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Preparing Staff and Volunteers for
   Working with the Dementia
           Population
       Stephen Vozzella BA ACC
          Emeritus Pikesville
        Memory Care Director
Slides are available at
• http://www.slideshare.net/StephenVozzellaSlides
Question
• Is there anything specific you want to go back
  to work with from this session?
Description of presentation:
• This session will provide the participants with
  tools to use when educating staff and
  volunteers on the topic of working with
  dementia. The presenter will examine the
  type of learners you are working with, review
  different ways to present materials and then
  walk the participants through some examples
  of training programs.
Objectives
• 1. Describe the types of learners that you will
  be teaching.
• 2. Identify in-service techniques that are
  successful.
• 3. Implement a basic training program for
  volunteers that will prepare them for the
  dementia population.
3 Styles Of An Adult Learner
• Visual - Learning by seeing
• Auditory – Learning by listening
• Kinesthetic – Learning by doing

• Goal for the presenter is to include all 3 styles
  in presentation
• http://www.ldpride.net/learning-style-test.html

                        6
What do you want your staff to
              know?
• Look at job description
• Are there parts of the job description are they not
  meeting?
• What could they improve upon?
• Practice difficult situations
• What are the staff persons goals for the coming
  review period?
• What does the employee want to learn?
• What are the goals of the department?
Job Description/Possible Topics
•   Assessments
•   Planning - entertainers
•   Leading programs – group vs. individual
•   Documenting – activities, MDS, evaluations – what
    else
•   Communication
•   Supplies
•   Budget
•   Supervising
•   What else????
Leading Programs
• This is an area we should all be looking at this
  is our “bread and butter”
• Create checklist of goals for leaders
• Use this to review
• Use this to build abilities
• Use this to interview
Training Plan - Department
• Look at the staff and what areas you have identified
• Create a plan for each employee
• Look at the Pillars of your program
• Survey your department what do they want to learn
  about
• Communicate plan with supervisor and HR – utilize
  company training programs
• Create a monthly training plan
• Leave room for impromptu training
Maximize Learning Opportunities
• Learning Objectives
• Descriptions of training
• Keep it short, make it fun! – create on the
  spot training – can help with issues!
• Pre and Post Tests
• Why is it important you have this training?
• Stimulate the adult learner
• Allow for evaluations
• Attempt to have different presenters
Switch gears discuss leading a class
It Is Your Turn To Present …..
• Learning objectives – learning objectives
  should guide the process
  – Define, list, describe, implement
• Then come up with a title
• Beginning and an ending
• Know the topic
  – Do not expect to be able to “snow” the
    participants – guest speaker??

                          13
Have Ground Rules
•   Set the tone
•   Bathrooms and breaks
•   Questions and answers
•   When to speak when not to speak
•   Anything else???




                       14
The Day Of The Presentation
• Get there early and stay late!!
• Be accessible
• Watch what you drink
• The night before avoid a meal that maybe
  cause you to have an upset stomach
• If your presentation is right after a meal bring
  mints

                         15
Review The Agenda
• Pay close attention to time
• Stick to your plan
• Include handouts – Do you need every slide
  on the handout?
• Adult learners need to know what the plan is




                       16
Be Ready To Introduce Yourself
• Keep it simple but highlight your best qualities
• Highlight your professional achievements




                        17
Ice Breaker
• How to break the ice?
• Trainers Warehouse – resource for ideas
• Try your creativity – that is an activity
  specialists strength




                        18
Tools
•   Laser pointer
•   Toys
•   Flip chart
•   Any others???




                      19
PowerPoint Tips
• Take a class
• Use the notes feature if you need a script




                        20
Do Not Go Crazy With
• Color – use color that is easy to read
• Make your backgrounds and font able to read
•   Try to stay above size 24 font




                                     21
Do Not Over Load Your Slide With
• Lots of information
• Make sure you cover each bullet point on your
  slide
• Participants do not like it when you skip over a
  point




                        22
Learn Where The B Button Is
•   Press the b or w button is
•   Everyone will focus on you
•   Make your point
•   Take a class on PowerPoint!




