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Elder Abuse Awareness – What is Elder Abuse?

June 26th, 2017

It’s Elder Abuse Awareness Month – What is Elder Abuse?

June is Elder Abuse Awareness MonthWith a Little Help will post a series of articles written by (or with a lot of help from) our friend and colleague, geriatric health specialist  Karin Taifour, MA, LMHC, GMHS.

Elder Abuse – A definition and why it is under-reported

The U.S. Department of Justice defines elder abuse as including “physical, sexual or psychological abuse, as well as neglect, abandonment, and financial exploitation of an older person by another person or entity, that occurs in any setting (e.g., home, community, or facility), either in a relationship where there is an expectation of trust and/or when an older person is targeted based on age or disability.” (See The Elder Justice Roadmap, source of most of these statistics.)

CaptureAny older (or disabled/vulnerable) adult, in any family, may experience elder abuse. Sometimes individuals bear responsibility for the abuse. Sometimes broken or ineffective systems and entities bear responsibility. Even very limited research indicates that:

• One out of every ten people ages 60 and older who live at home suffers abuse, neglect, or exploitation.

Dementia puts elders at high risk: nearly 50% experience some kind of abuse, and 47% experience mistreatment by caregivers.

• Mental illnesses and/or substance disorders often affect perpetrators and/or victims.

• Cognitive impairment reduces capacity, increasing risk of financial exploitation.

• High rates of neglect, poor care or preventable adverse events in nursing homes and other long-term care settings affect more than two million people (most are elderly).

• About two-thirds of elder abuse victims are women.

• Disproportionate victimization of African American, Latino, poor, or isolated elders.

What exactly *is* elder abuse?

Legislatures in all 50 states have passed some form of elder abuse prevention laws.  Laws and definitions vary considerably from one state to another, but in general:
Physical Abuse — inflicting physical pain or injury on a senior, e.g. slapping, bruising, or restraining by physical or chemical means.
Sexual Abuse — non-consensual sexual contact of any kind.
Emotional Abuse — inflicting mental pain, anguish, or distress on an elder person through verbal or nonverbal acts, e.g. humiliating, intimidating, or threatening.
Abandonment — desertion of a vulnerable elder by anyone who has assumed the responsibility for care or custody of that person.
Neglect — the failure by those responsible to provide food, shelter, health care, or protection for a vulnerable elder.
Self-neglect — characterized as the failure of a person to perform essential, self-care tasks and that such failure threatens his/her own health or safety.
Exploitation — the illegal taking, misuse, or concealment of funds, property, or assets of a senior for someone else’s benefit.

But unfortunately, the vast majority of cases go unreported.
For every 1 case of elder abuse that comes to light, another 24 remain hidden.

Why don’t victims report it?
• Dependence: reliance on the abuser/exploiter, that they may be abandoned
• Fear of retaliation: it will get worse if they say anything
• Lack of knowledge: what is abuse, what help there might be, where/how to get help

Why don’t others report it?
• Families – family conflict, dysfunctional factors, fear of getting in trouble themselves, thinking it might make things worse, don’t know who to call.
• Friends/neighbors – don’t know who to call, reluctance to get involved, fear of retaliation, “not my business” etc.
• Professionals – uneducated around signs, lack of knowledge about the requirement to report even suspected issues.

Cultural factors in abuse reporting
• A person’s culture of origin influences their family dynamics and what is acceptable behavior and treatment of others.
• Culture can also impact whether a person feels able to ask for help outside the family or community.
• Cultural factors and prior experience can also affect how the person trusts or feels comfortable with health care providers or other professionals

Did you know that Washington Long-Term Services and Supports has been Rated Top by AARP?

To report to DSHS / APS, call 1-866-END-HARM, or 1-866-363-4276.

Any criminal activity or assault must be reported to law enforcement:

* Call 911 if emergency situation, or

* Call local police agency’s non-emergency line or local precinct to make a police report (where the crime occurred).

SeattlePoliceNonEmergencyNumbers


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If you are unsure…

If you are unsure who to call or how to report, call the DSHS Hotline at 800-562-6078
If you are unsure whether you need to report, CALL!

* You will never be held liable for making a report you didn’t need to make — but you run the risk of a misdemeanor charge and losing your professional license if you don’t report information that you should!

* For more information online, see https://www.dshs.wa.gov/report-abuse-and-neglect

Article researched by Aging Care Consultation Services  – Karin Taifour, MA LMHC GMHS

Karin Taifour is a licensed mental health counselor and geriatric mental health specialist, and has worked in mental health with older adults for over 12 years.  You can contact Karin at:  206-999-5934, and by email at karin@nullagingcareconsult.com.  See her website here: Aging Care Consultation.

