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Depression in Dementia A DVD-Based Curriculum

Depression in Dementia A DVD-Based Curriculum. Improve recognition and management of depression co-occurring with dementia in nursing home residents. . Goal of the Curriculum. Audience. Primarily long-term care nurses (LPNs and RNs) Examples of others who will benefit Social workers

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Depression in Dementia A DVD-Based Curriculum

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  1. Depression in DementiaA DVD-Based Curriculum

  2. Improve recognition and management of depression co-occurring with dementia in nursing home residents. Goal of the Curriculum

  3. Audience • Primarily long-term care nurses (LPNs and RNs) • Examples of others who will benefit • Social workers • Activity Therapists • Students from a variety of disciplines

  4. Benefits to your facility Benefits of using this DVD in your facility • Provide better care • Reduce risk of liability • Protect resident health

  5. Prevalence of the Problem • Increasing number of residents with dementia • Estimates of dementia and depression occurring together are as high as 87%

  6. Significance of the Problem • Residents with both dementia and depression: - have the highest care requirements - have the highest rates of hospitalization - have the greatest number of co-morbidities

  7. Decreased Quality of Life Depression in residents with dementia is associated with • increased disability • more functional and behavioral problems • greater prevalence of pain

  8. Consensus Statement “Consensus Statement on Improving the Quality of Mental Health Care in US Nursing Homes” American Geriatrics Society and American Association for Geriatric Psychiatry (2003)

  9. Recommendations • Screen residents with dementia • Refer to mental health professionals • “Best Practice” • Nonpharmacological interventions & • Antidepressants • Communication

  10. Research Opportunities • Your facility can become a PICS Research Partner • Benefits of participation • Ways to participate

  11. Regulations and Requirements Centers for Medicare and Medicaid Services reports: • Facility-specific rates of depressed or anxious worsening as one of the 10 long-stay quality measures for nursing home residents.

  12. Preliminary data • Focus group data • Nurses from 2 nursing homes • Liked enactment of every day situations • Improved awareness and knowledge about depression in dementia

  13. Will assist nurses to achieve 3 competencies: (1) Recognize depression in residents with dementia; (2) Manage depression in dementia; and (3) Communicate effectively regarding depression in dementia. Competencies

  14. Learning Objectives for Competency 1 Recognition • prevalence and significance of the problem • mood-related terminology • differentiate between depression, dementia and depression in dementia

  15. Learning Objectives for Competency 2 Manage Depression in Dementia • Data collection, reporting, documenting • Identify behavior positive/negative affect and mood. • Take action to improve care

  16. Learning Objectives for Competency 3 Communicate Effectively re: Depression in Dementia • Communicate with interdisciplinary team • Communicate with resident • Communicate with family

  17. Learner Guide • Description of the DVD • Curriculum Overview • Outlines of modules • Care studies • Glossary of terms • Feedback form

  18. Facilitator Guide • Purpose, Goals, and Objectives • Procedures for Implementation • Case Studies with Discussion Questions • Competencies and Methods of Assessment

  19. Demonstration of DVD • Camptasia

  20. Evaluation/Feedback • Pre and Post Tests • Evaluation of knowledge of Depression in Dementia content • Case studies and discussion questions • Evaluation of application of knowledge and achievement of competencies

  21. Take-Away Message • Use of this module • Improves • Staff knowledge about residents psychosocial needs • Care provided • Resident quality of life • Meets training requirements

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