AgeSong Guru Week Video: AgeSong Interns Discussion with Guru Project Doctors

The AgeSong Guru Week Video: AgeSong Interns Discussion shares a discussion between AgeSong Interns and Guru Project doctors Dr Richard Taylor, Dr Allen Power and Dr Nader Shabahangi. This group session of AgeSong’s Guru Week includes discussion about how to look at Forgetfulness (Dementia/Alzheimer’s) from different perspectives, how to have a different viewpoint about the behaviors associated with Forgetfulness,  how to continue to evolve therapies and treatments for Forgetfulness and how to reduce stigma associated with Forgetfulness.

From an AgeSong Guru Project perspective Dr Taylor, Dr Power and Dr Nader Shabahangi talk with the AgeSong Gero-Wellness Interns on how “Forgetfulness” affects the patient and how to interpret the behaviors.

Dr Richard Taylor talks about being a person who has been diagnosed with “forgetfulness,” dementia of the Alzheimer’s variety. The AgeSong interns ask him questions regarding what he experiences. He talks about how the changes in his brain and learning to live with them. His insightful talk covers his experiences of the fear and frustration that accompanies the changes that happen in a persons brain. He gives these as examples of the types of things that can be behind what are called the “acting out behaviors.”

Dr Allen Power adds to the discussion by suggesting a talk about “terminology.” The APA in recognizing the stigma attached to the term has dropped “Dementia” from DSM-5 and is now using “Major and Minor Cognitive Disorders.” At AgeSong they use the term “forgetfulness.” In writing his first book, “Dementia Beyond Drugs” he rewrote the definition of ‘Dementia” because he acknowledges the stigmas around the words we use “behavior problems,”  “acting out” are so powerful he believes that the make it difficult to see new solutions. In his book he re-defined it as a “shift in the way a person experiences the world around her or him.” Because this discussion is with the Gero-Wellness interns Dr Power jumps ahead into the more person-center approaches. He discusses the “Needs Based Dementia Compromised Behavior Model.” That basically says when people have expressions or actions it is often the result of unmet needs. Dr Power suggests that might not cover it completely…what about aesthetic enjoyment? If you just use this model and you have Alzheimer’s then everything you do gets pathologized as unmet needs. Dr Power suggests a model he has been working with which is a modified version of Maslow’s Hierachy of Needs. He goes through the pyramid diagram and describes his thoughts on the “needs.”

Nader talks about taking cues from the Existential Humanistic Psychotherapy model and not do psychotherapy as cognition but as emotion. Dr Shabahangi suggests that one of the gift sthat people with forgetfulness can bring in our lives is to give us the opportunity to be able to live more emotionally in the moment and not so much in our cognitive mind.

The AgeSong Interns and Guru Project doctors continue the topical discussions touching on more subjects  including dealing with our aging society, the changes that have occurred within the last 30 years in psychology, the challenges inherent in Existential Humanistic based eldercare.

The last 25 minutes of the video is a fantastic back and forth between the AgeSong Interns and doctors.

See the other Guru Week videos here on the AgeSong Video Library page.

The AgeSong Guru Project

The AgeSong Guru Project is a year-long initiative which focuses on comprehensive care partnerships with elders to understand need-driven behaviors and minimize risky use of psychotropic medication.

To complete this project AgeSong has engaged in a partnership with Psychiatrist and Pacific Institute board member Dr. Richard Patel; Geriatrician, Dr. Allen Power; and Psychologist, Dr. Richard Taylor.
“I am honored to have the opportunity to partner with three of the industry’s leading experts in the area of mental health to thoroughly explore the approach of care for those who are in various stages of forgetfulness, what is commonly diagnosed as Alzheimer’s and/or Dementia, with reduced use of medications,” AgeSong CEO and founder, Dr. Nader Shabahangi said. “The AgeSong Guru Project will focus on learning directly from elders who are living with the changes brought on by forgetfulness (Alzheimer’s/Dementia). Much of the industry resources focus on “instant gratification” medications that often restrict the life of the person, whose lifestyle is shifting due to mental and physical changes. This project is solely based on what elders verbal and non-verbal communication is trying to tell us. We will look at any behavior as an expression of need we, the observers and care partners, must explore and understand more deeply.”

Find out More!

Read more stories about the AgeSong Guru Project

Explore more videos in the AgeSong Video Library

 

AgeSong Guru Week Community Discussion on Forgetfulness Care video

AgeSong Guru Project partners, Dr.’s Richard Taylor and Allen Power, engage in a roof-top AgeSong Guru Week Community Discussion on Forgetfulness Care (Dementia/Alzheimer’s) at AgeSong’s Laguna Park residence. The open group forum includes AgeSong Community Residents, CarePartners and Interns from the AgeSong GeroWellness program.

