Download Of those who refused Daybreak, 13 are in 1:1 programs

DAYBREAK
Living in the Moment…moments of joy
March 5, 2007
Alzheimer Society Conference
Our purpose in presenting our
Daybreak Program is:
1) To increase the awareness of how this small
group program can provide moments of joy, for
those with memory loss and other challenges.
2) Provide framework for developing these
programs
3) To provide program ideas, resources,
challenges and successes
4) To share the philosophy that this program is
assisting in helping seniors to age in place
and live independently longer
www.lindenwood.ca
If you lived in Assisted Living – how
would these challenges affect
participating in programs:
1) If you had vision loss…..
2) If you had hearing loss…..
3) If you had mobility challenges….
4) Early memory loss…..
Examples of how Daybreak meets
these challenges:
1) Vision Loss – read newsletter – update on
current events, read stories, sensory focus
2) Hearing Loss – small group setting, leader
seated appropriately
3) Mobility challenges – transportation is
provided, adaptive exercises
4) Early memory loss – phone call reminders,
pick up and assist to find location, mental
stimulation programs
What is Daybreak?
• Our in-house “day program” that is breaking
down barriers for those coping with physical and
emotional, or memory challenges. With this
program we are reducing isolation, providing
community, enhancing self esteem, facing
anxiety and offering respite. We believe this
program is helping people to ‘age in place’.
Aging in place, Definition
• “Aging in place”…. is not having to move
from one’s present residence in order to
secure necessary support services in
response to changing need. We are using
the term “aging in place” in reference to
living where one has lived for many years,
or to living in a non-healthcare
environment, and using products, services
and conveniences to allow or enable
Aging in place, definition cont.
• (older adults) to not have to move as
circumstances change. More recently
“aging in place” is a term used in
marketing by those in the rapidly evolving
senior housing industry.”
Senior Resource for Aging in Place. (2005)
Aging in place. Retrieved on November 17,2005
From http://www.seniorresource.com/pageinpl.htm.
How the idea was born:
1) Noticed low Recreation participation levels in
two categories:
• Those who are independent and continue to be
active in community
• Those who face barriers, such as memory,
vision, hearing and mobility challenges.
2) Model of our program based on visits in 2003 to
Bethel Place – Coffee and Conversation group
and Lion’s Program - Morningside
CRITERIA
• Residents who attend group must meet
one or more of the following criteria:
• Anxiety re: leaving building or suite
• Not involved in other community day
programs
• Socially isolated
• Physical and emotional or mental barriers
• Attend less than 5 events at Manor in the
past 4 months.
Criteria continued:
• Decreased mobility, challenge to attend
programs on their own
• Referral from Health Resource
Coordinator, Executive Director or
Coordinator of Recreation.
ASSESSMENT
• Develop an assessment form.
– Think of the information you will need to
determine what kind of program the client will
need.
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What are their leisure needs
Leisure barriers
Identified strengths
What would they like to participate in.
Assessment Cont.
• What are your observations of the client at the
time of the interview.
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Hearing status
Visual status
Mobility
Communication skills
Mental status
Emotional status
Social status
Spiritual status
Assessment Continued
Recommendations
• 1:1 visitor
• Walking companion
• Daybreak candidate
• Regular programs meet needs
• Declined all interventions
• Involved in community programs
LOCATION
Things to keep in mind when choosing location:
- Quiet location, not in main traffic areas (reduces
peoples questions re: meeting)
- Glare Lighting – close blinds – if window
- Cover windows to hallway – with blinds
Large rooms
Round Seating
Sink
Washrooms
Volunteer Position Description
• Assist staff with set up for program/event.
• Assist with transporting residents to and from
programs.
• Assist in serving refreshments.
• Assist clients on 1:1 basis during programs
• Ensure safety of residents at all times.
Volunteer Role Cont.
• Skills, Qualifications & Training:
• The ability to communicate with patience and
understanding.
• Must have a sincere interest in working with
seniors.
• The ability to communicate and work within a
team.
• The ability to receive and follow instruction.
• Must be dependable.
IMPLEMENTATION
 Coffee Preparation
 Phone Calls
 Pick up at Residents suite
 Start each session with coffee time
 Week1 – Newsletter
 Week 2&3 – Theme programs which include
preparing for special events.
 Week 4 – Shufflebowling/Pool
 Each Program ends with exercises
Wholistic Program ideas
• Social – coffee time
• Emotional – crafts, baking, music,
gardening, volunteer for community
• Physical – exercises, shufflebowling
• Spiritual – music, devotionals
• Intellectual – mental aerobics/quiz/trivia,
guest speakers
STATS
- Currently we have 36 residents that qualify for the
program. (desired case load, no more than 40)
- Of those 23 attend Daybreak regularly
- We run 3 Daybreak programs per week
- Average attendance is 6 -8 per group (max.
recommended group size is no more than 10 – 12)
- 2-3 participants in each group cope with Alzheimer’s
or some form of dementia.
- Often the men’s group has highest attendance
- Of those who refused Daybreak, 13 are in 1:1
programs
Resident Contributions
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Assist with exercise
Read poem
Teach a new game
Read devotional/prayer
Bring snacks
Provide recipes for baking program
Centerpiece for table
Challenges
Dealing with Loss:
Education:
Graduating:
Scheduling:
FUNDING
• Originally, part of Manor Recreation Budget –
ran one Daybreak group
• Tenant Resource Programs, WRHA
Designed for individuals living in elderly persons
housing complexes and can assist residents find
services to help with their needs to support living
in the community.
With this funding, we created a half time Tenant
Resource Coordinator position and are now able
to offer 3 Daybreak groups.
Contact Person: Madeleine Kohut