The training program varies in scope and length — anywhere from one hour to two-day workshops; whatever fits your care team’s educational needs, time constraints, and your organization’s financial resources. Here is an example:
Outline of 3-hour Staff Training Program
Fighting for Dignity: Prevention of Distressing and Harmful Resident-to-Resident Interactions in Dementia in LTC Homes
General focus of the program:
1. Understanding; 2. Preventing; 3. De-escalating
|1||Misconceptions about People Living with Dementia (PLwD)
Behavioral Expressions in PLwD
General Principles for Working with, Caring for, and Supporting PLwD
|Strengths-based care; Relationship-based care; Person-directed care; Anticipatory care approach
Understanding behavioral expressions of unmet human needs and frustrations
Knowing the early-life history
Focusing on emotional needs + Validation Method
Personally meaningful engagement
|2||The Role of Language||Biomedical vs. Person-directed terms|
|3||Spectrum and Manifestations of DHRRI||Verbal, physical, material, & sexual expressions|
|4||Consequences of DHRRI||From mild to severe emotional and physical effects (falls, injuries, deaths). Review of 40 fatal RRI in dementia|
|5||Contributing Factors, Causes, & Triggers||(a). Resident’s history & background factors
(b). Physiological and medical causes
(c). Situational causes and triggers
(d). Factors in the physical environment
(e). Factors related to care partners
|6||Psychosocial Prevention Strategies *||(a). Procedures and strategies at the organizational level
(b). Proactive measures
(c). Immediate strategies during episodes
(d). Post-episode strategies
|7||De-escalation strategies||Approaches and strategies when DHRRI occur|
|8||Documentation & Reporting. Why Bother?
Screening, assessment, and behavior intervention planning tools (will be mentioned briefly)
|(a). Recognizing Early Warning Signs of Distress/ Anxiety
(b). Behavioral Expressions Log
(c). Interdisciplinary Screening Form
(e). Evaluation of Urgency of DHRRI Form
(f). Behavior Intervention Plan Form
* Acronym: DHRRI = Distressing and Harmful Resident-to-Resident Interactions
The training program uses a large number of real-life stories for illustration.
Key findings from several research studies on DHRRI are shared with attendees.
Segments from films are shown to reinforce the program’s educational messages.
A series of demonstrations and interactive elements are used during the program.
For more information about the different training options and pricing, please email Eilon at: firstname.lastname@example.org
- Permission to use the image was received from JDC-ESHEL and photographer Moti Fishbain. The people in the image are actors in an educational film.