• No results found

LEARNING & DEVELOPMENT GUIDE

N/A
N/A
Protected

Academic year: 2021

Share "LEARNING & DEVELOPMENT GUIDE"

Copied!
52
0
0

Loading.... (view fulltext now)

Full text

(1)

FLEXIBLE EDUCATION

SOLUTIONS TO IMPROVE

DEMENTIA AWARENESS

AND PRACTICE

LEARNING &

DEVELOPMENT

GUIDE

JANUARY TO

JUNE 2015

(2)

“ Having a better understanding of dementia will help me be a better carer on a day-to-day basis.“

Our Vision

A society committed to the prevention of dementia, while valuing and supporting people living with dementia.

Our Mission

Providing leadership in dementia policy, risk reduction and services.

Are you a member?

Play an active role in the continued growth and development of Alzheimer’s Australia Vic and support people with dementia, their families and carers by becoming a member today.

For members, there are many benefits depending on your interests, skills and desired level of involvement – access to resources, volunteering opportunities, discounted learning, and much more. Membership is open to individuals and

organisations. Simply visit the Support Us page on our website, or call the National Dementia

(3)

IT HAS BEEN AN

EXTREMELY

EXCITING TIME

FOR ALZHEIMER’S

AUSTRALIA VIC.

As part of our 2014 –17 Strategic Plan, our Learning and Development Team have continued to maintain our position as a leader in dementia learning practice innovation.

In recognition of this innovation, we were proud to win the national 2014 iAward in the Education Category of the Service Domain with our Virtual Dementia Experience (VDE). Located at our Perc Walkley Dementia Learning Centre at Parkville, the VDE creates an immersive, multi-sensory virtual reality combining sound, light and gaming technology to give participants a unique insight into the lived experience of people living with dementia. More than 1,000 people have already taken part in our award-winning VDE session. Find out how you can experience it on page 14.

The VDE is a great addition to our wide range of dementia programs, suitable for professionals from a diverse range of contexts. We have also launched our education website – the Dementia Practice Improvement Series – making it even easier to access our dementia learning programs.

www.dementialearning.org.au

We are also pleased to be building on our popular public information series in 2015 with Let’s talk about sex. Hosted in partnership with The Council of The Aged (COTA) Let’s talk about sex considers the important issue of

relationships and intimacy as we age. Taking place 12–13 October 2015, check our website for details on this significant event.

These initiatives are all part of our holistic approach to providing valuable learning experiences for professionals, organisations and the wider

community informed by evidence based practice. Within this Guide I am sure you will find opportunities that will enhance both your understanding of dementia and your practice to improve the lives of people living with dementia.

Maree McCabe

(4)

Contents

Alzheimer’s Australia Vic is proud to have

Our learning programs 5

For your workplace 6

Dementia learning pathway 8

Online learning 12

Foundation 13

Support 17

Pull-out calendar 25

Terms and conditions 28

Exploration 29

Leadership 37

Enrolment form 40

Community engagement 41

Public seminars 45

Family information and support 49

Resources 50

(5)

In 2013–14, we

facilitated 846

learning sessions for

more than 14,500

people

OUR

LEARNING

PROGRAMS

Alzheimer’s Australia Vic is the leading dementia learning service in Victoria.

Our highly skilled team is equipped with extensive dementia practice knowledge in a wide range of areas, facilitating learning experiences which touch, move and inspire participants to transform their practice. Informed by current research and contemporary practice, our comprehensive suite of programs form part of an integrated learning pathway, incorporating both accredited and non-accredited courses and online.

Our approach to learning helps build highly skilled dementia practitioners across a broad range of professions. We also facilitate organisational transformations through our consultancy work with organisations.

In working towards a dementia-friendly

community, we also develop resources to assist organisations and practitioners provide quality support to those living with dementia. Our work with community groups and organisations seeks to create an inclusive community where there is no longer a stigma associated with living with dementia.

The offerings within this Guide reflect more than 30 years practice and leadership in the area of dementia education. I invite you to come and experience all that our learning opportunities have to offer to transform your practice and the lives of those living with dementia.

Dr David Sykes

(6)

In 2013–14, we delivered

4,571 hours of education

Dementia

Consultancy

Services

Our consultancy services support organisations achieve good practice and person-centred dementia care. Equipped with extensive knowledge and expertise, we work with you in creating dementia-friendly environments that are physically, socially and culturally inclusive.

We can provide your organisation with quality solutions for:

• Leadership • Risk management • Assistive technologies

• Communication and interaction with clients living with dementia

• Restorative and rehabilitative therapies – Montessori approach

• Dementia specific training needs analysis • Change management for mentoring and support • Environmental design – building, furniture and

landscaping

Please contact Suzanne McMeikin, Customer Relationships Consultant:

03 9816 5791 or 0438 542 269 [email protected]

Type of estimated costs

Consultancy Duration From

Hourly Experienced

dementia consultant $130 per hour

Support Monthly visits for 6 –12 months to mentor and develop staff competency in dealing with clients living with dementia

$5,460

Integration Practice change and fortnightly visits to assist in creating dementia champions to support staff and clients

$10,920

Translation An immersive program which may involve dementia mapping as well as staff education and mentoring to ensure knowledge is put into practice $16,380

FOR YOUR

WORKPLACE

(7)

Accredited programs

As a Registered Training Organisation (RTO) we provide a range of nationally accredited courses, which include the two dementia specific units and the palliative care unit. We also deliver the 12 month NAT10341 Certificate IV in Dementia Practice that can only be undertaken with Alzheimer’s Australia. All of our courses have an applied focus on skill

development and reflective practice, enabling course participants to transform their practice and potentially that of others to enhance the lives

of people living with dementia. (RTO number 2512)

Courses appearing in this Guide with the Nationally Recognised Training logo (right) are nationally accredited.

Our facilitators

Our highly-skilled facilitators possess multidisciplinary expertise with clinical and educational qualifications and employment experiences in education,

community and health disciplines, as well as hands-on experience in the provision of care to people with dementia and their families. All staff delivering or assessing nationally recognised training possess TAE 40110 Certificate IV Training and Assessment.

As part of Alzheimer’s Australia Vic’s commitment to providing contemporary education, facilitators continuously undertake formal and informal skills and knowledge enhancement. Our staff regularly have access to experts in the field of dementia care

practice and research. Current information, changes in practice and advances in theory are incorporated into course material.