Coming Soon – A Chart of Elder Abuse and What Constitutes Financial Exploitation

 

 

Elder Abuse Awareness – Who is a Mandated Reporter?

June 7th, 2017

It’s Elder Abuse Awareness Month – Who is a Mandated Reporter?

June is Elder Abuse Awareness MonthWith a Little Help will post a series of articles written by (or with a lot of help from) our friend and colleague, geriatric health specialist Karin Taifour, MA, LMHC, GMHS.

VulnerableAdultTwo

WHO IS A MANDATED REPORTER for ELDER ABUSE?

(Who is required to report elder abuse?)

Caregivers, social workers, and anyone working with the elderly population (see complete list below) . . . did you know by law you are defined as a Mandated Reporter?  This means that if you even suspect abuse of a “vulnerable adult” (defined below), that you are required by law to report the crime to either DSHS or law enforcement.  

While we may not be able to stop elder abuse from occurring, the law dictates that we are responsible for protecting our elder population from further harm if we are a witness to it, or are aware of it, or if we even suspect it might be happening.  We do not have to have evidence or definitive proof of any wrongdoing – but if there are any concerns, we have to report it.

Who is a mandated reporter?

  • An employee of DSHS;
  • Law enforcement officer;
  • Social worker;
  • Professional school personnel;
  • Individual care provider;
  • An employee or operator of an adult living facility;
  • An employee of social service, welfare, mental health, adult day health, adult day care, home health, home care, or hospice agency;
  • County coroner or medical examiner;
  • Christian Science practitioner;
  • Any licensed health care provider;
  • Anyone engaged in a professional capacity during the regular course of employment in encouraging or promoting the health, welfare, support, or education of vulnerable adults, or providing social services to vulnerable adults, whether in an individual capacity or as an employee or agent of any public or private organization or institution.

VulnerableAdult
Who is a vulnerable adult?

  • 60 years of age or older who has the functional, mental, or physical inability to care for himself or herself;
  • Found incapacitated by a court or has a guardian;
  • Has a developmental disability;
  • Admitted to any care facility (adult family home, skilled nursing, assisted living, dementia care, residential care/treatment);
  • Receiving services from home health, hospice, or home care agencies;
  • Receiving services from an individual provider or personal aide

To report to DSHS / APS, call 1-866-END-HARM, or 1-866-363-4276.

Any criminal activity or assault must be reported to law enforcement:

* Call 911 if emergency situation, or

* Call local police agency’s non-emergency line or local precinct to make a police report (where the crime occurred).

SeattlePoliceNonEmergencyNumbers

 

 

 

 

 

 

If you are unsure…PoliceWithVulnerableAdult

If you are unsure who to call or how to report, call the DSHS Hotline at 800-562-6078
If you are unsure whether you need to report, CALL!

* You will never be held liable for making a report you didn’t need to make — but you run the risk of a misdemeanor charge and losing your professional license if you don’t report information that you should!

* For more information online, see https://www.dshs.wa.gov/report-abuse-and-neglect

Article researched by Aging Care Consultation Services  – Karin Taifour, MA LMHC GMHS

Karin Taifour is a licensed mental health counselor and geriatric mental health specialist, and has worked in mental health with older adults for over 12 years.  You can contact Karin at:  206-999-5934, and by email at karin@nullagingcareconsult.com.  See her website here: Aging Care Consultation.

Next week – What exactly *is* elder abuse?

 

 

Celebrating Life at the Time of Death

May 24th, 2017

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Recently a dear friend lost his wife to complications from Alzheimer’s disease. Surviving are her husband (my friend), a sister, three adult children each with a spouse, and seven grandchildren. My friend shared with his neighbors and friends that, in accordance with his wife’s wishes, the family would not be having a funeral service.   The reactions in his small town on the western slope of Colorado, varied:  understanding; curious and questioning; surprised; disappointed; appalled.

For many Judeo-Christians in our culture, having a funeral is a no-brainer. A mass or service, during which we honor and say goodbye to the loved one seems essential to closing the chapter of a life.  In that way of thinking, funerals, like weddings or baptisms, are a critical, ceremonial, communal time that helps family and friends move on to the next stage of life. The heart-breaking song and Vevo video “Just a Dream” by Carrie Underwood demonstrates beautifully the way the same ritual service is performed for baptisms, weddings, and funerals. This ritual can provide comfort and grounding at a very difficult time.
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But Washington ranks among the list of the least-churched states. Many in the Seattle area not only do not feel the need for a traditional funeral, especially a church-based funeral, they feel the need *not* to have one.  Some may never have attended church at all. Some might be estranged from the church. Some may be agnostic or atheist. As we observe this shift away from traditional funerals, we note that some of these people would still like some way of providing closure and an opportunity to celebrate a life.

