing education on supervision.
This program may be helpful for post-doctoral supervisees to understand the supervision process.
SO GUYS ONCE AGAIN HERE I PRESENT U THE OWN MADE PRESENTATION ON THE TOPIC DEMENTIA I HOPE U LIKE THAT IT IS BEEN USEFUL U WHILE MAKING PSYCHIATRIC PRESENTATION
A quick overview of best practice treatments for mental disorders. Great for personal study, as flashcards, for study for the NCMHCE or similar exams, or as a presentation.
Integrated Behavioral Health Care: Biopsychosocial Approach to Treatment Inte...Michael Changaris
This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.
We introduce the basics of adult ADHD and how it can be treated effectively with an online program based on the principles of Cognitive Behavioral Therapy.
Readiness for change and the stages of change modelHayleyLoschiavo
This power point reviews the stages of change model and it origins. It describes what readiness for change is, what are core concepts, and important characteristics, as well as using it in practice.
Learning Telehealth in the Midst of a PandemicJohn Gavazzi
This presentation outlines the basics of beginning to work with patients via telehealth. The workshop offers both pragmatic and technical assistance to start working with patients at a distance or online
A warm welcome to CREST.BD’s Bipolar Wellness Centre webinar series! These slides provide a summary of current research evidence on the relationship between home, bipolar disorder (BD) and quality of life (QoL), as well as pointing you to some tools and resources to help you manage your home life.
Ethics and Skills for Psychologist as Supervisor: Post-Doctoral Supervision i...John Gavazzi
This is the third in a 3-part series to help psychologists obtain requisite continuing education to function as a post-doctoral supervisor in Pennsylvania
As of December 15, 2015, psychologists acting as post-doctoral supervisors must complete either doctoral-level university coursework on supervision or 3 hours of continuing education on supervision.
This program may be helpful for post-doctoral supervisees to understand the supervision process.
SO GUYS ONCE AGAIN HERE I PRESENT U THE OWN MADE PRESENTATION ON THE TOPIC DEMENTIA I HOPE U LIKE THAT IT IS BEEN USEFUL U WHILE MAKING PSYCHIATRIC PRESENTATION
This slide can change the perspective of parents and teachers on how they are going to discipline their children. They will understand their behavior base of their attention span.
Teepa Snow, dementia and Alzheimer's expert, gave this presentation as one of several at an all-day caregiving workshop sponsored by Home Instead Senior Care of Sonoma County, located in Rohnert Park, CA.
The event was held on March 22, 2010, at the Scottish Rite Masonic Center in Santa Rosa, CA. About 100 people were in attendance including RPNs and CNAs. CEU credits were available.
The event was sponsored by Home Instead Senior Care of Sonoma County and Brighton Gardens Assisted Living in Santa Rosa.
Home Instead Senior Care of Sonoma County provides home care, personal care and companionship services to the seniors and the elderly in Petaluma, Santa Rosa, Rohnert Park, Sonoma, Windsor and throughout the County.
Presentation made March 17, 2017 and hosted by AlzPossible - www.alzpossible.org.
Review recording at http://alzpossible.org/webinars-2/the-basics-memory-loss-dementia-and-alzheimers-disease/
The psychological approaches and examples are outlined and evaluated. The treatments and therapies for each approach are given and also evaluated. Based on the Third Edition for Psychology AS 'The Complete Companion Student Book' by Mike Cardwell and Cara Flanagan for AQA 'A'
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
One of my assignments in graduate school was to pick a topic about mental health. I chose to research Obsessive Compulsive Disorder (OCD) since so many have to endure this terrible illness. In addition, I was fascinated by how the brain works in people diagnosed with OCD and excited to share my findings with my colleagues. This project required me to implement evidence-based research by reviewing articles and books on the topic. I had to familiarize myself with the findings, create and present a comprehensive power point slide to my professors and fellow students.
