educational programs

ALZHEIMER’S DISEASE AND OTHER DEMENTIAS:
ADVANCES AND ISSUES

November 15, 2007, 8:30 AM to 4:30 PM

This program will review advances in research, diagnosis, techniques and treatments that could prevent, halt or reverse Alzheimer’s disease and other dementias. The session will also share the pharmacological and behavioral interventions with persons affected by dementia as well as explore the caregiver and patient perspectives on dementia. Also shared will be information on how dementia affects diverse ethnic and racial communities.

MORNING PLENARY SESSION, 8:30 AM TO NOON
Moderator: Tessa ten Tusscher, PhD, Vice President, Clinical Services, Institute on Aging

New Developments in Alzheimer's Diagnosis and Treatment
A discussion of new diagnostic tests and treatments for Alzheimer's disease that are being studied in humans, and why the preliminary results are creating a great deal of excitement among researchers for the possibility of new more effective treatments and prevention of the disease.
Adam Boxer, MD, PhD, Assistant Professor of Neurology, Memory and Aging Center; Director, Alzheimer’s Disease Clinical Trials Program, School of Medicine, University of California San Francisco

The Spectrum of Treatment for Alzheimer’s Disease
Ideally we would have drugs that alter the natural history of the disease -- reversing, halting or slowing progression. Unfortunately, at best we now can achieve a degree of symptom management for symptoms in the cognitive, functional, and behavioral realms. Also discussed will be complication prevention and education of patients, family and caregivers.
Jay Luxenberg, MD, Director, Medical Services, Jewish Home of San Francisco; Program Faculty, Geriatric Care and Outcomes, Division of Geriatrics, Department of Medicine, University of California, San Francisco

Risk of Dementia Among Elders From Diverse Ethnic and Racial Backgrounds
Studies of dementia in ethnically and racially diverse populations have found variation in the prevalence of some types of dementia. No data are available, however, in many populations. Differences in risk factors help explain some of the variation.
Gwen Yeo, PhD, AGSF, Senior Research Scholar Emerita, Stanford University School of Medicine; Director Emerita, Stanford Geriatric Education Center; Co-Editor, Ethnicity and the Dementias

Life With Alzheimer's Disease
A firsthand account of the feelings, challenges and fears of living with Alzheimer's disease. Dementia impacts both the caregiver and the person affected in many ways. This session will allow the audience a glimpse into the lives of an affected family. Both a caregiver and an individual with Alzheimer's will be interviewed providing each person's unique perspective.
Tracy Chesna McCloud, Director, Adult Day Health Center & Alzheimer’s Day Center, Institute on Aging; Family Caregiver and Individual With Alzheimer’s

LUNCHEON ROUNDTABLES, NOON TO 1:00 PM

AFTERNOON WORKSHOPS, 1:15 TO 2:45 PM

** A Refreshing Approach to Communicating With a Person Affected by Dementia
We aren’t born knowing how to communicate with a person with dementia. This session will provide simple tools and tips for talking with and responding to a person with dementia. It will also explore the caregiver’s experience of ambiguous loss and its impact on effective communication with the care receiver.
Beth Logan, MSW, Education Consultant, Family Caregiver Alliance

** Am I Losing My Mind? What’s Normal, What’s Not and When to Worry About It — Understanding the Differences Between Normal Memory Changes, Mild Cognitive Impairment and Early-Stage Dementia
Many people experience changes in their ability to remember as they age. These changes can be subtle. They are usually frightening and evoke worries of developing Alzheimer’s disease. Professionals working in the field of aging need to understand the differences and similarities between normal memory changes, the spectrum of “mild cognitive impairment” and the symptoms of early-stage dementia. This workshop will address the profiles of these three areas, offer suggestions for identifying when memory loss is clinically significant, and will discuss ways to talk about cognitive changes with older adults, their families and caregivers.
Tessa ten Tusscher, PhD, Vice President, Clinical Services, Institute on Aging

** Activity Therapies: A Practical Approach to Meeting the Individualized Needs of Persons With Dementia
Therapeutic activities should be thoughtfully planned, based in theory and adapted to meet the cultural, physical, and cognitive uniqueness of each individual. Activities improve self esteem, impart a sense of accomplishment, and make available opportunities for socialization. Activities can improve, maintain or slow the rate of physical and cognitive loss in elders and in those suffering with dementia. Activity Therapists from Laguna Honda Hospital will use slide shows, discussions, hands on activities and demonstrations to share the many programs they provide for the residents in this 1065 bed skilled nursing facility.
Henry Cortez, Recreational Therapist; Susan Lindsay, MPS, Creative Arts Therapy; and Angela Pownell-Elizalde, CTRS, Recreational Therapist, all of Dementia Cluster, Laguna Honda Hospital and Rehabilitation Center

