Speeko number5/7/2023 The R03 study established that residents with dementia are more than twice as likely to exhibit BPSD (measured by coding RTC behavior in videos) when staff use elderspeak instead of normal adult communication. Elderspeak conveys a message of disrespect and incompetence to residents who react with withdrawal or BPSD. The PI and other researchers have empirically verified that RTC occurs when NH staff use elderspeak (speech similar to baby talk) that features inappropriately intimate terms of endearment (diminutives such as "honey"), belittling pronoun substitutions that imply dependence ("the investigators" need a bath), and harsh task-oriented commands ("sit down"). Although Center for Medicare and Medicaid Services (CMS) mandates and penalties have reduced antipsychotic medication use slightly, contraindicated use in NH residents remains a pervasive problem, causing harmful side effects and reducing the quality of life for PWD. BPSD present to NH staff as resistiveness to care (RTC) that increases staff stress and costly time to complete care, often leading to staff turnover, injury, and inappropriate use of psychotropic medications to control BPSD. Care of PWD in NHs is complicated by behavioral and psychological symptoms of dementia (BPSD) such as aggression, vocal outbursts, wandering, and withdrawal that occur as PWD lose cognitive and communication abilities and cannot express their unmet physical and psychosocial needs. ![]() Next, a clinical trial (N= 6NHs) will be conducted to test preliminary efficacy of the app for amplifying reductions in diminutives use for NH staff completing the CHATO training (3 online modules).Ī new person is diagnosed with Alzheimer's disease or other dementia every 66 seconds, and most persons with dementia (PWD) spend the late stages of dementia in nursing homes (NHs) where lack of dementia care skills and staff shortages limit quality of care. Building on proof of concept established in the laboratory, the app will demonstrate feasibility at the point-of-care. Lastly, is the hyd fluid gonna dump out on me when I unscew the filter? I'm not talking a little dribble, I'm talking free draining of the tank? Sorry, never owned a hyd splitter before and am knew to hydraulics.This study will test feasibility and preliminary effects of an automated and performance-based feedback app (Speeko for Elderspeak) that detects and reports the use of diminutives (terms of endearment such as honey, dearie, and sweetie), prevalent elderspeak terms linked to BPSD. oil filter? The one on the splitter now does not have any numbers, names, or markings at all. Unfortunately, the guy who sold me the splitter (he knew his stuff, but I think he was the only one) was off on vacation.Īnyways, does anyone know what the part number (or the cross reference number to another brand) for the hyd. The hydraulic oil filter needs to be changed out at 10 hours, and I stopped at TSC to pick up a filter, but got the deer in the headlight look. So far, I am happy with it and the $1000 price tag.Īnyways, I am approaching 5 hours and will change the motor oil, thinking of synthetic, but will wait a little while longer for that. Has split everything I have thrown at it, but I admit, I have not had any real nasty knotty stuff yet. Nice machine, I have split some elm, some black walnut, cherry, oak, and maple with it so far. Picked up a 22 ton model from TSC about a week ago.
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