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Hot Topic All Day Sessions

What's all the buzz about?

Over the past decade, the culture change community has tackled many issues from restraint-free care to new dining standards focused on resident choice. We invite you to stay an extra day to participate in discussions about two of the "hot topics" that are occupying our hearts and minds at the moment. We are offering your choice of two full day Hot Topic sessions on Thursday August 15. Join the discussion...and hear for yourself what the buzz is all about.

Environments Across the Aging Continuum
8 AM to 3 PM

The goal of this intensive is to explore some new and potentially controversial issues in elders' environments. We will focus on three setting types: living at home in the community, living in a shared residential setting, and elders in acute care settings. Within each setting are 2-3 speakers, whose topics are designed to spur some real discussion. Presentations will be fairly brief, and then each speaker will lead a discussion to explore what we, collectively as care providers and designers, can do to move the field forward.

At Home –
Jon Sanford: Universal Design refers to the concept of designing all products and the built environment to be aesthetic and usable to the greatest extent possible by everyone, regardless of their age, ability, or status in life. Examples of universal design homes will be used to illustrate the seven principles. There are many industries in which universal design is having strong market penetration but there are many others in which it has not yet been adopted to any great extent, including housing construction. Why aren't universal design principles more widely applied to new housing construction, and what can be done to increase this?

Alan DeLaTorre: There are many elements of the design of neighborhoods that impact an individual's ability to continue to live successfully at home in the community. However, the vast majority of American neighborhood were designed around the car. When people get to the point where they cannot drive a car safely, life often becomes much more difficult. If we want to encourage aging-in-place at home, how realistic is it to expect that public policies with limited resources can have widespread impact on these existing communities? Or should we focus neighborhood design effort on places like NORCs, newly planned communities and possibly inner ring suburbs?

In Shared Residential Settings –
Charlene Boyd: Segregation vs. Integration of residents living with dementia. For several decades the prevailing mindset was to segregate individuals living with dementia into their own units or households. Some care communities have multiple levels of dementia care services. But doesn't this violate one of the basic tenants of person-centered care, which is that relationships matter? Forced relocation disrupts the relationships people have developed with caregivers and other residents, among a host of other negative correlates. Further, does segregating individuals living with dementia serve to perpetuate and magnify the stigma of dementia? Given the statistics of 50-80% of residents of shared residential settings having some level of cognitive impairment, only a small proportion can be served in segregated areas. What makes integrated care communities work?

Amy Carpenter: As we move further away from the institutional-style nursing settings of the past, everyone seems to be trying to re-create the experience of home. But what really defines "home"? What resembles home varies from person to person, and local and cultural factors play a role. But are there some universal concepts of home common to all of us? This session will explore the meaning of home, look at how to create the comfortable feeling of belonging that comes with home, and how that can be realistically translated into a long-term care setting. We will also look at some projects where specific cultural influences were incorporated into the design.

Maggie Calkins: There are times when it's just not feasible to build new, but older, traditional buildings can hamper your efforts in providing person-centered care. Renovations can start on a small scale, just like your culture change efforts, or can be a complete make-over with stunning results. This session will feature examples from 4 years of renovation projects submitted to the Environment for Aging's Remodel/Renovation competition.

In Acute Care Settings –
Rich Gamache: The increase in the population of seniors is having an impact on all aspects of healthcare- including emergency departments. CharterCARE Health Partners opened a Senior-Friendly ED in Rhode Island in March, 2013 after several years of planning. It required changes in clinical operations, staff education, infrastructure, and, of course, the designed environment. Is a senior-specific ED really necessary? Can this be a stand-alone solution, or must it always be in partnership with a traditional ED?

Lead guide: Maggie Calkins, President, IDEAS Consulting Inc. and Board Chair, IDEAS Institute

Hearing the Voice of Persons Living with Dementia
8:30 AM to 3:30 PM

Do persons with dementia have a voice? What is it saying and how are we responding to it?
Some people say that person centered care is not possible for people who live with dementia, other say that we started person-centered care with people who live with dementia — what do you say? All we know is that we're tired of hearing that "those people" can't make decisions or choices so... please join us for this energetic and thought provoking session.

Persons with dementia are people living with purpose. We can support persons with dementia in living purposefully by learning how to hear their unique voices. When we hear their voice, we can then honor their choice and help to fulfill their needs. In this session we will navigate our way through the values, concrete approaches, and age-old questions about honoring the choice of people who live with dementia wherever they live. We'll use the five human needs of identity, inclusion, attachment, comfort, and occupation as a lens to guide our view. Let's see what values and principles we hold in common, share ideas for solid take home approaches and honor each other's challenges and milestones. Join the guides and their guests in creating a powerful day of inspiration.

Lead Guides:
Megan Hannan, Executive Leader, Action Pact
Sonya Barsness , Sonya Barsness Consulting LLC

 *OR You can also choose to stay for a day of Site Visits:
Cultural Competency, Co-location and Community:
A Tour of Three Person-Centered Assisted Living Residences

Hop in our van and tour three innovative assisted living residences in Seattle: Legacy House, Nikkei Manor and Buchanan Place. We'll have dim sum for lunch in the International District between site visits. This session is limited to 10 participants.
Nora Gibson, MSW Executive Director, Full Life Care
Paula J. Tomlinson, CALA, FACHCA Director of Senior Services Seattle Chinatown International District Preservation and Development Authority (SCIDpda)
Lisa Waisath, Manager, Nikkei Manor

You many register for this day alone, or as part of your total conference experience.