** Listening to the Language of Dementia: The Person Behind
This session will take a look at current definitions and views of dementia, what effects these perceptions have on how we treat and care for patients with dementia, and how we can perhaps change our ideas going forward. Modern medicine intends to alleviate and remove such disorders or diseases through treatments that eliminate as best as possible the symptom. In contrast, this session explores the idea that dementia and its manifestations point to a meaning for humans that is our choice to understand more deeply rather than to eliminate. Since all viewpoints represent a part of an often multi-layered picture of a phenomenon, the presenter will also refer to, wherever appropriate, the mainstream medical as well as psychological understandings of dementia.
Nader Robert Shabahangi, PhD, Clinical Supervisor and Teaching Faculty, Pacific Institute


AFTERNOON WORKSHOPS – 3:00 TO 4:30 PM

** Home? Or Home Away From Home? Choices for People With Dementia
At-Home: A diagnosis of dementia rarely changes the fact that most people want to stay at home and age in place. We will explore the factors that affect the ability to remain at home and discuss resources which can support this choice as needs change.
Day Care: Adult day services are a valuable resource in helping people with dementia remain in the community. Programs provide a range of services from activities to nursing care, developed for each individual. Caregivers are also helped by receiving support, information and a break from the stresses of their lives.
Residential Care: In the therapeutic environment of assisted living facilities people with dementia feel safe and supported in living all the different dimensions of who they are. Such an environment cares not only for the changing physical needs of residents but for their emotional, spiritual and psychological needs as well. Special Units: As dementia progresses, many individuals lose the ability to communicate even their most basic needs. Their disease also often causes them to have difficulty recognizing familiar faces and objects causing them to become fearful, aggressive or resistive to care. Managing these behaviors in the presence of the chronic illnesses of aging may require a level of professional care or 24- hour care that is best met in special units.
Stephne Lencioni, MSW, CMC, Geriatric Care Manager, Older Adults Care Management; Cindy Kauffman, MS, CRC, Vice President, Adult Day and Health Services, Institute on Aging; Doris Bersing, PhD, Executive Director, Pacific Institute; Gail Cobe, MSN, RN, Clinical Nurse Specialist for Dementia Programs, Laguna Honda Hospital and Rehabilitation Center

** Working With Family Caregivers From Diverse Ethnic Populations
Families from many cultures prefer family care for their elders with dementia rather than formal services. Providers working with diverse elders and families should know the cultural perceptions of dementia and preferences for services in individual ethnic populations. Issues and successful models of working with ethnically diverse families will be presented.
Gwen Yeo, PhD, Senior Research Scholar Emerita, Stanford University School of Medicine; Director Emerita, Stanford Geriatric Education Center and Co-Editor, Ethnicity and the Dementias; Edie Yau, MA, Director of Diversity, Alzheimer’s Association of Northern California and Northern Nevada

** Successful Strategies for Dementia Behaviors: What Really Works?
This session will share information on how to successfully prevent and manage challenging behaviors common in persons with dementia. Dr. Edgerly will outline general techniques as well as specific in-depth approaches to handling challenging behaviors. Attendees will analyze video footage of persons with dementia and identify effective approaches to handle those situations.
Elizabeth Edgerly, PhD, Chief Program Officer, Alzheimer’s Association of Northern California and Northern Nevada

** Spirituality and End-of-Life Issues for Dementia Patients
The session will address the daunting question: how do we nurture the spiritual well-being of people with dementia? We will explore some basic principles and tools that can guide and shape the answer to this question. The workshop will draw from general literature on the subject, as well as from Jewish sacred texts.
Rabbi Jon Sommer, Rabbi, Bay Area Jewish Healing Center, Institute on Aging; Rabbi Sheldon Marder, Chaplain and Director, Department of Jewish Life, Jewish Home of San Francisco; Helen Luey, Volunteer Spiritual Care Partner, Bay Area Jewish Healing Center and Jewish Home of San Francisco

 


© Copyright 2008, Institute on Aging. All rights reserved.