Regional facilitators

Our experienced facilitators also service the Barwon South West, Gippsland and Loddon Mallee regions, providing education for health professionals and information for community groups. Please contact us to discuss your regional education needs.

Continuing

Professional

Development

Our learning programs are suitable for the continuing professional development of registered nurses, enrolled nurses and other health professionals. We issue Certificates of Attendance with date and

Workplace learning

We offer an extensive range of funded and non-funded programs designed to be delivered at your workplace. The focus of these modules is to build the capacity of your staff to implement person-centred dementia care.

These sessions include the majority of the

offerings contained within this Guide. We collaborate with your organisation, undertaking a needs analysis to determine learning objectives and outcomes which reflect what your workplace requires. Please call us on 03 9816 5708 to book your session or to discuss tailoring a program to suit your needs.

Valuing people

The Valuing People online resource is an

organisational self-assessment tool developed to help community organisations enable a person-centred approach.

Valuing People promotes excellence in person-centred care by providing a framework of

principles that support a 360 degree organisational self-assessment process that takes in the

perspectives of workers, consumers, managers and carers.

Our website provides a one-stop information hub for resources, including the self-assessment tools.

For more information, visit www.valuingpeople.org.au

VALUING

An Organisational Resource Enabling A Person-Centred Approach

(8)

DEMENTIA

LEARNING

PATHWAY

Your pathway to dementia

practice proficiency

To assist you in creating a program of learning to help achieve your own career goals, we have developed a dementia care learning framework to guide you. Underpinned by a methodology of sequential learning, participants learn in linear steps, each level following logically from the previous one.

By undertaking professional development within our four-tiered dementia learning pathway, you will be equipped with contemporary knowledge and skills central to the provision of optimal dementia care. All modules emphasise a person-centred approach to dementia care and are suitable for professionals from a wide variety of backgrounds working in a range of settings.

Key

Level one –

Foundation

Foundation level modules provide participants with increased awareness of dementia by exploring the nature of dementia and its impact on the person, their family carer and people within the support relationship. These programs discover what it is like to

experience dementia and encourage the

participant to reflect on their own role in providing a person-centred approach to support. They also help the participant improve their understanding and increase their confidence when providing support to a person living with dementia.

Level two –

Support

Support modules build on the participant’s foundational knowledge and introduce more detailed strategies for supporting a person living with dementia and their families. A reflective approach is adopted that improves and sustains dementia learning. Support level will also help the participant to further develop their person-centred practice. By exploring various evidence based approaches to dementia support, including Montessori, the

participant can focus on encouraging positive outcomes for the person living with dementia. The participant will be able to plan support based on strengths and abilities, enablement and successful engagement.

Module available online

For your workplace – contact us for details

New module

Accredited course

Some programs are funded by the Australian Government or jointly funded by the Victorian and Australian

Governments through the Home and Community Care program.

(9)

How to enrol

Bookings for our learning program are essential. Places are limited and subject to our terms and conditions (see page 28). Enrolments can be made immediately online, over the phone, or if you wish to post or fax an enrolment, a tear-out form is available on page 40.

NB: Interpreters can be arranged for certain sessions – contact us for details.

For course and seminar bookings:

fightdementia.org.au/vic

[email protected] 03 9816 5708

03 9816 5733

Alzheimer’s Australia Vic, Locked Bag 3001, Hawthorn 3122

For general enquiries:

[email protected] 03 9815 7800

Level three –

Exploration

Exploration modules reflect insights gathered from latest research and evidence to inform assessment, treatment and support. They also provide an opportunity for participants to share their experience with experts in the field and provide further

comprehension of specific forms of dementia, exploring other factors that can impact on the

experience of dementia. Complex issues of choice, decision-making, competency, capacity and Advance Care Planning are also addressed.

Exploration level is suitable for participants who have good

foundational understanding of dementia and would like to learn how to further translate evidence into practice.

Level four –

Leadership

Leadership modules are designed for anyone who is passionate about contemporary dementia practice.

The programs give the participants the skills and confidence to challenge current dementia practice and will guide them through the process of practice improvement. The participants – drawn from all levels within an organisation – will reflect on organisational practice, develop ideas for improved practice, and support the implementation of change within their organisation. The Leadership level can open doors to a career path in the field of dementia.

(10)

For people

working in: Level one – Foundation Level two – Support Level three – Exploration Level four – Leadership

Aged and Community Care Virtual Dementia Experience Doorway to dementia – practice and strategies What is dementia? Dementia Care Essentials – Dementia Competency A problem-solving approach to behaviours Communicating in a person-centred way Dementia Care Essentials – Support Planning Enabling environments Life stories workshop Montessori in everyday practice Support for decision making Exploring capacity for decision making Goal directed care planning NAT10341 Certificate IV in Dementia Practice Planned Activity Groups and day respite centres Virtual Dementia Experience Dementia Care Essentials – Dementia Competency What is dementia? A problem-solving approach to behaviours Communicating in a person-centred way Enabling environments Goal directed care planning How person-centred is your practice? Life stories workshop Meaningful engagement through the changing nature of dementia Montessori in Support for

decision making Shaping a Montessori Community NAT10341 Certificate IV in Dementia Practice

Sample pathways

All of our offerings emphasise the importance of taking a person-centred approach and are suitable for professionals from a wide variety of backgrounds working in a range of settings.

(11)

For people

working in: Level one – Foundation Level two – Support Level three – Exploration Level four – Leadership

Residential

care Virtual Dementia Experience Dementia Care Essentials – Dementia Competency What is dementia? A problem-solving approach to behaviours Communicating in a person-centred way Dementia Care Essentials – Support Planning Enabling environments How person-centred is your practice? Montessori in everyday practice Palliative care approach to dementia care Cognitive screening and assessment Exploring dolls and animals for positive engagement CHCPA402B Plan for and provide services using a palliative approach Exploring Montessori as a practice model NAT10341 Certificate IV in Dementia Practice Shaping a Montessori community

Health services Virtual Dementia Experience Doorway to dementia – practice and strategies What is dementia? A problem-solving approach to behaviours Communicating in a person-centred way Enabling environments How person-centred is your practice? Life stories workshop Palliative care approach to dementia care Cognitive screening and assessment NAT10341 Certificate IV in Dementia Practice Shaping a Montessori community Engagement/ Leisure and lifestyle Dementia Care Essentials – Dementia Competency Doorway to dementia – practice and strategies What is dementia? Virtual Dementia Experience Virtual Dementia Experience Doorway to dementia – practice and strategies Dementia Care Essentials – Support Planning Communicat-ing in a person- centred way iPads for Engagement Exploring dolls and animals for positive engagement NAT10341 Certificate IV in Dementia Practice Shaping a Montessori community

(12)

dementialearning.org.au

Our new Dementia Practice Improvement Series is an innovative and interactive online learning resource that can be accessed at any time and place that suits you. Key principles behind the online program are encouraging participants to reflect on their practice and identifying areas for individual and organisational improvement.