There are several ways that we can acknowledge the passing of a life, beyond a traditional funeral.  Here are some options.

Celebration of Life (Party)

At least two area funeral service providers are placing more emphasis on Celebrations of Life. With a different focus than a traditional church-based funeral, a Celebration of Life can be just as it sounds – a joyous celebration where family and friends remember and honor the deceased in a party-like atmosphere.

At Cascade Memorial, the emphasis is on high quality and customer service, balanced with simplicity.   Sarah Geiger, Managing Director at Cascade Memorial Director says “the adult children and spouses follow [their loved ones] instructions, but after all, there is a life lived, and we encourage people to celebrate that life in some way.”  Cascade Memorial offers their fairly-priced celebration suite and simple catering, or the family may provide the food. “It can be very simple, have [your mom’s] favorite dessert.  You don’t have to have prayers, you don’t have to have blessings. Our culture relates funerals to church but it doesn’t have to be that way.”

Sarah says they have had to change our language, from “Funeral Director” to “Arrangement Director”, because people don’t want to have funerals.  She says those who use her cremation or burial services are almost always having a Celebration of Life party on their own. “Auntie rents the club, someone is going to Costco and the other to Fred Meyer and Sam’s Club.”  This does make the celebration more meaningful but is a lot more work.  Cascade Memorial has fairly-priced suites and catering available to offer families who want a celebration but not necessarily a traditional funeral.

Pete Cameron at Purdy and Walters Floral Hills in Lynnwood (a Dignity Memorial property) tells us about examples of Celebrations of Life celebrated at Dignity Memorial, which has approximately 20 funeral homes and cemeteries in the greater Seattle area. Here is what Pete says:  “Many of our families don’t want a church service, yet they don’t know what to do instead, so we provide some support in that area. Life Celebrants are trained by SCI, and that is all they do, they go to our different funeral homes and help the families plan the services.”  Currently David Bailey is the Celebrant in the Seattle SCI market. David meets with families once or twice, sometimes even three or four times, getting to know the deceased person and the family.  Pete says it is difficult to assess the cost of a Celebration of Life planned by one of their Celebrants because there is so much variance, but the fee for the celebrant’s services is around $400.

Pete described a Celebration of Life they recently hosted at Floral Hills.   “The deceased was a long time hunter.  His son wanted to bring in all of his dad’s hunting and fishing gear, a deer head, and a lot more. We did a huge panorama and the family just loved it.”
Image result for celebrations of life
Video of Life

Another option that is increasingly popular is a life video honoring a person’s life.  Here’s an idea . . . create a video of someone’s life, then gather people together for “dinner and a movie”.  Hollywood Forever (where, coincidentally, Chris Covert will be buried) helps families to create a video story of their loved one.

LifeStories

“At Hollywood Forever, we believe it’s time cemeteries offered more than a name and date etched in stone. That is why we have produced thousands of LifeStories™, made from video and film clips, photos, written and spoken words. Our LifeStories™ specialists work with each family to gather their most cherished memories and assemble a LifeStories™ that captures the essence of a personality and the story of ones life.”

At Hollywood Forever, these LifeStories are available at kiosks and in the LifeStory theater at Hollywood Forever and through their website.

Scattering Of Ashes Ritual

Scattering of ashes can be comforting for some. Scattering of ashes allows families a final period at the end of the sentence without the trappings of a religious service.
Did you know you can scatter the ashes on a regular ferry run? Pre-arranged with the WSDOT, the ferry will stop part way into their crossing. It will be announced to the passengers that a scattering is occurring. A short wait is allowed while the family and friends of the deceased say their final goodbyes. What WA state resident hasn’t been on a number of ferry rides. This may feel more comfortable to them. More familiar.

Home Vigil

What about having a “home vigil”? This can be a wonderful option for especially people who have had their loved ones home for weeks or months while they are on Hospice. It offers so many things that are missing when we don’t have a funeral at all. Family and friends can stop by over the course of a weekend. Sometimes these families will create a simple wooden box and then decorate it during the vigil. A table with candles and art supplies provides people with an opportunity to. It is perfectly safe and sanitary to have a person’s body remain in the home (or other place of death), using dry ice underneath the placement and other methods.

A Sacred Moment funeral home in south Everett specializes in home vigils.   Owner and Funeral Director Char Barrett says it’s a small but growing percentage of their business.

Planning Ahead

When you are afforded the luxury of pre-planning for time-of-death arrangements, consider that the purpose of the funeral, Celebration of Life, scattering of ashes, or Home Vigil is not only to honor the deceased person, but also to aid and support the living with the grief and mourning process.   Pete Cameron says “the key is to have it be meaningful for you.”   We hope our article will provide some food for thought.

