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Collaboration and Legal Challenges in Advanced Dementia Care

Upcoming dates (1)

For registration assistance: 608-262-2451
Register by mail: printable registration form

Summary

For individuals living with dementia in the mid-to-late stages, the intricacies of daily living and future planning become more complicated. As a result, many important topics become much harder for professionals to help patients and families address and navigate. This course helps professionals explore skills, approaches and resources for working with individuals with advanced dementia and their families. The crucial topics covered in the course include communicating with persons with dementia and their families, planning for future needs, determining decisional capacity, resolving conflicts that arise and approaches to medical and palliative care collaboration.

See below for details about earning the professional Badges available for this course.

This class is part of the Advanced Dementia Care Certificate series.

Overview

Module Descriptions

Communication with Families: How, When & What to Share

A diagnosis of dementia has a significant emotional and psychological impact on an individual and their family. This module considers how a diagnosis impacts the individual with dementia emotionally as well as their autonomy, goals and finances. This module also identifies support systems and local, state and national resources for the individual and their family.

Advocating for Decisional Capacity

Decisional capacity is a complex term that includes legal and interpersonal challenges regarding the rights of people with dementia to make life-changing decisions. This module examines how the ability to make decisions changes in the mid-to-late stages of dementia as well as the role of surrogate decision-makers, protective services and crisis response.

Developing Conflict Resolution and Mediation Skills

Family dynamics during the mid-to-late stages of dementia can become challenging and conflicted, which may prove problematic for the person with dementia whose communication skills have grown more limited. Professionals can use conflict resolution and mediation skills to help preserve the dignity of the person with dementia. This module focuses on presenting the specialized knowledge and skills required to manage these conflicts as well as examples of how to use these skills.

Medical and Palliative Care Collaboration

Living with cognitive and physical decline in the mid to late stages of dementia requires a complex approach to care. This module explores expert clinical care practices illustrating a balance of medical and/or palliative care. Topics include hospitalization, medication management, palliative approaches and professional collaboration.

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Overview: Extra Information

Earn Professional Badges

A badge is a formal way of marking your accomplishments in developing your professional skills to current and potential employers and clients. Badges are a way to record knowledge and skill achievement through a static digital icon that contains the details of the work completed to earn the badge. Badges can enhance documents such as resumes and cover letters as well as on professional social media profiles.

Upon successful completion of the course, participants will earn the two following badges:

Advanced Dementia Care: Legal Challenges

This badge represents that the awardee achieved the following predefined learning outcomes:

  • Learning Differentiate between supported decision-making, powers of attorney, and guardianship.
  • Identify approaches for advocating on behalf of individuals with dementia during mediation and legal proceedings.
  • Recognize different types of abuse, including within protective systems and recognize factors related to previous or ongoing abuse that impact the conflict resolution process.
  • Evaluate a person with dementia’s capacity to resolve conflict and formulate opportunities for self-determination.
  • Identify different methods of conflict resolution and choose an appropriate method for different family dynamics and sources of conflict that may arise in the advanced stages of dementia.

Advanced Dementia Care: Legal Challenges

This badge represents that the awardee achieved the following predefined learning outcomes:

  • Identify the goals of a person living with dementia and determine which available resources and systems support the patient’s goals.
  • Determine best practice planning methods to support patients and families through the financial and emotional impacts of living with dementia and explore available support resources for families.
  • Identify current treatment guidelines for chronic and medical conditions common to advanced dementia and how person-centered and palliative care approaches can be integrated into care plans.
  • Recognize steps for collaboration to develop a treatment and care plan for a person living with advanced dementia that ensures their dignity and incorporates quality transitional care.

Course Outline

Learning Objectives by Module

Communication with Families: How, When, & What to Share

  • Recognize the emotional and psychological impact a diagnosis of dementia has on an individual and family.
  • Describe the patient's goals, how the diagnosis has impacted them emotionally, how to identify support systems and the patient's desire for autonomy.
  • Identify planning methods to support patients and families through the financial and emotional impacts of living with dementia.
  • Explore methods of supporting the families of people living with dementia and available resources.

Advocating for Decisional Capacity

  • Describe changes to decision-making capacity over the course of a dementing illness.
  • Advocate on behalf of individuals with dementia to exercise their rights to participate in decisions that affect their quality of life, personal health and safety.
  • Differentiate between supported decision-making, powers of attorney and guardianship.
  • Recognize different types of abuse, including within protective systems.
  • Identify the roles of protective programs, i.e., Elder Adults at Risk, Adults at Risk, Adult Protective Services, Ombudsmen, law enforcement and crisis response.

Developing Conflict Resolution and Mediation Skills

  • Identify family dynamics and sources of conflict in advanced dementia stages.
  • Determine capacity to resolve conflict and opportunities for self-determination.
  • Identify and explore how the legal system interacts with individuals with dementia.
  • Explore different methods of conflict resolution and the appropriate application of each method.
  • Recognize the impact of previous or ongoing abuse on the conflict resolution process.
  • Practice skills for mediation and other forms of conflict resolution.

Medical and Palliative Care Collaboration

  • Articulate how the medical care coordination of chronic conditions comorbid with dementia impacts quality of life.
  • Describe current treatment guidelines for common chronic and medical conditions common to advanced dementia.
  • Identify how palliative care can be provided in the community.
  • Collaborate to develop a treatment and care plan for a person living with advanced dementia care that incorporates quality transitional care.
  • Support practices that ensure the dignity of the person living with advanced dementia.

Earn Continuing Education Hours

By participating in this class you will earn:

Instructional Hours 15
University of Wisconsin Continuing Education Units 1.5
American Psychological Association - Continuing Education Credit 15
Wisconsin Department of Safety and Professional Services - Psychologists - Continuing Education Credit Hours 15
Wisconsin Department of Safety and Professional Services - Social Workers - Continuing Education Credit Hours 15

Explanation of Continuing Education Hours

Upcoming dates (1)

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Program Questions?

Contact info@dcs.wisc.edu or 608-262-1156

Registration Questions?

Email registrations@pyle.wisc.edu or call 608-262-2451.

Continuing Studies FAQs

Meet your instructor(s)

Bonnie Nuttkinson

is an Outreach Specialist with the Wisconsin Alzheimer’s Disease Research Center and Wisconsin Alzheimer’s Institute (WAI). Bonnie has worked in the aging field for over 15 years. She is passionate about seeing a world without Alzheimer’s disease.

Molly Schroeder

(CSW) is a Community Dementia Programs Manager at the Wisconsin Alzheimer’s Institute. Her primary role is to help provide education to caregivers and health care professionals that will improve the lives of people living with dementia.

Kristen Felten

MSW, APSW

(MSW, UW–Madison) is the dementia specialist in the Wisconsin Department of Health Services' office on aging. She has played a major role in the department's dementia care system redesign.

Jessica Liebau

JD

(JD) focuses her practice primarily in the area of elder law special needs planning, estate planning, guardianship, guardian-ad-litem, and estate and trust administration. She is a trained elder law mediator, although most often these skills are applied to private family meetings, negotiations with care facilities, disputes with government agencies, resolving issues as part of a larger court proceeding, or developing plans that seek to avoid these disputes in the first place.

Nathaniel Chin

MD

(MD, UW–Madison) is an assistant professor in the division of geriatrics and gerontology at the UW–Madison School of Medicine and Public Health. After his father was diagnosed with early-onset Alzheimer's disease, he pursued a career as a geriatrician and scientist focused on this condition.