Partners in Care... Unlimited Possibilities

March 9th & 10th, 2009Canad Inns - Polo Park

1405 St. Matthews • Winnipeg

J.B. Orange, PhD, Associate Professor and Director, School of Communication Sciences & Disorders Elborn College, University of Western Ontario, London, ON. Enhancing Personhood in Individuals with Alzheimer’s Disease and Related Dementias Through Supportive CommunicationSupportive communication is key to ensuring that personhood

and dignity are enhanced among individuals with dementia. Dr. Orange will discuss a set of frameworks that are useful in guiding caregiver’s choice and use of communication enhancing strategies. This presentation is sponsored in part by a generous contribution from the Manitoba Medical College Foundation Dr. Joe Burgess Endowment Fund.

Ron Keren, MD, FRCPC, Clinical Director, University Health Network and Whitby Mental Health Centre Memory Clinics, Physician Leader, Toronto Rehabilitation Institute, Psychogeriatric Service, Toronto, ON.

Pseudodementia: Fact or Fiction?Pseudodementia is a term that has been widely adopted in clinical practice, yet vastly misunderstood. As its name suggests, pseudodementia infers a

functional artifact rather than a dementia that is based on a neuropathological disease. In other words, the dementia is ‘unreal’. This presentation will explore the evolution of pseudodementia as a clinical diagnosis while separating the facts from the fiction about reversible dementias.This presentation is sponsored in part by a generous contribution from the Nathan Stall Endowment Fund.

Plenary Speakers

Embracing Well-Being Phyllis C. Reid-Jarvis, R.D., President, PRJ Consulting & Health Services, WinnipegNutritional Neuroscience: How to Eat Smart for a Happy Brain! The brain is a very active organ, making it an extremely hungry one and picky too! It will dictate to you what to eat, when to eat and how much to eat. Your appetite and overall food intake are dictated by how you feel. Learn how you can eat smart by knowing which foods to include as part of a strategy to boost the health of your brain.

Cathy Scott, Administrative Secretary, Winnipeg Regional Health Authority, Personal Care Home Program, WinnipegMind, Body, Spirit - Exercise the Brain ConnectionJoin Cathy Scott for an informative, interactive and fun session on how different types of exercise are required to improve ones’ brain health and wellness.

Visit our website at: www.alzheimer.mb.ca

8:00 a.m. Registration9:00 a.m. Opening Remarks9:15 a.m. Dr. J.B. Orange10:15 a.m. Coffee Break – Displays Open10:45 a.m. Embracing Well - Being

12:00 p.m. Buffet Lunch–Tijuana Yacht Club1:15 p.m. Concurrent Session 12:30 p.m. Coffee Break3:00 p.m. Concurrent Session 24:15 p.m. Closing Session in each Session Room

Day 1 – Monday, March 9th

CONCURRENT SESSION 1:1-A Once upon a time — using stories and creative writing to get in touch with end-of-life emotions: a guide for caregivers and professionals who give careThis is an experiential / participatory workshop for people interested in exploring an aspect of self-development that can enhance their work. Joan-Dianne Smith, MSW, RSW, Private Practice, Individual, Couple, Group Therapy, Winnipeg1-B The Connection between Alzheimer’s Disease and People with an Intellectual DisabilityAttendees will learn how Alzheimer’s disease can impact people with an intellectual disability. Appropriate assessment tools will be presented, resources identified and future directions proposed.Leslie Udell, Program Co-ordinator, Winnserv Inc., Winnipeg1-C Decreasing Antipsychotic Medication Use in Personal Care Homes: Making a Dream a RealityThis presentation will highlight the implementation of a nurse practitioner - physician collaborative practice model in a nursing home setting and its impact on the dramatic reduction of antipsychotic use.Kathleen Klaasen, Project Manager, Nursing; Preetha Krishnan, Nurse Practitioner; Arlo Raven, RN, Winnipeg Regional Health Authority, Winnipeg1-D Managing Challenging Behaviours: Choosing the Right InterventionBehavioral symptoms of dementia are often the most challenging part of the illness for families and caregivers. Learn why dementia leads to behavioral changes, how to assess the function of challenging behaviors, and how to select appropriate interventions.Lesley P. Koven, PhD, C.Psych, Assistant Professor, Clinical Psychologist, Department of Clinical Health Psychology, University of Manitoba, St. Boniface General Hospital, Winnipeg1-E Communication Enhancement Strategies for Individuals with Alzheimer’s Disease Part 1Dr. Orange will discuss a series of communication enhancement strategies designed to optimize communication, care and well-being for individuals with Alzheimer’s disease and their caregivers.J.B. Orange, PhD, Associate Professor and Director, School of Communication Sciences & Disorders Elborn College, University of Western Ontario, London1-F Meaningful Interaction: Approaches to Quality Interactions with a Person with DementiaInteraction enables people with dementia to stay connected to the past and present. Hear how providing a workshop that included the development and use of individual and generic memory kits assisted family members and others to have meaningful visits with personal care home residents.Cindy Greenlay Brown, Therapeutic Recreation Manager;Angela Carlson, Social Worker, Simkin Centre, Winnipeg