Share Your Ideas

We’d love to hear your ideas and stories.   Share with us via a email to info@nullwithalittlehelp.com, your stories of positive and unusual ways to celebrate a loved one’s life.

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THREE Upcoming LGBTQ Resource Fairs

April 17th, 2017

Snip of LGBTQ Resource Fair Flyer

With a Little Help’s 3rd Annual Care Conference March 8th & 9th, 2017

February 6th, 2017

Updated Poster


Sponsored by With a Little Help in Partnership with:
Care Partners and the Alzheimer’s Association

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alzheimers

CLICK HERE to Register Today for With a Little Help’s 3rd Annual Conference

As part of our commitment to provide excellent training for our caregivers and community, we have put together an exciting lineup of local and national speakers and topics for our 3rd Annual Care Conference-Providing Excellent Care in All Seasons on March 8th & 9th, 2017.

The three workshops each day hold valuable insight for several audiences: Family Caregivers, Professional Caregivers, Nurses, Care Managers, Social Workers, Discharge Planners, Nursing Home Administrators and Guardians. All classes are CE and CEU accredited for professionals.

Want to learn more about the basics of memory loss or how you can find creative ways to engage with the person you are caring for? Want a deeper understanding of the role movement has in making a difference for people living with memory Loss? Wish to learn more about the wide range of cultural preferences at as you approach end of life? Do you know who should have a POLST form why? Are you grieving after the loss of a client or loved one? Below we have a list of speakers and their topics to help you identify what classes will be most useful for you on YOUR journey.

One of our priorities is to be a great resource and at the conference you will enjoy rich displays from our exhibitors so that they can be a resource for you as well. Here’s just a taste of the vendors who will be there: CarePartners, The Alzheimer’s Association, EvergreenHealth, Providence, CESCO Medical, Washington Poison Center, American Parkinson’s Disease Association, and Seattle Parks and Recreation’s Memory Care Program.

Don’t miss this wonderful opportunity to hear both national and regional speakers presenting pragmatic strategies for anyone engaged in caregiving or serving older adults. Join us Wednesday and Thursday March 8 and 9 at the North Seattle College campus for a few laughs and lots of great information. All of our workshops are affordable at $15.00 per CEU, but if you take 3 or more they become $10.00 per CEU.

Conference Speakers and Presentations

Steve Overman
Dr. Steve Overman
Dr. Overman has been a rheumatologist, UW professor & researcher, expedition physician, HMO medical director, integrated care innovator, a Boy Scout Troop Master, author and bicycle commuter. He collaborated with patients to do a Discovery Channel Mystery Diagnosis program, to write a book and twice to cycle the Oregon for the Arthritis Foundation. Having helped his wife navigate stage III breast cancer, he is again refocused on patient advocacy and empowerment and musculoskeletal value-based care.

(1 CEU) Help Your Client – Help Your Doctor – Help Us All
Do you understand how our healthcare system is handicapping our country? Does your care experience add to or lessen this impact? Do you know how to prevent being discounted or dismissed in a doctor’s office, or what to do if you are? What can you do about the doctor burnout problem, the rising costs of care and our overall population health? Let’s increase our awareness of the roles each of us can play.

GinnyGinny Moore
After a 35-year career in the corporate graphic design field, Ginny Moore made the plunge from sitting behind a desk to sitting in front of a human being. She has worked for With a Little Help for over five years. “Caregiving is wonderfully rewarding and consistently challenging. It builds character. I consider it a spiritual practice.” She is the author of Don’t Make Lemonade: Leaning Into Life’s Difficult Transitions.

(1 CEU) Let’s Connect! Gain & Maintain a Rapport with Clients
You are knocking on the door of a new client. Your stomach is churning. How will this go? What do you say? How will you make a good first impression? Ginny Moore has answers for you. From her own and other caregiver experiences, she shares ways to hit it off with new clients. Learn the importance of connecting with your client, and three simple words to always keep in mind for every shift.


ScottJeretta Scott, MS, National Trainer and State Outreach Rep OEI/Captel
Jeretta has spent her career dedicated to seniors and training for 25+ years. For the past three years she has served as the State Outreach Rep and National Trainer for the CapTel Captioning Telephone for OEI. OEI provides Outreach, Education and Installation on behalf of the free federal program for the CapTel Captioning telephone.

Working every day all day with people who experience hearing loss I have had the opportunity to truly understand the impacts of hearing loss far beyond the person who wears hearing aids. Sharing about hearing loss beyond the medical aspect to raise awareness to this high impact low discussion topic needs to be given a voice. Many resources, technologies and amazing professionals exist to provide the quality of life all deserve regardless of how good ears are functioning.