                         23
Don’t Overuse PowerPoint
• Keep the clicking to a minimum




                      24
Use Photos Or Videos Instead
• Of clip art
• Make sure cartoon is not going to offend
  anyone
• If you can use company logo or copyright




                       25
The Participants
• Stand in front of the sleeper
• Do not let a participant dominate the room
• Lets discuss this at the break
• This is a topic for another class
• Can you give me your e-mail address and I will get
  back to you.
• Be a good listener
• Observe the body language of the participants
• Never give presentation near ocean!
                           26
Teaching Techniques
•   Lecture
•   Experiential exercise
•   Panel presentation
•   Question and answers
•   Case study
•   Pre test, post test


                        27
Reward Participation
• Candy
• Prizes
• Use your creativity




                        28
Practice, Practice, Practice
• If you can find someone to listen or read your
  presentation, absolutely do this
• Check for spelling, grammar, consistency of
  font
• Practice your presentation out loud
• Use a clock
• Avoid um, uh……


                        29
Secret Of The Presentation
• If you forget to talk to talk about a certain
  point don’t worry about it no one will know




                        30
Presentation Tip
• Do not make the presentation all about you!!




                       31
During Questions
• Repeat the question
• If it is a long question take notes, break it into
  sections
• Summarize the questions




                          32
Resources
• www.trainerswarehouse.com - Trainers Warehouse
• www.slideshare.net – free slide sharing site
• www.ldpride.net – 2 minute learner test




                        33
At The End
• Make sure you thank the participants for their
  time
• Give time for questions
• Pay close attention to time, do not keep
  people over – participants stop paying
  attention – do not speak near ocean – no one
  will pay attention
• Leave time for evaluation

                       34
Lets switch gears one last time!
Volunteers
• Different based on junior/senior
• Keep it simple
Volunteer Orientation
• Walking orientation keep it moving
• Required information- fire safety, infection
  control, etc..
• The basics of dementia
• Focus on the positive – show volunteers what
  residents can do!
• Create special training depending on what
  their job is going to be
Is Dementia a Disease?
• Dementia is a syndrome which is a set of
  symptoms
What is the most common form of
                dementia?
•   Alzheimer’s
•   Vascular Dementia
•   Parkinson's Disease
•   Dementia with Lewy Bodys
•   Front Temporal Dementia
•   NPH
•   Pick’s Disease
Alzheimer’s Disease
Demonstrate the breakdown
• Need some volunteers
• You do not need to speak
• You will be passing a ball to one another
Vascular Dementia
The 4 A’s
•   Amnesia
•   Aphasia
•   Apraxia
•   Agnosia
Amnesia
• Memory loss
• Short Term Memory Loss
• Long Term Memory Loss

• Residents may benefit from 20’s, 30’s, 40’s,
  50’s - long term memory
• Fortunately you can re use material
Aphasia
• Receptive = has difficulty receiving messages
• Expressive = has difficulty sending the
  message

• Utilize short and simple statements
• Utilize non-verbal communication
• Prepare to repeat
Apraxia
• It is the inability to carry out purposeful
  movements

• For severely impaired we must try
  interventions even though response may be
  limited
• Utilize visual objects
• Extra Patience needed = to allow the person
  time
Agnosia
• The inability to recognize objects, people,
  sounds, shapes

•   Try to use familiar items
•   Go where the person is
•   Mirror there comments
•   Do not correct
Focus on Communication
• Your examples are right in your program
  – What do you do when a resident says I gotta go
    home?
  – What do you do when a resident says you stole
    my belt!
  – What do you do when a resident says can you
    help me out of this chair?
  – I have to go to the bathroom!
On going Volunteer Training
•   This is a challenge
•   Survey volunteers
•   Do on the spot in-servicing
•   Invite to existing training if possible
•   Train for specific issues – keep it short
The End
• Thanks for
  attending
• Any
  questions??
• Enjoy the
  Boards!!!




