Responsive Behaviours Symposium VIII

Three triggers of responsive behaviours & how to manage them: Sleep, pain & incontinence 

ICCER is proud to announce its 8th annual Responsive Behaviours Symposium! We will be discussing three common triggers of responsive behaviours: pain, sleep and incontinence, and strategies to manage them.

Speakers will be presenting from both Edmonton (ECHA 2-420) and Calgary (Faculty of Rehab Med, U of A Calgary Campus room 320) sites. Because there is no cost to attend at host sites, no refreshments or lunch will be provided for this event.

There is a cost of $75/site for non-ICCER members to attend via Zoom webinar. There is no cost for ICCER organizational*, associate** and individual members.

Registration is now closed for this event. For any inquiries, please contact emily@iccer.ca.

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AGENDA

8:30 - 9:00 AM - Registration & webinar set-up 

9:00 - 9:15 AM - Welcome & introductions - ICCER

9:15 - 10:00 AM - The Sleep Kit - Eve Baird & Janet Durkee-Lloyd

Eve Baird is a Bachelor of Social Work student at St. Thomas University, where she also completed a Bachelor of Arts in Gerontology in 2016. Eve worked in long-term care for 3 years as an Activity Director specifically with persons living with dementia. She received the SPARK grant from the Centre for Aging and Brain Health Innovation and the New Brunswick Health Research Foundation in 2018 and facilitated a research project on The Sleep Kit. 

Dr. Janet Durkee-Lloyd has had a wide range of experiences, in both studying and working in the field of aging. Her research interests include investigating the information seeking behaviours of older adults. These findings are used to inform policy makers on how to design 'age friendly' access to services and programs in the province. In addition, she has been an active member of the research team studying non-pharmacological approaches to improving the sleep quality of persons with dementia.

The Sleep Kit is a non-pharmacological approach to improving the sleep quality of older adults living with dementia.

10:00 - 11:00 AM - Sleep and Dementia 101 - Dr. Cary A. Brown

This presentation will review basic sleep physiology as it relates to the environment. This information will give participants an evidence-based foundation to use environmental modifications to improve sleep of older adults with dementia.

Cary A. Brown (PhD, Professor, Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta) has a professional degree in occupational therapy and received her PhD in primary care/medical sociology from the University of Liverpool in the UK. Currently she is a full professor in the Faculty of Rehabilitation Medicine at the University of Alberta. Cary has practiced as an occupational therapist, department supervisor and academic in Canada, Saudi Arabia and the United Kingdom. Her research program focuses on chronic pain, non-pharmacological interventions for sleep deficiency, and knowledge translation. 

11:00 - 11:15 AM - BREAK

11:15 AM - 12:15 PM - Toileting needs as responsive behaviours in older persons living with dementia - Dr. Kathleen Hunter

In this presentation, the concept of toileting needs as potential unmet needs triggering responsive behaviours will be explored. Recent research and best practices in continence care for persons living with dementia will be discussed, including practical strategies for staff to use in supporting residents and families.

Kathleen F. Hunter (PhD, RN, NP, GNC(C), NCA) is a Professor with the Faculty of Nursing, University of Alberta and Nurse Practitioner with specialization in  gerontological and continence nursing. In addition to teaching and research, she maintains a clinical practice at the Glenrose Continence Clinic. Kathleen's research interests include: lower urinary tract symptoms in older adults and links of these symptoms to fall risk and cognitive impairment as well as hospital care and transitions for older persons. She is an active member of the International Continence Society, currently serving on the Scientific Committee. In May 2019, Kathleen was Co-Chair for the 2019 Canadian Gerontological Nursing Association Biennial Conference and is a long term member of both CGNA and the Alberta Gerontological Nurses Association.

12:15 - 1:00 PM - LUNCH BREAK (Note: No lunch will be provided for the session)

1:00 - 2:00 PM - Pain and Dementia: Myths and Realities - Dr. Cary A. Brown

This presentation will review the relationship between pain and dementia, the enduring myths about pain in this population, and basic evaluation tools. Participants will also receive information about pragmatic strategies to reduce the risk of pain for those living with dementia.

2:00 - 2:45 PM - 10 Paradigm Shifts about Responsive Behaviours & Pain - Verdeen Bueckert

45-80% of nursing home residents have pain. Pain in older adults is multifactorial, and is complicated by factors such as low mood and depression, immobility, and medication side-effects. Persons with dementia often express pain through responsive behaviours, resulting in potentially inappropriate prescribing of antipsychotics, benzodiazepines, sedatives, and antidepressants. The Pain & Mood Project promotes holistic and innovative approaches to improve comfort, mood and wellbeing of older adults in LTC and DSL.

Verdeen Bueckert is a Registered Nurse with a Masters in Leadership, and a passion for innovation and system improvement. She has supported the Appropriate Use of Antipsychotics in Long Term Care, the collaborative practice model of nursing care, and Elder Friendly Care in hospitals, and provincial implementation of the Restraint as a Last Resort policy. Verdeen currently leads the Pain & Mood Project, sponsored by the Seniors Health Strategic Clinical Network.

2:45 - 3:00 PM - Closing remarks

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