Managing mental health claims and return to work is a challenge for most employers. This slide show demonstrates some positive strategies that can reduce the human and financial cost of psychological disability claims. Organizational Solutions Inc has great success in assisting our clients in the management of disability claims of all varieties physical and psychological in nature.
BEATING THE BLUES: PRACTICAL SOLUTIONS FOR A COMMON HEALTH PROBLEMSummit Health
Lecture on depression, including information about causes, symptoms, and treatment. Learn to distinguish depression from feeling down. Find out how practical techniques can help improve short-term and long-term blue moods, sadness, and depression.
NIMH i PSC Assays for the Drug Pipeline - Panchisionwef
Dr David Panchision's live presentation at the Schizophrenia Research Forum's live webinar of June 28, 2017 - http://www.schizophreniaforum.org/forums/webinar-modeling-neuropsychiatric-disorders-using-vitro-models
Schizophrenia Research Forum Live Webinar - June 28, 2017 - Rusty Gage wef
Fred Gage's live presentation at the Schizophrenia Research Forum's live webinar of June 28, 2017 - http://www.schizophreniaforum.org/forums/webinar-modeling-neuropsychiatric-disorders-using-vitro-models
SCHIZOPHRENIA RESEARCH FORUM - LIVE WEBINAR June 2017 Kristen Brennandwef
Kristen Brennand presentation at the live webinar of June 28, 2017 hosted by the Schizophrenia Research Forum (http://www.schizophreniaforum.org/forums/webinar-modeling-neuropsychiatric-disorders-using-vitro-models)
STRATEGIES FOR COMMUNICATION AND SENSITIVITY FOR PERSONS EXPERIENCING DEMENTI...wef
Live presentation recorded June 21, 2017, featuring Ellen Phipps and Devin Bowers - review additional material at www.alzpossible.org/strategies-for-communication/
Translating from Animal Models to Human Schizophrenia - Insights into Pathoph...wef
Presentation made by Dr. Tony Grace at the Schizophrenia Research Forum's live webinar of May 4, 2017 - Dopamine in Schizophrenia—Cortical and Subcortical Pathophysiology - review recording of session at http://www.schizophreniaforum.org/forums/dopamine-schizophrenia%E2%80%94cortical-and-subcortical-pathophysiology
Presentation made by Dr. Oliver Howes at the Schizophrenia Research Forum's live webinar of May 4, 2017 - Dopamine in Schizophrenia—Cortical and Subcortical Pathophysiology - review recording of session at http://www.schizophreniaforum.org/forums/dopamine-schizophrenia%E2%80%94cortical-and-subcortical-pathophysiology
Topography and functional significance of the dopaminesgic dysfunction in sch...wef
Presentation made by Dr. Anissa Abi-Dargham at the Schizophrenia Research Forum's live webinar of May 4, 2017 - Dopamine in Schizophrenia—Cortical and Subcortical Pathophysiology - review recording of session at http://www.schizophreniaforum.org/forums/dopamine-schizophrenia%E2%80%94cortical-and-subcortical-pathophysiology
SRF Webinar - What It Will Take to Make Coordinated Specialty Care Available ...wef
Presentation made March 22, 2017, during the live webinar hosted by Schizophrenia Research Forum (SRF). Event recording and additional slides at http://www.schizophreniaforum.org/forums/achieving-effective-treatment-early-psychosis-united-states
SRF Webinar: Beyond DUP - Addressing Disengagement in Community-based Early I...wef
Presentation made March 22, 2017, during the live webinar hosted by Schizophrenia Research Forum (SRF). Event recording and additional slides at http://www.schizophreniaforum.org/forums/achieving-effective-treatment-early-psychosis-united-states
Presentation made at the live webinar hosted by the Schizophrenia Research Forum on the 21st of February, 2017 - http://www.schizophreniaforum.org/forums/treatment-resistant-schizophrenia-new-guidelines-diagnosis-and-terminology
Oliver Howes - Treatment-Resistant Schizophrenia: New Guidelines on Diagnosis...wef
Presentation made at the live webinar hosted by the Schizophrenia Research Forum on the 21st of February, 2017 - http://www.schizophreniaforum.org/forums/treatment-resistant-schizophrenia-new-guidelines-diagnosis-and-terminology
John Kane - Treatment-Resistant Schizophrenia: New Guidelines on Diagnosis an...wef
Presentation made at the live webinar hosted by the Schizophrenia Research Forum on the 21st of February, 2017 - http://www.schizophreniaforum.org/forums/treatment-resistant-schizophrenia-new-guidelines-diagnosis-and-terminology
Live webinar recorded September 7, 2016, hosted by the Lewy Body Dementia Association (www.lbda.org), featuring Dr. James Leverenz and moderated by Angela Taylor.
