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Alzheimer’s Disease
Innovation 2013
A National Plan to Fight Back

© 2013 Griswold International, LLC
November is
National
Alzheimer’s
Disease
Awareness
Month

“During National Alzheimer's
Disease Awareness Month, we
stand united in our commitment to
improve care for Alzheimer's patients,
identify new therapies for the disease,
and support all those whose lives
have been touched by this
tragic ailment.”
Excerpt from President
Obama’s Proclaimation

© 2013 Griswold International, LLC
November is
National
Family
Caregivers
Month

“Family members,
friends, and neighbors devote
countless hours to providing care
to their relatives or loved ones.
During National Family Caregivers
Month, we recognize and thank the
humble heroes who do so much
to keep our families and
communities strong.”
Excerpt from President
Obama’s Proclaimation

© 2013 Griswold International, LLC
Goals for Today
• Review the National Alzheimer’s Plan 2013 and share tools for
reaching key goals and overcoming challenges
• Share innovative non-medical Alzheimer’s treatment approaches
• Empower clients and their family/professional caregivers to fight
Alzheimer’s Disease through quality care, advocacy, education
and support

© 2013 Griswold International, LLC
Presented by:
Linda Barba

Family Caregiver, Advocate and
Support Group Facilitator

Chris Kelly, MEd

Director of Learning and Development
Griswold Home Care

© 2013 Griswold International, LLC
Thank you for your courage, energy, and dedication!
Healthcare Providers

Professional Caregivers

Family Caregivers

Clients Living with Alzheimer’s

© 2013 Griswold International, LLC
Orange Arrow Button:
Minimizes or expands the
GoToWebinar control panel.

BRAIN WRITING

Solutions

Brainwriting is…
• a fun, engaging way to brainstorm
• sharing as many ideas as possible within a short timeframe
Brainwriting Process
• Listen for our questions
• When prompted, enter your solutions using the webinar chat function
• Don’t overthink or agonize…There are no right or wrong answers
Brainwriting Outcomes
• Peer-to-peer learning and sharing
• A publication that benefits others who are living with Alzheimer’s
Important
• Avoid sharing any information that you would not want others to see

© 2013 Griswold International, LLC
Lit Review
Social Media
Advocacy
Solutions Webinar & Toolkit

© 2013 Griswold International, LLC
Challenging Symptoms
Memory loss that disrupts life

Decreased or poor judgment

Problems with planning and
problem-solving

Changes in movement/
coordination

Struggle to complete
familiar tasks

Changes in mood
or personality

Confusion with person,
place and time

Agitation and/or aggression

New problems with
reading, writing or speaking
Misplacing things in
unusual places

Sundowning
Wandering
Inability to eat or swallow
© 2013 Griswold International, LLC
“I feel like I have been
hearing about ‘plaques’ and
‘tangles’ for 15 years. Isn’t there
anything new that would generate
hope and excitement for people
living with this horrible disease?
All you hear is the negative. You
can’t help but develop a sense of
helplessness. Helplessness
can be paralyzing.”
Family caregiver quote

© 2013 Griswold International, LLC
A National Plan
to Address
Alzheimer's Disease

Source: http://aspe.hhs.gov/daltcp/napa/NatlPlan2013.pdf
© 2013 Griswold International, LLC
USDHHS Identifies 5 Key Priorities
Prevent and Effectively Treat Alzheimer’s
Disease by 2025
Enhance Care Quality and Efficiency
Expand Support for People with Alzheimer’s
Disease and Their Families
Enhance Public Awareness and Engagement
Improve Data to Track Progress
© 2013 Griswold International, LLC
Alzheimer’s Association 10 Core Challenges
A lack of public
awareness

Specific challenges facing
diverse communities

Insufficient
research funding

Specific challenges facing
those with younger-onset
Alzheimer’s

Difficulties with
diagnosis

Unprepared caregivers

Inadequate
treatments

Ill-equipped communities

Poor dementia care

Mounting costs

Alzheimer’s Association Top Challenges: http://www.alz.org/documents_custom/napareport.pdf
© 2013 Griswold International, LLC
Real Stories
Linda Barba

Family Caregiver, Advocate and
- Lou Gehrig
Support Group Facilitator

© 2013 Griswold International, LLC
Prevent & Effectively
Treat Alzheimer's Disease
A Focus on Non-Medical Treatment Approaches

© 2013 Griswold International, LLC
"If you say Alzheimer's,
everyone immediately thinks
that it's the plaques that actually
cause the disease. That couldn't
be further from the truth…
the data actually suggests
these plaques are a form of
protection that the body
tries to put on.”