To complement these educational modules, we can also offer face to face education with staff at your facility. This blended learning model allows students time to reflect on learnings and apply these concepts to practice improvement.

If you have not undertaken online learning previously, we encourage you to try the first module – What is Dementia?, for free.

Module One (free)

What is Dementia?

This module is designed to provide you with an introduction to dementia, diagnosis and treatment and support strategies for both the person with dementia and their carer.

Module Two ($25)

How person-centred is your practice?

Person-centred practice is an approach that has evolved over time to become an expectation for service delivery. Although the term has become commonly used, do we truly provide person-centred support? This module explores the elements of person-centred practice through a person-centred practice framework. We encourage you to reflect on your current practice and provide strategies to improve and enhance your approach.

Module Three ($25)

Communicating in a person-centred way

Good communication skills are essential in providing support to people living with dementia and their carers. Within this module we explore communication for people living with dementia and the influence of the people within the support relationship to promote positive communication.

Module Four ($25)

A problem-solving approach to behaviour

Many people living with dementia will experience behaviours associated with dementia, including aggression, agitation and delusions. This module provides you with an understanding of behaviours through a problem solving approach and explore effective strategies to help prevent or minimise the impact of behaviour.

ONLINE

(13)

These modules – which include

online learning components –

provide a foundation on which

you can begin your dementia

education. Topics covered include

the nature of dementia; the types

and causes of dementia; signs and

symptoms; risk factors; brain

changes and effects on behaviour,

and communication strategies.

DEMENTIA

LEARNING

PATHWAY

(14)

Virtual Dementia Experience™

The Virtual Dementia Experience (VDE) is an interactive environment providing an experiential learning exercise for healthcare

professionals. Awarded the national 2014 iAward in the Education Category of the Service Domain, the VDE assists professional carers understand environmental elements that are friendly or hostile to a person with dementia. Developed in consultation with people living with dementia, the VDE immerses participants in a home environment that replicates the lived-experience of a person with dementia.

Equipped with this insight, you will enter into a discussion on the

environmental issues facing a person with dementia and consider changes that could be made to work environments to benefit a person living with dementia, and improve delivery of person-centred practice.

On completion of this session you will be able to:

• think and feel more closely from the perspective of a person with dementia

• identify elements of a dementia-friendly environment

• consider changes that can be made to the environment to improve accessibility for a person living with dementia

• improve your practice informed by the insights developed

Suitable for all levels of staff from frontline to senior management.

Cost $100 members $110 non-members Venue Parkville Dates Friday 30 January Friday 27 February Thursday 19 March Wednesday 15 April Tuesday 5 May Tuesday 23 June Time All sessions 9.30 –11.30am Catering Includes refreshments

“ Brotherhood of St Laurence offers annual training updates to all essential aspects of working with consumers in the community. We will be adding the VDE to this compulsory list of dementia training for all new staff and updates for existing staff as part of BSL’s comprehensive professional development program.”

Brotherhood Community Care, The Brotherhood of St Laurence

The VDE is a finalist in the Melbourne Awards 2014 Profile category for contributing to Melbourne’s reputation as a national centre for business, sport, entertainment, knowledge and culture.

(15)

Dementia Care Essentials –

Dementia Competency

CHCAC319A Provide support for people

living with dementia

Dementia Care Essentials is a Commonwealth-funded initiative providing free-of-charge education to eligible aged and community care workers providing support for people with dementia.

Over three days in this accredited, competency-based course, you will learn how to incorporate therapeutic communication techniques; practice person-centred care; and develop useful strategies to support a person living with dementia.

By successfully completing this nationally recognised unit, you will gain a comprehensive knowledge of dementia and receive a formal Statement of Attainment. This course provides a foundation for further learning in

Dementia Care Essentials – Support Planning

CHCAC416A Facilitate support responsive to the specific nature of dementia

On completion of this course you will be able to:

• identify the common causes of dementia

• understand behaviour associated with dementia

• identify potential triggers for behaviours associated with dementia

• identify a range of options for managing the impact of behaviour change for a person with dementia

• describe the impact of dementia on the

person with dementia, on family carers and on professional carers

• identify strategies for effective communication with a person with dementia

• recognise the value of promoting engagement with life for a person with dementia

• identify the principles of person-centred care

• recognise the importance of relationships in the provision of care for the person with dementia

Suitable for aged and community care staff providing support for people living with dementia.

Cost

No fee – fully funded

NB: You must be working in Commonwealth funded aged and community care.

Venue and date

Parkville Mondays – 2, 9 and 16 February Werribee Tuesdays – 3, 10 and 14 February Frankston Thursdays – 5, 12 and 19 February Wodonga Thursdays – 5, 12 and 19 February Bendigo Fridays – 13, 20 and 27 February Hawthorn Fridays – 6, 13 and 20 March Warrnambool Fridays – 6, 13 and 20 March Ararat Thursdays – 9, 16 and 23 April Shepparton Thursdays – 16, 23 and 30 April

Please check website for additional locations and dates 3 x 6 hour sessions Time 9.30am– 4pm For information and enrolments

For more details contact 03 9816 5749 Funded by the Commonwealth Government

“ I have gained more knowledge, skills and understanding and I feel more capable of managing dementia care and behaviours of concern at work.” Course participant

FOUND

A

TION

1

(16)

FREE

Doorway to dementia – practice and

strategies

The aim of the session is for the participant to gain knowledge of dementia, its implications on practice and to learn about specific

approaches and strategies to support a person who is living with dementia and their families.

At the end of the session you will gain knowledge in:

• the nature of dementia, including prevalence, risks, types of dementia, how the brain works and signs of dementia

• a person-centred approach to dementia support, including communication, risk enablement and supporting decision making

• a problem-solving approach to support people with dementia that experience behavioural and psychological symptoms

• accessing resources and services

Suitable for all staff working with people living with dementia and their families

What is Dementia?

