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Depression in Dementia A DVD-Based Curriculum. Improve recognition and management of depression co-occurring with dementia in nursing home residents. . Goal of the Curriculum. Audience. Primarily long-term care nurses (LPNs and RNs) Examples of others who will benefit Social workers

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Presentation Transcript
Improve recognition and management of depression co-occurring with dementia in nursing home residents.

Goal of the Curriculum

  • Primarily long-term care nurses (LPNs and RNs)
  • Examples of others who will benefit
    • Social workers
    • Activity Therapists
    • Students from a variety of disciplines
benefits to your facility
Benefits to your facility

Benefits of using this DVD in your facility

  • Provide better care
  • Reduce risk of liability
  • Protect resident health
prevalence of the problem
Prevalence of the Problem
  • Increasing number of residents with dementia
  • Estimates of dementia and depression occurring together are as high as 87%

Significance of the Problem

  • Residents with both dementia and depression:

- have the highest care requirements

- have the highest rates of hospitalization - have the greatest number of co-morbidities

decreased quality of life
Decreased Quality of Life

Depression in residents with dementia is associated with

  • increased disability
  • more functional and behavioral problems
  • greater prevalence of pain

Consensus Statement

“Consensus Statement on Improving the Quality of Mental Health Care in US Nursing Homes”

American Geriatrics Society and American

Association for Geriatric Psychiatry (2003)



  • Screen residents with dementia
  • Refer to mental health professionals
  • “Best Practice”
    • Nonpharmacological interventions &
    • Antidepressants
  • Communication
research opportunities
Research Opportunities
  • Your facility can become a PICS Research Partner
  • Benefits of participation
  • Ways to participate
regulations and requirements
Regulations and Requirements

Centers for Medicare and Medicaid Services reports:

  • Facility-specific rates of depressed or anxious worsening as one of the 10 long-stay quality measures for nursing home residents.
preliminary data
Preliminary data
  • Focus group data
    • Nurses from 2 nursing homes
      • Liked enactment of every day situations
      • Improved awareness and knowledge about depression in dementia
Will assist nurses to achieve 3 competencies:

(1) Recognize depression in residents with dementia;

(2) Manage depression in dementia; and

(3) Communicate effectively regarding depression in dementia.


learning objectives for competency 1 recognition
Learning Objectives for Competency 1 Recognition
  • prevalence and significance of the problem
  • mood-related terminology
  • differentiate between depression, dementia and depression in dementia

Learning Objectives for Competency 2

Manage Depression in Dementia

  • Data collection, reporting, documenting
  • Identify behavior positive/negative affect and mood.
  • Take action to improve care

Learning Objectives for Competency 3

Communicate Effectively re: Depression in Dementia

  • Communicate with interdisciplinary team
  • Communicate with resident
  • Communicate with family
learner guide
Learner Guide
  • Description of the DVD
  • Curriculum Overview
  • Outlines of modules
  • Care studies
  • Glossary of terms
  • Feedback form
facilitator guide
Facilitator Guide
  • Purpose, Goals, and Objectives
  • Procedures for Implementation
  • Case Studies with Discussion Questions
  • Competencies and Methods of Assessment
evaluation feedback
  • Pre and Post Tests
    • Evaluation of knowledge of Depression in Dementia content
  • Case studies and discussion questions
    • Evaluation of application of knowledge and achievement of competencies

Take-Away Message

  • Use of this module
    • Improves
      • Staff knowledge about residents psychosocial needs
      • Care provided
      • Resident quality of life
    • Meets training requirements