                   50

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Preparing staff and volunteers for working with the dementia population handouts

  • 1. Preparing Staff and Volunteers for Working with the Dementia Population Stephen Vozzella BA ACC Emeritus Pikesville Memory Care Director
  • 2. Slides are available at • http://www.slideshare.net/StephenVozzellaSlides
  • 3. Question • Is there anything specific you want to go back to work with from this session?
  • 4. Description of presentation: • This session will provide the participants with tools to use when educating staff and volunteers on the topic of working with dementia. The presenter will examine the type of learners you are working with, review different ways to present materials and then walk the participants through some examples of training programs.
  • 5. Objectives • 1. Describe the types of learners that you will be teaching. • 2. Identify in-service techniques that are successful. • 3. Implement a basic training program for volunteers that will prepare them for the dementia population.
  • 6. 3 Styles Of An Adult Learner • Visual - Learning by seeing • Auditory – Learning by listening • Kinesthetic – Learning by doing • Goal for the presenter is to include all 3 styles in presentation • http://www.ldpride.net/learning-style-test.html 6
  • 7. What do you want your staff to know? • Look at job description • Are there parts of the job description are they not meeting? • What could they improve upon? • Practice difficult situations • What are the staff persons goals for the coming review period? • What does the employee want to learn? • What are the goals of the department?
  • 8. Job Description/Possible Topics • Assessments • Planning - entertainers • Leading programs – group vs. individual • Documenting – activities, MDS, evaluations – what else • Communication • Supplies • Budget • Supervising • What else????
  • 9. Leading Programs • This is an area we should all be looking at this is our “bread and butter” • Create checklist of goals for leaders • Use this to review • Use this to build abilities • Use this to interview
  • 10. Training Plan - Department • Look at the staff and what areas you have identified • Create a plan for each employee • Look at the Pillars of your program • Survey your department what do they want to learn about • Communicate plan with supervisor and HR – utilize company training programs • Create a monthly training plan • Leave room for impromptu training
  • 11. Maximize Learning Opportunities • Learning Objectives • Descriptions of training • Keep it short, make it fun! – create on the spot training – can help with issues! • Pre and Post Tests • Why is it important you have this training? • Stimulate the adult learner • Allow for evaluations • Attempt to have different presenters
  • 12. Switch gears discuss leading a class
  • 13. It Is Your Turn To Present ….. • Learning objectives – learning objectives should guide the process – Define, list, describe, implement • Then come up with a title • Beginning and an ending • Know the topic – Do not expect to be able to “snow” the participants – guest speaker?? 13
  • 14. Have Ground Rules • Set the tone • Bathrooms and breaks • Questions and answers • When to speak when not to speak • Anything else??? 14
  • 15. The Day Of The Presentation • Get there early and stay late!! • Be accessible • Watch what you drink • The night before avoid a meal that maybe cause you to have an upset stomach • If your presentation is right after a meal bring mints 15
  • 16. Review The Agenda • Pay close attention to time • Stick to your plan • Include handouts – Do you need every slide on the handout? • Adult learners need to know what the plan is 16
  • 17. Be Ready To Introduce Yourself • Keep it simple but highlight your best qualities • Highlight your professional achievements 17
  • 18. Ice Breaker • How to break the ice? • Trainers Warehouse – resource for ideas • Try your creativity – that is an activity specialists strength 18
  • 19. Tools • Laser pointer • Toys • Flip chart • Any others??? 19
  • 20. PowerPoint Tips • Take a class • Use the notes feature if you need a script 20
  • 21. Do Not Go Crazy With • Color – use color that is easy to read • Make your backgrounds and font able to read • Try to stay above size 24 font 21