“While research
on AD has made
steady progress, there
are no pharmacological
or other interventions
to definitively prevent,
treat, or cure
the disease.”
National Alzheimer’s
Plan excerpt

Andrew Dillin, of the Salk Institute in California
and the Howard Hughes Medical Institute

© 2013 Griswold International, LLC
“NPTs emerge
as a useful, versatile
and potentially costeffective approach to
improve outcomes and
quality of life for both the
person with dementia
and caregivers.”
Javier Olazarán

Neurologist and NPT Researcher

© 2013 Griswold International, LLC
Improve Cognitive Symptoms
Cognitive training and rehab
(individual and group)

Physical activity/
Staying active

Reminiscence

Support groups

Personalized music

Yoga/Tai Chi/
Meditation

Creative expression
(writing, scrapbooking)

Combining all of
the above

Source: http://www.nptherapies.org/pdf/Non-pharmacological%20Therapies%20in%20AD,%20a%20Systematic%20Review%20of%20Efficacy.pdf
© 2013 Griswold International, LLC
Improve Activities of Daily Living (ADLs)

ADL training

Guided performance

Yoga/Tai Chi

Physical activity/
Staying active

© 2013 Griswold International, LLC
Improve Mood and Peace of Mind
Cognitive Behavioral
Therapy (CBT)

Meditation/Yoga/Tai Chi

Meaningful diversion

Validation therapy

Personalized music

Adult day care

Support

Memory care center
© 2013 Griswold International, LLC
Improve Quality of Life for
Family Caregivers
In-home counseling sessions

Online connection
with peers/HCPs

Cognitive Behavioral
Therapy (CBT)

Education:
- Coping skills
- Problem solving

Ongoing telephone
support/coordination

Support groups
(with and w/o client)
© 2013 Griswold International, LLC
Alzheimer’s Disease Treatment Toolkit

The Society for Cognitive Rehabilitation

Recollection Connection

NICE.org.uk

Latest Treatment Options

http://bit.ly/1fx7kK8

http://bit.ly/1cOTZiY

http://bit.ly/1isrbga

http://bit.ly/1aGi5rZ

© 2013 Griswold International, LLC
Enhance Care
Quality & Efficiency
A Focus on Care Coordination, Empowerment & Recognition

© 2013 Griswold International, LLC
Effective Care Coordination Practices
Learn from best practice dementia care models:
Develop a single point of contact for clients/families
Form a multi-disciplinary care team that communicates
effectively
Develop a personalized action plan for clients/families
Offer ongoing, dynamic Learning/Development opportunities
for dementia care professionals
© 2013 Griswold International, LLC
A Dynamic
Dementia
Care Team

Massage
Therapist

Home care
Professional

Nurse

Recreational
Therapist

Social Worker/
Geriatric
Care Manager

Neurologist/Geriatrician
Geriatric Psychiatrist

PCP/NP/PA

Rehab
Professionals:
OT/PT/Speech

Facility
Professionals

Adult Day Care
Professional

Cognitive
Behavioral
Therapist (CBT)

Dietician

Cognitive
Rehabilitative
Therapist (CRT)
© 2013 Griswold International, LLC
Real Stories
Linda Barba

Family Caregiver, Advocate and
Support Group Facilitator

© 2013 Griswold International, LLC
Care Coordination Toolkit

Alzheimer’s Quality of Care

CDPH.ca.gov

Working With Providers

http://bit.ly/17lKTT2

http://bit.ly/1aR0IHw

http://bit.ly/1a0Nq9f

© 2013 Griswold International, LLC
Quality Care Toolkit

AD Research Centers

IPCed Professional Training

http://1.usa.gov/1e1fQAE

http://bit.ly/1fT52W4

Alzheimer’s Association Professional Training
http://bit.ly/17JB2qq
© 2013 Griswold International, LLC
Expand Support for People
with Alzheimer’s Disease
& Their Families

© 2013 Griswold International, LLC
Improving the Experience
Core challenges:
Widespread lack of knowledge/understanding about
Alzheimer’s Disease
High level of public/professional stigma
Negative experiences for people living with AD
Poor understanding of the scope of Alzheimer’s Disease
Isolation for clients and caregivers
Lack of targeted services and support for those living with
Younger-Onset AD
© 2013 Griswold International, LLC
Expanding Support Toolkit

