Embracing Person-Centered Care: A Journey with Alzheimer’s

Lisa Skinner: 00:00:00

Hi, everybody. Welcome to another new episode of the Truth, Lies and Alzheimer's Show. I'm Lisa Skinner, your host. And the topic that I'm going to share with you today is called embracing person centered care, a journey with Alzheimer's. And this strategy. And philosophy is something that I actually had been practicing for years. And I strongly believe that a person centered care approach to dementia is really the most effective way to address all of the nuances and symptoms and signs that show up with dementia. So I'm going to start off with a little story. And here we go. In the quaint memory care facility of Willow Grove, a gentle breeze of empathy and understanding, wafted through the corridors. Here, the staff embraced a revolutionary approach to care for individuals living with Alzheimer's disease and related dementia, and it's called the person centered approach. At the heart of this philosophy was Sarah, a devoted caregiver with a warm smile that could light up even the darkest moments. Sarah believed in seeing beyond the diagnosis, connecting with each resident on a personal level to understand their unique needs, preferences, and history. She knew that within the veil of forgetfulness, there lay stories waiting to be heard and cherished memories waiting to be revisited. One of Sarah's dearest residents will call him Mr. James. He is a retired professor with a passion for classical music. Despite the fog of Alzheimer's clouding his mind, Sara noticed a spark in his eyes whenever she played his favorite symphonies. She made it a point to create personalized playlists for him, carefully selecting pieces that resonated with his soul, and transported him to a realm of familiarity and comfort. In the communal living room, adorned with cheerful paintings and soft arm chairs, Sarah organized engaging activities tailored to each residents interests. For Mrs. Thompson, who used to be an avid gardener, Sarah set up a mini greenhouse where she could nurture her love for plants and flowers. And the joy that blossomed on Mrs. Thompson face as she tended to her garden spoke volumes about the power of Person Centered Care in fostering a sense of purpose and fulfillment. Beyond the physical realm, the assisted living facility called Willow grow, which also contain a memory care unit, prioritized emotional well being and social connection. Group therapy sessions, art classes and reminiscence activities allowed the residents to thrive. Sarah understood that true healing went beyond medications and treatments. It encompassed empathy, respect, and the unwavering belief in the inherent dignity of every individual regardless of their cognitive abilities in the tapestry of Alzheimer's and dementia care, the person centered approach at Willow Grove stood as a beacon of hope and compassion, reminding the world that within the labyrinth of forgetfulness, the essence of one's humanity remained intact and deserving of love and understanding and I believe this whole heartedly, and so, in the gentle embrace of Sara's care, and the spirit of community at Willow Grove, individuals living with Alzheimer's disease and related dementia found solace, companionship, and a sense of belonging in a world that often seemed to be slipping away. This was the transformative power of Person Centered Care, a testament to the enduring resilience of the human spirit in the face of adversity and uncertainty. So, what exactly does it mean to provide a person centered approach to care for someone living with dementia? Well, it's a philosophy of care that focuses on the individual, and is built around their needs. There are five main components of person centered care. Number one is you get to know the person intimately, personally, thoroughly. Number two, you connect in the moment. And that's in their moment, whatever that moment is, are they in the present are they in the past, so you're going to connect with them in their moment, engage in meaningful activities, create a supportive environment, and use knowledge of each individual to provide appropriate care and support. Also, providing a person centered approach to care for someone with dementia means focusing on the individual as a whole person with unique preferences, values, history and needs rather than just treating the symptoms of the disease. This approach emphasizes the following key principles. Number one, you respect their individuality, recognizing and honoring the personhood of the individual with dementia, acknowledging their past experiences, their values, and their preferences, and tailoring their care plans to these components, to their activities, and in interactions to meet their specific needs, and abilities of the person. And what this will do is promote a sense of identity and dignity for them. Number two, you want to learn to show and practice empathy and compassion, showing empathy, kindness and understanding towards the individual with dementia, and acknowledging their emotions, their fears, and understanding towards the individual with dementia, create a supportive and nurturing environment that promotes emotional well being. And this is all built on trust. And