Dementia is a condition health professionals will encounter in a range of care settings. This module is designed to provide you with an introduction to dementia, diagnosis and treatment and support strategies for both the person with dementia and their carer.

This module will help you increase your awareness of:

• dementia and its prevalence and incidence in Australia

• early signs of dementia and its impact on the brain

• screening and tests used in its diagnosis

• features of common types of dementia

• drug treatments and non-pharmacological approaches to support

• effective communication and support strategies

• identifying and reporting associated risks

• services available for the person and family carers

Suitable for all workers providing support to people living with dementia and their carers

(17)

Support modules build on the

participant’s foundational

knowledge and introduce more

detailed strategies for supporting a

person living with dementia and

their families.

DEMENTIA

LEARNING

PATHWAY

(18)

A problem-solving approach to behaviours

Many people living with dementia will experience behaviours associated with dementia. These behaviours include aggression, agitation and delusions. They can be distressing and impact on the wellness of the person with dementia, as well as those caring for them. There are many reasons as to why these behaviours occur. This online module is designed to provide you with an understanding of behaviours through a problem- solving approach and explore effective strategies to help prevent or minimise the impact of behaviour.

This module will help you:

• define behaviours

• understand the impact of behaviours on people within the support relationship

• undertake a systematic approach to problem-solving behaviours using the CAUSEd model

• identify and report risks associated with behaviours

• develop strategies for everyone in the support relationship

Suitable for workers providing support to people living with dementia and their carers.

Cost

$25

A problem-solving approach to behaviours

– applied practice

Better understand the behaviours associated with dementia and learn how to develop practical strategies to minimise the occurrence and impact of these behaviours using the CAUSEd model.

In this session you will:

• be introduced to dementia and its symptoms

• discuss the brain and associated behaviour; identify behavioural and psychological symptoms of dementia and therefore appropriate communication strategies

• understand the connection between feelings and behaviour

• learn how to implement the problem solving approach to the

management of Behavioural and Psychological Symptoms of Dementia (BPSDs) through developing practical strategies

Suitable for all staff providing support for people living with dementia in various care settings.

(19)

Cost

No fee – fully funded

Venue and dates

Parkville 3 March Hawthorn 7 May Time 9.30am–12.30pm Catering

Includes morning tea

Cost

$25

Communicating in a person-centred way –

applied principles

Dementia impacts on communication. This session introduces you to alternative communication strategies that can be easily incorporated into your work. Gain an enhanced understanding and appreciation of communication when working with people living with dementia. You will explore the impact of dementia and the support required to undertake a person-centred approach to communication using various communication strategies.

On completion of this session you will:

• have a better understanding of how dementia can impact on communication

• understand the impact various relationships have in supporting communication for a person living with dementia

• develop strategies to support a person-centred approach to communication for a person living with dementia

Suitable for all staff providing support for people living with dementia in various care settings

Communicating in a person-centred way

Good communication skills are essential in providing support to people living with dementia and their carers. Within this module we will explore

communication for people living with dementia and the influence of the people within the support relationship to nurture and enhance communication.

This module is designed to increase your understanding of:

• the importance of communication within the support relationship

• the barriers to positive communication

• the impact of dementia on the person’s ability to communicate

• supporting person-centred communication through support relationships

• individualised strategies for communication

Suitable for workers providing support to people living with dementia and their carers

SUPPORT

(20)

Dementia Care Essentials – Support Planning

CHCAC416A Facilitate support responsive to

the specific nature of dementia

This fully-funded, three-day workshop builds on knowledge gained from Dementia Care Essentials – Dementia Competency.

Through active participation in workshops, you will deepen your capacity to apply fundamental principles and processes necessary to develop a holistic and enabling support plan and environment for a person living with dementia. This is a great opportunity to challenge current ways, innovate and apply creative strategies using a strengths-based approach to dementia practice.

N.B. Undertaking Dementia Care Essentials – Dementia Competency prior to this course is highly recommended.

On completion of this session you will be able to:

• prepare to plan support requirements for people impacted by dementia

• plan and facilitate support requirements

• develop and implement strategies which minimise the impact of behavioural and psychological symptoms of dementia

• provide guidance and support to workers and carers in implementing the care/support plan

• complete documentation consistent with organisational policy and procedure

Suitable for aged and community care staff providing support for people living with dementia

Cost

No fee – fully funded

NB: You must be working in Commonwealth funded aged and community care. Dates Dandenong Wednesdays – 6, 11 and 18 February Hawthorn Fridays – 6, 13 and 20 February Parkville Tuesdays – 3, 10 and 17 March Wangaratta Thursdays – 5, 12 and 19 March Bendigo Wednesdays – 11, 18 and 25 March Frankston Mondays – 16, 23 and 30 March Hawthorn Fridays – 10, 17 and 24 April Werribee Mondays – 13, 20 and 27 April

Please check website for additional locations and dates 3 x 6 hour sessions Time 9.30am– 4pm For information and enrolments

For more details contact 03 9816 5749 Funded by the Commonwealth

“ Really enjoyed the three days – very informative and made fun by group activities.”

(21)

Enabling environments – adapting the home

This module is designed to provide carers with an introduction to adapting the home to become dementia-friendly. With a focus on creating

opportunities to spend meaningful time within the home, we explore practical and inexpensive ideas and tips to enhance the abilities of the person living with dementia; and look at ways to create a sensory garden. On completion of this session you will be familiar with:

• ten principles associated with key environment design

• understanding eye conditions

• disabilities of dementia

• perception and how things are experienced

• floor and wall patterns to avoid

Suitable for Home and Community Care workers

Cost No fee – fully funded Venue Parkville Monday 23 February Hawthorn Monday 23 March Parkville Wednesday 29 April Hawthorn Tuesday 19 May Time 9.30am–12.30pm Catering

Includes morning tea

SUPPORT

2

How person-centred is your practice?

Person-centred practice is an approach that has evolved over time to become an expectation for service delivery. Although the term person- centred has become common language, do you truly provide person- centred support?

This module explores the elements of person-centred practice through a person-centred framework. We will encourage you to reflect on your current practice and provide strategies to improve and enhance your practice. This module is designed to increase your understanding of:

• the principles of person-centred practice

• the VALUE framework for providing person-centred support

• person-centred practice in relation to a person living with dementia and their carer

• your approach to person-centred practice

• the importance of building relationships between the person with dementia, families, carers and organisations

• practice improvement strategies to support person-centred practice

Suitable for all workers providing support to people living with dementia and their carers

Cost

(22)

Life stories workshop

Learn to develop life stories and ways to use them to enhance interaction with the person with dementia to create pleasurable opportunities for reminiscence.

