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Teaching dementia care in Sweden An example from Silviahemmet: 

Teaching dementia care in Sweden An example from Silviahemmet Dr Wilhelmina Hoffman MD

Her Majesty the Queen of Sweden: 

Her Majesty the Queen of Sweden

Silviahemmet : 

Silviahemmet 1996 - opening on Valentine's day Education for assistant nurses ( licensed practical nurses) in dementia care Day care unit – initially for practice 2000 ”Teaching for Learning and Learning for Teaching in Care of Elderly with Dementia” - Thesis by M. Skog 2001 – 34 Silvia sisters in Sweden

Silvia sister – assistant nurse withspecial education in dementia care: 

Silvia sister – assistant nurse with special education in dementia care Picture Since 2004 the education in co-operation with Sophiahemmet University College A two year part-time education – over internet Students from all over Sweden

Silvia sister Examination Day8th of June 2006: 

Silvia sister Examination Day 8th of June 2006

SilviahemmetDay care and Education unit: 

Silviahemmet Day care and Education unit Drottningholm, Stockholm

The Swedish perspective of dementia: 

The Swedish perspective of dementia Inhabitants ~ 8.9 millions Dementia cases ~ 140. 000 Dementia new cases ~ 21.000/ year Alzheimer's disease ~ 66% Cost / year ~ 40 billion (sek) County council – Primary care/ memory wards Municipality – Home help, care settings

Quality in care (from a Swedish survey, 2001): 

Quality in care (from a Swedish survey, 2001) Clear leadership Educated staff Common care philosophy

Palliative care philosophy: 

Palliative care philosophy A chronic and incurable disease (an early, often long phase then a late phase, often shorter) An active total care including control and relieve of different symptoms as well as problems of psychic, social or existential character Obtain quality of life for the patient and the family

Palliative care philosophy-the four cornerstones-: 

Palliative care philosophy -the four cornerstones- Control of symptoms Teamwork Family support Communication and relation Silviahemmet quality assure the care through the four cornerstones for each patient

Communication and relation: 

Communication and relation

Slide12: 

Alzheimers disease – the progression 1 2 3 4 5 6 7 8 9 0 5 10 15 20 25 30 Time ( year) (MMSE) Feldman and Gracon 1996 Mild Moderate Severe Terminal

The dementia journey : 

The dementia journey Our aim is to educate in the best dementia care - to make the long journey safe and secure for the patient and the family - wherever the train stops depression aggressiveness apraxia confusion agnosia spasm hallucination wandering etc. incontinence delusion

Education in practical dementia care: 

Education in practical dementia care Demographic picture, epidemiology Normal ageing Different dementia diseases *Symptoms during dementia progression - how to interpret and treat (cognitive, psychiatric, behavioural, physical symptoms) Medication Nutrition Incontinence *Family support *Teamwork *Communication – relation Tactile care Technical devices The good environment Ethical issues Existential issues

Examples of educations at Silviahemmet: 

Examples of educations at Silviahemmet Team – one week and follow up 6/year Seminars – one day ( different professions, different themes ) 6-8/year Family education – one day 6/year Care worker – one day 8-12/year Nurses - dementia care – two days 2/year Education in supervising for assistant nurses – 5 days 2/year

Examples of educations from Silviahemmet: 

Examples of educations from Silviahemmet Educations in different care settings (on demand) Supervising in Home Help Service (project – one year) Education of teachers – Silviahem instructors ( Japan )

When follow up - what do the student say?: 

When follow up - what do the student say? - I have learned to respect the person with dementia - I have better tools than before - I feel proud of my work now - I think my work is more stimulating now - I am more secure and work is more fun - I want to learn more!

Can education change the care situation - what do we see? : 

Can education change the care situation - what do we see? In Home help services In Day care In Care settings Concerning the patient, the family, medication, teamwork etc.

Ongoing work for the future: 

Ongoing work for the future New education material – different themes A book in practical dementia care – for care staff Hopefully a Silvia sister education for nurses ( and physicians ) Hopefully a National dementia service centre!

Thank You for listening!: 

Thank You for listening!