CONCURRENT SESSION 2:2-A Tapping the Unlimited Potential of MusicMusic therapy is an ideal way to reach people with dementia. Hear how music therapy can open up connections and maintain quality of life. Learn some practical strategies for caregivers.Joel Klassen, MTA, Eden Health Care Services, Winkler2-B Do Our Personalities Change with the Advent of Living with a Dementia?How can we best meet the care needs of those with a pre-existing mental health concern now compounded by living with a dementia? Learn some strategies on how to maximize theirs and our coping skills.Lois Stewart-Archer, HBScN, RN, MN, CPMHN(C), Regional Clinical Nurse Specialist, Winnipeg Regional Health Authority, Geriatric Mental Health, Winnipeg2-C Is it Time to Hand in the Keys? Learn about the assessment process that takes place when cognitive changes may impact a person’s ability to drive and the physicians' obligations in this area. The medical aspects of licensing, driver assessment, and potential outcomes will be discussed.Cornelia (Kristel) van Ineveld, MD, FRCP(C), Program Director, Geriatric Medicine, Assistant Dean, Student Affairs, Faculty of Medicine, University of Manitoba, Winnipeg; Victoria Macdonald, RN, BScN, Medical Assessment Supervisor, Medical Records, Manitoba Public Insurance, Winnipeg2-D Communication Enhancement Strategies for Individuals with Alzheimer’s Disease Part 2 See session 1 - E for description. Registrants must attend Part 1 in order to register for Part 2.J.B. Orange, PhD, Associate Professor and Director, School of Communication Sciences & Disorders Elborn College, University of Western Ontario, London2-E Healthy Eating Strategies for Older Adults with DementiaConsuming an optimal diet is important in the overall prevention of weight loss, subsequent health problems and poor quality of life in older adults with dementia. Hear about the consequences of poor dietary intake, challenges to eating a healthy diet and strategies to enhance food consumption for older adults.Christina Lengyel, PhD, RD, Assistant Professor, Department of Human Nutritional Sciences, Faculty of Human Ecology, University of Manitoba, Winnipeg2-F Walk the Talk, See the Signs, Hear the Words, Connect as One. Explore ways the care team can work together to identify changes in a resident's health and share information that will lead to more individualized care.Patti Chegwin, RN, Education Services Team, Assiniboine Regional Health Authority, Rossburn

8:00 a.m. Registration9:00 a.m. Opening Remarks9:15 a.m. Dr. Ron Keren10:15 a.m. Coffee Break–Displays Open10:45 a.m. Concurrent Session 3

12:00 p.m. Buffet Lunch–Tijuana Yacht Club1:15 p.m. Concurrent Session 42:30 p.m. Coffee Break3:00 p.m. Dr. Daniel S. Sitar4:15 p.m. Conference Closing Remarks

