1) A1 Snehanjali provides holistic dementia care through assisted living facilities in India. It aims to help elders live with dignity and overcome challenges of aging. 2) The facilities provide personalized and group activities, meals, medication management, and 24/7 care and support to residents. 3) Care is focused on stimulating residents' minds, bodies and souls through non-pharmacological therapies like music, dance, art and social activities.

1. Silver Innings Holistic Dementia Care
Mona Mishra
Project Director
A1Snehanjali, Assisted Living Elder Care Home
International Conference on Advances in Dementia
&
XXI National conference of ARDSI
22nd to 24th Sep 2017
Kolkata
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2. Old Age in India
•In India, old age was never a problem.
•Earlier, the elder persons in the family were respected a
lot and they continued to live with respect till their death.
•Times have changed. The elders are treated as burden ,
often neglected / ignored and the story is different if you
suffer from some form of Dementia or you are Caregiver
for your parents/elders or you are in sandwich generation
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3. Dementia Effect
• Dementia is an illness that over time affects the capacity of individuals to
make some or all decisions about their everyday lives, including their money,
health and welfare.
• It gradually affects their ability to communicate, reason and act in their own
interests. This severely compromises their ability to stand up for their own
rights and leaves them vulnerable to abuse.
• Diversity – Culture, Religion, Tradition, Food Habits, Clothing, Life style etc
leads to complication and challenges of managing person with Dementia
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4. How it Impacts
Dementia does not affects the person but it also has an huge impact on the lives
of the family, and particularly the person who takes the primary role in
providing care.
Most of the time care is provided by one of the family member and other
informal support systems in the community and most of the time caregivers are
women.
The provision of care to a person with dementia can result in significant strain
for those who provide most of that care (primary caregiver).
The Caregiver Stress is Multi Dimensional
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5. Caregiving Multi Dimensional Impact
•Psychological
•Emotional
•Social
•Physical Distress
•Finance
•What is the Support ?
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6. CAREGIVING IS NOT A ROCKET SCIENCE
•Empathy
•Patience
•Polite
•Humbleness
•Honesty
•Dedication
•Passionate
•Spiritual
•Progressive
•Hygiene
•Happy
•Creative
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7. What is Holistic Care management
• Try to establish a routine.
• Allow the person with dementia to retain some independence.
• Protect his/her dignity.
• Try to involve him/her in as many activities as possible.
• Avoid confrontation whenever possible.
• Keep tasks simple.
• Maintain a sense of humor.
• Make sure your home is as safe as possible.
• Encourage the person with dementia to take exercise.
• Help to make the best of the affected person's existing abilities.
• Remember problems are due to the disease, and not the person.
• Remain flexible: dementia is a progressive illness and you will have to adapt to
changes that occur over time.
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8. Types of Services Care / Facility
• Dementia Helpline
• Counselling
• Support Groups
• Training
• At Home care by Family members
• At Home care with help of Professional Caregivers / Agency
• Dementia Day care centers
• Assisted Living Elder Care / Dementia Homes
• Respite Care
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9. Organization working for Alzheimer’s / Dementia
•ARDSI – National Organization
•Nightingale Trust – Bangalore
•Dignity Foundation
•Silver Innings
•A1 Snehanjali
•National Institute of Mental Health & Neuro Sciences
(NIMHANS)
•NISD
•AIIMS
•Nair Hospitals
•Dementia Care Notes – Website
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11. A1 Snehanjali
Assisted Living Elder Care Home
Since Aug 2013
“Transforming lives to mitigate loneliness, helplessness, and
boredom”
(Authorized Quote Permission by EDEN ALTERNATIVE)
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12. SILVER INNINGS, a SOCIAL ENTERPRISE since April 2008, started
‘A1SNEHANJALI’ First 24 x 7, one of its kind dedicated Assisted Living
Elder Care Home at Mumbai, for Senior’s who do NOT need constant
medical intervention or nursing home care
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13. Facilities
• D’silva Nagar – 17th Aug 2013
Cozy Bunglow in middle of town, with 5 Bedroom for 10 Residents (double
occupancy) with small garden and activity area
• Rajodi Beach– 1st June 2016
• Mini Dementia Park, resort like with 6 Rooms for 12 Residents and 2 Rooms for
4 RESPITE CARE RESIDENTS
• Total Capacity : 22 (excluding 4 respite care)
• Present Capacity : 15th Feb 2017
• D’silva Nagar site – 8
• Rajodi site – 4
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14. MISSION
At A1 Snehanjali our mission is to help
elders and their family members to
overcome the challenges of ageing and
show them the way to transform lives to
mitigate loneliness, helplessness and
boredom and live with dignity in their
silver years.
