• 2020 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older AdultsJoin us at the 2020 GAPNA Pharmacology Conference:
    Contemporary Pharmacology and Prescribing in Older Adults

    April 14-18, 2020, Honolulu, HI.

    Earn up to 18 CNE hours.

     

    Find out more about it and REGISTER today!

  • W A N T E D   G A P N A   L E A D E R S!
    Call for Nominations!

    Have you ever considered stepping forward, accepting the challenge and volunteering for a position on the 2020-21 National Board of Directors? Register online NOW by March 22, 2020!

    Step Up - NOW is the Time! Register Here>

  • AwardNew for GAPNA members: MCM Education

    GAPNA has partnered with a MCM Education to offer an ongoing series of CNE programs available to GAPNA members. "Diagnosing and Managing Parkinson’s Disease in Older Adults," is the latest program offered.

    Parkinson’s disease (PD) is characterized by both motor and nonmotor symptoms. It is diagnosed based on the presence of two of four motor symptoms including rest tremor, bradykinesia, rigidity, and gait imbalance...

    Find out about it!

  • ConventionCALL FOR: Podium and Poster Abstracts

    For the 38th GAPNA Annual Conference
    at the Hyatt Regency
    New Orleans, LA, September 24-26, 2020

    GAPNA members are invited to submit an abstract about their innovative work, that should enrich the APRN's knowledge and/or enhance the care of an older adult. Deadline March 15, 2020.

    Find out more info and deadline dates

  • FREE CE for GAPNA MembersFREE continuing education credit is available for the following session:

    "Update in Chronic Kidney Disease Management and Prescribing"

    (session captured at the GAPNA 2018 Annual Conference)


    For January/February 2020 - Get Your Free CNE Now!

Virginia

Chapter Supports Dementia Care Educational Event

By Pam Martin, Joyce Perkins, Judith DellaRipa

Circle Center Adult Day Services sponsored “Best Practices in Dementia Care” with Teepa Snow, MS, OTR/L, FAOTA, on December 11, 2019 at Diversity Richmond. GAPNA Central Virginia Chapter supported the event with a $300 donation.

Our name was included on the brochure and our pens and notepads were included in attendee bags. They planned for 250 professional and family caregiver participants and the room was full.

Teepa, with occupational therapy credentials and years of professional and personal experience in caring for patients with dementia, created an experiential and interactive learning opportunity.

Laughter as well as serious facts helped professional and family caregivers to identify new perspectives and skills. The presentations for this event focused on dementia screening and assessment and on creative and practical tips for getting through the day.

The prevalence of dementia is increasing. Persons who provide care are themselves at risk. There is no cure and it is progressive. Teepa shared some assessment and screening tools such as AD8 Dementia Screening Interview, clock drawing, and a timed naming of animals/categories activity.

Baseline determination ideally would happen around middle age and then the same tool would be used annually to detect changes. Proactive care planning would be done with instead of for the person with dementia to maintain personal autonomy and dignity.

Attendees learned there are now many known types of dementia and different kinds manifest according to the area of the brain that is damaged. Memory loss may be an initial symptom and there may even be more than one type or a mixed dementia.

The left brain is largely responsible for vocabulary and language comprehension and often is the most severely damaged. The right brain area is responsible for music, poetry, prayer, counting, healing, and comfort as well as the section for “forbidden words.”

Communication may be possible using music, etc., when language is no longer working for the person with dementia. Damage to the fronto-temporal-parietal area in the right hemisphere may produce anosognosia.

This deficit of self-awareness means the person is unaware of their own existence, which may look like denial. The disease can appear as young as 40 and progression may be slow, 15-25 years before function deficits, and require intervention for safety and well-being.

The amygdala, or the primitive survival part of the brain, is activated when a threat is perceived. It takes charge and reacts with fright, flight, fight, hide, or seek behaviors. Understanding the way adults with dementia interpret or misinterpret cues can help us in planning care that helps patients feel safe and cared for.

Disruptive behavior has meaning, and it can often be de-escalated by taking the time to “enter their reality” and find out what is happening for the individual with brain failure.

Pam Martin
Joyce Perkins
Judith DellaRipa

Join your friends in Honolulu, Hawaii at the 2020 GAPNA Contemporary Pharmacology and Prescribing in Older Adults Conference on April 14-18, 2020.

Learn more and register today!