[Mindful Care 2004]
Home
[Mindful Care II...A Psychogeriatric Conference - Come Back to Brandon! September 30 & October 1, 2004]
Hosted by:
Mental Health Services
for the Elderly and The
Centre for Geriatric Psychiatry

[Brandon Regional Health Authority]
September 30th & October 1st, 2004 Brandon, Manitoba, Canada

[Details]

Target Audience
Location
Accommodations

[Details]

Continuing Education Credits
Registration Info

[Details]

Sponsors
Planning Committee
Contact Information

 
A Trip Back in Time to 1999
[A Trip Back in Time to 1999]
Mindful Care II...A Psychogeriatric Conference 2004

Concurrent Session Speakers



Thursday Friday


Index by Speaker:

Concurrent Session Th1: Behaviors and Dementias

Dr. David Conn
Psychiatrist-in-Chief, baycrest Medical Center for Geriatric Care
Associate Professor, Department of Psychiatry

See Keynote Speakers and Topics Section for Biography.

Target Audience:Physicians/Psychiatrists; Psychogeriatric/Mental Health Staff; General Health Care Professionals.

Main Theme: This presentation will focus on behavior problems associated with dementia and include a look at how the components of dementia lead to certain behaviors.

Learning Objectives:
At the end of this session, participants will be able to:

  • Recognize the common problems occurring in clients with dementia.
  • Understand how dementia can result in a certain behaviors.



Concurrent Session Th2: The Expanding Role of Acetylecholinesterase Inhibitors

Dr. Barry Campbell
Medical Director of Geriatric Psychiatry, St. Boniface General Hospital

See Keynote Speakers and Topics Section for Biography.

Target Audience: Physicians/Psychiatrists; Psychogeriatric/Mental Health Staff; General Health Care Professionals.

Main Theme: This presentation will focus on the role of Acetylcholinesterase Inhibitors in cognition.

Learning Objectives: At the end of this sessions, participant will be able to:

  • Identify the indications for the use of Acetylcholinesterase Inhibitors in dementia.
  • Explore some emerging trends for the use of these medications.



Concurrent Session Th3: Delirium - How to Recognize it and What to Do

Dr. Lint & Dr. Bookatz
Mental Health Services for the Elderly, Brandon Regional Health Authority

Dr. Don Lint is a Brandon psychiatrist at the Centre for Geriatric Psychiatry and with Mental Health Services for the Elderly. He completed his Bachelor of Science (Chemistry) in 1981 at the University of Winnipeg, his Certificate of Education in 1982 at the University of Manitoba and his Masters in Science and Zoology in 1987. Involved in platelet research for 2 years, Dr. Lint then completed his M.D in 1993 at the University of Manitoba. A Residency in Psychiatry followed at the University of British Columbia, completed in 1998. He completed an elective on Chest Pain and Panic at Stanford in 1993 which was published in the American Journal of Psychiatry, and also an elective on Sleep Disorders while at the University of British Columbia.

A biography for Dr. Bookatz is not yet available.

Target Audience: Physicians/Psychiatrists.

Main Theme: This presentation will focus on delirium in the elderly, the diagnosis, treatment options and factors which may predispose to delirium.
Learning Objectives:
At the end of this session, participant will be able to:

  • Recognize signs of delirium in the elderly.
  • Identify appropriate treatment options.
  • Take steps to reduce the potential of delirium developing.



Concurrent Session Th4: Stress Inoculation Training (SIT) to Enhance Coping Skills: Not Just for Nurses

Dr. Colleen Millikin
Psychogeriatrics, Deer Lodge Center
Department of Clinical Health Psychology, Faculty of Medicine, University of Manitoba

Dr. Millikin's background includes a Ph.D. in clinical neuropsychology from the University of Windsor, predoctoral internship at the Baycrest Centre for Geriatric Care, and two-year post-doctoral fellowship in neuropsychology at St. Michael's Hospital in Toronto. She is a registered psychologist providing clinical psychology and neuropsychological assessment services to elderly persons in the Winnipeg Regional Health Authority catchment area. In addition to her clinical work, she devotes twenty percent of her time to research and teaching.

Target Audience: Psychogeriatric/Mental Health Staff; Front Line/Direct Service Health Care Providers.

Main Theme: Explores how SIT could be used to help formal and informal caregivers as well as elderly and individuals with cognitive impairment cope with stressful situations.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Name the three phases involved in SIT training.
  • Describe two or three specific SIT techniques that could be used by formal and informal caregivers in stressful situations.



Concurrent Session Th5: Resistance to Care - Providing Optimal Service When Care is Refused

Barbara Evans MSW RSW
Organization: Psychogeriatric Team, Riverview Health Centre, Winnipeg

Barbara Evans’ background includes practicing social work in medical settings, community mental health and family services. She has facilitated caregiver support groups as well as presented to numerous community and professional groups.

Target Audience: General Health Care Professionals, Public/Family, Front Line Direst Service Staff.

Main Theme: Focusing on key factors that contribute to resistive behaviors, this session will provide participants with understanding of how to develop and implement service plans.

Learning Objectives:
At the end of this session the learner will:

  • Be able to identify the reasons for resistance to care.
  • Be able to recognize personal responses to resistance.
  • Have a framework within which to plan for a reshaping of approaches to care situations.



Concurrent Session Th6: The Challenge of Dual Diagnosis

Marilyn Maartense, OTM & Tracy Yablonski, OTM

Marilyn Maartense
Occupational Therapist, Interlake Psychogeriatric Team

Marilyn Maartense is an Occupational Therapist for the Interlake Psychogeriatric Team. She has also worked with the elderly on the Seven Oaks Psychogeriatric Team and the Riverview Team. This topic is of great personal interest. She has a 20-year-old son with Down Syndrome and feels honored to be able to share her knowledge and experience.

