Supporting Transitions in Seniors’ Mental Health

18th Annual Conference of the BC Psychogeriatric Association

Fri, May 2nd & Sat am May 3rd, 2014 

Conference Presentations

Keynote: Transitions in the Next Generation of Geriatric Psychiatry Services — Dr. Carol Ward
This presentation focuses on the evolution of geriatric psychiatry services in BC from a centralized system to a distributed one using a case study to highlight related transitions and recent supporting initiatives. Presentation

Transitions Related to Losses: The Spectrum from Grief, Depression to Suicide — Dr. Bonnie Wiese
Depression in the elderly is a common and serious mental illness that when unidentified and untreated can have devastating consequences. This talk reviews causes of geriatric depression and help clinicians to better assess for depression. A review of treatment approaches and referral resources is discussed. The spectrum from normal grief reaction to depression and suicide is highlighted, in the context of an appreciation for the many losses that seniors experience and transition through. Presentation

It takes Two to Tango… Rethinking Resistance to Care — Dr. Elisabeth Drance
Participants are challenged to rethink the notion of “Resistiveness to Care” through a better understanding of the complexities of the care interaction for people with dementia. Practical strategies based on empirical work at Parkview are shared. Opportunities for others to share their ideas and approaches were woven into the discussion. Presentation

An Ethical Decision-making Roadmap: Supporting Persons with Dementia — Dr. Marylou Harrigan
This session discusses an ethical guideline and tools designed to support persons with dementia with decision-making These educational resources, an outcome of an Alzheimer Society of British Columbia project, also support family caregivers and the health care team. Ethical decision-making relates to day-to-day considerations, major ethical considerations and potential dilemmas (such as may occur at end of life), as well as advance care planning. Presentation

How does the Call for Less Antipsychotics in Residential care (CLeAR) Initiative support quality of resident care? — Mary Lou Lester
The CLeAR initiative works with facility-based care teams to reduce the inappropriate use of antipsychotics for residents with BPSD and dementia. CLeAR focuses on comprehensive assessment and care planning across the spectrum of care delivery services. In this session, participants learned about the approach the care teams are using to put knowledge into action and how they are supported along the way. A residential care team participating in the CLeAR initiative shared their experience. Presentation (Part 1) Presentation (Part 2)

Responding to the Ombudsman Report; No Longer your Decision — Kimberly Azyan & Alison Leaney
This session provides a brief overview of the recommendations of the Ombudsperson’s report and the status of legislative and practice changes that impact the certificate of incapability process in BC. Presentation

Meet the New BPSD Algorithm Tool — Elisabeth Antifeau
Are you familiar with British Columbia’s algorithm for Accommodating and Managing BPSD in Residential Care? It is intended to support interdisciplinary, evidence-based, person-centred care for persons with behavioural and psychological symptoms of dementia (BPSD). Presentation Tool Case Study

Life Transitions: Supporting Clients to Enhance Their Wellbeing — Staci Kalmek & Dave Robens
Change can become diffcult and this can have a negative effect on emotional state. Developing rehabilitation programs to support seniors in transition can turn lives around; potentially improving function, maintaining independence, and improving quality of life. Presentation

Together but Apart: Caring for a Spouse Resident in a Care Facility — Dr. Dawn Hemingway & Dr. Penny MacCourt
This presentation gives voice to the experience of older adult caregivers with a spouse who has dementia and is resident in a care facility. Perceptions of care facility staff are also provided and examined for congruence and incongruence with the views of the spousal caregivers. Presentation

Keynote: Enhancing Ability for Self-Determination — Joanne Taylor
The focus on best practices for care providers in facilitating self-determination for older adults. It highlights Representation Agreements as a tool to maintain and enhance self-determination along with a discussion of relevant legislation and practices. Presentation

Easing Transitions and Addressing Safety. An Introduction to P.I.E.C.E.S.™ — Anita Wahl
This session provides an introduction to a systems perspective of P.I.E.C.E.S.™ implementation in BC and more specifically within Fraser Health Residential Care. Presentation

Coping with Transitions – experiences of families living with the dementia journey — Barbara Lindsay, Rebecca Morris & Jennifer O’Hagan
The contributions of family caregivers are crucial to enable people living with dementia to remain at home and remain connected to their communities. However, families face considerable challenges as they negotiate health, legal and financial systems to secure adequate and appropriate services for the person with dementia and for themselves. As a result, caregivers who play an advocacy role find they need to fight for information and services to meet the needs of their family. Presentation