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Understanding The GPEP Model

The Geropsychiatric Education Program (GPEP) at Vancouver Coastal Health provides essential learning objectives that help healthcare professionals understand the multifaceted influences on behaviors in geriatric patients. This includes psychiatric, physiological, psychosocial, and environmental factors. By discussing key elements such as psychiatric influences (e.g., dementia, depression), physical health impacts, psychosocial backgrounds, and the role of the environment, participants will learn to apply the GPEP model for individualized care planning, improving communication, and addressing responsive behaviors effectively.

yvonne-buckner
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Understanding The GPEP Model

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  1. Understanding The GPEP Model Geropsychiatric Education Program (GPEP) Vancouver Coastal Health

  2. Learning Objectives • Identify four types of influences on behaviours: • Psychiatric • Physiological • Psychosocial • Environmental: social, physical environment • Discuss the GPEP Model as a tool for understanding behaviour and planning individualized care

  3. Psychiatric Influences on Behaviour

  4. Psychiatric Influences • Dementia • Depression • Delirium • Other: • Schizophrenia • Bipolar Disorder • Personality disorder • Obsessive Compulsive Disorder

  5. Physical Influences on Behaviour

  6. Affects everyone Occurs in every system of our body Individual – no fixed pattern 1. Aging: A Universal Process

  7. 2. Physical Illnesses and Behaviour • Arthritis • Diabetes • Parkinson’s Disease • Chronic Obstructive Pulmonary Disease • Emphysema • High Blood Pressure • Visual disturbance….

  8. Normal Cataracts

  9. Normal Diabetic Retinopathy

  10. Normal Glaucoma

  11. Normal Macular Degeneration

  12. 3. Medications and Side Effects • All medications have possible side-effects • Your role: • to notice if there is a sudden change in behaviour • REMEMBER: role of medications in delirium

  13. 4. Pain • What percentage of elders in the community have significant pain? a. 10 – 25 % b. 45 – 60 % c. 70 – 85%

  14. Why Elders May Not Report Pain • Fear of being called a complainer • Think no one would listen • Think pain is a normal part of aging • Cannot tell you because of dementia • Fear of consequences • May express pain differently

  15. Psycho-Social Influences on Behaviour Who is this Person?

  16. Psychosocial Influences • Personal routines • Early life events • Life roles/work history • Important relationships • Coping strategies • Culture • Spiritual values/beliefs • Personality style…

  17. The Physical Environment’s Influence on Behaviour

  18. How does the Physical Environment affect behaviour? • Level of stimulation • Private space • Lighting / Glare • Room temperature • Signs & labels • Poor colour contrast • Safety concerns

  19. The Social Environment’s Influence on BehaviourHow OUR communication and approach affects the client/resident

  20. Parts of OUR Communication • Only 7-10% of our message is found in our WORDS • Verbal communication – the actual words we say…

  21. Parts of OUR Communication • But…90% of our message is found in our NON-VERBALS • Non-verbal communication – how we say what we say: • Tone • Volume • Body language…

  22. Do WE have Good Listening Skills: • Not interrupting • Being non-judgmental • Validating • Allowing for silence • Using supportive body language • Are we paying attention…

  23. Understanding Responsive Behaviours

  24. What is a Behaviour? • Something someone is doing that you can see or hear • Descriptive • Specific • Non-judgmental / not labeling

  25. Understanding Behaviours • Refusal, agitation, and aggression always has a cause/trigger: • Protecting oneself • Unmet needs • Broken brain • When cognition and communication are impaired it is the way in which people with dementia tell us that something is wrong • Very often starts with anxiety • Has a pattern

  26. Tools to Describe Behaviours: Identify the behaviour: Identification of Behaviours and Guidelines for Intervention* Document the Behaviour: Behaviour Pattern Record* Care Planning: Behaviour Assessment Tool (BAT) * Cohen-Mansfield, 2004

  27. Tool to help with describing behaviour and classify types of behaviour IDENTIFICATION OF BEHAVIOURS & GUIDELINES FOR INTERVENTIONS Cohen-Mansfield

  28. Behaviour Pattern Record

  29. Care Strategies

  30. The resident will: feel safe feel physically comfortable experience a sense of control experience optimal stress experience meaning and pleasure Goals of Care Strategies

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