Review recording and more information at www.lbda.org or at the event page: www.worldeventsforum.net/lbda
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
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ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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HEAR approach to behavior management Live webinar Feb 1 2017
1. A non-pharmacological approach to
managing problematic behaviors in dementia
Andrew L. Heck, PsyD, ABPP
Licensed Clinical Psychologist
GeroPartners, LLC
Carol Garby, BSN
Virginia Department of Social Services,
Division of Licensing Programs
2. The Mythical Silver Bullet
What do you
do when a
resident
_________
[insert behavior problem here]?
Bad news:
There is no universal
intervention that
applies across all
people and problems
(i.e., the “silver bullet”).
Good news:
There is a method we
can use to develop
individualized solutions
to individualized
problems.
3. BPSD:
Behavioral Problems and Symptoms in Dementia
Effective interventions follow thorough assessments
aimed at the problem’s specific cause
Management of BPSD must be comprehensive and
systematic
Successful BPSD management blends reactive and
proactive strategies
4. Key question:
Why is this
Behavior a Problem?
Is it:
only problematic for the
resident?
endangering/irritating/upsetting
to other residents/family
members/visitors/ staff?
interfering with care?
5. Clarifying the BPSD
OBSERVE AND
DESCRIBE:
• Type
• Frequency
• Intensity
• Duration of the BPSD
THEN PERFORM:
• Functional analysis of
behavior: an examination
of what a behavior’s
purpose (i.e., function)
serves for the individual
6. Functional analysis of behavior
BehaviorDESCRIPTION:
What specific behavior(s)
occurred, and if more than
one, did they ever occur
together?
PREDICTION:
Did the behavior occur during specific time periods; any
time when the behavior didn’t occur; was there a specific
setting, characteristic or stimuli present when the
behavior occurred?When did the behavior NOT occur?
FUNCTION:
What function did the
behavior serve; did it result in
consequences?
7. The HEAR approach
• Health
“H”
• Environmental
“E” • Approach
“A”
• Resident
“R”
8. Chronic back pain, depression
SSRI (antidepressant)
Recently was informed a close friend had died
Increase in back pain, tramadol added
Recent, sudden, and unpredictable confusion, aggression, clumsiness
Clumsiness also observed
HEAR: Health
Jane
ALF resident
9. HEAR: Health
Increase
antidepressant,
thought depression /
grieving was cause
All symptoms
worsened
Jane had a fall
ALF
response
Pharmacy review
of med regimen
Revealed
likelihood of
‘serotonin
syndrome’
Meds adjusted,
Jane returned to
baseline
Preferred
response
10. Definition:
• Medical or other physical factors that cause or influence behavioral
problems
Common Health Factors
• Delirium
• Medication-related (single or interaction)
• Metabolic disturbance (e.g., hypothyroidism, B12 deficiency)
• Infection
• Sensory loss
• Pain, hunger, thirst
HEAR: Health
11. HEAR: Health
When a new behavior
problem suddenly emerges:
Obtain a thorough
medical
evaluation
(including labs)
Arrange a
comprehensive
pharmacy review
of medication
regimen
Check for
constipation /
impaction
12. Moved rooms 2 weeks ago
Yells repeatedly for help in the middle
of the night, agitation grows
Verbally assaults staff when they
respond: “You’re going to let me die!!”