Life BEYOND and BEHIND the Hearing Aid
In this presentation Jeretta will help us understand the non-medical affect that hearing loss has on both the person with hearing loss and the person caring and communicating with them. She will help us understand the social and cultural impacts of hearing loss and the communities affected. Jerretta will also provide us with resources and communication techniques to open up better lines of communication for all!

D DesonierDon Desonier
Don provides coaching and mediation services to caregivers and families of loved ones with Alzheimer’s disease or related dementias. He has a Certificate in Gerontology from the University of Washington. Don leads a dementia support group for men through the Alzheimer’s Association. He is also trained as an Elder and Adult Family Mediator, and has a Juris Doctor degree. More information on Don’s coaching and mediation practice can be found at:transitionsindementiacare.com

(1 CEU) Diffusing Conflict: The Magic of Listening and Language
Those who care for seniors – be they professionals or family members – want to provide the best, most loving and engaging care possible. We are all human, however, and thus conflict can often occur in interactions between the caregiver and the receiver of their care. Attendees will learn how empathic listening and the words they use are key tools to diffuse stress, anger, anxiety and fear.

M L PannenMary Lynn Pannen
Sound Options’ CEO and President, Mary Lynn Pannen, is one of the nation’s leading experts on Geriatric Management and Home Care for seniors and individuals with complex and wide- ranging needs. Her expertise and passion for quality care and advocacy makes her a well-known and resourceful voice and a sought-after speaker and advisor on both the local and national level. She has grown Sound Options into the largest private Care Management firm in Washington State.

(1 CEU) Music & The Mind
Caring for a loved one with dementia demands our creativity. In this presentation, learn how music can be an important tool for caregivers. See concrete examples of how music can increase quality of life and help connect individuals with dementia to their own story, their loved ones, and their community. You’ll take away resources along with the do’s and don’ts of making a playlist for your own loved one with dementia.

Siri McLean

Siri McLean, founder of Adelie Disaster Solutions, is a Certified Emergency Manager (CEM) with a passion to help people prepare for disasters and have fun doing it! She has spent the past 10 years working for both Microsoft and the University of Washington teaching personal preparedness classes, managing Emergency Operations Centers and facilitating disaster exercises. She has a master’s degree in Strategic Planning for Critical Infrastructure and is the co-founder of the Pacific Northwest Disaster Divas, a group of women emergency manager who mentor and support one another.

(1 CEU) Being Ready Matters: Preparing Yourself and Helping Your Clients
Over the past several years we have watched as earthquakes have devastated cities around the world and wondered could that happen here? The Pacific Northwest is not immune. It is not a matter of if, but when the next big one will strike. When it does will, you be ready? This training will identify the steps you can take to prepare yourself, your families and your home. Preparing for disasters can actually be fun!

Lisa SteubingCoach Lisa Stuebing founded Mud Puddle Fitness, a Medical Exercise practice. She is widely considered an industry leader in older adult health and wellness. Specialties include brain health, chronic pain management, movement disorders and fall prevention. She teaches for the Brain Injury Alliance of Washington, and speaks for the Arthritis Foundation and the American Heart Association | American Stroke Association. Coach Lisa is a member of the International Parkinson’s and Movement Disorder Society.

( 0.5 CEU) Feel Better, Move Better
These are exciting times in brain health. Scientists used to ask if the mind could change the brain. This is now widely accepted. It is even understood which circuit in the brain will help with both cognition and movement. In this fast paced session, learn easy, low cost activities to share with those in your care. Learn why these activities work. Challenge clients mentally, decrease falls risk (even seated) and stimulate muscle recruitment.

S CameronStephanie Cameron, RN
Stephanie is from the Pacific Northwest and has worked in the health care industry for 12+ years. She began her career as a caregiver and quickly discovered her passion for providing care for an aging population.

Stephanie began her care management career immediately after graduating from nursing school, and in 2015 she received her CCM (Certified Case Manager) certification. Stephanie is also a Certified Aging in Place Specialist and owner of Transitions Care Management.

(1 CEU) Keeping Your Client Safe & at Home
Stephanie Cameron, RN, CCM, CAPS and Amy Astle-Raan, MSW, Social Work Care Manager will provide hope, resources and support for caregivers in the role of assisting elders to safely preserve their independence at home. This “Aging in Place” workshop will cover the following topics and will include time for questions and answers:
• Basic fall prevention
• Managing and monitoring fluids, nutrition, sleep and medications
• Minimizing common causes of hospital readmissions
• Pressure ulcer prevention


S MehlStephanie Mehl RN, MS has served as a Clinical Liaison/Community Educator at Providence Hospice of Seattle for over 9 years helping patients and families make important end-of-life decisions. She has 30 years of health care and nursing experience with special expertise in palliative/end of life care, oncology, behavioral health/counseling, and clinical research. She has worked in several academic settings, including Memorial Sloan Kettering Cancer Center, Strang Cancer Prevention Center and the Fred Hutchinson Cancer Center. She is thrilled to be a witness to the positive changes occurring in how we deal with end of life in our culture and is committed to community action to further the cause.She received her BSN from the University of Vermont and an MSN from Hunter College in NYC.

