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General Session and Keynote Speakers

SUNDAY, January 24, 2010
6 to 7:30 pm

Opening General Session

Val J. Halamandaris, JD
President National Association for Home Care & Hospice
Val J. Halamandaris has been President of the National Association for Home Care & Hospice (NAHC), the parent organization of the Private Duty Homecare Association (PDHCA), since its inception in 1982. For the past 27 years, he has guided NAHC to become one of the most respected organizations in Washington, D.C. and has helped solidify and expand home health services as a Medicare benefit. Now, Halamandaris is helping lead the private duty home care industry to realize its great potential as the senior population expands to unprecedented numbers and more and more Americans require help to remain in their own homes and communities. The Baby Boom Generation is the wealthiest that America has seen, and because the need for long-term care is so great, demand for home care services will increase dramatically in the future, Halamandaris predicts. Private pay home care agencies and the services and supports they provide will be the answer to this need, and have also proven pivotal to the recovery and growth of the U.S. economy.

A native of Utah, Halamandaris worked his way through college on the staff of Sen. Frank E. Moss, and continued working full time as he completed his law degree at Catholic University Law School. In addition to being a trade association executive, he is an attorney, author, publisher, editor, film producer, published photographer, and humanitarian. Halamandaris founded The World Home Care & Hospice Organization, The Caring Institute, The Frederick Douglass Museum, The Foundation for Hospice and Home Care, The Center for Health Care Law, and CARING Magazine.

Dr. Verna Benner Carson
President of C&V Senior Care Specialists, Inc.
Dr. Verna Benner Carson is the President of C&V Senior Care Specialists, Inc. offering training, operations, and marketing services in the areas of behavioral health and Alzheimer’s care across the healthcare continuum. She has extensive experience in all facets of elder care, including assisted living facilities, skilled nursing facilities, and home care. For 11 years, Dr. Carson served as the National Director of Behavioral Health for Tender Loving Care Health Care Services. In addition, Dr. Carson is an advanced practice registered nurse specializing in psychiatric/mental health nursing.

In the home care arena, she is viewed as the national expert on psychiatric home care, having authored eight nationally-renowned books on the subject matter. Dr. Carson is perhaps best known for her work on the unique needs of the Alzheimer’s patient. In October 1995, Dr. Carson was recognized by the American Psychiatric Nurses Association for Innovative Nursing Practice for her pioneering work in the field of Psychiatric Home Care. She served as guest editor for the January 2001 edition of CARING, contributing an article on depression, as well as penning an editorial. She developed the “Becoming an Alzheimer’s Whisperer” Program, “allowing the caregiver to calm the fears of the person caught up in this terrible disease and to courageously enter that person’s world and heal his or her broken spirit.” The program was recognized with a Best Practices in Dementia Care Award by the American Psychiatric Nurses Association in 2005. She has trained approximately 2,000 health care providers across the continuum of senior care in the techniques of “Becoming an Alzheimer’s Whisperer”.

Program Description

A Loving and Gentle Approach to Challenging Behaviors with Alzheimer’s Patients

A far too common theme in the world of providing private duty services has become how to actually help the Alzheimer’s patient. How can we not only deliver the basic necessities that these clients need, but how can we make a difference in their lives? Such is the theme of Dr. Carson’s compelling talk, “Becoming an Alzheimer’s Whisperer.”

Becoming an Alzheimer’s Whisperer means that we learn to calm the fears of the person caught up in this terrible disease, that we courageously enter that person’s world and heal their broken spirits. Some people are naturally gifted in doing this. They just know how to diffuse agitation before it explodes; they know how to find joy and humor in the role of caregiver and they allow the person with Alzheimer’s to continue to experience joy and humor. They make no demands of the person with Alzheimer’s; they know that it is themselves that must change – not the loved one with the disease. This presentation is not for the gifted ones – it is for all the rest of us. We can learn to become Alzheimer’s Whisperers.

In order to enter the world of a patient or resident, it is essential to understand as much as possible about the world of Alzheimer’s disease. This presentation provides a brief review of the Theory of Retrogenesis that not only provides structure to examine the world of the person with AD but also suggests appropriate ways to respond to what we see in that world. Multiple scenarios will be presented to make this session as real and concrete as possible including scenarios that deal with wandering, repetitive behaviors, agitation and aggression, resistance to care, and sundowning. Using the Theory of Retrogenesis and the various assessment tools presented, participants will examine the stages of Alzheimer’s, the change in cognitive level of the person as he/she moves through each stage of the disease, and specific strategies for understanding and responding to behaviors that emanate from that person’s world.

Dr. Verna Benner Carson is the President of C&V Senior Care Specialists, Inc. offering training, operations, and marketing services in the areas of behavioral health and Alzheimer’s care across the healthcare continuum. She has extensive experience in elder care, including assisted living facilities, skilled nursing facilities, and home care. In the home care arena, she is viewed as the national expert on psychiatric home care, having authored eight nationally-renowned books on the subject matter.

Objectives:

  • Describe at least three characteristics of an Alzheimer’s Whisperer;
  • Apply the FAST scale to the management of challenging behaviors; and
  • Discuss gentle and loving “Alzheimer Whisperer” interventions for challenging behaviors such as repetition, agitation, aggression, and resistance to bathing.