Overcoming Stigma

Confronting Ageism and Stigma

http://bit.ly/1aCBXIT

http://bit.ly/1hCSeHI

Early Onset AD Info

AD Support Groups

http://bit.ly/1hIafBU

http://bit.ly/16YR1mY
© 2013 Griswold International, LLC
Real Stories
Linda Barba

Family Caregiver, Advocate and
Support Group Facilitator

© 2013 Griswold International, LLC
Enhance Public
Awareness & Engagement

© 2013 Griswold International, LLC
Understand the Scope

PBS: The Forgetting

Alzheimer’s Basics

http://to.pbs.org/1cjMpI7

http://1.usa.gov/1a10RWQ

What is Alzheimer’s?

About Alzheimer’s

http://bit.ly/HPpewl

http://bit.ly/1bzGLBJ
© 2013 Griswold International, LLC
Enhance Engagement

Alz Assoc Advocacy: Join The Cause
http://bit.ly/HS1KXK

Fisher Center for AD

Alz. Foundation of America

http://bit.ly/17ROVbJ

http://bit.ly/HV5zKU
© 2013 Griswold International, LLC
Real Stories
Linda Barba

Family Caregiver, Advocate and
Support Group Facilitator

© 2013 Griswold International, LLC
Key Takeaways
Review the National Alzheimer’s Plan and get involved
Non-medical treatment approaches DO offer promise and
hope today
Effective care coordination is critical
Let’s work together to “improve the experience” for those
who are living with AD
© 2013 Griswold International, LLC
Open Q&A
1. Click to expand
if necessary
2. Type questions here

© 2013 Griswold International, LLC
Brought to you by:

Griswold Home Care offers access to affordable
non-medical care options to assist your loved one.
CareAssure Screening System™

The Griswold Golden Rule: We only approve
caregivers we would trust in our own homes.

Extraordinary Home Care
at Affordable Rates Since 1982

QuickCare Placement™

We give each family access to the most
experienced caregivers available.
ValueCare Commitment™

Simple Rates. Unmatched Value. Our allinclusive rates are among the most affordable.