Tracy Yablonski
Occupational Therapist, Interlake Psychogeriatric Team

Tracy Yablonski Tracy is an Occupational Therapist currently with the Interlake Psychogeriatric Team. Her experience with the elderly has occurred in a variety of settings including hospitals, personal care homes, and in the community. This topic is of particular interest to her as she has a sister in her early thirties with Down Syndrome as well as a grandmother who was diagnosed with Alzheimer Disease in the lter stage of her life.

Target Audience: Physicians / Psychiatrists, General Health Care Professionals, Psychogeriatric / Mental Health Services

Main Theme: This session is a brief overview of Alzheimer Disease and Down Syndrome with the primary focus on assessment and care planning. Practical information on assessment tools, resources, and guidance for future planning will be provided.

Learning Objectives:
At the end of this session the learner will be able to:

  • Complete a comprehensive assessment of a person with Down Syndrome who presents with Alzheimer-like symptoms.
  • Develop an appropriate care plan for a person with Down Syndrome and Alzheimer Disease.



Concurrent Session Th7: Position Statement on Mini-Mental State Exam (MMSE)

Mary Lou Schroeder and Marie Surridge

Mary Lou Schroeder
Community Psychogeriatric Assessment, Eden Mental Health Centre

Mary Lou Schroeder
is a nurse consultant providing Community Psychogeriatric Assesment with South Central Manitoba. Her work is based at Eden Mental Health Centre, Winkler, Manitoba.

Marie Surridge
Community Outreach, Psychogeriatrics, Seven Oaks Hospital

Marie Surridge is a nurse who coordinates the Community Outreach Component of the Psychogeriatric Program at Seven Oaks Hospital in Winnipeg. She is a member of the Team providing consultation, assessment and treatment recommendations for clients in the Community.

Target Audience: Physicians/Psychiatrists; Psychogeriatric/Mental Health Staff; General Health Care Professionals.

Main Theme: The MMSE was designed to be used as a ‘screening test’ of cognitive function in older adults; however, it is currently used for a much wider range of applications than intended. This presentation will provide guidelines and discussion for the appropriate use of the MMSE.

Learning Objectives:
At the end of this session the learner will be able to:

  • Recognize the validity of the MMSE as only a screening tool.
  • Recognize that the MMSE is not standardized in its use within the province.
  • Understand the basic principles for the application and administration of the MMSE.



Concurrent Session Th8: Turning Knowledge Into Practice

Heather Karasinski & Kathy Flemington

Heather Karasinski
Deer Lodge Centre
Tache Special Care Resource Team

Heather Karasinski holds a Bachelor of Social Work degree from the University of Manitoba. She started her career in acute care at the Health Sciences Centre and worked in the areas of medicine, surgery and geriatric rehab. She has also worked at Deer Lodge Centre, where she helped develop the first Interim Placement Unit. Her work at Deer Lodge provided her the opportunity to present educational sessions to staff, families and residents on a variety of topics including stress management, teamwork and working effectively with families.

Kathy Flemington
Tache Special Care Resource Team

Kathy Flemington graduated from Selkirk Mental Health Centre as a Registered Psychiatric Nurse. Before joining the Tache Special Care Resource Team, Kathy worked at Lion’s Prairie Manor and Beacon Hill Lodge personal care homes as a charge nurse and unit coordinator. She is currently working on attaining her Bachelor of Science in Mental Health from Brandon University.

Heather and Kathy have a combined 24 years of experience as psychogeriatric clinicians on the Tache Special Care Resource Team. The main focus of the team is to provide suggestions to long term care staff for approaches that will improve the quality of life for residents as well as the quality of work life for staff. The team works with clients who have difficulty adjusting to, or living within the personal care home environment because of cognitive deterioration or mental health issues. Client advocacy, education and support for staff are important components of the service. Heather and Kathy have presented educational sessions at various health conferences such as the Alzheimer Conference, MHO Conference, and the Long Term Care Association Education Day.

Heather and Kathy are both certified in Critical Incident Stress Debriefing and as instructors in Nonviolent Crisis Intervention. They are currently the co-chairs of the Manitoba Network of Psychogeriatric Program Specialists.

Target Audience: Front Line Direct Service Health Care Providers

Main Theme: This interactive session is designed to promote and develop the problem solving of long term care staff. This is done by presenting two common scenarios and then working through the scenario in both small and large group format.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Identify the 3 components that are necessary in order for change to occur in our everyday practice.



Concurrent Session Th9: Leadership in Times of Change: Turning It Inside Out

Gloria Dixon MSW RSW & Maureen Hamonic OTM BMR (OT)

Gloria Dixon, MSW RSW
Director of Social Work, Misericordia Health Centre

Gloria Dixon is the Director of Social Work at the Misericordia Health Centre. She has a background in Psychiatric Nursing as well as Social Work. Her professional interests are in the areas of quality service promotion within health care as well as on-going clinical interests in abuse prevention.

Maureen Hamonic, OTM BMR (OT)
Manager of Rehabilitation Services Dept., Misericordia Health Centre

Maureen Hamonic is the Manager of the Rehabilitation Services Department at the Misericordia Health Centre. She is an Occupational Therapist who has worked with the elderly throughout the continuum of care including acute caare, rehabilitation and long term care.

Target Audience: Psychogeriatric/Mental Health Staff; General Health Care Professionals; Front Line Direct Service Staff.

Main Theme: This interactive session will assist participants in understanding basic leadership skills, the context which leadership is practiced and the importance of developing individual leadership capacity.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Identify the different types of power relationships that leaders may be engaged in;
  • Identify a number of leadership paradigms;
  • Identify their strengths with regards to their preparation for leadership;
  • Idenitfy opportunities to build further strengths and skills in themselves.