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15. Admission
•Admission is NOT open for person who needs constant
medical intervention or nursing home care
•Age group for admission : 55 yrs and above
•Admission open for all religion , caste , class and gender
•Admission open for Indian Citizens , Person of Indian Origin
(PIO) , NRI
•Admission NOT open for Person suffering from HIV/AIDS,
Cancer, T.B. and sever Dementia / Alzheimer’s
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16. General Principles of Caring for Residents at
A1 Snehanjali
•Holistic Care
•Person Centered Care
•Dignity & Respect
•Communication
•Independence
•Privacy
•Safety
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17. A1 Snehanjali has created package of
integrated amenities that is designed to
provide seniors with most of the service
required to lead a normal home-like life. It
offers both personalized and group programs
and services that focus on stimulating mind,
body and soul. We are offering a convenient
month-to-month room rental that includes
the following:
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18. Facilities
• Comfortable room including basic utilities
• Three VEG meals a day (As per nutritional requirement)
• Common dining facility (room service if required )
• Access to attending staff 24 hours a day and security
• Daily housekeeping and weekly laundry service
• Daily activities and exercise programs
• Transportation to doctor’s appointments
• Medication management, assistance with pill box
• Weekly medical checkup GP
• Monthly Psychiatrist checkup
• Doctor on call
• Grooming and Hygiene
• Incontinence care
• Bathing & Dressing
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19. Activity / Non Pharma Therapies
• Music
• Dance
• Chair Yoga
• Doll, Laughter
• Art and Craft(Creativity)
• Bingo
• Talking
• Reminiscence Therapy: Album Therapy
• Brain games
• Clay
• Carrrom
• Walk
• Gardening (Watering the plant)
• Watching TV
• Group Eating
• Group Prayer
• Group activity
• Summer camp with Kids
• Birthday’s and Festivals celebration and Days celebration
• 2 annual picnics etc
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20. Economics
•Refundable Deposit – Medical and Security
•Non Refundable Deposit – For Not For Profit
Plus
•Monthly Maintenance (rental)+ actual medicines, diapers,
toiletries
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21. Rights of Residents – 1st in India
1. Right to voluntary participation
2. Right to practice own religion
3. Right to medical care
4. Right to present grievances by residents and
family
5. Right to confidentiality in treatment
6. Right to receive needs based services
7. Right to dignity
8. Right to have family visit
9. Responsibility to respect personal rights and
privacy
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22. Our nurturing and trained professional staff is dedicated to provide all residents
with highest level of quality and expert services. Families subscribing to our
service will be assured peace of mind; knowing that their loved one is enjoying
his/her best days of “Silver Years” at A1 Snehanjali.
A therapeutic and secure environment is
provided to the residents along with non-
pharmacological interventions whenever
required.
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23. What IMPACT we made
•Care for person with Dementia
•Immediate Relief for Family
•Employment generation
•Community work with local population
•Advocacy and Networking
•Empowerment, Internship and HandsOn Training
•Innovative Therapeutically Intervention
•Promotion of Non Pharm approach
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24. A1 SNEHANJALI
D’silva Nagar
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48. Health Camp
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49. Beach Cleanup
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50. Advocacy and Awareness
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51. MEDIA Advocacy and Awareness
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53. A1SNEHANJALI
Rajodi
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54. PUBLIC ACTIVITY AREA
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55. Caregiver Play area
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58. THANKS
Contact:
Center Manager 91+9323919145 / 9860789145
Email Id: a1snehanjali.com ; silverinnings@gmail.com
Website: www.a1snehanjali.com
•Group website: www.silverinnings.in
Site Address:
D’silva Nagar:
Marciana Bungalow, D’silva Nagar, Nala Village, Nalasopara West,
(Mumbai W.Rly), Taluka Vasai, Dist. PALGHAR, Maharashtra. India.
401203
Rajodi :
• House no. 445, Chaar Rasta, Rajodi Beach Road, Satpale, Virar /
Nalasopara west, Tal- Vasai, Dist Palghar Maharashtra 401301Silver Inning Foundation 58

59. silverinnings@gmail.com
www.silverinnings.com