National 24x7 Care Line:
800-GRISWOLD
www.GriswoldHomeCare.com

© 2013 Griswold International, LLC

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Alzheimers Innovation 2013

  • 1. Alzheimer’s Disease Innovation 2013 A National Plan to Fight Back © 2013 Griswold International, LLC
  • 2. November is National Alzheimer’s Disease Awareness Month “During National Alzheimer's Disease Awareness Month, we stand united in our commitment to improve care for Alzheimer's patients, identify new therapies for the disease, and support all those whose lives have been touched by this tragic ailment.” Excerpt from President Obama’s Proclaimation © 2013 Griswold International, LLC
  • 3. November is National Family Caregivers Month “Family members, friends, and neighbors devote countless hours to providing care to their relatives or loved ones. During National Family Caregivers Month, we recognize and thank the humble heroes who do so much to keep our families and communities strong.” Excerpt from President Obama’s Proclaimation © 2013 Griswold International, LLC
  • 4. Goals for Today • Review the National Alzheimer’s Plan 2013 and share tools for reaching key goals and overcoming challenges • Share innovative non-medical Alzheimer’s treatment approaches • Empower clients and their family/professional caregivers to fight Alzheimer’s Disease through quality care, advocacy, education and support © 2013 Griswold International, LLC
  • 5. Presented by: Linda Barba Family Caregiver, Advocate and Support Group Facilitator Chris Kelly, MEd Director of Learning and Development Griswold Home Care © 2013 Griswold International, LLC
  • 6. Thank you for your courage, energy, and dedication! Healthcare Providers Professional Caregivers Family Caregivers Clients Living with Alzheimer’s © 2013 Griswold International, LLC
  • 7. Orange Arrow Button: Minimizes or expands the GoToWebinar control panel. BRAIN WRITING Solutions Brainwriting is… • a fun, engaging way to brainstorm • sharing as many ideas as possible within a short timeframe Brainwriting Process • Listen for our questions • When prompted, enter your solutions using the webinar chat function • Don’t overthink or agonize…There are no right or wrong answers Brainwriting Outcomes • Peer-to-peer learning and sharing • A publication that benefits others who are living with Alzheimer’s Important • Avoid sharing any information that you would not want others to see © 2013 Griswold International, LLC
  • 8. Lit Review Social Media Advocacy Solutions Webinar & Toolkit © 2013 Griswold International, LLC
  • 9. Challenging Symptoms Memory loss that disrupts life Decreased or poor judgment Problems with planning and problem-solving Changes in movement/ coordination Struggle to complete familiar tasks Changes in mood or personality Confusion with person, place and time Agitation and/or aggression New problems with reading, writing or speaking Misplacing things in unusual places Sundowning Wandering Inability to eat or swallow © 2013 Griswold International, LLC
  • 10. “I feel like I have been hearing about ‘plaques’ and ‘tangles’ for 15 years. Isn’t there anything new that would generate hope and excitement for people living with this horrible disease? All you hear is the negative. You can’t help but develop a sense of helplessness. Helplessness can be paralyzing.” Family caregiver quote © 2013 Griswold International, LLC
  • 11. A National Plan to Address Alzheimer's Disease Source: http://aspe.hhs.gov/daltcp/napa/NatlPlan2013.pdf © 2013 Griswold International, LLC
  • 12. USDHHS Identifies 5 Key Priorities Prevent and Effectively Treat Alzheimer’s Disease by 2025 Enhance Care Quality and Efficiency Expand Support for People with Alzheimer’s Disease and Their Families Enhance Public Awareness and Engagement Improve Data to Track Progress © 2013 Griswold International, LLC
  • 13. Alzheimer’s Association 10 Core Challenges A lack of public awareness Specific challenges facing diverse communities Insufficient research funding Specific challenges facing those with younger-onset Alzheimer’s Difficulties with diagnosis Unprepared caregivers Inadequate treatments Ill-equipped communities Poor dementia care Mounting costs Alzheimer’s Association Top Challenges: http://www.alz.org/documents_custom/napareport.pdf © 2013 Griswold International, LLC
  • 14. Real Stories Linda Barba Family Caregiver, Advocate and - Lou Gehrig Support Group Facilitator © 2013 Griswold International, LLC
  • 15. Prevent & Effectively Treat Alzheimer's Disease A Focus on Non-Medical Treatment Approaches © 2013 Griswold International, LLC
  • 16. "If you say Alzheimer's, everyone immediately thinks that it's the plaques that actually cause the disease. That couldn't be further from the truth… the data actually suggests these plaques are a form of protection that the body tries to put on.” “While research on AD has made steady progress, there are no pharmacological or other interventions to definitively prevent, treat, or cure the disease.” National Alzheimer’s Plan excerpt Andrew Dillin, of the Salk Institute in California and the Howard Hughes Medical Institute © 2013 Griswold International, LLC
  • 17. “NPTs emerge as a useful, versatile and potentially costeffective approach to improve outcomes and quality of life for both the person with dementia and caregivers.” Javier Olazarán Neurologist and NPT Researcher © 2013 Griswold International, LLC
