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Long Term Care

Long Term Care

ALZHEIMERS CARE

Today, Alzheimer's is the sixth-leading cause of death in the United States. This brain disease destroys brain cells, causing problems with memory, thinking and behavior. It is the most common form of dementia. There is currently no cure, but new treatments are on the horizon as a result of accelerating insight into the biology of the disease. Research has also shown that effective care and support can improve quality of life for individuals and their caregivers over the course of the disease from diagnosis to the end of life.

After viewing the program, the learner will be able to:

Understand what Alzheimer's disease is

Know the three stages of the disease

Know how it affects the person's communication skills and successful strategies to intervene

Learn approaches for the caregiver on the person's activities of daily living

Understand common behavior problems in dementia residents and learn interventions for each problem

DVD / 2018 / 21 minutes

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COMMUNICATING WITH PERSONS WITH DEMENTIA

Communication is a fundamental component of human relationships. It is important for everyone to be able to communicate their needs and the choices that they are making, as a way to preserve our sense of identity. Particularly with people with dementia, communication can be challenging, but it is important to realize how critical the communication aspect is in maintaining the resident's quality of life.

After viewing the program, the learner will be able to:

Recognize the difficulties of communicating with a person with dementia

Identify the factors that may affect a person with dementias ability to communicate

Indicate how to adjust your approach in communicating with a person with dementia

Determine how body language affects a persons communication

Describe the importance of social groups for a person with dementia

Identify common communication problems in dementia residents and learn interventions for each problem

DVD / 2018 / 17 minutes

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DEMENTIA BEHAVIOR MANAGEMENT

It is common for problem behaviors to occur among older adults in the long term care setting, and these behaviors can negatively impact the resident's health and quality of life. It doesn't stop there, however, because the effects of problem behaviors are also felt by caregivers and other residents within the facility. It is pertinent for nurses and all healthcare workers to identify problem behaviors, as well as how to promptly intervene.

After viewing the program, the learner will be able to:

List four reasons why disruptive behaviors may occur

Identify the 5 Rs to prevent problem behaviors

Indicate how acute medical problems affect behavior

Recognize four stressors that have an impact on behavior

Name three symptoms of Sundowners syndrome

Explain what a catastrophic reaction is and what provokes it

List six ways to defuse and de-escalate potential danger

DVD / 2018 / 29 minutes

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DEMENTIA CARE

Nursing Assistants have a great responsibility in administering care that supports optimal function, maintains safety, and provides quality of life to those who have lost the ability to determine their own course in life. The skills required to work with residents with dementia include exceptional levels of observation, discernment, and patience. Nursing staff must work closely with other disciplines and departments to ensure a safe and pleasant environment for all residents is maintained.

After viewing the program, the learner will be able to:

Identify types and symptoms of dementia

Identify changes in toileting and continence

State potential health risks that result from functional decline

Identify safety considerations associated with Activities of Daily Living

Identify approaches for effective care in bathing, dressing, and eating activities

State how activities and stimuli affect residents with dementia

Identify focused observations which must be reported

State how resident needs may be communicated

DVD / 2018 / 27 minutes

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ELOPEMENT PREVENTION

Caregivers must maintain constant vigilance over their wards, taking every precaution to prevent unsafe wandering. While not all wandering is unsafe, caregivers in the long term care setting must understand that the potential for harm from a resident's wandering is ever present. Furthermore, they must know what to do in case a resident wanders or elopes from the facility and what to do once the resident is found.

After viewing the program, the learner will be able to:

Define the terms wandering and elopement

Determine the difference between safe and unsafe wandering

Identify triggers of unsafe wandering

Assess new residents for at-risk behaviors

Describe the importance of periodic and ongoing reassessment

Identify wandering prevention strategies

Discuss the importance of electronic methods of intervention

Discuss the steps to take when a resident missing

Discuss the steps to take when that resident is found

DVD / 2018 / 24 minutes

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PREVENTING ELDER ABUSE: HELPING KEEP RESIDENTS SAFE

Over time, elder abuse has become a serious issue in the United States, and it has drastically increased in the last ten years. As more elders are entering into nursing home and hospital settings, it is critical that nurses and healthcare professionals are aware of this growing issue to make every possible effort to prevent it.