HEAR: Environmental Factors
George
ALF resident
Memory CareUnit
13. HEAR: Environmental Factors
PRN anti-anxiety
medication
George has a fall when
getting out of bed
ALF
response
Rule out medical causes
Examining
environment revealed
streetlight shining
directly into room
through blinds at night,
George yells for help
but forgets why by the
time staff arrives
New opaque blinds
installed, no more
awakening for George
Preferred
response
14. HEAR: Environmental Factors
Definition:
• Any aspects of an individual’s surroundings that influence BPSD
Common Factors
• Both cognitively impaired and cognitively intact individuals can be very sensitive
to even minor environmental irritants or changes
• Irritant/change + behavioral dyscontrol = potentially harmful reaction!
• Environmental changes are recommended in most circumstances
oNo adverse effects
oEasy to implement
15. Strikes out during toileting
Q 2-hour toileting schedule not
followed due to staff fear
Severe skin irritation and pain due to
often wet disposable undergarments
HEAR: Approach Factors
Mary
ALF resident
Memory CareUnit
16. HEAR: Approach Factors
Use 3 staff to toilet her
Mary fights on way to own
bathroom after being disrobed in
room
ALF
response
Rule out
medical and
environmental
causes
Use one staff
member at
first, gently
lead by hand to
bathroom
Attempt hand-
over-hand
disrobing,
gradually
introduce
second staff
member if
needed
Rub shoulders
during
disrobing to
distract (tactile
distraction) if
needed
Give verbal
instructions
one step at a
time, praise
success
Preferred
response
17. HEAR: Approach Factors
Definition:
• The method(s) by which individuals are addressed by their caregivers that can
influence BPSD
Common Examples
• Violations of personal space
• Caregiver attitude/response
• Verbal approach
• Stance/positioning issues
• Erratic schedules, unpredictable routine
18. Definition:
• The needs, wants, desires, or habits of an individual that influence
behavioral problems
Common Examples
• Can also be considered “psychological” factors
• These constitute a broad array of potential contributing
causes for BPSD
HEAR: Resident Factors
19. HEAR: Resident Factors
Psychotherapy
• Individuals with early-state
dementia may benefit from some
forms of psychotherapy
• Gather collateral information—
family and others
• Pass along information and
observations to therapist
Behavior Planning
• Some residents may benefit from
behavior plans
• Works across different levels of
cognitive ability
• Typically developed by a MH
consultant, implemented by
facility staff with training
• Aimed at bringing about desirable
behaviors while discouraging or
eliminating harmful behaviors
20. Facility role
Facilities are generally
well-equipped to address
•Health,
•Environmental, and
•Approach factors with
existing resources
If H, E, and
A factors
are ruled
out,
Resident Factors
It may be time to bring in a
behaviorally-trained clinician to
address the specific behavior
21. Regulatory perspective
• Failure to address BPSD!
• Assessment (UAI)
• Public versus Private Pay
• Not “sole source”
• Static versus Dynamic
22. Individual Service Plan
Please make the ISP a “living, breathing” document!
Development of
ISP
INDIVIDUAL-Absent or
lacking
NO involvement of DCS
STATIC not DYNAMIC
23. TIPS
Don’t make
assumptions!
Take action before
small problems
become big ones
Gather informationLearn to think
“outside the box”
Expect some
failures.
Celebrate success!
24. In Summary…
Be thorough and
systematic in examining
potential contributors to
problem behaviors:
HEAR!!
Avoid the temptation to
leap to medication as a
first-line solution
For residents with
behavioral issues, make
sure management of
those behaviors are
accounted for in the
individual’s ISP
Keep ISPs current with
frequent re-evaluations
and updates
25. Contact information
Andrew L. Heck, PsyD, ABPP
GeroPartners, LLC
aheck@geropartners.com
www.geropartners.com
Carol Garby, BSN
Virginia Department of Social Services,
Division of Licensing Programs
carol.garby@dss.virginia.gov