Course level: Intermediate; 1.0 nursing CEs; 1.0 CPEs (NASBA/PHR).

MONDAY, January 25, 2010
9 to 10 am

General Session–Keynote Address

James Mapes
Founder and President of The Quantum Leap Thinking Organization
James Mapes is the founder and president of The Quantum Leap Thinking Organization, creator of The Transformation Coach™ program, best- selling author, highly acclaimed business speaker, consultant, seminar leader and personal excellence coach. For over 30 years, Mapes has been an ardent student of human behavior and dedicated to helping individuals, teams and organizations identify and break through barriers to reach their goals and achieve success. He encourages people to be open to new ways of thinking, and his goal is to help everyone make the “quantum leap” toward more creative, productive and confident lives. For both businesses and individuals, his message promotes an innovative, powerful way of thinking and provides a new-found mastery over their perceptions so that, in his words, “the invisible becomes visible and the impossible becomes possible.” The results have been nothing short of extraordinary, creating key breakthroughs in both organizational and personal performance.

He has created material for many industry publications and his corporate training film, Creating Our Future, was rated one of the year’s ten best by Successful Meetings magazine. Mapes has created an ongoing series of self-improvement audio recordings and writes a syndicated newspaper column. His two books, Quantum Leap Thinking: An Owner’s Guide to the Mind and The Workbook: The Magic of Quantum Leap Thinking, are highly acclaimed. Since 1983, he has worked with hundreds of public and private companies in more than 70 countries. His clients include the health care industry, financial institutions, training and development divisions of large corporations and major not-for-profit organizations. Mapes’ work has earned him appearances on CNN, The Today Show, Good Morning America and Fox Family Channel, among other media outlets.

Mapes graduated from California State University with a Master of Arts degree in theater and speech. In the 1970’s, Mapes became interested in the power of the subconscious mind. To better understand this intriguing area, he researched psychology, philosophy, neurology and eventually, hypnotherapy. His expertise quickly earned him recognition as a clinical hypnotist, becoming highly effective in assisting clients in weight reduction, smoking cessation, the elimination of phobias and pain reduction for terminally ill cancer patients. As a skilled practitioner of regression techniques, he helped the New York City Police Department in “memory recovery” with both witnesses to, and victims of, crime and he has worked with professional athletes to help improve their performance in their sport.

Mapes’ presentations are personal, interactive and humorous. Above all, he creates results and makes a lasting difference in the energy level, commitment and productivity of each individual in his audience.

Tuesday, January 26, 2010
11:30 am to 1:30 pm

Closing General Session

William A. Dombi, Esq.
Vice President of Legal Affairs, National Association for Home Care & Hospice (NAHC), Director, Center for Health Care Law in Washington, DC
Home Care: Right for the Times

Because Bill Dombi has been front and center in the United States advocating and working for home care issues for 34 years; he has gained remarkable insight into the increasing role for private duty/private pay providers now and well into the future. He is an advocate for the majority of people, who if given the choice, will chose to remain at home with care when an event triggers the need.

In a recent interview with Bill, he discussed what he would present at the closing luncheon of PDHCA. Here are excerpts from that conversation:

Clients may be suffering from chronic illnesses, moving from acute episodes to post acute, or simply trying to remain in as stable a condition as possible. Whatever the need for care, remaining at home in familiar and often cherished surroundings is an overwhelming desire that private duty/private pay can help fill.

It is the wide range of services offered by a variety of private duty/private pay models that helps make this possible. From care management to homemaking, companion services to personal care, and well beyond, in some cases, the supportive services offered in a private pay model are only increasing as the needs increase. However, as more people enter into the field the demand for quality and accountability for the services will also increase.

Creating professional standards is essential to the private duty/private pay world. It is time to look at private accreditation based on standards for the industry, the organization, personnel, competencies, financial, client services and much more. If accreditation is done correctly, it could potentially be an alternative to state licensure in those states where licensure has not been enacted. Furthermore, standards and accreditation that are widely recognized and accepted could potentially make private duty agency services have better reimbursement possibilities by long term care insurance policies.

Just ask in the halls of Congress: Who is the most powerful lobby for home care? You will hear “National Association for Home Care and Hospice” resoundingly. It is this acceptance of NAHC as the most widely respected industry association for home care that makes belonging to the Private Duty Homecare Association so important. As an affiliate of NAHC, PDHCA has the clout to work on setting standards and granting accreditation that is recognized. And, in Washington today there are certainly many other issues that relate solidly to private duty. So the energy that comes with association with NAHC can be used in many positive ways.

Home care is right for the times….no matter which payor is used, Medicare or private pay. To the patient or client, home care is home care, meaning there is someone coming into the home to address their needs, be it assistance with a bath or complicated wound care or providing care and comfort for a dying patient.

As you can see, this closing session will send you back to work energized and proud to be in home care. In addition to Bill’s long term service in the home care industry, he also brings insights from some personal experiences. Bill has agreed to also share these positive, truthful, and motivating personal experiences he has had with home care over the years.

 

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