Day 2 – Tuesday, March 10th

CONCURRENT SESSION 3:3-A Dementia with Lewy Bodies Dementia with Lewy Bodies is a prevalent form of dementia, sharing many clinical features of Alzheimer’s disease and Parkinson’s disease. Understanding its clinical presentation and multifactorial functional disabilities is critical for its accurate diagnosis and appropriate management.Preetha Krishnan, BScN, CDE, RN(EP), MN, Nurse Practitioner, Winnipeg Regional Health Authority, Personal Care Home Program, Winnipeg3-B Remind Me: Recovering and Reclaiming Remembrances Darlene teaches participants how to use visual art and story writing to recover and reclaim patient remembrances in order to enhance the well being of the person with dementia.Darlene McPherson, BEd, Visual Artist, Manitoba Artist in Healthcare, Volunteer Services, St. Boniface Hospital, Winnipeg3-C TOUGH LOVE: How do you Support Families who are making Tough Decisions Concerning Someone with Advancing DementiaHealthcare professionals’ hearts are often squeezed when families caring for someone with advancing dementia are making tough decisions. This presentation will guide you as you assist families to make heart focused decisions.Ruth B Z Thomson, MSW, RSW, Clinical Social Worker, Older Adult Specialist, Private Practise, Winnipeg3-D Patterns of Resource Utilization by Medical and Social Service Professionals and Unpaid Care Providers: Knowledge Transfer, Translation and DisseminationSuccessful knowledge transfer is known to improve safety of older adults, education of professionals, and development of new support services. Learn about a study that examines how internet is used to seek information about dementia.Kerstin Stieber Roger, PhD , Assistant Professor, Department of Family Social Sciences, University of Manitoba, Winnipeg3-E The Person @ the CentreWhat does person-centred care look like, feel like and sound like? The session will consider practical ways to implement person-centred care.Norma Kirkby, PHEc, Program Director, Alzheimer Society, Winnipeg3-F Severe Alzheimer's DiseaseAs with other chronic debilitating diseases of late life, Alzheimer's disease contains both periods of mild to moderate symptoms that pose an intrusion on daily routines but do not negate the ability to enjoy life as well as a period of severe illness followed by a terminal state. This session will look at the impact of the severe stage of Alzheimer's disease on the person and their caregivers.Ron Keren, MD, FRCPC, Clinical Director, University Health Network and Whitby Mental Health Centre Memory Clinics, Physician Leader, Toronto Rehabilitation Institute, Psychogeriatric Service, Toronto

CONCURRENT SESSION 4:4-A Caregiver Transcendence in Dementia CareSome caregivers do exceptionally well and are able to transcend difficult dementia caregiving situations while others experience difficulties. Learn about transcendence, how it is generated and recognized.Daryl Dyck, RN, MN, Clinical Nurse Specialist, Deer Lodge Centre, Winnipeg4-B A Healthier Brain through Active LivingTake a closer look at the importance of being physically active while living with dementia. Explore the challenges, and some recommendations for becoming more active while living with dementia and other mental health conditions.Moira Horgan – Jones, ALCOA; Karin Whalen, Health Education Coordinator, Wellness Institute, Seven Oaks General Hospital, Winnipeg4-C Frontotemporal Dementia (FTD)A disorder that generally effects individuals at an earlier age than Alzheimer's disease, FTD is a conglomerate of syndromes that present with early changes in behaviour and/or language. This session will provide an overview of the clinical presentations of FTD and the recent advances in understanding the underpinnings of this condition.Ron Keren, MD, FRCPC, Clinical Director, University Health Network and Whitby Mental Health Centre Memory Clinics, Physician Leader, Toronto Rehabilitation Institute, Psychogeriatric Service, Toronto 4-D Evaluation of a Pain Assessment Tool for the Cognitively/ Communicatively Impaired PatientUnderstand the special pain assessment needs of people with cognitive impairment who are unable to verbally communicate pain. Learn about the development and testing of the PACCI at Riverview Health Centre.Carole Hamel, RN, MN, Clinical Nurse Specialist, Riverview Health Centre, Winnipeg4-E Safety Planning for the CaregiverResearch says that 4 to 10% of older Manitobans will experience some form of abuse. Are caregivers experiencing abusive behaviours by the person with dementia? Panel members will facilitate discussion about the prevalence of this type of abuse, how to assist caregivers who may be abused (development of a Caregiver Safety Plan), available resources and how to respond in these situations.Manitoba Seniors & Healthy Aging Secretariat, Age & Opportunity, Alzheimer Society of Manitoba4-F Putting Ethics into PractiseDiscover a practical ethical decision making tool that can be used when caring for people with dementia. Explore how this ethical framework for decision making can assist when there is a dilemma and clear cut answers are not evident.Alison Fijala, RPN, Adv.Dip.Ps.Nsg.; Sally Currie, LPN;Heather Hildebrand, RN, BSN, Rock Lake Health District and Prairie View Lodge, Pilot Mound

