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Workshops Available On-Site

Please contact Geriatric Education & Consultation Services if you are interested in having one of the following workshops at your facility:

Workshops for Small Groups


Discovering the Lived Experience of the LTC Resident:
Quality of Interaction Schedule, Environmental and Organizational Health (QUIS-EH-O)

The QUIS was developed in the United Kingdom to measure the "lived experience" of the person in the health care system. This is accomplished by observing all interactions or lack of interactions during a specified time period1,2. Peter Wiebe of Geriatric Services added the environmental and organizational health (EH-O) assessment to better meet the needs of individuals living in Canadian LTC facilities. He has divided this intensive workshop into two parts.

Part one is a 6 hour presentation to the management group of the LTC facility. After receiving this information the management group will decide if they want to go on to train a team of assessors for their organization. Peter says "It is a brave organization which opens its day to day work to scrutiny." Part one alone helps management address negative care. Part two of this program objectively measures positive care, neutral care and negative care after which recommendations are tailor made for the organization. Six to ten "natural leaders" of the organization receive training to use the QUIS-EH-O tool during part two. These assessors need to be seen as impartial observers by the majority of the staff.

The information is collected without recording resident or staff names. It is not to be used for individual staff performance appraisal but to assess what it is like to be a resident in the facility. The goal is to determine the lived experience of the resident. The assessors need to be seen as neutral and therefore not involved in performance appraisals of the staff.

Part two takes place over a five day time period. At the end of this program the organization will have some trained assessors and an initial assessment of their organization.

Typical outline for the program
Part One - Management information session. (6 hours)
Part Two - Monday evening meet with families for a 2 hour session explaining the plan and process.
- Tuesday, Wednesday, Thursday staff training of QUIS.
- Friday morning, EH-O assessments and in the afternoon presentation of the initial assessment and recommendations to management and staff.

1Dean, Proudfoot & Lindesay, The Quality of Interactions Schedule (QUIS): Development, Reliability and use in the Evaluation of Two Domus Units, International Journal of Geriatric Psychiatry, Vol 8, 1993.
2Sheard DM, Enabling Quality of Life: An Evaluation Tool, Alzheimer Society, 2008.


S.A.F.E.R. Practice for Managing Geriatric Aggression:
A Train the Trainer Program

This workshop was developed to assist long term care facilities meet Occupational Health and Safety Codes set by Canadian provinces. What do you do when prevention fails? How do you safely handle an aggressive elderly client?

This two day, train the trainer workshop is intended for small groups (no more than 12 participants). The S.A.F.E.R. workshop examines prevention strategies and adds S.A.F.E.R. physical escape and control techniques. These techniques were developed with the geriatric client in mind. Participants practice and demonstrate geriatric specific techniques. Role-play is used to develop de-escalation skills. Each participant, with their employers agreement, has opportunity to contract with Geriatric Education & Consultation Services to teach the staff at their own workplace for up to four years. Quality controls with mandatory updates are build into this workshop.

S.A.F.E.R.
Stop, Assess, Form a plan, Ensure safety for all involved, Reassure and Review.

This workshop consists of three 6 hour days. Employers are encouraged to send trainees who have an aptitude to teach.


Workshops for Any Sized Groups


The E.M.P.A.T.H.Y. Method:
Changing Elder Care from Task Orientation to
Relationship/Person Centred Care

Along with an aging population we have seen an increase in dementia and a corresponding increase in challenging behaviour. There is evidence that person centred care decreases some of these behaviours. Staff ask "How can we change to person centred care with our present resource base?" In this workshop, Peter Wiebe of Geriatric Services presents his E.M.P.A.T.H.Y. approach. This approach is designed to help organizations change from task focused to person centred care.

Organizations which have adopted person centred caring report a sharp decrease in challenging patient behaviour and an increase in staff satisfaction.

Suggested Audience: Frontline workers, Dietary Staff, Management, Social Workers, RNs, LPNs, RPNs, Health Care Aides, Chaplains, Rec. and Therapy Staff.

This is a 6 hour workshop.


Dementia Care - E.M.P.A.T.H.Y. II:
Safety & Cleanliness Are Not Enough

This workshop adds to our well received E.M.P.A.T.H.Y. Method model of care. Peter Wiebe of Geriatric Services shows how we have developed a health care culture where the values of cleanliness and safety are used to justify controlling and restrictive care. "At least they're safe" has become our mantra! This frequently leads to unhappy elders with challenging behavior. There is another way. Peter demonstrates how a move to person centred caring can reverse this controlling care. Helping geriatric clients meet their emotional and relational needs helps keep both the care provider and elder safer when physical care is being provided. Keeping in mind present resource restrictions practical "how to" suggestions are presented. This workshop starts with assessment and moves all the way through to follow-up evaluation. As part of the evaluation process, several tools to objectively evaluate quality of life for the elderly person are presented.