Concurrent Session Th10: “Family Therapy” Without the Family: A Psychoeducational Support Group for the Adult Child

Suzanne Rutledge
Social Worker, Deer Lodge centre

Suzanne Rutledge is a social worker who completed her undergraduate degree at Western University in London, Ontario. Her Master of Social Work degree was achieved in 1997 from the University of Manitoba. She has worked at Deer Lodge Centre in Psychogeriatrics for the past 12 years, and has taught courses at Red River Community College and the University of Manitoba. She is involved in private practice, is an employee assistance counsellor and group facilitator.

Target Audience: Physicians/Psychiatrists; Psychogeriatric/Mental Health Staff; General Health Care Professionals; Front Line/Direct Service Health Care Providers.

Main Theme: This presentation will examine a successful group intervention that assisted an “Adult child” in coping with an aging parent perceived as having a “difficult personality.”

Learning Objectives:
At the end of this lecture/workshop, the student will:

  • Have a better understanding of the target population.
  • Have an outline of a 10 session group access techniques utilized in group sessions.



Concurrent Session Th11: Depression and Suicide in the Elderly

Terry Klassen
Organization: Community Health Services, Brandon, MB

Terry Klassen is a Registered Psychiatric Nurse currently working in the Brandon Regional Health Authority as a Child and Adolescent Community Mental Health Worker. He also is employed casually at Central Park Lodge and previously was a Community Mental Health Worker with Mental Health Services for the Elderly. Terry is actively involved with the Suicide Prevention Implementation Network and has a particular interest in the well being of the elderly population.

Target Audience: General Health Care Professionals; Front Line/Direct Service Health Care Providers; Public/Family.

Main Theme: This presentation will focus on statistical data surrounding depression and suicide in the elderly as well as the programs currently available to elderly that enhance their well being.

Learning Objectives:
At the end of this session the participant will be able to:

  • Gain an understanding of the enormity of the problem of depression and suicide in the elderly.
  • Increase insight into some of the reasons depression and suicide occurs in the elderly.
  • Enrich knowledge on signs and symptoms of depression and suicide in the elderly.
  • Enhance assessment skills used to identify depression and suicidal tendencies in the elderly.
  • Discuss strategies that can help lead to positive outcomes for the elderly.
  • Gain knowledge in current services available and learn how to develop supports in rural communities.



Concurrent Session Th12: Clinical Case Presentation and Discussion Part 1

Dr. Vipulananthan & Dr. Gunson

Dr. Al Gunson
Consultant Psychiatrist, Assiniboine Regional Health Authority

Dr. Gunson received his medical training at the University of Manitoba, graduating in 1973. Following many years as a rural general practice surgeon, he returned to university for further training, completing his psychiatric residency in 1994.

Dr. Al has centered his professional career around supporting rural health issues and needs, providing medical education, and acquiring extensive international experience.

Currently Dr. Gunson practices as a Consultant Psychiatrist to the Assiniboine Regional Health Authority, as well as providing consultant services to Nunavut through the Northern Medical Unit of the University of Manitoba.

Dr. Gunson is a member of numerous professional bodies, including the Canadian Academy of Geriatric Psyhiatry.

Bio's for other presenter(s) not yet available.

Target Audience: This will be a small group session with spaces reserved for Physicians and Psychogeriatric Program Specialists.

Main Theme: Cases will be presented addressing issues of differential diagnosis of Dementia, Delirium, Depression, followed by a peer review and case discussion with the audience.

Learning Objectives:
At the end of this session the participant will be able to:

  • Recognize the complexities of differentiating between the diagnosis of Dementia, Delirium and Depression.



Concurrent Session Th13: Clinical Case Presentation and Discussion Part 2

Dr. Vipulananthan & Dr. Gunson

Bio's for presenter(s) not yet available.

Target Audience: This will be a small group session with spaces reserved for Physicians and Psychogeriatric Program Specialists.

Main Theme: This will be a continuation of case presentations from session Th13 with additional cases being presented addressing issues of the differential diagnosis of Dementia, Delirium, Depression. There will be a peer review and case discussion with the audience. The utilization of the Mental Health Act and other resources will also be addressed.

Learning Objectives:
At the end of this session, participants will be able to:

  • Recognize the complexities of differentiating between the diagnosis of Dementia, Delirium and Depression.
  • Identify a variety of resources available to assist with care of these clients.
  • Apply the criteria of the Mental Health Act when appropriate.



Concurrent Session Th14: Reflexive Practice: Self as a Practitioner.

Dr. Renee Will
School of Health Studies, Brandon University

Dr. Renee Will is Associate Professor of Nursing and Psychiatric Nursing at Brandon University's School of Health Studies. Renee's principal area of clinical and research interest is palliative care. She is also involved in research related to reflexive practice, exploring how reflexivity contributes to understanding practitioner knowledge. Mindful care necessitates knowing self and reflexivity is proposed as a process to develop insight into and awareness of our own knowledge and care.

Target Audience: Physicians / Psychiatrists, General Health Care Professionals, Psychogeriatric / Mental Health Staff, Front Line / Direct Service Health Care Provider

Main Theme: This presentation explores reflexive practice and its importance in optimizing an individual's care giving potential.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Understand how practice knowledge is created and revealed.
  • Understand and identify how the practice of reflexivity contributes to the development and mindful expression of practitioner knowledge in client care.



Concurrent Session Th15: Alcohol Gambling and Substance Misuse - Manitoba Initiatives for Seniors.

Rona Maynard & Jan Smith & Jill Overwater

Rona Maynard
Prevention & Education Consultant – Gambling Program, Addictions Foundation Manitoba

Rona Maynard has been employed with the Addictions Foundation of Manitoba for the past 25 years and is currently a Prevention and Education Consultant in the Gambling Program. Rona represents the Western Region on the AFM Seniors and Gambling Provincial Committee. Rona has completed the University of Manitoba Applied Counselling Certificate-Specialization in Addictions as well as a National Gambling Counsellor Certificate.

