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Seminar Detail

Dementia: Individualized Care Techniques to Support Nourishment and Hydration

Friday, March 29, 2019 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

Join world renowned dementia expert and author, Teepa L. Snow, MS, OTR/L, FAOTA, for this engaging workshop as you explore the depth and breadth of change that various forms of dementia have on the person’s interest in and ability to consume food and drink – for enjoyment and survival. During this highly interactive workshop, you will learn the skills necessary to design and implement programs that serve your client to optimize remaining abilities and capacities while respecting and acknowledging the limitations that this neurodegenerative condition ultimately has on the person.

Drawing on over 30 years of clinical experience and research with dementia, Teepa will teach you practical and useful strategies and techniques to maximize functional performance, engagement and safety. You will walk away with screening and assessment maneuvers, environmental and programming modifications, ability-based cueing and assistance from first symptoms to end of the life considerations, and will immediately be able to make a positive and valuable difference in the lives of people living with dementia whether -

  • guiding in food and drink preparation during early stage situations
  • fostering item selection and supported intake in mid-stages
  • offering moisture and tastes for sensory satisfaction only at life’s end


  1. Articulate dementia’s effect on appetite, nutrition, hydration, meal prep and eating as it relates to intervention planning.
  2. Recognize the cause/effect of various changes in neurological processing, both cortical and sub-cortical, that affect the client’s oral intake and hydration.
  3. Identify the changes in the client’s physiological function, perceptions, abilities, and interests that are caused by advancing dementia as they affect appetite, eating, drinking, intake and elimination.
  4. Utilize dynamic screening skills to determine client’s state of cognitive abilities and functional capacities related to eating or drinking.
  5. Connect common concerns at early, middle, late and end of life stages of dementia to intervention planning that address the client’s interest in and ability to consume food and drink at these stages.
  6. Assess whether nutrition and eating support is being optimized at each dementia level based on the client’s abilities, needs and disease.
  7. Utilize techniques and strategies when nourishment and hydration is no long the goal in end of life stage of dementia.

Dementia’s Effect on Appetite, Nutrition, Hydration, Meal Preparation and Eating
  • Our relationship with food, drink, meal preparation and eating from multiple aspects:
    • Cultural
    • Social
    • Individual
    • Sensory
    • Spiritual
    • Emotional
    • Physical
    • Physiological
  • Value and meaning of food and drink that affect behaviors related to food and intake
  • Assessment tools to personalize behavioral interventions
Impact of Dementia on Changes in Brain Function
Screen for visual, auditory, sensory-motor, olfactory and gustatory sensory intake
Processing changes at various stages of dementia
Cognitive skill alterations that affect independence, interest and engagement:
  • Time awareness
  • Problem solving
  • Memory
  • Impulse control
  • Situational awareness
  • Sequencing
  • Language processing
Ability-based and Cognitive Disability Evaluation Tool - GEMS® Model
Provides common language and a framework to modify expectations and environments for:
  • Early Stage (Diamond)
  • Moderate Stage (Emerald)
  • Moderately Severe Stage (Amber)
  • Severe Stage (Rubies)
  • Extreme Stage (Pearls)
Techniques to Develop Skills that Optimize Successful Nourishment and Hydration
  • Structured initiating to promote active participation and limit refusals
  • Verbal statements to promote choice, self-direction and task initiation
  • Cueing sequences with graded options for each GEMS® state
  • Support attempts, focus attention, automatic reactions and reflexes
  • Minimize distractions and passive feeding behaviors
Strategies to Enhance Nourishment and Hydration in Early to Late Stage
  • Guide meal selection, settings and routines in combination with each GEMS® state
  • Limit refusals, negative reactions, over or under eating or drinking
  • Cues, routines, communication and interaction skills to optimize performance
  • Social, physical, and sensory environmental features that foster or impair optimal function
  • Environmental settings/situations to address probable areas of concern
  • Create individualized care programs to provide optimal support for you
  • Members of a support team: The role of each person/discipline
Life is Ending: The Role of Food and Drink
Physical, behavioral, and physiological changes that typically signal the ending of life
  • Interaction skills that support the exploration of:
    • Personal beliefs about life sustaining measures
    • Personal choice
    • Offer versus push
    • Value and meaning of food and drink
    • Eating by mouth versus artificial hydration and nourishment
  • Offering techniques that differentiate between lack of ability to make use of the nourishment and hydration vs. inability to understand the offer of food or drink
  • Techniques and strategies when nourishment and hydration is no longer the goal
Target Audience