(1 CEU) Who Should Have a POLST and Why (About that neon green form!)
“Having the Conversation” and advanced care planning is finally getting the attention deserved in order to assure people’s wishes are followed during serious illness and/or end of life. But what is a POLST and how does that relate to the discussion and advanced care planning documents?
This hour long seminar will provide an overview of the POLST or Physicians Order for Life Sustaining Treatment. The 5 W’s (what it is, why it exists, when to use it, where it should be kept and who should use it) will be explored. A review of the form and case studies will be offered and discussed.
It is the ethical and professional responsibility to help seriously ill folks improve the quality of their life and have control over their EOL care. Health Care workers have a duty to assure this document is at least addressed by patients and/or families and included as part of the care plan.

Trudy JamesProducer Trudy James is a graduate of the University of Kansas and of Union Theological Seminary in New York City. She is a long-time, interfaith hospital chaplain who pioneered the concept of faith-based Care Teams for persons living with AIDS in the South in the early days of the epidemic and later in Seattle. She worked as a chaplain at the Seattle Cancer Care Alliance for five years. After retiring, she created a business called Heartwork through which she has facilitated over 60 end of life planning groups called “A Gift for Yourself and Your Loved Ones.” The concept for Speaking of Dying grew out of those groups, Trudy’s life experience and her compassionate heart. She is grateful to Jennifer Jones, videographer and Catherine Wadley, editor, and to all who participated in the creation of Speaking of Dying. Trudy passionately believes that everyone has the right to a meaningful, peaceful ending.

(2 CEUs) Sad isn’t Bad–Supporting Yourself and your Clients in Times of Loss, Grief and Death.
Loss and death are natural, normal parts of aging. Working with older adults increases the frequency with which one encounters these experiences. When you lose someone, the day to day work continues, but you are affected in many ways. We need to understand the various aspects of loss and our own unique responses. We will learn how to support ourselves and each other when loss occurs and learn some of the tools and resources that can support us on this journey.


E Bass Award Winning – Sandglass Theater ‘s
Eric Bass, Performer

Co-Founding Artistic Director of Sandglass Theater
Eric has worked for thirty years as a director, playwright, performer, and mask and puppet maker. In 1982, he founded Sandglass Theater in Munich, Germany, with his wife, Ines Zeller Bass. As a director, Eric has worked in America, Australia, Poland, and Finland, as well as the United States. In 1991, he was awarded the Figurentheater Prize of the City of Erlangen, Germany for his contributions to the field of puppet theater. He directed The Story of the Dog, a collaborative piece between Sandglass Theater and Sovanna Phum Theater in Phnom Penh, Cambodia, which toured Cambodia in 2005 and premiered in the U.S. in the fall of 2006. He served for five years on the board of the Network of Ensemble Theaters. In 2010, Eric received the Vermont Governor’s Award for Excellence in the Arts.

I ZellerAward Winning Sandglass Theater ‘s
Ines Zeller
, Performer
Ines Zeller Bass, Performer, Co-Founding Artistic Director of Sandglass Theater
Ines has been performing with puppets since 1968, when she became a member of the Munich marionette theater, Kleines Speil. In 1978, she created her children’s hand puppet theater, Punschi, which has toured Europe and America. In 1982, Ines co-founded Sandglass Theater with husband Eric in Germany and moved the theater to Vermont in the mid-1980s. Ines is the Director of Sandglass Theater’s children’s programs, collaborates with Eric on all of the theater’s programming, works with local schoolchildren, and directs workshops and residencies for puppetry students. She is a UNIMA citation winner, and in 2010, received the Vermont Governor’s Award for Excellence in the Arts.

K MurphyAward Winning Sandglass Theater ‘s
Kirk Murphy, Performer
Kirk has been both puppeteer and administrator with Sandglass since 2006, when he joined Sandglass Theater’s collaboration with the Cambodian shadow puppet theater Sovannah Phum. He has also performed in Amanda Maddock’s Mrs. Wright’s Escape, Company of Strangers’ Styles Under Sky, and developed a small repertoire of short pieces. He is a certified facilitator of TimeSlips (a creative storytelling method designed to be used with people with dementia and their caregivers), and has been a part of the D-Generation project since its earliest stages.