  • 18. Improve Cognitive Symptoms Cognitive training and rehab (individual and group) Physical activity/ Staying active Reminiscence Support groups Personalized music Yoga/Tai Chi/ Meditation Creative expression (writing, scrapbooking) Combining all of the above Source: http://www.nptherapies.org/pdf/Non-pharmacological%20Therapies%20in%20AD,%20a%20Systematic%20Review%20of%20Efficacy.pdf © 2013 Griswold International, LLC
  • 19. Improve Activities of Daily Living (ADLs) ADL training Guided performance Yoga/Tai Chi Physical activity/ Staying active © 2013 Griswold International, LLC
  • 20. Improve Mood and Peace of Mind Cognitive Behavioral Therapy (CBT) Meditation/Yoga/Tai Chi Meaningful diversion Validation therapy Personalized music Adult day care Support Memory care center © 2013 Griswold International, LLC
  • 21. Improve Quality of Life for Family Caregivers In-home counseling sessions Online connection with peers/HCPs Cognitive Behavioral Therapy (CBT) Education: - Coping skills - Problem solving Ongoing telephone support/coordination Support groups (with and w/o client) © 2013 Griswold International, LLC
  • 22. Alzheimer’s Disease Treatment Toolkit The Society for Cognitive Rehabilitation Recollection Connection NICE.org.uk Latest Treatment Options http://bit.ly/1fx7kK8 http://bit.ly/1cOTZiY http://bit.ly/1isrbga http://bit.ly/1aGi5rZ © 2013 Griswold International, LLC
  • 23. Enhance Care Quality & Efficiency A Focus on Care Coordination, Empowerment & Recognition © 2013 Griswold International, LLC
  • 24. Effective Care Coordination Practices Learn from best practice dementia care models: Develop a single point of contact for clients/families Form a multi-disciplinary care team that communicates effectively Develop a personalized action plan for clients/families Offer ongoing, dynamic Learning/Development opportunities for dementia care professionals © 2013 Griswold International, LLC
  • 25. A Dynamic Dementia Care Team Massage Therapist Home care Professional Nurse Recreational Therapist Social Worker/ Geriatric Care Manager Neurologist/Geriatrician Geriatric Psychiatrist PCP/NP/PA Rehab Professionals: OT/PT/Speech Facility Professionals Adult Day Care Professional Cognitive Behavioral Therapist (CBT) Dietician Cognitive Rehabilitative Therapist (CRT) © 2013 Griswold International, LLC
  • 26. Real Stories Linda Barba Family Caregiver, Advocate and Support Group Facilitator © 2013 Griswold International, LLC
  • 27. Care Coordination Toolkit Alzheimer’s Quality of Care CDPH.ca.gov Working With Providers http://bit.ly/17lKTT2 http://bit.ly/1aR0IHw http://bit.ly/1a0Nq9f © 2013 Griswold International, LLC
  • 28. Quality Care Toolkit AD Research Centers IPCed Professional Training http://1.usa.gov/1e1fQAE http://bit.ly/1fT52W4 Alzheimer’s Association Professional Training http://bit.ly/17JB2qq © 2013 Griswold International, LLC
  • 29. Expand Support for People with Alzheimer’s Disease & Their Families © 2013 Griswold International, LLC
  • 30. Improving the Experience Core challenges: Widespread lack of knowledge/understanding about Alzheimer’s Disease High level of public/professional stigma Negative experiences for people living with AD Poor understanding of the scope of Alzheimer’s Disease Isolation for clients and caregivers Lack of targeted services and support for those living with Younger-Onset AD © 2013 Griswold International, LLC
  • 31. Expanding Support Toolkit Overcoming Stigma Confronting Ageism and Stigma http://bit.ly/1aCBXIT http://bit.ly/1hCSeHI Early Onset AD Info AD Support Groups http://bit.ly/1hIafBU http://bit.ly/16YR1mY © 2013 Griswold International, LLC
  • 32. Real Stories Linda Barba Family Caregiver, Advocate and Support Group Facilitator © 2013 Griswold International, LLC
  • 33. Enhance Public Awareness & Engagement © 2013 Griswold International, LLC
  • 34. Understand the Scope PBS: The Forgetting Alzheimer’s Basics http://to.pbs.org/1cjMpI7 http://1.usa.gov/1a10RWQ What is Alzheimer’s? About Alzheimer’s http://bit.ly/HPpewl http://bit.ly/1bzGLBJ © 2013 Griswold International, LLC
  • 35. Enhance Engagement Alz Assoc Advocacy: Join The Cause http://bit.ly/HS1KXK Fisher Center for AD Alz. Foundation of America http://bit.ly/17ROVbJ http://bit.ly/HV5zKU © 2013 Griswold International, LLC
  • 36. Real Stories Linda Barba Family Caregiver, Advocate and Support Group Facilitator © 2013 Griswold International, LLC
  • 37. Key Takeaways Review the National Alzheimer’s Plan and get involved Non-medical treatment approaches DO offer promise and hope today Effective care coordination is critical Let’s work together to “improve the experience” for those who are living with AD © 2013 Griswold International, LLC
  • 38. Open Q&A 1. Click to expand if necessary 2. Type questions here © 2013 Griswold International, LLC
  • 39. Brought to you by: Griswold Home Care offers access to affordable non-medical care options to assist your loved one. CareAssure Screening System™ The Griswold Golden Rule: We only approve caregivers we would trust in our own homes. Extraordinary Home Care at Affordable Rates Since 1982 QuickCare Placement™ We give each family access to the most experienced caregivers available. ValueCare Commitment™ Simple Rates. Unmatched Value. Our allinclusive rates are among the most affordable. National 24x7 Care Line: 800-GRISWOLD www.GriswoldHomeCare.com © 2013 Griswold International, LLC