On completion of this session you will be introduced to:

• dementia and its impact on the brain and memory

• the importance of communication

• promotion of reminiscence, valuing the person’s history and utilising material for reminiscence purposes

Suitable for lifestyle and direct care staff

Meaningful engagement through the

changing nature of dementia

Understand the capacities and abilities of people in moderate to advanced stages of dementia and learn how to best engage them through activities for meaning and pleasure using a strengths-based approach.

On completion of this session you will be able to:

• plan strategies for communication and relationship to behaviours requiring support

• understand the individual needs of people living with dementia

• plan suitably engaging activities encompassing a variety of sensory modalities and incorporating spiritual and cultural expectations

Suitable for diversional therapists, planned activity group staff and lifestyle staff

(23)

Montessori in everyday practice

Montessori is a person-centred approach to dementia practice. This program simplifies the concept of Montessori to show how the principles can be applied to everyday dementia practice. The participant will explore these principles and how they can be used to create an environment that supports independence, promotes engagement and sense of purpose for people living with dementia. If we start to see dementia as a disability rather than a medical condition or a disease, we start to think differently. We will begin to ask questions like how to accommodate the person to live independently in their environment and create a community where people are enabled, supported to be independent and to have choice.

The participant will explore how to apply these principles to their own everyday practice.

On completion of this session you will:

• develop an understanding of Montessori and how this applies to a person living with dementia

• explore the benefits of a Montessori approach across a broad range of support settings

• develop an understanding of cognitive ramps

• explore ways of developing cognitive ramps in the participants own dementia support setting

• demonstrate the 12 Montessori principles in action

Suitable for all staff working with people living with dementia including HACC based workers; PAGs, activities program

Cost

No fee – fully funded

Venue Parkville Date Wednesday 18 February Time 9.30am –12.30pm Catering

Includes morning tea

SUPPORT

2

Palliative approach to dementia care

Develop an appreciation of palliative care for people with dementia in order to achieve improved quality of life, symptom control, and satisfaction with care for the person with dementia and their families.

On completion of this session you will gain an understanding of:

• what palliative care is and the palliative approach

• what constitutes quality of life and the importance of advance care planning

• late stage dementia with the challenges encountered for the person living with advanced dementia

• end stage dementia and bereavement issues

Suitable for all staff providing support for people living with dementia in various care settings.

(24)

Person-centred practice – applied principles

Gain an understanding of person-centred practice and the VALUEs framework including the key elements that underpin person-centred practice, relationships that support person-centred practice and ways to improve person-centred practice

On completion of this session you will:

• further understand person-centred practice

• know how to implement person-centred practice

• recognise opportunities to improve person-centred practice

(25)

PULL-OUT

WALL

(26)

Member cost Non- member January Febr uary M arch Apr il M ay June ience $10 0 $11 0 P 30th P 27th P 1 9th P 1 5th P 5th P 23rd No f ee No f ee P 2nd, 9th & 16th H 6th, 1 3th & 20th

t

ed w ay No f ee No f ee P 3rd H 7th No f ee No f ee H 6th, 1 3th & 20th P 3rd, 1 0th & 1 7th No f ee No f ee P 23rd H 23rd P 29th H 1 9th y pr actice No f ee No f ee P 1 8th

ation

No f ee No f ee NGV 25th NGV 6th No f ee No f ee P 1 7th actice model No f ee No f ee P 1 0th H 21st t gr oup No f ee No f ee H 29th No f ee No f ee H 1 2th elling No f ee No f ee H 24 $1 50 $1 60 P 21st A402B No f ee No f ee G 3rd No f ee No f ee P 1 7th $30 00 $30 00 H from 1 8th P from 20th n/a n/a Melbourne 19th wn the m yths n/a n/a W ar rac knabeal 16th our home? n/a n/a Caulfi eld 15th n/a n/a Portland 23rd

ement

or v olunt eers n/a n/a H 24th P 22nd or kshop n/a n/a H 26th P 9th n/a n/a P 1 1th H 4th n/a n/a H 1 6th P 1 0th y of Victoria fi ghtdementia.org .au/vic [email protected] .au 03 981 6 5708

For bookings

FIGHTDEMENTIA.ORG.AU/VIC

LEARNING &

DEVELOP

MENT

GUIDE

JANU

AR

Y TO

JUNE 2015

(27)

Member cost Non- member January Febr uary M arch Apr il M ay June

oundation

ience $10 0 $11 0 P 30th P 27th P 1 9th P 1 5th P 5th P 23rd e Essentials – ency No f ee No f ee P 2nd, 9th & 16th H 6th, 1 3th & 20th

o – Suppor

t

ed w ay No f ee No f ee P 3rd H 7th e Essentials – No f ee No f ee H 6th, 1 3th & 20th P 3rd, 1 0th & 1 7th vir onments – No f ee No f ee P 23rd H 23rd P 29th H 1 9th i in ev ery da y pr actice No f ee No f ee P 1 8th

ee – Explor

ation

or people living No f ee No f ee NGV 25th NGV 6th or decision making No f ee No f ee P 1 7th essor i as a pr actice model No f ee No f ee P 1 0th H 21st er suppor t gr oup No f ee No f ee H 29th ed car e planning No f ee No f ee H 1 2th oryt elling No f ee No f ee H 24 ag ement $1 50 $1 60 P 21st e Unit – CHCP A402B

ovide services using a oac

h No f ee No f ee G 3rd or decision making No f ee No f ee P 1 7th tifi cat e IV in actice $30 00 $30 00 H from 1 8th P from 20th ly diagnosis of dementia n/a n/a Melbourne 19th eaking do wn the m yths n/a n/a W ar rac knabeal 16th iendly is y our home? n/a n/a Caulfi eld 15th our memory? n/a n/a Portland 23rd

ag

ement

or mation f or v olunt eers n/a n/a H 24th P 22nd or kshop n/a n/a H 26th P 9th our memory? n/a n/a P 1 1th H 4th ters n/a n/a H 1 6th P 1 0th wthorn y of Victoria fi ghtdementia.org .au/vic [email protected] .au 03 981 6 5708

For bookings

FIGHTDEMENTIA.ORG.AU/VIC

LEARNING &

DEVELOP

MENT

GUIDE

JANU

AR

Y TO

JUNE 2015

(28)

TERMS

Cancellation policy

Cancellations will incur costs as per schedule below: • Cancellations with more than 5 business days

notice – a full refund or equivalent training credits provided

• Cancellations with 5 or less business days notice but more than 1 day notice:

– Course registrants – 50% of training credits provided, unless a doctor’s certificate is provided. • For funded courses, a $50 Administration Fee

will apply

– Courses arranged by your organisation or other entity will incur 50% of the scheduled fee payable.

