At NCI we help our clients develop scientifically oriented and profit driven outpatient Cognitive Disorders programs. We offer turn-key solutions providing all the start-up and development necessities required for state and federal compliance and day to day operations. Administrative and clinical staffing services are also offered.
NCI’s In-house Dementia ProgramTM is a 24/7 program. It was developed based on the clinical research in residential dementia and brain injury rehabilitation. We currently operate several In-house Dementia Programs and each program is modified to meet the financial, staffing and other specific requirements of the facility. These programs are applicable to long-term care / dementia units and geropsychiatry units.
“Hand in hand” with this service we also offer Unit Design consultation services designed to lower staff to patient ratio and lower costs.
Here is a template example of an In-house Dementia Program. Please note ‘CBTs’ are Certified Nursing Assistants that have completed Senior Care’s Dementia Care Specialist or Certified Behavioral Technician neurobehavioral training course. NBS refers to Neurobehavioral Specialists who are master-level clinicians and are employed by a doctor working under his direct supervision.
Day Nursing Staff
(7 CNAs/CBTs and 3 Nurses)
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Relative Hi Functioning/Team 1 (Self feeders)
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Relative low Functioning/Team 2 (feeders)
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| 7:20-8:30 am Morning ADLs (5 CBTs) ADL Desensitization & flooding for pts prone to agitation. (Use videotap to train nursing aides prior to tx) | 7:20-8:30 am Morning ADLs (2 CBTs) ADL Desensitization & flooding for pts prone to agitation. (Use videotape to train nursing aides prior to tx) | |||
| 8:15-9:15 am 1st Breakfast Seating (1 CBT, 1 Nurse) We utilize 3-4 separate rooms for dining to help prevent behavioral problems due to overcrowding effects. Additionally, some patients are temporarily allowed to eat in their room. (Several behavioral & environmental interventions are alsoused to prevent behavioral outbursts during meals). | 8:15-9:15 am Cont. Morning ADLs (6 CBTs) The goal is to maximize ADL time to ensure staff have plenty of time to execute behavioral interventions given that 85% of behavioral problems occur here with these patients. | |||
| 9:15-10:15 am Cognitive Oriented Groupsco-led by Neurobehavioral Specialist/NBS and Activities). | 9:15-10:15 am 2nd Breakfast Seating (7 CBTs) 10:30-11:30 CBT Training 1 time per week. | |||
| 10:15-11:15 am Various cognitive Low & High level activities grouped together Led by Activity Staff(CBT break time 15′) For pts who are not ready or unable to participate in activities this is a good time to administer other 1:1 neurobehavioral interventions (e.g., tactile desensitization, social skills training, modeling, etc.). | ||||
11:15am-12:15 pm Various motor Low & High level activities grouped together Led by Activity Staff and 3 CBTs
The goal is to provide exercise and overall cortical activation which results in a paradoxical calming response. |
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| 1ST lunch break for CBTs at 11:15; 2nd lunch break at 11:45 am | ||||
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Relative Hi Functioning/Team 1 (Self feeders)
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Relative low Functioning/Team 2 (feeders)
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| 12:45-12:45 pm Ori/Memory Group (1 NBS) Compensatory neurocognitive rehab. | 12:15-12:45 pm Sensory Stimulation Group Various tactile, auditory/verbal & visual stimuli. | |||
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Perform needed ADLs for Team 1 patients occur before their next group
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| 12:45-1:30 pm 1st Lunch Seating (1 CBT; 1Nurse) We use as many rooms as possible to prevent behavioral problems due to overcrowding and use a restaurant style approach. | 12:45-2:30 pm 2nd Lunch Seating (7 CBTs) Same behavioral procedures noted in 1st lunch | |||
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Begin afternoon ADLs as Team 2 patients complete lunch/Nurses break for lunch
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| 1:30-2:30 pm Various Cognitive & Leisure Groups (Activities) | 1:30-2:30 pm Cont. Team 2 lunch | |||
| Evening Nursing Staff (6 CBTs and 2 Nurses) 2:30-4pmSnoezelen 3 x’s per week; Snacks & Games 4 x’s per week Co-led by Activity Staff & 2 CBTs 2-3:30 pm Neurobehavioral Rounds; 3:30-4:30 CBT Training 1 time per week for eve. staff. |
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| 4-5pm Music Therapy & Movement Groups (4-6 CBTs) | ||||
| 5-5:45 pm Social Skills Group (1 NBS) | 5-6:30 pm Sensorimotor Group (2 CBTs) | |||
| 5:45-6:30 pm 1st Supper Seating | 5:45-6:30 pm 2nd Supper Seating (6 CBTs) | |||
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Patients are strategically placed and prepared for a restaurant style
supper
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| 6:30-7 pm Snoezelen 2 x wk/Relaxation Groups 5 x wk (1 NBS and 1-2CBTs) | ||||
| 7-7:30 pm Leisure Group (1 CBT) | 7-8:30 pm Evening ADLs (5 CBTs) | |||
| 7:30-8:30 pm Evening ADLs (6 CBTs) | 8:30 pm Bedtime | |||
| 8:30 pm Bedtime | ||||
| The In-house Dementia Program has been designed to balance sympathetic CNS activation through various cognitive and physical exercises with parasympathetic activation using behavioral and environmental interventions to enhance calmness and prevent agitation.To find out more about NCI’s Program development and unit design consultation services please Contact Us. | ||||