Jan Smith
Project Coordinator for Dependency Issues in Seniors, Creative Retirement

Jan Smith is the Project Coordinator of a Health Canada funded project entitled “Dependency Issues in Seniors”. The project is focussing on issues of substance abuse and misuse amongst the older adult population of Manitoba. Jan is a social worker with a particular interest in community-based, inclusive, integrated models of service delivery and is currently completing a postgraduate degree in workplace learning, leadership and development.

Jill Overwater R.N. B.N.
Co-chair Partners Seeking Solutions with Seniors, Seven Oaks Geriatric Day Hospital

Jill Overwater currently works as a geriatric staff nurse at the Seven Oaks Geriatric Day Hospital. She is the co-founder of the S.U.M.I.T. program (Substance Use Management Intervention and Treatment) which is a program for persons 55+ years of age whose lives have been affected by substance misuse. She is also the co-founder of PSSS (Partners Seeking Solutions with Seniors). She is very excited by the PSSS project activities and is committed to helping seniors who are dealing with this very serious issue.

Target Audience: Line/Direct Service Health Care Providers; Public/Family.

Main Theme: An umbrella presentation focusing on dependency issues in seniors and current Manitoba initiatives.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Identify 2 current Manitoba initiatives concerning seniors and addiction issues.



Concurrent Session Th16: Psychogeriatric Challenges for Seniors of Ethnocultural Communities

Dr. Arneja & Dr. Singh

Bio's for presenter(s) not yet available.

Target Audience: Psychogeriatric/Mental Health Staff; General Health Care Professionals; Front Line/Direct Service Health Care Providers; Public/Family.

Main Theme: This session will focus on the common physical, emotional and mental health problems of both seniors in general as well as marginalized ethno-cultural seniors as well as strategies to over these problems.

Learning Objectives:
At the end of this session, the learner will be able to:

  • Understand the process for using interviews with health care aids to determine the strengths and deficits of persons with severe dementia in participating in their self care;
  • Understand the principles related to the development of self care plans that promote the continued participation of persons with severe dementia in aspects of their self care.
  • Develop care plans with health care aids that can be implemented within the time constraints of the worker and the changing behavioral, cognitive and physical strengths and deficits of the person with dementia so that the person can continue participating in designated aspects of their self care.
  • Understand how this process can be evaluated and modified on an ongoing basis as the needs of the person with dementia changes.



Concurrent Session Fr17: Managing Depression

Dr. Joel Sadavoy
President Elect, International Psychogeriatric Association

See Keynote Speakers and Topics Section for Biography.

Target Audience: Physicians/Psychiatrists.

Main Theme: This presentation will focus on identifying the different types of depression as well as when and how these forms respond to treatments.

Learning Objectives:
At the end of this session the participant will be able to:

  • Recognize the signs and symptoms of depression in the elderly.
  • Apply a range of treatments for clients experiencing depression.



Concurrent Session FR18: Developing A Community Based Resource for Elder Abuse Response

Lori Jones RN BScN & Jill Hannah-Kayes RSW BSW

Jill Hannah-Kayes RSW BSW
Mental Health Services for the Elderly (Brandon Regional Health Authority)

Jill Hannah-Kayes is a social worker, employed in community mental health with Mental Health Services for the Elderly, Brandon RHA. Her education includes a Bachelor of Arts degree, a Bachelor of Social Work and this year completed a Graduate Diploma in Rural Development at Brandon University. Jill was an activities co-ordinator in a long-term care facility for several years before becoming a social worker, and her working experience has included a personal care home, acute care and community mental health.

Lori Jones RN BScN
Assiniboine Regional Health Authority

Lori Jones is a diploma nurse graduate of St. Boniface School of Nursing. She worked on the surgical floor at St. Boniface Hospital for several years before moving to Southwest Manitoba.

Lori worked in facility and community for a number of years. Lori continued her education, graduating with distinction from Brandon University with a Bachelor of Science in Nursing in 1997. She successfully completed the Health Care Administration Certificate course at the University of Saskatchewan in May 2002.

Lori is currently employed as Home Based Services Program Manager with the Assiniboine Regional Health Authority.

Target Audience: Physicians / Psychiatrists, General Health Care Professionals, Public / Family, Front Line Direct Service Staff

Main Theme: In response to an incident involving abuse of an elderly person, the Assiniboine Regional Health Authority Elder Abuse Task Force was formed. The Task Force is an interdisciplinary community based committee with representation from Home Care, Mental Health Services for the Elderly, Acute and LongTerm Care, Support services to Seniors, a Financial institution, RCMP and Manitoba Seniors Directorate. The Task Force has worked diligently to prepare an Elder Abuse Resource Guide that would assist health care providers and other agencies to recognize and effectively respond to elder abuse. The presentation will highlight key components of the Resource Guide, as well as the evaluation and lessons learned.

Learning Objectives:
At the end of this session the participant will be able to:

  • To provide information about Elder Abuse and how the ARHA responded to an unfortunate incident involving abuse of an elderly person.
  • To share success and lessons learned on developing and implementing a community-based response to Elder Abuse.



Concurrent Session Fr19: Knowing the Person: Spiritual Assesment of Persons with Dementia

Ina Baas-Penner
Staff Chaplain, River View Health Center

Organization: Riverview Health Center, Winnipeg, Manitoba

Ina Baas-Penner is one of the Staff Chaplains at River Health Centre, Winnipeg, Manitoba; her clinical areas include two Special Needs units, Behavioral Management, and Palliative Care. She has a BA in comparative religions and psychology, and an MA in theology with an emphasis in spiritual care. Ina has presented "Spiritual Care for the Elderly" (the emphasis of this presentation was on spiritual care for persons with dementia) at a workshop sponsored by the Westman Interfaith Counseling and Education Centre, Brandon. She has also taught a course entitled "Comparative Mysticism" (Spring - 2002) at Brandon University. Ina has offered numerous in-services on spiritual care for persons with dementia, as well as spiritual care for the dying person, to staff and students in a variety of settings.