This workshop is a good follow up to the original "E.M.P.A.T.H.Y. Method" workshop. However, participants are not required to attend the first workshop.

Suggested Audience: Frontline workers, Social Workers, All Nurses, Health Care Aides, Dietary Staff, Chaplains, Recreation and Therapy Staff, Management, Union Reps and other people in leadership roles.

This is a 6 hour workshop.


The Brain and Behaviour:
Understanding the Behavioural Impact of Brain Damage in Dementia

Workshop Content:
Frontal Lobe Function.
Frontal Lobe Dysfunction and it's Relation to Disruptive Behaviour in Dementia.
Bedside Assessment of the Frontal Lobe: a look at several standardized tests.
Predictors for Disruptive Behaviour.

Suggested Audience: RNs, LPNs, RPNs, OTs, PTs, Social Workers and family physicians.

This is a 6 hour workshop.


Geriatric Giants:
Dementia, Depression & Delirium

This workshop examines the disease/syndrome of these three common "geriatric giants". Current research tells us that delirium and depression in the elderly can easily be mistaken for dementia. This mistake may cause a prolonged time of illness and sometimes even death. Therefore it is important to get objective standardized tools into the hands of care providers. This workshop defines the disease/syndrome and examines the similarities and differences of each. The importance of multidisciplinary assessment and treatment is stressed. Standardized assessment tools will be presented. Current treatment and prevention options are reviewed.

Suggested Audience: RNs, LPNs, RPNs, OTs, PTs, Speech and Recreational Therapists, Social Workers and family physicians.

This is a 6 hour workshop.


Geriatric Assessment:
Unraveling the Mystery of Standardized Geriatric Testing

Workshop Content:
Mental status assessment scales - How and why we use them:
-Folstein's Mini Mental State Exam: A look at the strengths and weaknesses of this widely used scale. Learn how to use more than just the score for care planning purposes. Find out how age and education affect normative scores.
-Set Test and Clock Drawing.
Functional Assessment Scales:
-Global Deterioration Scale.
-Functional Assessment Staging (FAST).
-FAST-ACT.
Hachinski's Ischemic Score.

Suggested Audience: RNs, LPNs, RPNs, OTs, PTs, Social Workers and other medical practitioners.

This is a 6 ½ hour workshop.


Psychogeriatrics:
An Overview of Practical Treatment Approaches

Workshop Content:
Common causes for disruptive behaviour in geriatric care.
A review of well known but underused solutions for disruptive behavior.
Behavioral implications of right vs. left sided CVA.
The geriatric left hook: A look at aggressive behaviour.
Mrs. Jones has her favourites, the rest of us are "dirty rats": A look at personality disorders.

Suggested Audience: All frontline care providers.

This is a 6 hour workshop.


Behavioural Therapy for Dementia Care:
Treatment for Disruptive Vocalizations, Sexual Aggression and Wandering

Workshop Content:
The basics of behavioural therapy.
Disruptive vocalizations.
Sexually disruptive behaviours:
-Understanding the problem.
-Treatment solutions.
Dangerous wandering:
-Types of wandering and corresponding solutions.
-Case reviews.

Suggested Audience: All frontline care providers.

This is a 6 hour workshop.


Fists Slippers & Flying Canes:
Understanding and Managing Aggressive Responses in Dementia Care

Workshop Content:
Mission Statements and Policies.
Aggression and Dementia.
Anxiety Reduction in Dementia.
Personality and Personhood.
Problematic Staff Interactions.
Working Through Aggression to the Person.
Crises Management Guidelines.
Environmental Factors.
Bathing.
Step-by-Step Aggression Assessment and Prevention/Management Tool.

Suggested Audience: All geriatric care providers including managers.

This is a 6 hour workshop.


Ethics in Dementia Care - First Do No Harm:
A Workshop Dealing with Frontline Issues

Workshop Content:
A Basic Understanding of Ethics.
Every Day Ethics in Health Care.
W. D. Ross.
Ethical Dilemmas.
Ethical Guidelines: Alzheimer Society of Canada.
Putting Ethical Principles to Practice: Participants work on ethical issues common to dementia care.

Suggested Audience: All frontline care providers and health care managers.

This is a 6 hour workshop.
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