• Funded courses that are cancelled in this period will attract a $50 Administration Fee.

• *‘No shows’ will incur the full fee. *‘No shows’ at funded courses will incur an administration fee of $100, unless a doctor’s certificate is provided. • *‘No shows’ at courses arranged by your

organisation or other entity will incur full fee. *‘No shows’ for funded courses will incur an administration fee.

A minimum number of participants are required for courses to proceed. Course fees will be fully

refunded if your course is cancelled by Alzheimers’ Australia Vic.

Further information on our Cancellation and Non Attendance Policy can be requested by phone on 03 9816 5708, or by email at

[email protected]

Training Credits

1 training credit is equivalent to $1. Training credits are valid for 12 months only.

*No Shows

When a participant has booked into a course, workshop or event and cannot attend on the day, providing no notice to Alzheimer’s Australia Vic up to the commencement time of the session at Alzheimer’s Australia Vic education facilities, or when an organisation or other entity has booked training to be held at their site, but cancel on the day of education or the participants are not able to attend, this will be regarded as a ‘no-show’.

Dementia Behaviour Management

Advisory Service (DBMAS) Vic

1800 699 799

www.dbmas.org.au

(29)

DEMENTIA

LEARNING

PATHWAY

EXPLORATION

3

Exploration modules reflect our

insights gathered from current

research and evidence to inform

dementia assessment, treatment

and support.

(30)

Art appreciation for people living with

dementia

Delivered at the National Gallery of Victoria

Surrounded by some of the finest pieces in the National Gallery of Victoria’s collection, learn to deliver a successful art appreciation program. With input from gallery staff, you will be guided on how to create an enjoyable, enriching and safe experience for people living with dementia. On completion of this session you will:

• understand the role that engagement plays in reducing agitation

• learn the techniques involved in delivering a safe and enjoyable experience, including using open ended questions to engage and questions to promote the imagination

• manage participants anxiety surrounding their visit to the gallery

Suitable for diversional therapists, planned activity group staff and lifestyle staff

Cognitive screening and assessment

The diagnosis of dementia is a complex process requiring specialist assessment. The first step is to rule out any other cause. There are some conditions that present with similar symptoms as dementia such as

delirium and depression. Screening and assessment is an important step in a formal diagnosis of dementia.

This program aims to provide the participant with knowledge and skills in basic screening and assessment to identify potential cause of cognitive change and where to refer for support.

On completion of this program the participant will be able to:

• understand the need for cognitive screening and assessment

• develop understanding of the process for cognitive screening and assessment

• be familiar with the tools used in screening and assessment

• explore the common reasons for cognitive change

• discover the overlap of symptoms between dementia, delirium and depression

Cost

No fee – fully funded

Venue National Gallery of Victoria Date Wed 25 March Wed 6 May Time 9.30am–3.30pm

(31)

EXPLORA

TION

3

Dementia and Down syndrome

People with Down syndrome have a greater chance of developing Alzheimer’s disease. As people with Down syndrome already have impaired cognitive ability, the changes associated with dementia impacts significantly on the person, their family and carers.

This program explores why people with Down syndrome are at greater risk of developing dementia; the signs and symptoms of dementia, assessment and diagnosis; and support strategies for the person as they experience cognitive and functional change.

On completion of this session you will have gained an understanding of:

• the link between Down syndrome and dementia

• recognising signs and symptoms of changes associated with dementia

• assessment and diagnosis of dementia for a person with Down syndrome

• supporting a person living with Down syndrome and dementia through cognitive and functional change

Suitable for people working in aged care, community care or disability

Exploring dolls and animals for positive

engagement

The aim of this interactive workshop is to provide an understanding of the use of Child and Animal Representation Therapy plus Pet Therapy as non-pharmacological interventions and an alternative strategy in reducing behavioural and psychological symptoms of dementia.

On completion of this session you will understand:

• child and animal representational therapy and pet therapy

• the nature of dementia

• the emotional and psychological needs of the person with dementia

• the person and understanding how they may benefit from child and/or animal representational therapy plus pet therapy

• the process for appropriate assessment, selection, implementation and review of these therapies

Suitable for diversional therapists, planned activity group staff and lifestyle staff

(32)

Exploring Montessori as a practice model

This workshop is an introduction to Montessori through the work of Dr Cameron Camp.

We explore the 12 Montessori principles and how this informs your approach to engagement and support.

The program also provides an introduction to Montessori as a model for service delivery and uses self-assessment tools to explore how this might look in your organisation.

If you like this program then we recommend ‘Shaping a Montessori Community’ (2 day program – see p 39)

On completion of this session you will be able to:

• understand the 12 Montessori principles

• conduct a self-assessment of current practice and provide evidence of current practice

• identify areas and explore ideas for practice improvement

• explore the shaping a Montessori community framework, collaboration, creating and sustaining the community

Suitable for all staff working with people living with dementia and their families

Facilitating a carer support group

This workshop is designed for participants to gain the required skills to establish and facilitate formal and informal support groups for carers in a variety of settings.

On completion of this session you will be able to:

• review dementia and support group issues

• consider the difference between effective and ineffective groups

• establish the role of the facilitator

• set up a group

• facilitate styles of communication

• balance task and process

• identify group facilitation techniques and challenges and the phases of group life

Suitable for volunteers and health professionals.

Cost No fee – fully funded Venue Parkville Date Parkville Tuesday 10 February Hawthorn Tuesday 21 April Time 9.30am–12.30pm Catering

Includes morning tea

Cost No fee – fully funded Venue Hawthorn Date Wednesday 29 April Time 9.30am–4.00pm Catering

Includes morning tea, lunch and afternoon tea

(33)

Goal directed care planning

With a focus on person-centred practice in dementia care, this module demonstrates how you can enhance client independence and quality of life. Work towards integrating an individual, person-centred care plan with

significant input from the consumer. Taking into account their lifestyle choices, aspirations, skills, capabilities as well as life circumstances, you will be shown how to develop a care plan which is goal-oriented and inclusive of the person living with dementia’s needs, and the supports they receive.