Nurses are mandatory reporters of abuse, whether suspected or not, so it is pertinent that they are familiar with the risk factors that can lead a caregiver to be abusive and what to do if elder abuse is suspected. This program outlines the various types of abuse, and the signs of its occurrence.

After completing this course, the learner should be able to:

Describe types and signs of elder abuse

Identify factors that put elders at risk of becoming abused

Identify factors that put caregivers at risk of becoming abusive

Describe the steps that should be taken if elder abuse is suspected

Identify when reporting is necessary and how and where to report suspected abuse

DVD / 2018 / 22 minutes

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PREVENTING HEALTHCARE-ASSOCIATED INFECTIONS IN LONG TERM CARE PART 1: PREVENTION REVIEW

Healthcare-associated infections in long term care are infections that develop after a resident's admission to a long term care facility. Elderly residents in both acute and long term care settings are particularly vulnerable to infections, partly due to the age-related decline in immunologic function, but also due to the fact that antibody production declines with age.

This program, provides nurses and others with an understanding of the importance of preventing healthcare-associated infections in long-term care, starting with a review of infection control guidelines and procedures recommended by government agencies and professional organizations.

After viewing this program, the learner should be able to:

List the six links in the Chain of Infection

Identify the most effective means of preventing the transmission of pathogens

Describe the key components of both Standard Precautions and Transmission-based Precautions

Explain Safe Injection Practices

DVD / 2018 / 33 minutes

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PREVENTING HEALTHCARE-ASSOCIATED INFECTIONS IN LONG TERM CARE PART 2: FACILITY CONCERNS

Healthcare-associated infections in long term care are infections that develop after a resident's admission to a long term care facility. Elderly residents in both acute and long term care settings are particularly vulnerable to infections, partly due to the age-related decline in immunologic function, but also due to the fact that antibody production declines with age. The Centers for Medicare and Medicaid Services (CMS) has specific requirements aimed at reducing healthcare-associated infections in long term care settings. Other organizations, such as the Joint Commission and the Agency for Healthcare Research and Quality (AHRQ) have also developed recommendations and guidelines for reducing healthcare-associated infections.

This program, describes the requirements and guidelines aimed at preventing healthcare-associated infections in long-term care. In addition, strategies for preventing the transmission of infections of concern often found in long term care settings - such as pneumonia, CAUTI, C. diff., and Candida auris - are demonstrated and described.

After viewing this program, the learner should be able to:

Describe components of a facility's Infection Control Program and Quality Assurance Program as required by CMS.
Describe risk factors and control measures for the following:

Influenza

Pneumonia

UTIs/CAUTI

Pressure wounds

MRSA

C. diff

Candida auris

DVD / 2018 / 26 minutes

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PROMOTING INDEPENDENCE FOR PERSONS WITH DEMENTIA

Caregivers have a great responsibility in administering care to residents with dementia. The disease itself causes loss of judgment, reasoning, memory, and communication skills that can lead the resident with dementia into risk and danger if not properly managed. Activities of daily living can often be affected with the onset of dementia as well. Exceptional levels of observation, discernment, and patience are needed when working with residents with dementia, and workers in long term care facilities must be equipped with these skills.

