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
| Training Component | Content | |
| 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
Additional Notes
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: eiloncaspi@gmail.com
- 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.
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