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Effect of the Service of Family of Wisdom for People with Dementia and their Caregivers 瑞智互助家庭之成效 L.-Y. Tang 1,* , P.-C. Wu 1 , H.-J. Lee 1 , T.-C. Wen 1 , M.-J. Chiu 2 1 Taiwan Alzheimer's Disease Association, 2 Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan 28 th International Conference of Alzheimer’s Disease International 20130419

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Page 1: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Effect of the Service of

Family of Wisdom for People with

Dementia and their Caregivers

瑞智互助家庭之成效

L.-Y. Tang 1,*, P.-C. Wu1, H.-J. Lee 1, T.-C. Wen 1, M.-J. Chiu 2 1Taiwan Alzheimer's Disease Association, 2Department of

Neurology, National Taiwan University Hospital, Taipei, Taiwan

28th International Conference of Alzheimer’s Disease International 20130419

Page 2: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Why Fa ily of Wisdo ?

After using the service of School of

Wisdom, caregivers said

Is there any place we can come and join

activities together? We do ’t eed staff, just us (people with dementia and their

family caregivers) House of Former President of Taiwan

Page 3: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Create a familiar and

meaningful environment

for people with dementia

Page 4: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 5: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 6: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 7: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 8: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Create a safe environment

for people with dementia

Page 9: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

安 全 : 防跌, 防走失..

Page 10: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 11: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Hand rail

Page 12: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 13: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Non-slippery

Toilet

Page 14: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Barrier-free

Page 15: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Create an environment

people with dementia

could participate in

Page 16: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Cue / Sign Big & clear

Page 17: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Cue / Sign Big & clear

Page 18: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Cue / Sign good contrast

Page 19: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Cue / Sign good contrast

Page 20: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Diminish the glare/ confusion

Page 21: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

去除反光

Page 22: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 23: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Create an environment

people with dementia could

participate in

--Space for activities

Page 24: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 25: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 26: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 27: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 28: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 29: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 30: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 31: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效
Page 32: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Family carers share experience

Page 33: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Therapeutic Garden

Familiar and nontoxic plant, sensory stimulation

Page 34: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Therapeutic Garden

Page 35: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Therapeutic Garden

Page 36: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Family of Wisdom

• Group Size:30 pairs (people with dementia

and their caregivers)

• Time for FOW:1-4 days a week,10am-4pm

• Programs:Kara-OK、Mahjong、Yoga、cooking etc. without schedule

• Staff:One social worker

Page 37: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Feedback after joining Family of

Wisdom--People with dementia

• Love to come to FOW

• Feel relaxed and happy in FOW

• Feel free to participate in different

activities

Page 38: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Feedback after joining Family of

Wisdom--Family Caregivers

• Feel relaxed in FOW

• Feel very happy and enjoy the time in FOW

• Feel not alone in the journey of caregiving

• Love to share experience with other caregivers

• Learn from each other

• More confident to take care of PWD

Page 39: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Feedback after joining Family of

Wisdom--Family Caregivers

• The relationship between caregivers is just like

family member.

This is my second HOME

Page 40: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

17.6

17.8

18

18.2

18.4

18.6

18.8

19

1 2 3

Me

an

Sco

re

ADAS-Cog

Change of ADAS-Cog Score

after Jointing the Program

Page 41: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

1 2 3

Me

an

Sco

re

Beh-AD

Change of Behavior-AD

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0

5

10

15

20

25

30

35

40

1 2

Me

an

Sco

re

Change of Caregivers’ Burden

Page 43: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Service Satisfaction

The three top satisfaction items:

1. The atmospheres in FOW(78%)

2. A space for social interaction(72%)

3. Respite and experience exchange(67%)

Global Satisfaction

—100% Satisfied

Page 44: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Interaction with community

• Elementary School

• Key person of community

From Family of Wisdom

Dementia Friendly Community

Page 45: ^Family of Wisdom for People with Dementia and their ... · Effect of the Service of ^Family of Wisdom _ for People with Dementia and their Caregivers 瑞智互助家庭之成效

Thank You!