Target Audience: General Health Care Professionals, Public / Family, Psychogeriatric / Mental Health Specialists, Front Line Direct Service Staff

Main Theme: This presentation will focus on completing a meaningful spiritual assessment, and creating a pastoral care plan which moves beyond addressing the simple identification of the individual's religious affiliation and practices; a meaningful spiritual assessment and subsequent plan for appropriate and meaningful pastoral intervention and/or support assumes that spirituality is an essential dimension of personhood, and an intrinsic part of health and holistic care.

Learning Objectives:
At the end of this session the learner will be able to:

  • Re-vision spiritual care for persons with dementia, to understand how maintaining spiritual connectedness - to self, to the Divine (however that is understood by the individual with dementia), to others, and to creation - serves to preserve personhood and well-being for the person living with some form of dementia.



Concurrent Session Fr20: Understanding Dysphagia in the Psychogeriatric Population

Corine Poirier M.Sc. S-LP
Organization: Community Therapy Services Inc.

Corine Poirier is a speech-language pathologist with over 13 years experience across the continuum of health care. Much of her clinical work has focused on the assessment and management of swallowing difficulties in the elderly. Corine's current clinical and research interests focus on understanding the impact of swallowing problems on socialization, enjoyment of food, and quality of life.

Target Audience: General Health Care Professionals, Psychogeriatric / Mental Health Staff, Front Line / Direct Service Health Care Provider

Main Theme: Recent research into swallowing problems or dysphagia will be examined using case studies to examine causes and practical strategies used to manage difficulties of dysphagia in the psychogeriatric population.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Identify the complexity of issues surrounding the management dysphagia in the Psychogeriatric population.
  • Identify safe swallowing techniques
  • Understand the relationship between clinical outcomes and quality of life.



Concurrent Session Fr21: The Ethic of Dignity as a Guiding Principle for Health Care Workers

Jo Ann Egilson BSW MSW
Social Worker, Assiniboine Regional Health Authority

JoAnn Egilson is a social worker in a Long Term Care facility. Her academic interests have focused on interventions to address systemic barriers to quality of life for residents in personal care homes. She recently completed a Master's degree in Social Work at the University of Manitoba, by researching the concept of "Dignity". Combining research with practice, to develop, implement and evaluate a "respectful-care training program for nursing assistants" - a practicum entitled, An Intervention for Dignity-enhancing Care in Personal Care Homes. In 2004, Joanna was recognized by her peers and selected for an Excellence in Education Award by the Manitoba Association of Personal Care Home Social Workers.

Target Audience: Physicians/Psychiatrists; General Health Care Professionals; Front Line/Direct Service Health Care Providers.

Main Theme: This presentation will focus on the importance of dignity, particularly for those who are in personal care homes. It will focus on ways to promote dignity and why this is necessary for health care providers.

Learning Objectives:
At the end of the workshop, participants will be able to:

  • Define personal dignity and understand its external and internal components
  • Understand how health care workers' interactions with clients can serve to enhance or diminish the clients' personal dignity.
  • Recognize the importance of remaining sensitive to the effect their interactions with clients have on personal dignity, and that enhancing client dignity is an ongoing challenge and responsibility for all health care workers.
  • Recognize risk factors for diminished dignity, and understand approaches to buffer these risk factors.



Concurrent Session Fr22: Working with Challenging Behaviors in Personal Care Homes

Angela Carlson & Barbara GrahamNorth

Angela Carlson
Bethania Special Care Resource Team

Angela Carlson, BSW BA has worked with challenging behaviours within various populations including children affected with FAS/FAE, adults with developmental delay and most recently with the varied population seen in PCH. She has been the social worker on the Bethania Special Care Resource team since September 2003.

Barbara GrahamNorth
Bethania Special Care Resource Team

Barbara GrahamNorth, RPN BA has worked on the Special Care Resource Team for 16+ years and has being involved in the geriatric field for more than 20 years, and brings with her a wealth of experience. She has witnessed many changes in healthcare and continues to love what she does.

As Geriatric Behaviour Consultants for the Bethania Special Care Resource Team, Angela Carlson and Barbara GrahamNorth are responsible for providing an extensive variety of behaviour management strategies, education inservices (including certification of Non-Violent Crisis Intervention) and supportive services to thirteen Winnipeg Personal Care Homes including residents, staff and families.

Target Audience: Psychogeriatric/Mental Health Staff; General Health Care Professionals; Front Line/Direct Service Health Care Providers; Public/Family.

Main Theme: This session will address several challenging behaviors which often manifest in Personal Care Homes as well as present ways to help problem solve behavioral issues while promoting creativity and respecting dignity.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • View behaviours as an expression of and reaction to brain function rather than as personal assault (understanding some of the reasons why behaviours occur;
  • Develop a repertoire of approach options for a variety of behaviours; and
  • Be able to individualize approach styles and seek solutions for the causes of individuals’ behaviour.




Concurrent Session Fr23: Family Members and Formal Caregivers: Partners in Care

Heather Karasinski & Kathy Flemington

Heather Karasinski
Deer Lodge Centre
Tache Special Care Resource Team

Heather Karasinski holds a Bachelor of Social Work degree from the University of Manitoba. She started her career in acute care at the Health Sciences Centre and worked in the areas of medicine, surgery and geriatric rehab. She has also worked at Deer Lodge Centre, where she helped develop the first Interim Placement Unit. Her work at Deer Lodge provided her the opportunity to present educational sessions to staff, families and residents on a variety of topics including stress management, teamwork and working effectively with families.

Kathy Flemington
Tache Special Care Resource Team

Kathy Flemington graduated from Selkirk Mental Health Centre as a Registered Psychiatric Nurse. Before joining the Tache Special Care Resource Team, Kathy worked at Lion’s Prairie Manor and Beacon Hill Lodge personal care homes as a charge nurse and unit coordinator. She is currently working on attaining her Bachelor of Science in Mental Health from Brandon University.