After viewing the program, the learner will be able to:

Apply the principles of independence and dignity while assisting with ADLs

Identify what needs to be done at each stage of AD and related dementias

Recognize personal care strategies for dressing

Recognize personal care strategies for bathing

Recognize personal care strategies for eating

Know options to encourage a resident to improve their eating habits

Recognize personal care strategies for grooming

Recognize personal care strategies for toileting

DVD / 2018 / 18 minutes

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SEXUALITY, INTIMACY, AND DEMENTIA IN RESIDENTIAL CARE SETTINGS

This 5-chaptered DVD brings forth a thoughtful, much needed exploration of sexuality, intimacy, and dementia, and the complex issues that impact residents, family members, and care staff. Through five 15- to 20-minute videos, the DVD looks at the relevant concerns of intimacy and sexuality on quality of life, freedom to express sexuality, capacity to consent, resident protections, and potential legal ramifications. It also touches on the needs of LGBT residents, how to address resident-to-resident and resident-to-visitor encounters, and how to find workable solutions with the support of family members.

The 5-DVD Chapters cover:
Part 1: The Effects of Dementia on Intimacy and Sexuality
Part 2: Responding to Sexual Expressions
Part 3: Consensual Intimacy and Sexuality
Part 4: Spousal and Family Responses
Part 5: Non-consensual Intimacy and Sexuality

This DVD poses many relevant questions, and is designed to equip care staff with a well-rounded understanding of the sensitive issues concerning intimacy, sexuality, and the rights of persons with dementia, as well as, how to respond to expressions of sexuality in a manner that promotes both resident dignity and safety.

DVD / 2017 / 78 minutes

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"BOB, I'M REALLY BUSY": THE IMPACT OF IMPERSONAL CARE ON THE WELL-BEING OF PERSONS LIVING WITH DEMENTIA

Through five short trigger scenarios involving assistance for a person living with dementia, this DVD presents care situations that will open up discussion on how best to provide resident-specific support and assistance. Each brief scenario is designed to demonstrate the impact of a caregiver's tone, actions, and level of sensitivity to the resident's needs. This up-close-and-personal look at caregiving will give caregivers a chance to dissect and analyze how they provide care, and foster a deeper understanding of how to interact positively with persons living with dementia.

DVD / 2015 / 12 minutes

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FEED HER WHILE SHE WALKS

When a resident won't sit long enough to eat, or insists on leaving, or wanders into potentially unsafe areas - what do you do?

This 20-minute DVD will help. Using real people and real situations, it offers thought-provoking insights into wandering behavior, and shows effective examples of providing person-centered care to residents who wander or insist on leaving. It also shows how an interdisciplinary approach to understanding and adjusting care to each resident's specific needs can promote independence and safety, and identifies environmental cues that can help deter wandering into unsafe or private areas (such as, another resident's room).

Includes strategies for:

Working with residents who wander at night

Working with residents who keep leaving the building

Working with residents who move items or get into things

Caregivers will be inspired to find creative, flexible ways to redirect and engage persons who wander or want to leave.

DVD / 2014 / 20 minutes

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"I'LL BE THERE FOR YOU" - PROVIDING PERSON-CENTERED DEMENTIA CARE

By Jett Jousma

Learn how person-centered care can positiviely impact each day for persons with dementia...

This DVD shows how to make a hands-on shift to person-centered dementia care that engages the whole person and creates a support system based on each resident's needs and preferences.

From natural wake-ups to music therapy, the DVD looks at the benefits of involving residents in their care as much as possible, finding ways to help them to "continue" living life the way they prefer, and engaging them in personalized activities that boost self-esteem and interaction. It also empowers nursing assistants to act upon (and communicate to other team members) their first-hand knowledge of each resident to ensure a better understanding of their care needs.

DVD / 2013 / 28 minutes

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COMMUNICATING YOUR VALUE TO DEVELOP LONG-TERM CLIENTS

Develop skills and techniques to cultivate clients through effective communication that demonstrates your value. Enhance verbal and written communication skills. Learn to cultivate clients towards a long-term care management relationship. Document to avoid liability.

DVD / 2013 / 60 minutes

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INFECTION CONTROL IN THE LONG TERM CARE FACILITY

In this program, we discuss why long term care residents are highly susceptible to infection. We'll also examine common infections that occur in Long Term Care facilities.