  • 22. Do Not Over Load Your Slide With • Lots of information • Make sure you cover each bullet point on your slide • Participants do not like it when you skip over a point 22
  • 23. Learn Where The B Button Is • Press the b or w button is • Everyone will focus on you • Make your point • Take a class on PowerPoint! 23
  • 24. Don’t Overuse PowerPoint • Keep the clicking to a minimum 24
  • 25. Use Photos Or Videos Instead • Of clip art • Make sure cartoon is not going to offend anyone • If you can use company logo or copyright 25
  • 26. The Participants • Stand in front of the sleeper • Do not let a participant dominate the room • Lets discuss this at the break • This is a topic for another class • Can you give me your e-mail address and I will get back to you. • Be a good listener • Observe the body language of the participants • Never give presentation near ocean! 26
  • 27. Teaching Techniques • Lecture • Experiential exercise • Panel presentation • Question and answers • Case study • Pre test, post test 27
  • 28. Reward Participation • Candy • Prizes • Use your creativity 28
  • 29. Practice, Practice, Practice • If you can find someone to listen or read your presentation, absolutely do this • Check for spelling, grammar, consistency of font • Practice your presentation out loud • Use a clock • Avoid um, uh…… 29
  • 30. Secret Of The Presentation • If you forget to talk to talk about a certain point don’t worry about it no one will know 30
  • 31. Presentation Tip • Do not make the presentation all about you!! 31
  • 32. During Questions • Repeat the question • If it is a long question take notes, break it into sections • Summarize the questions 32
  • 33. Resources • www.trainerswarehouse.com - Trainers Warehouse • www.slideshare.net – free slide sharing site • www.ldpride.net – 2 minute learner test 33
  • 34. At The End • Make sure you thank the participants for their time • Give time for questions • Pay close attention to time, do not keep people over – participants stop paying attention – do not speak near ocean – no one will pay attention • Leave time for evaluation 34
  • 35. Lets switch gears one last time!
  • 36. Volunteers • Different based on junior/senior • Keep it simple
  • 37. Volunteer Orientation • Walking orientation keep it moving • Required information- fire safety, infection control, etc.. • The basics of dementia • Focus on the positive – show volunteers what residents can do! • Create special training depending on what their job is going to be
  • 38. Is Dementia a Disease? • Dementia is a syndrome which is a set of symptoms
  • 39. What is the most common form of dementia? • Alzheimer’s • Vascular Dementia • Parkinson's Disease • Dementia with Lewy Bodys • Front Temporal Dementia • NPH • Pick’s Disease
  • 41. Demonstrate the breakdown • Need some volunteers • You do not need to speak • You will be passing a ball to one another
  • 43. The 4 A’s • Amnesia • Aphasia • Apraxia • Agnosia
  • 44. Amnesia • Memory loss • Short Term Memory Loss • Long Term Memory Loss • Residents may benefit from 20’s, 30’s, 40’s, 50’s - long term memory • Fortunately you can re use material
  • 45. Aphasia • Receptive = has difficulty receiving messages • Expressive = has difficulty sending the message • Utilize short and simple statements • Utilize non-verbal communication • Prepare to repeat
  • 46. Apraxia • It is the inability to carry out purposeful movements • For severely impaired we must try interventions even though response may be limited • Utilize visual objects • Extra Patience needed = to allow the person time
  • 47. Agnosia • The inability to recognize objects, people, sounds, shapes • Try to use familiar items • Go where the person is • Mirror there comments • Do not correct
  • 48. Focus on Communication • Your examples are right in your program – What do you do when a resident says I gotta go home? – What do you do when a resident says you stole my belt! – What do you do when a resident says can you help me out of this chair? – I have to go to the bathroom!
  • 49. On going Volunteer Training • This is a challenge • Survey volunteers • Do on the spot in-servicing • Invite to existing training if possible • Train for specific issues – keep it short
  • 50. The End • Thanks for attending • Any questions?? • Enjoy the Boards!!! 50