On completion of this session you will be able to:

• use care plans as a tool

• understand various types of dementia

• communicate with clients with dementia

• identify goals with clients with dementia

• transcribe goals onto the care plan

• record outcomes

• practice using real case studies

Suitable for people working in planned activity groups

Improvisational storytelling

This is a module designed to support the use of imagination, creativity and identity in people living with dementia. Improvisational storytelling is a method that makes it possible for everyone to join in without the fear of failing, while encouraging the use of the imagination. It is a way for people to grow and connect with their carers by having the role of storyteller.

On completion of this session you will become familiar with:

• how to effectively engage with the person living with dementia

• delivering a safe and enjoyable program

• the active service model and person-centred care

Suitable for diversional therapists, planned activity group staff and lifestyle staff Cost No fee – fully funded Venue Hawthorn Date Thursday 12 March Time 9.30am–12.30pm Catering

Includes morning tea

Cost

No fee – fully funded

Venue Hawthorn Date Tuesday 24 February Time 9.30am–12.30pm Catering

(34)

iPads for engagement

With the application of new technologies we have the opportunity and capacity to engage people in stimulating and meaningful ways.

The prevalence of iPads and Tablets and a wide range of communication and interactive programs is opening the door on a powerful, new tool capable of making a positive impact on quality of life and social environment.

Join us for a workshop where you be presented with ways this technology can support digital reminiscence therapy through images, music and games; enable communication with geographically distant family and friends, and much more, all with the touch of a screen.

NB: Wi-Fi ready iPad required

On completion of this session you will become familiar with:

• dementia and the impact on brain and memory

• the many uses of the iPad and relevant applications

• how engagement in iPad activities can lead to increased interactions with families and staff, and bridging the gap between older and younger generations

Suitable for diversional therapists, lifestyle staff and planned activity group staff Cost $150 members / $160 non-members Venue Parkville (max. 15 attendees) Date 21 May Time 9.30am–12.30pm Catering

(35)

EXPLORA

TION

3

“ Training was valuable and the facilitators were of excellent calibre.”

Palliative Care Unit

CHCPA402B Plan for and provide services

using a palliative approach

Gain the knowledge and skills required to develop, implement and evaluate a care plan for clients with dementia in a team environment using a

dementia palliative approach.

These elements work together in achieving improved quality of life, symptom control and satisfaction with care for the person living with dementia and their families.

On completion of this unit you will become familiar with:

• supporting clients to identify their preferences for quality-of-life choices

• supporting the incorporation of advance care directives within the care plan

• contributing to the development and implementation of end-of-life care strategies

• taking action to alleviate pain and other end-of-life symptoms experienced by a person with dementia

• identifying and managing emotional responses in yourself and others

Suitable for people working in aged care, community care or disability providing support for people living with dementia

Cost

No fee – fully funded

Venue Geelong Venue

Tuesday 3 March 1 x 6 hour session plus assessment

Time

9.30am– 4pm

Catering

Lunch

For information & enrolments For more details contact 03 9816 5749

Also available

NB: Workplace option not funded.

(36)

Support for decision making

Best practice determines a person living with dementia should participate in the decision-making process, but when that capacity is reduced, it is important you know how to assist.

This workshop gives an insight into understanding what it is to make decisions, how dementia effects a person’s ability to make decisions and to consider strategies to support a person living with dementia with everyday decision making.

NB: this module can be joined with Exploring capacity for decision making

as a three hour workshop

On completion of this session you will be able to:

• understand decision making and the importance of planning ahead

• understand capacity

• plan for and develop strategies to support a person living with dementia in decision making

• understand risk enablement

Suitable for people working in people working in aged care, community care or disability.

Cost

No fee – fully funded

Venue Parkville Date Tuesday 17 March Time 9.30 –11.00am Catering

Includes morning tea

Exploring capacity for decision making

This program helps you to determine when support may be required and provides tools for exploring associated risks.

You will examine your experience in relation to dementia, decision making and capacity, identify the symptoms of dementia and its implication on decision making, including potential risks. Attention will also focus on exploring the support role and its responsibility, and discovering what resources and supports are available when concerns arise regarding someone’s decision making

NB: This module can be run with Support for decision making for a three hour workshop

On completion of this session participants will be able to:

• identify the impact of dementia and decision making

• identify potential triggers for questioning capacity for decision making

• identify services to refer concerns

• understand how to use the decision making tool for staff

Cost

No fee – fully funded

Venue Parkville Date 17 March Time 11.00am –12.30pm

(37)

DEMENTIA

LEARNING

PATHWAY

LEADERSHIP

4

Leadership modules are designed

for anyone who is passionate about

contemporary dementia practice.

They give the participants the skills

and confidence to challenge current

dementia practice and will guide

them through the process of

practice improvement.

(38)

NAT10341 Certificate IV in Dementia Practice

This accredited course for health and aged care workers provides

participants with a great opportunity to challenge current dementia practice using a relationship centred approach.

The course comprises interactive workshops across a wide range of dementia topics which include guest speakers from industry. Participants will learn to transfer this knowledge into practice and improve dementia care in their organisation. This course can be a pathway for those wishing to pursue leadership roles within their workplace.

This qualification will be issued by Alzheimer’s Australia Vic.

Entry requirement: Participants must have completed CHCAC319A Provide Support for people living with dementia or demonstrate equivalent knowledge and experience.

Participants must be committed to promote:

• quality of life and well-being of people with dementia

• partnerships between the care provider, the person and the family

• the integration of current knowledge and applied skills to achieve dementia care

Suitable for people working in aged care, community care or disability providing support for people living with dementia

Cost

$3,000

Venue and Date

Hawthorn Wednesdays commencing 18 February 2015 Bendigo Fridays commencing 20 February 2015 Parkville Fridays commencing 19 June 2015

One workshop per month for 12 months

Time

9.30am– 4pm

Catering

Includes morning tea

For information & enrolments 03 9816 5749

Half-scholarships for NAT10341 Certificate IV in Dementia Practice

We are offering half-scholarships for individuals to complete NAT10341 Certificate IV in Dementia Practice course in 2015. Two $1,500 half-scholarships are available for the Parkville course – applications are open until 20 March 2015. Application forms are available from our website.

(39)

Shaping a Montessori community

Developed in collaboration with psychologist Dr. Cameron Camp PhD, Director of Research, Centre for Applied Research in Dementia, Ohio USA.