DVD / 2013 / 27 minutes

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PERSON-CENTERED DEMENTIA CARE: STORIES AND EXAMPLES

"Who is this person - without dementia? If we can tap into who this person is, we can help their adjustment, and the process that they go through." - from the DVD

Through hands-on stories and examples, this chaptered DVD shows the positive impact of person-centered care. When caregivers meet persons with dementia "where they are" and find creative and engaging ways to connect with each individual, based on their needs and preferences, life is better for both residents and staff.

The DVD includes the case study of Elaine, a resident who, for extended periods of time, attempts to leave the facility and go home. By pinpointing the importance of knowing the resident, it shows how her "exit-seeking" behavior is addressed and managed in the context of who she is and what she needs at that particular time.

The DVD also shows how to make life richer for the residents who have dementia by

personalizing their dining experience

encouraging use of remaining abilities

engaging them in creative activities

DVD / 2013 / 29 minutes

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MORE THAN WORDS: A NEW CULTURE OF CARE AND COMMUNICATION WITH PERSONS WHO HAVE DEMENTIA

This culture-changing DVD demonstrates (though real interactions) how person-centered care and knowledge of the resident can reduce dementia-related episodes, such as, sundowning and aggressive-protective reactions when bathing, and wanting to leave.

As it pinpoints the crucial role of the CAN as caregiver and friend, it also shows the importance of communicating directly, and creating a true "relationship" with persons with dementia. Caregivers will learn valuable tips to redirect and lessen anxieties for persons with dementia while preserving their personal autonomy and dignity.

The DVD covers:

Building and maintaining a relationship

Dealing with difficult situations

Communicating to show respect

Accepting their reality

Respecting the person's preferences

Encouraging use of remaining abilities

DVD / 2011 / 25 minutes

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ASPIRATION IN OLDER ADULTS WITH DYSPHAGIA

Dysphagia, or difficulty in swallowing, can occur as a consequence of aging, or due to physical or cognitive changes. This DVD explains the 4 stages of swallowing, the warning signs of aspiration, and offers care techniques that can be used to reduce the risk of aspiration while hand feeding or tube feeding. The DVD also stresses the importance of good dental hygiene and denture care, body positioning when feeding, and how to select an appropriate risk-reduction intervention.

DVD / 2009 / 47 minutes

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ELDER MISTREATMENT ASSESSMENT

Elder abuse or mistreatment can take on various forms that often go undetected. The Elder Assessment Instrument (EAI) is designed to help caregivers identify possible abuse, neglect, exploitative, and abandonment indicators. The DVD encourages a team approach in incorporating elder abuse screening in the general older adult health assessment, and takes a realistic look at the potential challenges associated with an accurate assessment, such as patient restriction on sharing of information, and limiting caregiver presence during assessment.

DVD / 2009 / 39 minutes

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RECOGNITION OF DEMENTIA IN HOSPITALIZED OLDER ADULTS

The prevalence of dementia among hospitalized older adults is estimated at about 25%, with the dementia often going undetected during a hospital stay. This DVD shows how to use the Recognition of Dementia In Hospitalized Older Adults screening tool to identify any signs of dementia. Care providers will also learn how to recognize behavior triggers, how to address risks associated with dementia, and how to formulate an ongoing plan of care.

DVD / 2009 / 30 minutes

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WANDERING IN HOSPITALIZED: OLDER ADULTS WITH DEMENTIA

This DVD shows caregiver staff how to integrate best practices in the prevention of wandering and elopement (wandering away), specifically in older adults with dementia. Potential triggers for these behaviors are outlined, along with proper screening of patients for risk factors. Emphasis is placed on preventive aids to reduce wandering, and the importance of understanding why patients tend to wander. The DVD provides an informative discussion on staff awareness of relevant security and HIPAA policies, if an elopement should occur.

DVD / 2009 / 42 minutes

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WORKING WITH FAMILIES OF HOSPITALIZED OLDER ADULTS WHO HAVE DEMENTIA

The benefits of improving care of hospitalized older adults who have dementia, by tapping into the wealth of information family members can provide, is shown in this pre-admission screening. The DVD shows the importance of identifying normal behavior patterns, individual preferences, and ADL capabilities, with the ultimate goal of preventing avoidable problems, and improving outcomes. How hospitalization can affect patients is also discussed, along with delirium prevention and fall prevention protocols.