  • Social Workers
  • Nurses
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Physical Therapists
  • Physical Therapy Assistants
  • Speech-Language Pathologists
  • Counselors
  • Nursing Home Administrators
  • Senior Living Professionals
  • CNAs


Teepa L. Snow, MS, OTR/L, FAOTA, is a leading expert on dementia with over 30 years of clinical experience, medical research and trainings. Her company Positive Approach® is an international dementia care training, education and consulting organization that provides care techniques and training models used by clinicians and families working or living with dementia or other brain changes throughout the world. Teepa’s care strategies and techniques integrate therapeutic approaches that foster positive outcomes, modified environmental support and expectations that match retained abilities of people living with dementia. She provides direct care in community and wellness centers, day programming sites, home care settings, assisted living and CCRC communities, long term care facilities, out-patient clinics, hospitals and rehabilitation settings.

Teepa teaches about the value of connection, particularly when primary verbal communication and interaction abilities are altered. Her teaching style is extraordinarily unique in that she is able to accurately demonstrate and model the struggle and challenges dementia creates for all parties involved. She is an enlightening, witty, entertaining, and energetic speaker, who is much sought after to present to agencies and organizations across the U.S and Canada.

Teepa has clinical appointments with Duke University's School of Nursing and UNC-Chapel Hill's School of Medicine. She works with the CMS INTERACT program and is an active member of the US Dementia Action Alliance. Teepa has worked as an OT director in a head injury facility, a clinical specialist in geriatrics for a Veteran’s Administration Medical Center, and a therapist and restorative care coordinator for long term care facilities. She has served as the director of education and lead trainer for the Eastern N.C. Chapter of the Alzheimer’s Association, as the program director of Durham Technical Community College's, OTA program, as an interdisciplinary team member and clinical associate professor at UNC-CH School of Medicine's Program on Aging, and as a coordinator and care manager for CAP Medicaid waiver services in NC. Teepa has served in a wide variety of leadership and advisory positions in professional organizations at both state and national levels, including the Alzheimer's Association, Alzheimer's Foundation of America, AOTA, and NBCOT.

Speaker Disclosures:

Financial: Teepa Snow is in private practice. She receives a speaking honorarium from PESI, Inc.

Non-financial: Teepa Snow is a member of the NC Coalition for Long Term Care Enhancement; American Occupational Therapy Association; North Carolina Occupational Therapy Association; North Carolina Assisted Living Association; and Friends of Residents in Long Term Care.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

This seminar includes 1.0 hours of general ethics instruction. If ethics is not specified within your licensing board’s approval statement below, please contact your board to determine the applicability and amount of ethics allowed.

This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

Massachusetts Counselors: CE credit is available. This program has been approved for 6.25 Category I MaMHCA/MMCEP hours for re-licensure, in accordance with 262 CMR. Expires: 2-20-2020. Full attendance is required; no partial credits will be offered for partial attendance.

Registered Dietitians & Dietetic Technicians
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PESI, Inc. PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2019 through June 30, 2022. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 6.0 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This program/material is designated as LEVEL 2.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
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PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.

Nursing Home Administrators
This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 6.25 clock hours and 6.25 participant hours. Full attendance is required; no partial credits will be offered for partial attendance.

Occupational Therapists & Occupational Therapy Assistants
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

Physical Therapists & Physical Therapist Assistants
This activity consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary per state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Speech-Language Pathologists

This course is offered for .6 ASHA CEUs (Intermediate level, Professional area).

** Please note that Speech-Language Pathologists must complete the post-test and evaluation within two weeks of attending the live event if they would like their participation submitted to the ASHA CE Registry. Detailed instructions will be provided the day of the program under the Handouts section of the online program.

Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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