(1.5 CEUs) Empower & Encourage Through Story Telling
This workshop, based on 2016 MacArthur Fellow award-winning Anne Bastings’ Timeslips, offers an elegantly simple revolution in elder care by infusing creativity into care relationships and systems. In a time when we deny aging and isolate our elders, TimeSlips provides hope and improves well-being through creativity and meaningful connection. Timeslips creative approaches are used in care communities, museums, libraries, senior centers, and individual homes throughout the world. It opens storytelling to everyone by replacing the pressure to remember with the freedom to imagine.
TimeSlips is evidence-based, award-winning, joyful and person-centered. And you can be too!

T HersheyJPGTerry Hershey
Terry Hershey is an author, humorist, inspirational speaker, dad, ordained minister, golf addict, and smitten by French wine. He divides his time between designing sanctuary gardens and sharing his practice of “the power of pause” and “creating sanctuary,” to help us rest, renew and live with intention. Most days, you can find Terry out in his garden–on Vashon Island in the Puget Sound—because he believes that there is something fundamentally spiritual about dirt under your fingernails.

Caring for Your Client (and Yourself) with Dignity!
(1.5 CEUs) Care of any kind—compassion, generosity, communication, reconciliation, service, ministry, teaching, giving—begins with and is nourished by self-care. Or in the words of Charlie Parker, “If it ain’t in you it can’t come out of your horn.” Care—creating a space with dignity—begins with the intentional choices we make about being present. About passion, grace, play, laughter and wholeheartedness. We make space to see and to be seen. We make space to welcome, to offer comfort and hope.

D HaackDavid Haack
Vice President, Sales and Marketing for Living Care Lifestyles
Founder of the Northwest LGBT Senior Care Providers Network

For over 30 years David has been an active part of the Long Term Continuum. His Experiences range from Skilled Nursing and Compliance Management, to Pharmacy Automation and delivery pharmaceutical, as well as Assisted Living marketing and Sales Management. During his tenor in the industry, he has always been committed to provided LGBT competency and education in all Long Term settings, and seven years ago started the NW LGBT Senior care Providers Network.

Providing LGBT Competent Care

You will gain a better understanding of the specific challenges that many of members of the LGBT Community face, as they begin to make decisions around securing housing and provision of care while living the best quality of life. You will walk away with practical knowledge of the sensitivity required to be in tune to the challenges not faced by many of their heterosexual counterparts. Learn to provide welcoming spaces and use appropriate language in your materials and training.



Shawn In the Roses - CopyShawn D’Amelio

Before joining With a Little Help, Shawn worked as a private care manager for a client with Alzheimer’s disease. This experience, as well as her ongoing journey with her own mother’s having dementia led her to With a Little Help where she enjoys working with a team of caring professionals dedicated to providing excellent care with the personal touch she values. Shawn enjoys the process of bringing resources and people together, creating relationships that give peace of mind to families and their loved ones. In her role as the Director of Business Development she is guiding growth while keeping With a Little Help’s vision in sight, making sure that every client and employee is treated with respect and dignity.
Education being a passion for Shawn, she serves as Vice President for the Washington Home Care Association and after serving as chair for the statewide conference Blooming with the Boomers she has now turned over the reins and is now happily the Co-Chair. Shawn also serves on the EvergreenHealth Seasons of Hope Fundraising Committee which raises money to support their Palliative Care and Hospice Programs. Shawn proudly sits on the steering committee for The Art of Alzheimer’s.

N EtienneNikki Etienne
Nikki Etienne is the Client Care Manager at Home Instead Senior Care in Tacoma. Her experience is extensive, having grown up in industry. So Nikki has seen a lot. Her intention is to make sure each client has just the right caregiver in the home and encourages her caregivers to think outside the box to give them the best opportunity to connect with their clients.

(Fun & useful only, no CEU) Watch’ya Got In Your Trunk?
Shawn & Nikki will tag team on this fun topic! Are you prepared for every client every time? What do you always take with you? Running out of ideas for clients? Wish you could be a little more creative or change it up with your clients every now and then? Then come to Watchya Got In Your Trunk and we’ll see if you got the right stuff or if you could use some more items in your car.

J Maher

Joanne Maher, MSW, joined the Alzheimer’s Association, Washington State Chapter, in 2006. She holds a Masters in Social Work from the University of Washington. Joanne has 20 years of professional experience working with diverse adult populations in different settings. As Director of Programs and Services at the Chapter, she leads a team of professionals in 6 departments that work directly with families, friends, and relatives of persons experiencing memory loss, as well as those individuals with Alzheimer’s and related dementias. Ms. Maher works closely with academic communities, government agencies, and other social service providers throughout the State.

