Oregon DHS Approved Memory Care Pre-Service Training

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Product Overview

Marya Kain, MS, CMC, has developed the Power of the Heart Curriculum through over 40 years of hands-on experience as well as formal education.  In addition to conveying information that professional care givers need to know, Power of the Heart classes are specifically designed to teach to the heart of the participant.  Each participant will feel honored and valued. Each class is broken into short, interactive segments perfect for today’s busy adult learner.  The activities impart why and how to apply what they are learning; empowering them to make a difference in the lives of those they work with. 

For Memory Care Community staff training, assessments are completed, certificates are awarded, and records are maintained as required by OAR 411-054-0070(4)(b)(A),(B),(c). 

Marya can also help you pick segments to design a class or an event, tailored to your target audience, whether it is employees, family members, community professionals or the general public. 

You can count on Marya to share her knowledge, experience and insights in a compassionate, inspiring manner.  

The following classes satisfy the Oregon Administrative Rules for Memory Care Communities:

Dementia Care Pre-Service 411-054-0070 (4)(c)(A)(B)(C)(D)

Two 3 Hour Classes

Power of the Heart Pre-Service Part 1(3 Hours):

Part 1, Section 1: Overview of Alzheimer’s Disease and Other Dementias

OAR 411-054-0070 (4)(c)(A)

Information on the disease process, including the progression of the disease, memory loss, psychiatric and behavioral symptoms.

This class covers the basics of Alzheimer’s Disease and other causes of dementia, while introducing the importance of partnering with the individual beneath the manifestations of the illness.  Irreversible and reversible causes of confusion and memory loss are explored using the umbrella illustration with a real umbrella and interactive exercises.  The progression of Alzheimer’s Disease is explored both by examining the changes in the brain, and by relating how some individuals experience the disease process, with a lesson as well as with an experiential exercise.  Finally, some of the related research is shared, along with the concept of maintaining cognitive reserve and healthy brain function. 


Power of the Heart Pre-Service Part 1 (continued)

Part 1, Section 2: Positive Behavior Support

OAR 411-054-0070 (4)(c)(B)(D)(i) (iii)(iv)

Techniques for understanding and supporting symptoms, including but not limited to the use of antipsychotic medications for non-standard use.

Behaviors are communication.  In this section, we define the term “challenging behavior”.  As human beings, we don’t generally engage in risky behaviors when our needs are being met.  We explore how to understand what the person is communicating through the behavior, what need(s) are not being met. We look at how using a strength survey or similar tool helps us identify client-specific ways to meet the need(s), possibly rendering the behavior no longer necessary.  The participants have an opportunity to list client behaviors they find challenging.  Then they are given a comprehensive overview of how to develop a positive behavior support plan. Describing the behavior, identifying the needs, writing person-centered proactive and reactive behavior plans, and following through with behavior monitoring and re-evaluation are all covered.  Participants will learn how to identify an individual’s crisis cycle, including the setting events and triggers.  Pain, personal care, sundowning, environment, hunger and thirst, are a few common triggers addressed in detail.  The roles of brain structures such as the dorsal anterior cingulate cortex, the suprachiasmatic nucleus and the prefrontal cortex, are explained to help the participants understand that residents are truly doing the best they can with the brains they have.  Appropriate use of psychotropic medications is included.

Caregivers are also taught how their own thinking and self-care impacts their clients’ behaviors. The control bull’s eye and creativity crushers and igniters are especially helpful tools.

Power of the Heart Pre-Service Part 2 (3 Hours):

Part 2, Section 1: Meaningful Moments

OAR 411-054-0070 (4)(c)(C)

Strategies for addressing the social needs of persons with dementia and providing meaningful activities

Marya’s personal favorite, and the first class she ever created, this section takes us through an emotional journey that helps us understand why personalized, meaningful reliable routines truly make a difference.   The power of relationship, introduced in Pre-Service Part 1, is further explored in this hands-on workshop, as well as programming strategies that help us build activity programs based on the reliable routines of the people we serve.  Activity ideas for people who wander or elope are specifically addressed.

Participants will learn to identify client strengths and to connect with people where they are strong.  This fun and uplifting course covers 13 strengths, each with specific strategies we can employ to help people function in that strength.  When social needs are met, and a sense of belonging results, many challenging behaviors do not occur.  This class is the perfect follow up for Part 1, Section 2, because it explores meeting the many of the underlying needs previously discussed, in proactive, creative ways. 

Part 2, Section 2: Important Considerations

OAR 411-054-0070 (4)(c)(D)

Information on addressing specific aspects of dementia care and ensuring the safety of residents with dementia, including, but not limited to how to address pain, provide food and fluids, and prevent wandering and elopement.

In this final section of the pre-service course, we end the course with key concepts not already covered.  We work through the PAIN-AD scale together and go through head-to-toes observations that help us know if the individual may be experiencing pain.  The participants learn the Volicer research on Sundowning and effective, non-medical approaches to supporting people experiencing it.  We cover wandering and elopement, and ways to support people to meet their needs safely.  We also cover strategies to make sure that people get proper nutrition and hydration.  Finally, care professionals need and deserve self-care.  Self-care and awareness strategies are taught that don’t require extra time or money. 

We finish the course with a final test, and a certificate ceremony.



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