DVD / 2009 / 32 minutes

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RESIDENTS' RIGHTS IN LONG TERM CARE

Scenarios show examples of where the rights of residents need to be preserved. Health care assistants learn to recognize threats to resident rights and how to overcome them.

The role of education and continuing education in the protection of residents' rights and the prevention of abuse

Recognize civil rights and medical rights

DVD / 2007 / 50 minutes

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RESTRAINT FREE ENVIRONMENTS IN THE LONG TERM CARE SETTING

The field of geriatric medicine has grown as our population has aged. As more health care dollars are being utilized by the elderly, legislative action has increased to ensure that the care is delivered in a cost effective and equitable manner. Nowhere is this interplay of new information and legislative regulation more evident than in the topic of restraint reduction. This program will examine alternatives for residents who display unsafe behaviors.

DVD / 2002 / 28 minutes

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BON APPETIT! HOW TO CREATE MEANINGFUL MELATIMES IN LONG-TERM CARE

This DVD training program presents a comprehensive mealtime program that focuses on principles of resident autonomy and person centered care. Special attention is devoted to identifying the needs of people with dementia.

The program covers:

The effects of dementia of communications, behavior and eating.

Creating dining experiences with less distraction.

How to prepare and serve food in a way that enables the resident to eat as independently as possible.

DVD / 40 minutes

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FIRE SAFETY FOR LONG TERM CARE

DVD

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INFECTION CONTROL IN LONG TERM CARE: SAFEGUARDING YOUR ENVIRONMENT (2018 UPDATE)

Patients are being discharged sooner from the hospital. As a result, we're seeing residents enter long term-care facilities even earlier, often with greater medical and nursing needs.

Infectious diseases pose significant hazards to staff and residents in long-term care. Controlling the spread of infection and communicable diseases is like fighting an invisible enemy. When staff members take the appropriate precautions, caregivers and residents should never see the results. Only when infection control breaks down do the hazardous effects become obvious.

The consequences of infectious diseases can be painful. Residents are at increased risk of infection. Many of them are sick, while others are elderly and more vulnerable. Many just cannot handle any further insult to their frail condition. Prevention is where staff and caregivers in long-term care can have the greatest impact on safety and good health. In this educational video, we will:

Define the risk imposed by infectious disease

Explain the most up-to-date infection control procedures

Describe procedures your staff and caregivers must take to ensure safety for themselves and their residents

Demonstrate proper hand hygiene

Define Standard Precautions to help reduce the spread of infection

Describe proper food handling techniques

DVD

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MY MOTHER, MY FATHER: SEVEN YEARS LATER

Seven years after the original film "My Mother, My Father" was produced, this program visits each of the four families again, exploring the changes that have taken place over the years in family dynamics and in caregiving needs. In addition the caregivers themselves reflect on their own aging and what plans they are making for when they grow older and possibly become more dependent on someone else for care.

DVD / 42 minutes

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UNDERSTANDING OUR DIFFERENCES: LGBTQ SENSITIVITY TRAINING

LGBTQ Sensitivity Training for Nurses and Certified Nursing Assistants in Long-term Care Facilities

We are all different. But those differences are less noticeable in the workplace because of what we share in common. We all work together. And we care for the same residents. As our workforce and resident population become more diverse, everyone should become more sensitive to our differences - the diversity in our workplace and in our society. An inclusive workplace accepts everyone.

In this program we will discuss the gay, lesbian, bisexual, and transgender - or LBGTQ - population in our workplace. Recognizing our differences is an obligation we have to each other and to the residents in our care. We learn to adapt by:

Learning definitions of LBGTQ populations

Understanding our differences

Knowing how to communicate when those differences affect our work

DVD

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