Heather and Kathy have a combined 24 years of experience as psychogeriatric clinicians on the Tache Special Care Resource Team. The main focus of the team is to provide suggestions to long term care staff for approaches that will improve the quality of life for residents as well as the quality of work life for staff. The team works with clients who have difficulty adjusting to, or living within the personal care home environment because of cognitive deterioration or mental health issues. Client advocacy, education and support for staff are important components of the service. Heather and Kathy have presented educational sessions at various health conferences such as the Alzheimer Conference, MHO Conference, and the Long Term Care Association Education Day.

Heather and Kathy are both certified in Critical Incident Stress Debriefing and as instructors in Nonviolent Crisis Intervention. They are currently the co-chairs of the Manitoba Network of Psychogeriatric Program Specialists.


Target Audience: General Health Care Professionals, Front Line Direct Service Staff

Main Theme: Many of our seniors request that family caregivers provide assistance and emotional support. This presentation focuses on promoting, the building and maintai,ning of a positive relationship between professional caregivers and family caregivers to ensure optimal care for the client.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Identify why communication is so important when working with family members.



Concurrent Session Fr24: Psychosocial Approaches to Seniors Mental Health Across Canada

Dr. Penny MacCourt
Center on Aging, University of Victoria Seniors Psychosocial Interest Group (SPIG)

Dr. Penny MacCourt is a research affiliate with the Center on Aging, University of Victoria, and a Psychogeriatric social worker providing direct and indirect services in community and long term care settings. She has an Interdisciplinary PhD with a focus on aging, mental health and service delivery and is the chair of the national Seniors Psychosocial Interest Group (SPIG).

Target Audience: Physicians/Psychiatrists, Psychogeriatric/Mental Health Professionals, General Health Care Professionals.

Main Theme: This session will focus on the results of a project carried out by the BC Psychogeriatric Association which focused on developing the capacity of communities across Canada to use psychosocial approaches to promote seniors well being.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Identify the activities carried out in the project.
  • To access project products.
  • To contribute to a Psychosocial Resource Manual.
  • Join the National Seniors Psychosocial Interest Group (SPIG).



Concurrent Session Fr25: Volunteerism and Mental Health of Older Adults in South Western Manitoba

Dr. Barbara M. Gfellner
Department of Psychology, Brandon University

Dr. Barbara M. Gfellner is Professor and Chair of the Department of Psychology at Brandon University. She teaches courses in the Psychology of Aging and Aging and Mental Health. Her research with older adults focuses on various aspects of quality of life including longitudinal studies on seniors' independence in relation to life changes (such as residence, health, functional abilities, supports, etc.). Much of her work emphasizes contextual/environmental influences and rural-urban comparison in aging and mental health.

Target Audience: Psychogeriatric/Mental Health Staff, General Health Care Professionals, Front Line/Direct Service Health Care Providers.

Main Theme: This session will provide an overview of the benefits of volunteerism for mental health and quality of life among older adults by examining three studies which focused on this topic.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Outline the characteristics of older adult volunteers including rural-urban comparisons.
  • Describe quality of life benefits of volunteering among older adults.
  • Outline the volunteer activities and types of organizations that older adults prefer.
  • Outline perceived benefits of volunteering, needs and supports of older adults in relation to various types of volunteering.
  • Develop strategies to enhance volunteerism among older adults in specific areas of service provision.



Concurrent Session Fr26: The Impact of an Adult Child Death on the Older Parent

Tony O’Regan RN, BSc(Hons), MSc, DPSN, Cert Ed.
Organization: St Boniface General Hospital Mental Health Program, Geriatric Psychiatry Out-Patient Service.

Tony O’Regan has extensive clinical, managerial, and academic experience within the UK National Health Service. From 1987 until 1997 he was Senior Lecturer in Mental Health Studies at the University of Luton, UK. Since January 1998, Tony has been Clinical Nurse Specialist, Geriatric Psychiatry, at St. Boniface Hospital, managing an out-patient consultation service and a personal caseload of elderly patients who present with complex mental health issues.

Target Audience: Physicians / Psychiatrists, General Health Care Professionals, Psychogeriatric / Mental Health Staff, Front Line / Direct Health Care Provider.

Main Theme: This presentation will focus on the epidemiology of adult child death (ACD) and the effects of ACD on elderly parents. It will stimulate debate on how the health care system can prepare and respond to the increasing phenomenon of elderly bereaved parents in the 21st Century.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Identify several pertinent psychological and sociological consequences related to the death of an adult child.
  • Illustrate, from case illustrations, the particular reactions of older parents to the loss of their middle aged children.
  • Briefly explore/examine what future research questions which might best inform clinical practice.



Concurrent Session Fr27: Family’s Journey to Recovery

Deanna Kowlchuk, Debbie Fisch and Krista Pedlow

Krista Pedlow
Outreach Worker, Mood Disorders Association

Krista Pedlow grew up in Brandon, Manitoba and is married with two children. Very much a people person who enjoys helping others, Krista volunteer’s in the community and sits on her children’s parent council.

Krista’s role with the Mood Disorders Association is one that provides peer support and information to individuals and their loved ones that helps the understand and accept their illnesses. The Mood Disorders Association itself holds regular support group meetings for sharing concerns, experiences, information and support. It also provides education to the community promoting early awarness, recognition and treatment; all of which fit with Krista’s belief that education is the key to help decrease the stigma surrounding mental illness.

Deanna Kowlchuk
Outreach Worker, Manitoba Schizophrenia Society

Deanna lives in Souris, has two children, and is very active in the Souris Community. She has worked for the Manitoba Schizophrenia Society for 8 years and has been involved with the Mental Health Community for many years. Deanna is an Outreach Worker for the Manitoba Schizophrenia Society and covers the Assiniboine and Brandon RHA's, but she also has experience working in the Eastman Regions.
Deanna, as both part of her job and her personal commitment, performs presentations focusing on fighting the stigma of Mental Illness; educating the public about the signs, symptoms, and identification of Mental Illness; advocacy on behalf of Family Members and Consumers; and helping everyone through the Mental Health Maze of services.