 

AgeSong Guru Week Community Discussion on Forgetfulness Care

The video opens on a frank discussion starting with Dr. Richard Taylor. Included in this group discussion are AgeSong Residents, AgeSong CarePartners and AgeSong GeroWellness Interns. The participants share views both from the caregiver’s perspective and from the perspective of those with varying levels of forgetfulness (dementia/Alzheimer’s). Topics include the types of things we can do in a community like this that will give resident’s the fullest life possible, regardless of their mortality or abilities. The residents, interns and doctors discuss truth-telling in care, white lies, communication, being “present” with patient, labels and stigma associated with forgetfulness, dementia and aging.
What are the types of things we can do in a community like this that will give resident’s the fullest life possible, regardless of their mortality or abilities?

 

The AgeSong Guru Project

The AgeSong Guru Project is a year-long initiative which focuses on comprehensive care partnerships with elders to understand need-driven behaviors and minimize risky use of psychotropic medication.

To complete this project AgeSong has engaged in a partnership with Psychiatrist and Pacific Institute board member Dr. Richard Patel; Geriatrician, Dr. Allen Power; and Psychologist, Dr. Richard Taylor.

“I am honored to have the opportunity to partner with three of the industry’s leading experts in the area of mental health to thoroughly explore the approach of care for those who are in various stages of forgetfulness, what is commonly diagnosed as Alzheimers and/or Dementia, with reduced use of medications,” AgeSong CEO and founder, Dr. Nader Shabahangi said. “The AgeSong Guru Project will focus on learning directly from elders who are living with the changes brought on by forgetfulness (Alzheimers/Dementia). Much of the industry resources focus on “instant gratification” medications that often restrict the life of the person, whose lifestyle is shifting due to mental and physical changes. This project is solely based on what elders verbal and non-verbal communication is trying to tell us. We will look at any behavior as an expression of need we, the observers and care partners, must explore and understand more deeply.”

Dr. Richard Taylor

Dr. Richard Taylor is a retired psychologist and author of “Alzheimer’s from the Inside Out.” As a doctor with dementia himself he has experienced not only the change of state that happens internally but that which happens in external relationships also. He has experienced the change that occurs within the circle of family, friends as community. Dr. Taylor eloquently discusses his experience of living well with dementia.

Dr. Allen Power

Dr. Allen Power, is a board certified internist and geriatrician, clinical associate professor of medicine at the University of Rochester. Dr Power is the author of paradigm shifting books including “Dementia Beyond Drugs: Changing the Culture of Care” and the latest, “Dementia Beyond Disease.” As a practicing internist he discovered he was questioning the paradigm and efficacy of just using medication to treat dementia;that perhaps the “deficit-based view that focuses on neuropathology and tends to blame brain disease for distress” is not the best care paradigm for these patients. Instead he suggests: “the experiential approach holds that the best way to care for a person living with dementia is to understand them as a person and their individual experience; so I use the very holistic definition that “Dementia is a shift in the way a person experiences the world around her/him.” This idea of changing perspective is something to which we all can relate, and this commonality helps us build a bridge to better understand the person’s needs.”

Find out More!

Read more stories about the AgeSong Guru Project

Explore more videos in the AgeSong Video Library

AgeSong Guru Week Biomedical Convention video

AgeSong invites Dr Richard Patel, Dr Allen Power and Dr Richard Taylor with Dr Nader Shabahangi to present at The AgeSong Guru Week Biomedical Convention to discuss insights into different perspectives on forgetfulness, Alzheimer’s and dementia care. The Biomedical Convention of the partners in the Guru project explores different viewpoints of Forgetfulness, Alzheimer’s and Dementia care with a focus on well-being and enablement.

The AgeSong Guru Project sponsors AgeSong Guru Week Biomedical Convention Presentation with Dr Richard Patel, Dr Allen Power, Dr Richard Taylor and Dr Nader Shabahangi.

The purpose of the AgeSong Guru Project, a year-long initiative, is to look at creating comprehensive care partnerships with elders to understand need-driven behaviors and minimize risky use of psychotropic medication. Not using a text-book to learn about a patient but having the patient be the textbook and teach us what they need. This is contrary to the trend of treating these individuals from a deficit-based perspective. This perspective looks at helping people with changing cognition have more comprehensive care that allows them to be enabled and re-enabled.

Dr Richard Patel

Dr Richard Patel is a professor at USCF in Psychiatry, works at San Francisco General in Psychiatry and Neurology in the ER and is in private practice. His experiences in these areas have lead him to the belief that patient care is about the whole person. And comprehensive care is about the friends, family, community and environment around the person.