In addition to her work at the Alzheimer’s Association, Joanne serves on a number of community-based committees, and is actively involved in the planning of a several yearly conferences related to dementia, aging, and caregiving issues.
(1 CEU) The Basics: Memory Loss, Dementia and Alzheimer’s disease
Is dementia a normal part of aging? What is the difference between Alzheimer’s disease and dementia? This class will answer these questions and cover the basics, including risk factors, diagnosis, stages of Alzheimer’s, treatments, and resources. We will also discuss the benefits of early detection.
The one-hour class briefly reviews risk factors, types of dementia, and how the brain is affected by Alzheimer’s disease.


D OilandDonna Oiland

A certified laugh leader with the World Laughter Tour, Donna is skilled at creating great workshops for Cancer Lifeline, Swedish Hospital and EvergreenHealth. Training hospice volunteers for EvergreenHealth Hospice is a passion. Donna is a longtime member of the steering committee of the Washington End of Life Coalition an ad hoc committee of the Washington State Medical Association. She sits on Board of Directors of the Faith Community Nurses and Health Ministers Northwest and speaks for the Northwest Christian Speakers Bureau as well as the Snohomish County Health Leadership Coalition and is a trained facilitator with Honoring Choices PNW, an initiative of the Washington State Medical Association and the Washington State Hospital Association.

(0.5 CEU) The Serious Subject of Laughter
In a society where our right to the pursuit of happiness it appears to have become an obsession and the mindset of “hurry, worry, more, bigger, and faster” seems to occupy our thoughts, the subject of laughter and its benefits are often overlooked. We have been told that laughter is the best medicine but, unlike our commitment to take medication it is often left out of our daily routines. How do we change that?


S McLaughlin
Sally McLaughlin MA, is the Executive Director for End of Life of Washington and travels the state giving presentations on the many services provided by the non-profit organization: the Advance Directive for Health Care, the Alzheimer’s Disease & Dementia Mental Health Advance Directive, Washington State’s Death With Dignity Law, as well as a wide array of end-of-life choices.

(1 CEU) Cultural Perspectives on Death

Sally will provide an overview of dominant versus non-dominant cultural perspectives on death and dying. She will examine how these attitudes impact patients’ families, caregivers, and medical personnel intimately involved in patient care. The importance of language in the death and dying process, how anticipatory grief is expressed and addressed, and cultural sensitivities to the patient’s situational awareness and end-of-life wishes are among the pertinent topics we will explore.


K PetersonKavan Peterson

A journalist, entrepreneur and long-term care reform advocate, Kavan is co-founder and director of Dr. Bill Thomas’ ChangingAging Blog and Tour and president of Montana-based Harvest Home Care.

Kavan has worked on the cutting-edge of long-term care culture change with leading companies such as Amazon, AARP, Robert Wood Johnson Foundation, and The Green House Project. By tapping inter-generational wisdom, his innovative approaches to community building are revolutionizing home and community based services.

(1 CEU) Unleashing Your Potential on a Care Team
Do you sometimes feel isolated and alone in the world of caring? Wishing you had better tools to coordinate and collaborate with?
Discover and overcome by tapping into and unleashing the collective intelligence of the entire carepartner team, including care managers, social workers, staff and clients. This participatory workshop will introduce you to a simple set of tools to do exactly that.

R Crichton
Rebecca Crichton, Executive Director of Northwest Center for Creative Aging (NWCCA) has facilitated groups and workshops related to Positive Psychology and Creative Aging for many venues in the Seattle area. She has Master’s degrees in Child Development and Organizational Development and is a Certified Coach. She retired after 21 years at Boeing for 21 years as a writer, facilitator and curriculum designer. Heading up NWCCA is her ‘Encore’ Career.

(1 CEU) Happiness Is An Inside Job
Findings from research in Positive Psychology and Neuroscience demonstrate that positivity, gratitude and kindness are good for our health and well-being. We will learn some of the tips and tools researchers have shown can make us feel hopeful, happy and satisfied. While we each have a unique path to achieving well-being, we can learn from each other and share what works. And here’s a hint: learning and sharing are essentials for your happiness toolbox!



L A Kister

Lynn Ann Kister
Lynn Ann Kister has been a caregiver at With A Little Help for the past 8 years. For the past two years, she has been a certified Positive Approach to Care Trainer. Positive Approach to Care is a dementia care training method developed by the Occupational Therapist, Teepa Snow. Lynn Ann is also a professional writer & a landscaper. She enjoys singing & meditating in her spare time. She resides in Seattle with her husband, Michael Davis.

(1 CEU) Successful Approaches for People Living with Dementia
Participants will learn vital tools to successfully & skillfully approach people living with dementia. They will learn how to incorporate Teepa Snow’s Hand under Hand© and Positive Physical Approach© into their daily routine with clients living with dementia. There will be opportunities to practice these approaches ‘hands on’ during the workshop. There will also be basic education about dementia.

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