Target Audience: Physicians/Psychiatrists; Psychogeriatric/Mental Health Staff, General Health Care Professionals, Front Line/Direct Service Health Providers, Public/Family

Main Theme: This session will focus on the value of support for families of mental health consumers. It will include a literature review, a look at past and present support initiatives as well as a panel of family members who will share the stories with the audience.

Learning Objectives:
At the end of this session, participants will be able to:

  • Recognize signs and symptoms of Depression, Schizophrenia, and Anxiety.
  • Learn how the recieve the right services and where to go.
  • Identify the recovery process and the challenges as a Family Member.
  • Understanding the Journey of Recovery from the Family Members point of view.
  • Identify strategies to supports families in assisting the consumer.



Concurrent Session Fr28: Financial Assistance for Caring At Home

Merle Teetaert & Cheryl Boulet & Cheryl Cormack

Merle Teetaert
Regional Pallitave Care Coordinator, Assiniboine Regional Health Authority

Merle Teetaert Teetaert is a Regional Palliative Care Coordinator in the Assiniboine Regional Health Authority. She has a diverse array of nursing experience including obstetrics, general ward nursing, operating room, outpatient, chemotherapy and nursing administration. Throughout all of these roles Merle developed a special interest in caring for the dying and their families.She served as the founding chair of the Provincial Palliative Care Network. Merle is a faciliitatior for the PALLIUM Regional Weekend Courses. As well, Merle is a board member of Hospice and Palliaive Care Manitoba. Merle recently received her Canadian Nurses Association Certification in Palliative Care.

Cheryl Boulet
Outreach Officer, Social Development Canada

Cheryl Boulet is an Outreach Officer wording for Social Development Canada and conducts educational activities in Manitoba to provide information to ensure that eligible persons are receiving the benefits to which they are entitled. She enjoys working with other organizations who share these concerns.

Cheryl Cormack
Regional Palliative Care Coordinator, Assiniboine Regional Health Authority

Cheryl Cormack is a regional Palliative Care Coordinaor in the Assiniboine Regional Health Authority. She is a Registered Nurse with previous experience in many different clinical settings including general ward duty, obstetrics, emergency, surgery and facilitating diabetic and hypertensive clinics. Throughout this past Cheryl realized her true compassion in meeting the palliative care needs of her community. As a Regional Palliative Care Coordinator for the past 3 years she is striving to make a difference for individuals and their families.

Target Audience: Physicians / Psychiatrists, General Health Care Professionals, Psychogeriatric / Mental Health Staff, Front Line / Direct Health Care Provider.

Main Theme: This presentation will examine the financial options available to those who are caring for family members, a topic seldom addressed because the focus at such times is often on physical and emotional issues.


Learning Objectives:
At the end of this lecture/workshop:

  • the learner will have a greater understanding of financial supports that are available for families (caregivers) to help ease the financial burden.



Concurrent Session Fr29: Bill of Rights for the Dementia Patient

Peter Wiebe
Peter Wiebe Geriatric Eductaion & Consultation Services

Peter Wiebe is a registered nurse who has dedicated much of his career to Psychogeriatric care. From 1988 to 1996 he developed and managed the 10 bed Special Care Unit for the Salem Home in Winkler, Manitoba. Presently he runs a private nursing practive traveling across Canada teaching staff about caring for he demented elderly person.

Target Audience:
Psychogeriatric/Mental Health Staff

Main Theme: This presentation will examine the four following topics: the usual patient bill of rights, pertinent objections to this bill of rights for dementia patients, an alternate bill of rights for dementia patients, and one nursing home experience.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Recognize that the regular bill of rights adopted by many Canadian Health Care Agencies is not sufficient to guard the needs of the demented patient.
  • Will be able to identify some key components that need to be included to protect the demented patient’s rights.



Concurrent Session Fr30: Informal Care Giving – What are the Rewards

Verna Pangman & Pamela Hawranik

Verna Pangman
University of Manitoba – Faculty of Nursing

Verna C. Pangman is an Instructor in the Faculty of Nursing at the University of Manitoba. She has been a course leader for many courses at the undergraduate level, and her nursing practice has been primarily with adults in long term care settings. Her research interests lie in the field of gerontology. She is currently adapting Canadian data in a nursing textbook "Health Promotion Throughout the Life Span" for Pearson Education.

Pamela Hawranik
Organization: University of Manitoba – Faculty of Nursing

Pamela Hawranik is an Associate professor in the faculty of Nursing and is the Associate Dean for the Faculty of Graduate Studies at the University of Manitoba. Her clinical experience has included public health nursing and home care case co-ordination in rural Manitoba and being a clinical nurse specialist at St. Boniface Hospital. Her research examines the effectiveness and use of community services by seniors and their informal caregivers.

Target Audience: General Health Care Professionals, Psychogeriatric / Mental Health Staff, Front Line / Direct Service Health Care Providers

Main Theme:The proportion of Canadian seniors experiencing Alzheimer disease is increasing. This holds important implications for informal caregivers who already provide 80% of the care that is given to these seniors in the community. Much of the empirical research on informal caregiving has focused on the burdens and the stressors that these family members or friends experience. To date, very little discussion in the research and non-research circles exists on the positive aspects of caregiving in caring for the family member with Alzheimer Disease. In the preliminary review, a few Canadian studies were found studying the rewards of informal caregivers, conducted by various disciplines. Even fewer studies were found examining the role of men as caregivers and their positive experiences. As nurses provide care to the family, it is important that nurses conduct such research in order to identify and to study caregivers= strengths (both females and males) to minimize the burden of cargiving. Based on such anticipated research findings, implications for nursing practice would be forthcoming to promote rewards of the caregiving experience especially for male caregivers.