Dr Allen Power

Dr Allen Power, is a board certified internist and geriatrician, clinical associate professor of medicine at the University of Rochester. Dr Power is the author of paradigm shifting books including “Dementia Beyond Drugs: Changing the Culture of Care” and the latest, “Dementia Beyond Disease.” As an internist he had been prescribing psychotropic medications to his patients. In his practice he discovered that he was questioning the efficacy of a medication-focused perspective. He started to believe well-being is more important than taking a deficit-based approach. He shares insights from his experiences.

Dr Richard Taylor

Dr Richard Taylor is a retired psychologist and author of “Alzheimer’s from the Inside Out.” As a doctor with dementia himself he has experienced and discusses some of the fundamental changes that happen in the process. He talks not only the change of state that happens internally but that which happen in external relationships also. He has experienced the change that occurs within the circle of family, friends as community. Dr Taylor eloquently discusses his experience of living well with dementia.

Dr Nader Shabahangi

Dr Nader Shabahangi, AgeSong CEO and founder, is a licensed psychotherapist. He is founder of Pacific Institute, a non-profit that offers innovative forgetfulness (dementia) and eldercare and has with the Pacific Institute Internship team,  implemented the Gerontological Wellness Program (GeroWellness Program.) Dr Shabahangi in his work with AgeSong advocates for a shift in focus from labels for patients with changing cognition. At AgeSong they refer to patients with changing cognition such as Alzheimer’s and dementia as experiencing “forgetfulness.” This change to a broad non-clinical description is reducing the stress and stigma in the associated care of the individual. The AgeSong vision is one of a humanistic and whole-person approach to the culture of care provided within AgeSong residences and programs.

The speakers at the Biomedical Convention of the AgeSong Guru Project speak about comprehensive care partnerships with people who are experiencing changing cognition. The goal is understanding the need-driven behaviors and minimizing risky use of psychotropic medication. The talk covers forgetfulness, dementia, dementia care and the importance of changing the culture of care. Included are the personal insights offered from Dr Taylor from the perspective of an individual who is working to achieve a state of  “living well” with changing cognition in the world as it exists today.

Find out More!

Read more stories about the AgeSong Guru Project

 
Explore more videos in the AgeSong Video Library

Related Posts:

Dr Allen Power presentation: The Biomedical View vs the Experiential View in Dementia Care video

Dr Allen Power with Nader Shabahangi presentation: Dementia Beyond Disease video

The Cure for Dementia

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The Cure for Dementia – Caring for Those with Forgetfulness
GUEST SPEAKER:  Nader Shabahangi, Ph.D.
Tuesday, March 12th (9 – 11 am),  Shadelands Arts Center, 111 North Wiget Lane, Walnut Creek, CA 94598

 

 
Dr. Shabahangi is the CEO and founder of AgeSong and founder of Pacific Institute, a non-profit organization dedicated to training professionals and students in existential, phenomenological methods of working with people.

Also joining Dr. Shabahangi are Pat Fox, UCSF professor who has researched Alzheimer’s for three decades, and Ed Voris, who has been diagnosed for five years with dementia. Pat, Ed and Dr. Shabahangi co- wrote a book together called “Conversations with Ed”.

Meeting Agenda
8:30 Refreshment set-up
9:00 Networking
9:15-10:15 Speaker
10:15-10:30 Q & A
10:30-10:45 Go around
10:45 Wrap up(If you would like to become a refreshment sponsor we ask that you would please arrive by 8:30am to set- up)Please email us at: share.eastbay@gmail.com if you are interested in becoming a Meeting Sponsor ($100 donation) or Refreshment Sponsor for future SHARE Meetings.FUTURE SHARE MEETINGS FOR 2013: March 12th, July 9th, Sept. 10th, Nov. 12th
All County Day is May 8th (info. to follow next month)

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c/o Lydia Carson & Kelly Miller
Visiting Angels Living Assistance Services
lcarson@jmhomecare.com;
kmiller@jmhomecare.com
(925) 552-6500

For more information, visit the S.H.A.R.E. blog at SHAREEastBay.blogspot.com.

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HEAR! HERE! NOW!

Why do we and our clients benefit by optimum hearing? Did you know there is a direct link between hearing loss and dementia? In a recent study conducted at John Hopkins researchers found that people who are hard of hearing have increased odds of developing dementia as they age, and the worse their hearing, the greater their risk. However, and this is the crucial part, that same report goes on to state that “hearing aids…could delay or prevent dementia by improving patients’ hearing”. MORE…

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