Hotel Accommodations: To receive the conference group rate at Canad Inns Polo Park, register by February 6, 2009 and quote Alzheimer Conference Group 136362.

Registration – 2 days $115; 1 day $65 Registration Deadline – Friday, February 27, 2009Please print. (For additional copies, please photocopy.)

Name: ______________________________________________________________ Works as: _____________________________________

Organization or Facility: _____________________________________________________________________________________________

Mailing Address: ____________________________ City: ___________________ Province: ___________ Postal Code: _____________

Phone: ( ) ________________________________ Fax: ( ) ______________ Email: ________________________________________

Note: Registrants providing an email address and registering by February 27, 2009 will receive confirmation.

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Check one _______ Register for both days – $115 enclosed

_______ Register for day 1 only – Monday, March 9 – $65 enclosed

_______ Register for day 2 only – Tuesday, March 10 – $65 enclosed

Payment must accompany completed registration form. Registrations are transferable.Please note: There is a $10.00 fee for late registrations.

No refunds after March 4, 2009.

Payment: When paying by cheque, make cheques payable to the Alzheimer Society of Manitoba, or provide credit card information.

VISA / Mastercard: _____ / _____ / _____ / _____ Expiry Date: ____________ Cardholder’s Name: ___________________________

Please indicate the sessions you would like to attend.

Day 1 – Concurrent Session 1 options: 1A, 1B, 1C, 1D, 1E, 1F Day 2 – Concurrent Session 3 options: 3A, 3B, 3C, 3D, 3E, 3F

1st choice _____ 2nd choice _____ 3rd choice _____ 1st choice ______ 2nd choice ______ 3rd choice _____

Concurrent Session 2 options: 2A, 2B, 2C, 2D, 2E, 2F Concurrent Session 4 options: 4A, 4B, 4C, 4D, 4E, 4F

1st choice _____ 2nd choice _____ 3rd choice _____ 1st choice _____ 2nd choice ______ 3rd choice _____

Registration is on a first-come, first-served basis. Concurrent session assignment will be confirmed on the day of the conference.

10-120 Donald Street Winnipeg, MB R3C 4G2 Phone: (204) 943-6622 or 1-800-378-6699 Fax: (204) 942-5408

Daniel S. Sitar, PhD, Editor Designate, Journal of Clinical Pharmacology, Professor and Head, Dept. of Pharmacology & Therapeutics, Professor, Dept. of Internal Medicine (Clinical Pharmacology), University of Manitoba, WinnipegThe Medication Approval Process: Evaluation of Efficacy and SafetyThe process of drug approval for patient care is not well understood in the community. Often people are frustrated by premature publicity that suggests that a substantial advance in the treatment of Alzheimer’s disease is just around the corner, only to find out that availability of such a therapy is not imminent. This presentation will provide a framework to assist in understanding

the processes by which experimental therapies are evaluated before being permitted to be used in the general patient population.

Virtual Dementia TourThroughout the

conference, registrants will have the opportunity

to participate in the Virtual Dementia Tour.

Please sign up in the registration area.

Participation is on a first-come,

first-served basis.