Lisa Skinner: 00:07:56

it fosters meaningful connections that go beyond the cognitive challenges that they face with this disease. Number three, is empowerment and participation. So involving the person with dementia in decision making, and care planning, to the extent that's possible, based on their cognitive level, allowing them to maintain a sense of control and autonomy, encouraging participation in activities that bring about purpose and fulfillment. This will encourage independence, self expression, as well as promote a sense of control. And these are emotions that are not lost with dementia. So it's important to try to keep those alive also stimulate a feeling of their own empowerment. In addition, a person centered approach to care provides meaningful engagement activities. So what you want to do is provide opportunities for engaging activities that align with the person's interest and abilities. Now, this could include music therapy, art therapy, gardening, or pet therapy sessions tailored to the individual's preferences. And these are just a few of the many many suggestions that are out there. The next strategy communication using clear simple language and nonverbal cues to enhance communication with the person, practice active listening, maintaining direct eye contact, and allowing sufficient time for responses to promote Understanding and reduce frustration. Next is nutrition and meal time support, offering nutritious meals and snacks that cater to the person's dietary preferences. So you'll want to know about those and cultural background, providing assistance with eating if needed, while respecting the person's independence and their dignity. You want to offer emotional support and validation, acknowledging the person's emotions and validating their feelings, even if they're unable to express themselves clearly. You can do this by offering comfort, reassurance and companionship to alleviate anxiety and distress, family and caregiver involvement involving family members and caregivers and care planning and decision making processes, providing support education and resources to help family members understand and cope with the challenges of dementia caregiving, continuity of care and advocacy, ensuring continuity of care by assigning consistent caregivers who are familiar with the person's needs and preferences, advocating for the person's rights for their dignity and quality of life within the care setting. And in the broader community, you've got to be their advocate. By implementing these specific examples of person centered approach to care. caregivers can create supportive and nurturing environment that respects the individuality and dignity of each person living with dementia. And that overall is going to enhance their well being and quality of life. It also means a person centered approach to care in dementia encompasses a holistic perspective that considers the individual's unique needs preferences, abilities, and history. There are five key areas that are also typically emphasize and a person centered care for individuals living with dementia, in addition to what I've already shared with you, individuality and personalization. So this means that you want to recognize and respect the individuality of each person living with dementia. And you do this by acknowledging their unique preferences, values, and life experiences. And every single person has different life experiences, tailoring their care plans, activities and interactions to meet the specific needs and abilities of the person promoting a sense of identity and dignity. Isn't that what we all want? Autonomy, and empowerment. Supporting the person's autonomy and decision making abilities is one of the greatest gifts you can give them, allowing them to participate in choices related to their care choices and related to their daily activity and choices related to what they enjoy doing. encourage independence and self expression, promoting a sense of control and empowerment, environment and communication. Creating a supportive and dementia friendly environment that minimizes confusion, enhances safety and promotes engagement. You can accomplish this by using clear and simple communication techniques, nonverbal cues, and active listening to facilitate understanding reduce agitation, and foster meaningful interactions between you collaboration and continuity of care. So collaborating with family members, health care professionals, and multidisciplinary care teams can ensure comprehensive and coordinated support for the person living with dementia. Establishing continuity of care by ways of maintaining consistent caregivers who are familiar with the individual's needs and preferences. You will promote a seamless and personalized care experience In addition to the five key areas mentioned earlier, there are several other important aspects that contribute to a person centered approach to care in dementia. holistic care, addressing the individual's physical, emotional, social and spiritual needs to provide comprehensive and well rounded care. This may involve incorporating complementary therapies, addressing nutritional needs, promoting physical activity and supporting emotional well being, validation and validation therapy. By this we mean that you want to use validation techniques that scope that are going to acknowledge and validate the emotions and experiences of individuals with dementia, even if they do not align with reality. And when we say this, we mean their reality because it changes on a dime. Validation therapy involves empathetic listening, acceptance, and validation of the person's feelings and reality in their moment. Cultural competence. This means you recognize and respect the cultural backgrounds, traditions and beliefs of individuals with dementia and provide culturally sensitive care that aligns with the person's cultural values and their preferences. And then continual learning and adaptation in a culture of continuous learning, continuous reflection and adaptation within the care team to improve care practices and approaches. Staying informed about best practices in dementia care, and incorporating new knowledge into caregiving strategies is going to be another key to a successful relationship for you. By considering all of these components to a person centered approach to care, and factoring in the provisions of person centered care for individuals living with dementia, caregivers, and healthcare professionals, will be able to create a supportive, empowering and enriching care environment that respects the individuality, dignity and humanity of those affected by this disease. So that's our episode for today's on the truth, lies and Alzheimer's show. I'm Lisa Skinner, your host.

Lisa Skinner: 00:17:52

I appreciate you taking the time to be here with us today. And I'll be back next week with another brand new episode for you. So have a great week. See you then bye bye