Keynotes & Workshops
COVID -19 related themes: Recovery | Nurturing Resilience | Trauma-Informed Care | Aging | Mental Health | Diminished Capacity | Dementia | Depression | Long-Term Care | Optimal Aging | Medications + Alternatives | Dependency and Self-Determination
Now More Than Ever: Trauma-Informed Care in the Wake of a Pandemic
This session highlights the importance and necessity of providing trauma-informed care—now more than ever.
Participants will learn about the usual course of disasters and disaster recovery, and how COVID-19 is both a collective and individual trauma.
Participants will discover how to mitigate--and even transform--this uniquely unsettled time by building on six core principles:
Does Asking for Help Make Me Look Helpless?
Describe the impact of healthy dependence on health and well-being.
List ways to negotiate the need for help and the desire for independence in older persons.
Discuss the importance of life histories in shaping self-perceptions of dependency and the implications for service delivery.
Finding an optimal balance between a reliance on others and the desire for independence is a fundamental task across the lifespan and can be particularly challenging for older people.
Using the growing body of research on interpersonal dependency, participants explore the idea of healthy dependence and its impact on health and well-being.
Dr Wehry demonstrates from personal experience (a fall, a fracture, a surgery) how radical acceptance of the need for help actually accelerates recovery, enabling her to participate in a long-planned, month-long medical pilgrimage in the Himalayas just weeks after surgery.
Better understanding of the complex nature of interpersonal dependency and autonomy has implications for public policy, for delivery of social services, for health care systems, and for successful transitions by individuals.
Discuss the relationship between person-centered and trauma-informed care.
Define trauma, trauma-informed care, resilience and vulnerability.
List resources for providing a trauma-informed approach to care.
Adverse life events -- including adverse childhood events (ACEs) -- can affect us throughout our lifespan. As the number of these events increases, so does the risk for negative health and diminished well-being. This is true for both caregivers and residents of long-term care.
However, even in the face of trauma, people still possess an ability to return to being healthier and more hopeful, with less caregiver burnout.
Mental Health Tapas
Distinguish among the various types of psychotropic medications including uses, benefits, and risks.
Name the key features of commonly encountered mental health disorders.
Express greater comfort in supporting recovery in residents with behavioral health issues.
In this presentation, participants acquire a framework and a language for understanding and responding to frequently encountered disruptions in thinking, feeling and behaving -- commonly referred to as mental or behavioral health disorders.
How are these disorders similar to and different from the disruptions experienced by residents with Alzheimer’s and related dementias? What do we mean by the unmet needs model for understanding behavioral expressions of distress?
The session includes a quick review of commonly encountered diagnoses and therapies, and a deeper dive into what to look for on move-in, when to refer, when to consider move-out, and practical tips for person-centered responses to resident distress, including validation techniques.
"She brought up some very good points and challenged participants to think differently."
Depression, It's Everybody's Business
Describe risk factors for depression
Discuss a public health approach to responding to depression
List three strategies you can take
Depression is common, overlooked, devastating, treatable, preventable and a significant public health issue. Dr Wehry convincingly argues for universal screening, appropriate treatment and prevention programs.
Put Your Oxygen Mask on First
Discuss ways to manage stress
Describe ways to make the most of any living environment
Recognize, prevent, and report abuse, neglect and exploitation (ANE)
Create and use teams of support, including families
Discuss the importance of supporting significant relationships
Caregiver stress is a very real problem. This true for both informal caregivers (family neighbors, friends) and formal direct care workers.
And it comes as no surprise: both informal and formal caregivers report they do not always have adequate training or have other obligations and stresses in addition to caregiving.
Stress can lead to poor health, poor care, poor quality of life and increases the risk of abuse and neglect in the long term care setting . As more and more caregivers work side by side in home and community based settings , this problem needs attention.
Sounds of Silence: Ending the Stigma of Alzheimer's
List reasons individuals may not want to disclose a diagnosis
Discuss hesitations to disclosing that may be unique to Alzheimer's Disease
Describe what is meant by a person-centered approach in dementia
For many individuals, sharing their diagnosis of Alzheimer’s disease can be frightening and overwhelming. Ageism, fear of memory loss, loss of self, and assumptions about the disease are among the many factors that stigmatize persons living with Alzheimer's.
This presentation invites participants to think anew about Alzheimer's disease and to discuss it in ways that recognize a person's strengths, dignity, and stories. The use of positive language combined with emphasizing what a person is still able to do versus what he or she can no longer do, can have a significant positive impact on an individual’s quality of life. Attendees will gain a better understanding on how to support the “personhood” of individuals living with dementia.
"...thanks SO much for your great presentation."
First, Do No Harm
Figure out what a resident’s behavior means
Respond appropriately to a person's communication
Avoid unnecessary drugs
Everyone knows behaviors may express unmet needs -- and that medications may harm as well as heal. But not everyone knows what to do for residents in distress.
With humor, data and common sense, Dr Wehry presents up-to-date interventions that work. What does a behavior mean? In this presentation, participants discover the question to the answer.
Discuss four common responses to life challenges and transitions
Describe ways to overcome common barriers to development in late life
Create a personal plan for nurturing resilience
This lighthearted talk makes the case that optimal aging means neither denying nor defying aging but rather engaging in the process. Participants will learn they can get old —or grow old—and that there is a difference and a choice. Dr. Wehry will provide tips—drawn from research in the mind and life sciences, lived experience and her Mother—for optimizing health and nurturing resilience in ourselves and others.
Patienthood to Personhood
Describe care from the "outside in" and "inside out"
Compare and contrast both the "unmet needs" and the medical model for meeting challenging behaviors
Implement practices that support a resident's personhood
The world of long-term care has changed. Individualized, person-directed care is largely replacing institutional provider-directed care. A greater emphasis on home-like environments is replacing a purely medical model. And quality of life concerns are becoming equal in importance to quality of care issues.
As long term care moves to person-centered care, there is an increased focus on the strengths, wants, needs and personal goals of the individual, in addition to the disability or health care need.
With a nod to Maya Angelou, Dr Wehry shows us how to do better now that we know better.
"The exercises are great for empathy and understanding"
Compassion and Capacity, Not Control
Define autonomy, independence, self-efficacy
Discuss diminished capacity
Describe supported decision-making
Few issues are more troubling than the fear of loss of self-determination. Using actual stories, Dr Wehry explores the challenges individuals and families face in the context of diminished decision-making capacity and increasing needs for help.
Explore person-centered and "inside-out" dementia care
Discuss ways to reduce the use of antipsychotics
Discover how families and other circles of support can become even better partners in care
In this presentation, Dr Wehry provides an overview of the Oasis curriculum, the philosophy for providing person-centered care, and how you can use it to create homes where people want to live and staff want to work.