Lakeland Health Care Center

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By: Barb Kropacek, Quality Operations Manager

Are you concerned about the possibility of memory loss? Or, are you caring for a loved one with memory loss, Alzheimer's disease, or dementia and would like to learn more about the disease and caregiving techniques?
If you answered yes to either of those 2 questions, we invite you to attend our CARES
® program -Dementia Care for Families. It is a requirement of all employees of LHCC to be certified in the CARES®  Approach to dementia care and the CARES® family program is designed around that same concept. This way everyone (staff and families) have a common understanding and language around the CARES® Approach and dementia care. CARES® Dementia Care for Families was funded in part by a grant from the National Institute on Aging and was developed in conjunction with the Alzheimer's Association and a national team of experts.

The program will focus on 3 modules:
1. Understanding Memory Loss
2. Living with Dementia
3. Using the CARES Approach

The CARES Approach you will learn in this program stands for:
C - Connect with the Person
A - Assess Behavior
R - Respond Appropriately
E - Evaluate What Works
S - Share with Others

The online program is rich with activities and video interviews of family caregivers, people with dementia, and dementia experts. You will learn the basics about dementia, how dementia affects thinking skills, your new role as a caregiver, and effective ways to respond to changes in the behavior of your loved one. Our goal is to help create a better life for your loved one with memory loss or dementia while regaining control of your own life. We hope to see you there.

Reference:1997-2016 HealthCare Interactive, Inc. All Rights Reserved. Empowering Caregivers Through Education

By: Barb Kropacek, Quality Operations Manager
akeland Health Care Center recognizes and applauds the efforts of the Department of Health Services (DHS) and the Wisconsin Dementia Care System Redesign program; a plan to create "a shared understanding of what constitutes appropriate and high quality care for people living with dementia and to have knowledgeable and supported professional and family caregivers to provide the care" (see DHS, Dementia Care System Redesign,

We are committed to finding new ways to implement practices that enhance the quality of life for people with dementia, protect them from substandard care and promote goal-directed, person-centered care for our nursing home residents.

In recognition of the call to "redesign Wisconsin's" dementia care and delivery system," we at LHCC are committed to increasing our dementia-related training, education and quality improvement efforts.  What better way than providing informative, educational and interactive online training with certification to all employees?

Starting December 2015, LHCC began requiring all employees to participate in the CARES evidence-based, online training program developed in conjunction with the Alzheimer's Association, the world's leading voluntary health organization in Alzheimer's care, support, and research.

There will be four (4) levels of training offered to employees. All employees must become at minimum a Dementia Generalist by April 30, 2016. Additional training will be offered to those interested or as required by their positions within our residents' home.

Please congratulate the below employees -- as they are the first group to complete the CARES HealthCare Interactive online program -- The residents thank you!!

By:  Emily Erke, Customer Service Coordinator

In May, 2015 Lakeland Health Care Center created a team for our new Behavior Management Program. The goals of this program are to find individual resident needs, individual targeted behaviors/expressions, monitor psychotropic drugs with the hopes of making a successful reduction and implement interventions for individual residents. The team is made up of Social workers, Customer Service Coordinator, Behavioral Management Nurse and a Psychologist. This Psychologist would be on a consultant bases only as part of the team and not see residents. This team is also assisted by the Nursing Home Administrator, Director of Nursing and Administrative Assistant. With the start of this new program we also were able to obtain another Psychiatrist to offer to our residents so they now had a choice of what Doctor they wish to use. With this new program we would be able to create in depth social histories of resident's, including medical records from their past to create a better picture of the whole person. This would truly help the team see the entire picture of the resident to better treat the person, not just their condition. The basic version of the procedure is this:
Any staff member will be able to refer any resident for any reason to our behavior management team through our ECS charting system.

The team will meet without the Psychologist every other week to go through the referrals and as a team decided if the individual resident is truly appropriate to be in the Behavior Management Program.

If indeed the resident did need to be a part of our program we would as a team present her to our Psychologist when she is here. (Kelly the Psychologist comes on the odd Wednesday's when we are not meeting as the LHCC team.) This will involve a history, depression scales, med lists/changes, behavioral charting from both CNAs and Nurses as well as Physiatrists notes if appropriate.

Kelly will then make recommendations as intervention's to help assist resident's with the hope of gradually reducing medications and using these interventions to assist the resident to a successful dose reduction.

The recommendations provided by the team will be distributed to appropriate staff and monitored for two weeks to see if they have been effective before Kelly's next visit. If deemed necessary the choice of a Psychiatry referral would also be presented to our resident's/family members.

This program is a work in progress and has come a long way since its formation in May. There has just been a full time Behavioral Management Nurse added to the team where there was only part time previously. Together with Kelly we are working toward developing better charting as a facility to track and monitor behaviors. We currently have 10 residents who are being monitored by our team most of which are also being seen by one of our two psychiatrists. This is a wonderful program that is bringing staff residents and families together to improve the lives of our wonderful resident's. Behavioral Health and resident centered care is truly important when it comes to caring for our residents.

To view highlights of Teepa Snow's dementia training that a group of LHCC employees attended, click here.

We have also attached Teepa Snow's GEMS metaphor guide to share as well, click here.


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