Teepa L. Snow – Dementia: Individualized Care Techniques to Support Nourishment and Hydration

Teepa L. Snow – Dementia: Individualized Care Techniques to Support Nourishment and Hydration

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Description

Faculty:
Teepa L. Snow
Duration:
6 Hours 13 Minutes
Format:
Audio and Video
Copyright:
Mar 16, 2018

Description

Outline

  • Dementia’s Effect on Appetite, Nutrition, Hydration, Meal Preparation and Eating
    • Our relationship with food, drink, meal preparation and eating from multiple aspects:
      • Cultural
      • Spiritual
      • Social
      • Emotional
      • Individual
      • Physical
      • Sensory
      • Physiological
    • Value and meaning of food and drink that affect behaviors related to food and intake
    • Assessment tools to personalize behavioral interventions
  • Impact of Dementia on Changes in Brain Function
    • Screen for visual, auditory, sensory-motor, olfactory and gustatory sensory intake
    • Processing changes at various stages of dementia
    • Cognitive skill alterations that affect independence, interest and engagement:
      • Time awareness
      • Situational awareness
      • Problem solving
      • Sequencing
      • Memory
      • Language processing
      • Impulse control
  • Ability-based and Cognitive Disability Evaluation Tool – GEMS® Model
    • Provides common language and a framework to modify expectations and environments for:
      • Early Stage (Diamond)
      • Moderate Stage (Emerald)
      • Moderately Severe Stage (Amber)
      • Severe Stage (Rubies)
      • Extreme Stage (Pearls)
  • Techniques to Develop Skills that Optimize Successful Nourishment and Hydration
    • Structured initiating to promote active participation and limit refusals
    • Verbal statements to promote choice, self-direction and task initiation
    • Cueing sequences with graded options for each GEMS® state
    • Support attempts, focus attention, automatic reactions and reflexes
    • Minimize distractions and passive feeding behaviors
  • Strategies to Enhance Nourishment and Hydration in Early to Late Stage
    • Guide meal selection, settings and routines in combination with each GEMS® state
    • Limit refusals, negative reactions, over or under eating or drinking
    • Cues, routines, communication and interaction skills to optimize performance
    • Social, physical, and sensory environmental features that foster or impair optimal function
    • Environmental settings/situations to address probable areas of concern
    • Create individualized care programs to provide optimal support for you
    • Members of a support team: The role of each person/discipline
  • Life is Ending: The Role of Food and Drink
    • Physical, behavioral, and physiological changes that typically signal the ending of life
    • Interaction skills that support the exploration of:
      • Personal beliefs about life sustaining measures
      • Personal choice
      • Offer versus push
      • Value and meaning of food and drink
      • Eating by mouth versus artificial hydration and nourishment
    • Offering techniques that differentiate between lack of ability to make use of the nourishment and hydration vs. inability to understand the offer of food or drink
    • Techniques and strategies when nourishment and hydration is no longer the goal

Faculty

Teepa L. Snow, MS, OTR/L, FAOTA Related seminars and products: 1


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When primary verbal communication and interaction abilities are altered, Teepa teaches about the value of connection. She is able to demonstrate and model the struggle and challenges dementia creates for all parties involved in her teaching style. She is a speaker that is sought after by agencies and organizations in the U.S and Canada.

There are appointments with Duke University’s School of Nursing and UNC-Chapel Hill’s School of Medicine. She is an active member of the US Dementia Action Alliance. She has worked as an OT director in a head injury facility, a clinical specialist in geriatrics for a Veteran’s Administration Medical Center, and a therapist and care coordination for long term care facilities. She served as the director of education and lead trainer for the Eastern N.C. Chapter of the Alzheimer’s Association and as the program director of Durham Technical Community College.

The Alzheimer’s Association, Alzheimer’s Foundation of America, AOTA, and NBCOT are just a few of the professional organizations that Teepa has served in.

Speaker disclosures.

Financial: She is in private practice. She is paid by PESI, Inc.

Non-financial is not financial. The NC Coalition for Long Term Care Enhancement, American Occupational Therapy Association, North Carolina Occupational Therapy Association, and Friends of Residents in Long Term Care are just a few of the organizations that Teepa Snow is a member of.


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