Focusing on the benefits of intra-family caregiving, this presentation will present information on optimizing the benefits to the informal caregiver as well as minimizing the stressors involved by focusing on the caregivers strengths.

Learning Objectives:
At the end of this lecture/workshop, the student will be able to:

  • Define informal caregiving.
  • Describe the effects of caregiving to a family member with Alzheimer’s Disease.
  • Identify the rewards that informal caregivers experience when proving care.
  • Discuss strategies that facilitate the positive aspects of caregiving by informal caregivers.



Concurrent Session Fr31: Enhancing Well Being Through Self-Care

Lynda Wolf OT
Riverview Health Centre, Winnipeg, MB

Lynda Wolf is an occupational therapist who has enjoyed many years working with health care teams in the development of programs for persons with dementia. She has presented at other conferences and workshops and currently conducts research projects related to dementia.

Target Audience: Nurses, HCA’s, Occupational Therapists, Directors of Care, Public

Main Theme: This presentation will describe a program that is underway at Riverview Health Care Center to promote the continued participation of residents who are diagnosed with severe dementia in selected self-care activities.

Learning Objectives:
At the end of this session, the learner will be able to:

  • Understand the process for using interviews with health care aids to determine the strengths and deficits of persons with severe dementia in participating in their self care;
  • Understand the principles related to the development of self care plans that promote the continued participation of persons with severe dementia in aspects of their self care.
  • Develop care plans with health care aids that can be implemented within the time constraints of the worker and the changing behavioral, cognitive and physical strengths and deficits of the person with dementia so that the person can continue participating in designated aspects of their self care.
  • Understand how this process can be evaluated and modified on an ongoing basis as the needs of the person with dementia changes.




Concurrent Session Fr32: Older Wiser Lifestyles: Older Adults Making Healthy Lifestyle Changes

Debbie Christie
Alcohol, Drug and Gambling Services, Hamilton, Ontario

Debbie Christie began her career in social work in the 1970's in Northern Manitoba in the Women’s Shelter System in Public Education and as Shelter Co-ordinator. She traveled extensively into Aboriginal Communities to develop awareness and programs for abused women and their children. She also had her first acting role in the Video "No Safe Place" about abuse of women.

When coming to Ontario in the late 1980s it was time to pursue further education and she graduated from McMaster University with her BA/BSW in 1995. She is presently enrolled as a Graduate Student at McMaster in the school of social work. She will graduate in November with her MSW.

She teaches currently in the Continuing Education Program at Mohawk College in the Social Service Worker Program.

She has worked full time in Long Term Care and also in Addictions since the late 1980s.

Her work with older adults and substance misuse, and now in gambling, is with Alcohol, Drug and Gambling Services, Hamilton, Ontario. She is the co-founder of the Older Adult Program at this service in 1994-95. The name of the program has changed a couple of times and is presently known at OWL the Older Wiser Lifestyles Program. A program that is multi-faceted to enhance the quality of life of older clients (55 and over) with a harm reduction, lifestyle enhancement philosophy.

Debbie brings to her role with seniors, extensive experience assessing issues of addictions, mental health, behaviour, capacity, early intervention strategies, and group work. She also feels she uses the Stages of Change Model and Motivational Interviewing to engage her clients in the change process that they are ready to accept.


Target Audience: Psychiatrists/Physicians; Psychogeriatric /Mental Health Staff; General Health Care Professionals, Font Lone/Direct Service Staff.

Main Theme: This Presentation will introduce a multi-faceted program offered by Alcohol, Drug and Gambling Services (ADGS) that provides support to older adults wishing to make changes for a healthier lifestyle. It will focus on the principles of the program and why these principles are necessary for facilitating positive change.

Learning Objectives:
At the end of this session, participants will be able to:

  • You will recognize nine risk factors to look for when assessing alcohol and/or gambling and other mental health concerns with older adults.
  • You will have learned motivational techniques that will help move an older adult from not thinking they have a problem to wanting to do something about it.
  • You will have learned about a multi-faceted program that has proven effective in assessing and treating older adults who have concerns with substances, medications, and/or gambling.



Concurrent Session Fr33: Difficult Decisions Around Do Not Rescusitate Issues or:

““No 99” and “Do Not Resuscitate” Orders from the prospective of an Emergency Room Physician”


Dr. C. Norman
Chief of Emergency Medicine at Brandon Regional Health Centre

Dr. C. Norman is an Emergency Room physician and Chief of the Emergency Department with the Brandon Regional Health Authority. He serves as Medical Examiner and teaches at the Brandon Fire College. Dr. Norma will share his insights gained from providing care to residents in the Brandon area in a variety of care settings over the past quarter century.

Target Audience: General Health Care Professionals, Front Line/Direct Service Health Providers, Public/Family

Main Theme: This presentation will address some of the factors that need to be considered in making the decision around Do Not Resuscitate (DNR) orders and resuscitation from the perspective of an emergency room physician. There will be examples of the thought required to plan appropriate care for a aging loved one. The place this should be done is sitting round the kitchen table with all the adult family and not in the ER with a totally strange doctor at 3am! A proactive and more general approach to planning is encouraged for older person, both at home and in the personal care environment.

Learning Objectives:
By the end of this presentation family members and care giving staff will have a better understanding of:

  • The complexities of DNR or No 99 orders.
  • Methods for effectively writing the information, and
  • The information families should convey to any future medical practitioner.



[Details]

Keynote Speakers and Topics
Program & Registration Form
Concurrent Speakers, Topics & Learning Objectives
Call For Submissions
Poster Presentation
Exhibits & Displays
Public Forum
signup for email updates




| Brandon RHA | Mindful Care Home | Program | Sponsors | Registration | Contacts |

Contact: mindfulcare@brandonrha.mb.ca

Website design by Ryan Henry 1999-2004