The aim of the workshop is to equip participants with knowledge and tools to commence the implementation of a Montessori community in their workplace or organisation.

Day 1 Objectives:

• Understand the Montessori approach to service delivery including the 12 principles

• Understand the framework for shaping a Montessori community

• Develop a project plan for implementing the Montessori approach Day 2 Objectives

• Apply the Montessori approach to aspects of service delivery including the 12 principles

• Plan for and develop activity stations using the 12 principles

• Understand assessment of individuals for Montessori programs

• Use the Montessori approach to supporting activities of daily living

• Apply the Montessori approach to making dining a choice and resident driven experience

• Contribute to shaping a resident driven Montessori community event

Suitable for managers, lifestyle staff, community and residential care staff wanting to apply Montessori principles in support/care services.

LEADERSHIP

4

Dr. Camp is an internationally-known research scientist in the field of ageing. He has been conducting applied and translational research in gerontology, dementia intervention, and cognitive intervention for more than 30 years. His current research involves the use of Montessori-based activities as rehabilitative interventions to enable long-term care residents with dementia to effectively lead activities for other residents with dementia.

(40)

ENROLMENT FORM

Please complete and return form

Name of course:

Date/s of course: Cost per person:

Location:

Contact name and/or organisation(receipt will be issued to this address):

Contact Name: Organisation:

Address Postcode:

Phone number: Email:

Special dietary requirements:

Newspaper Email Guide Website Flyer Recommendation

Other Helpline DBMAS Referral

Referral via other organisation Previous training

Do you wish to receive information about our events? YES NO

Would you or your organisation like to become a member of AAV? YES NO

Please send me a tax invoice (receipt): YES NO Please invoice our organisation YES NO

Card No: Expiry date:

CVV:

Payment by: CASH CHEQUE VISA MASTERCARD AMERICAN EXPRESS DINERS

Invoice authorised by: Signature: Date: / /

Card holder’s name:

Card holder’s signature:

No of attendees Course fee / member fee $

less additional 5% group discount (see below) $

Where did you hear about this workshop?

Name/s of attendee/s: Occupation (EN, RN, PCA etc): Membership No:

Please fax form to:

03 9816 5733

or post with payment to:

Alzheimer’s Australia Vic Locked Bag 3001,

(41)

COMMUNITY

ENGAGEMENT

(42)

Dementia information for volunteers

Volunteers play a vital role supporting people living with dementia. From this session, we consider how an understanding of dementia will show you how to communicate more effectively with a person living with dementia. At this session, you will:

• understand the effect of dementia • learn strategies for communication • understand triggers for behaviours

• learn ways to engage a person with dementia

Suitable for community volunteers who engage with people living with dementia

Volunteer companions workshop

In this interactive workshop, learn how dementia can impact on a person’s physical and psychological well-being and what you, as a volunteer

companion, can do to engage and maintain positive connections and build on their remaining skills and interests.

NB: This program is not suitable for family carers.

At this session, you will:

• gain an understanding of dementia and its impact on the person, their family and friends

• understand the valuable role you play in maintaining friendship with the person with dementia and their family

• acquire some effective communication strategies

• gain knowledge of appropriate and enjoyable activities for enhancing your relationship with a person with dementia

• acquire some coping skills should any behavioural or psychological symptoms occur

Cost

No fee – fully funded

Venue, date and time

Hawthorn Tuesday 24 February 1–4pm Parkville Friday 22 May 10am– 1pm Catering Includes refreshments Note Workplace sessions can be arranged Cost

No fee – fully funded

Venue, date and time

Hawthorn Tuesday 26 March 10am– 1pm Parkville Tuesday 9 June 10am– 1pm Catering Includes refreshments Note Workplace sessions can be arranged

COMMUNITY ENGAGEMENT

(43)

Worried about your memory?

This interactive session will provide an overview of how memory works, the common memory changes that occur with ageing and factors that can impact on memory. We will also look at practical ways of improving memory and looking after the brain, as well as when memory difficulties need to be investigated.

NB: This is not a session about dementia

At this session, you will:

• understand that memory is a process

• identify common memory changes that occur with ageing • understand other factors that can impact on memory • identify a number of memory strategies

• recognise when memory concerns need to be investigated and what to do

• understand the services Alzheimer’s Australia Vic provides Suitable for the general community

Your Brain Matters™

Research shows you may reduce your risk of developing dementia through Five Simple Steps to maximise brain health.

Your Brain Matters™ is Alzheimer’s Australia’s evidence-based dementia risk reduction program.

You will learn about the five simple steps to maximise your brain health and get tips on living a brain healthy life to potentially reduce your risk of developing dementia.

At this session, you will be introduced to:

• Five simple steps to maximising brain health and potentially reducing dementia risk

• Alzheimer’s Australia Vic services Suitable for the general community

Cost

No fee – fully funded

Venue, date and time

Parkville Wednesday 11 March 10–11.30am Hawthorn Monday 4 May 2–3.30pm Catering Includes refreshments Note Sessions at your community venue can be arranged

Cost

No fee – fully funded

Venue, date and time

Hawthorn Thursday 16 April 10–11.30am Parkville Wednesday 10 June 2– 3.30pm Catering Includes refreshments Note Sessions at your community venue can be arranged

COMMUNITY ENGA

References

Related documents

Much of the debate around whether we can trust robots in warfare has revolved around the use of lethal autonomous weapons systems (LAWS), robots that can identify and attack targets

In these same jurisdictions, the Golf Industry has been provided with an Anti-Pesticide PROHIBITION EXCEPTION STATUS, and its use of pest control products HAS NOT BEEN

curriculum (both undergraduate and graduate level) and identify gaps based on findings. The DNP student will include an examination of established nursing school programs that..

Whereas the additive model assumes seasonality to be relatively constant, the multiplicative model assumes it to be proportional to mean demand (Chatfield & Yar, 1988). Given

However, this technique was adopted to provide access to respondents with privileged information needed to answer the following research questions: Examine the

TY1 distance between apex of superior thyroid incisure and apex of inferior thyroid incisure TY2S width of thyroid cartilage’s lamina measured between superior thyroid incisure

Office based myringitomy with ventilation tube insertion is considered now the best management option for treatment of chronic otitis media with middle ear effusin especially in

Fully funding capital needs -- including establishing a building replacement sinking fund for systems and other parts of the build- ing, developing an endowment to a level of two