HCA 106 Cognitive and/or Mental Health Challenges

School of Health and Human Services

HCA 106 Cognitive and/or Mental Health Challenges builds on content from other courses to assist students to explore concepts and caregiving approaches that will allow them to work effectively with individuals experiencing cognitive and/or mental health challenges. The emphasis in this course is on supporting clients with dementia, recognizing responsive behaviours, and identifying person-centred intervention strategies.

Notes:

Learning Outcomes with Indicators:

  1. Describe ways to organize, provide, and evaluate person-centred care and assistance for clients experiencing cognitive challenges:
    • 1.1 Explain the difference between confusion, delirium, and dementia.
    • 1.2 Identify causes of reversible and irreversible dementia and describe the primary forms, causes, symptoms, and treatments, as well as the stages of dementia.
    • 1.3 Discuss principles of person-and family-centred care used to care for individuals living with dementia.
    • 1.4 Use effective communication strategies for interacting with persons with dementia.
    • 1.5 Describe the behaviours and psychological symptoms of dementia, including factors influencing behaviours and strategies for preventing and responding to behaviours.
    • 1.6 Describe appropriate techniques for assisting with personal care and dietary intake for persons with dementia.
    • 1.7 Describe appropriate activities for individuals experiencing different levels of dementia.
    • 1.8 Identify the needs of the families and professional caregivers and describe ways to support them.
  2. Describe ways to organize, provide, and evaluate person-centred care and assistance for clients experiencing mental health challenges:
    • 2.1 Explain the mental health continuum and identify factors that influence the mental health and well-being of individuals.
    • 2.2 Describe the causes, symptoms, treatments, and prevalence of common mental health disorders and conditions.
    • 2.3 Discuss stigma associated with mental health challenges and stigmatizing language.
    • 2.4 Discuss how perceptions of mental health challenges may differ between diverse groups.
    • 2.5 Describe the principles and approaches for person-centred care of the client and family.
    • 2.6 Identify implications of involuntary admission under the Mental Health Act.
  3. Describe effective approaches for responding to responsive and reactive behaviours:
    • 3.1 Identify behavioural indicators that an individual or group is becoming reactive or exhibiting behaviours that could impact safety.
    • 3.2 Describe appropriate verbal and non-verbal techniques to promote a calming atmosphere and de-escalate responsive behaviours.
    • 3.3 Identify when and how to exit a potentially unsafe situation.
  4. Describe effective approaches for recognizing, responding to, and preventing elder abuse.
    • 4.1 Identify types of elder abuse.
    • 4.2 Describe signs and symptoms of elder abuse.
    • 4.3 Discuss risk factors and underlying causes of elder abuse.
    • 4.4 Discuss strategies for preventing and responding to elder abuse.

Prerequisites: Admission to HCA Program

Accessibility Services Notice

Students who would like an academic accommodation and who have a documented disability should contact Accessibility Services, if they have not already done so.

Transfer Agreements

Course to Course transfer – NoBlock Transfer – Nobctransferguide.ca
Course Details
Total number of weeks6
Total Credits
Total Hours60
Typical hours per week breakdown
Lecture10

Learning Outcomes

Upon successful completion of this course, the learner will be able to:

  1. Describe ways to organize, provide, and evaluate person-centred care and assistance for clients experiencing cognitive challenges
  2. Describe ways to organize, provide, and evaluate person-centred care and assistance for clients experiencing mental health challenges
  3. Describe effective approaches for responding to responsive and reactive behaviours
  4. Describe effective approaches for recognizing, responding to, and preventing elder abuse

Teaching and Learning Approach

All of the courses in the Health Care Assistant (HCA) Program focus on promoting the independence and autonomy of students. This approach supports the development of the soft skills required of a Health Care Assistant in the workplace and for students to successfully meet the Program Outcomes.

Instructors approach the delivery of course content as facilitators of learning, working with students to develop their strengths and recognize opportunities for growth. Peer support and feedback is supported and encouraged.

Students will be introduced to and supported through the self-reflection process, reflective learning and peer/self- evaluation. Interdisciplinary teams and team dynamics, experiential learning and application of knowledge are other concepts and strategies used. Some examples of these are group projects, case studies, quizzes, games, written and video discussion forums, simulation, hands on lab practice, and experiences in work settings.

The use of technology throughout the HCA Program supports skills needed in the workplace. Learn (Moodle) is the Learning Management System used to deliver and submit all course material. Zoom conferencing software is used for class discussions, meetings, group work and other activities.

Time management, prioritization and organization are foundational skills that are key to the successful navigation of the HCA Program. The calendar within Learn (Moodle) assists and guides students with these skills. Instructors are available to support individual student learning needs through virtual office hours, 1:1 meeting, email, and Zoom sessions.

Learning Resources

Required: Sorrentino, S.A., Remmert, L.N., & Wilk, M.J. (2021). Sorrentino's Canadian Textbook for the Support Worker (5th Ed.). Toronto, ON: Elsevier Canada.

Detailed Course Content, Topics, and Sequence Covered

1. 1. Week 1: Cognitive Challenges in Older Adulthood • Confusion • Neurocognitive disorders ◦ Delirium ◦ Dementia • Reversible vs. irreversible causes • Primary forms: Alzheimer’s disease and other dementias • Pathology, processes, and characteristics • Protective factors and risk factors • Stages of dementia • Person-centred and family-centred care for individuals with dementia. ◦ Principles of person- and family-centred care. ◦ Common person-centred care training programs for caregivers used in B.C. ◦ Common person-centred care models for care facilities. ◦ Stigma associated with cognitive challenges and stigmatizing language. • Effective communication strategies for clients with dementia. • Behavioural and psychological symptoms of dementia (BPSD). ◦ Types of responsive behaviours. ◦ Factors precipitating behaviours. ◦ Strategies for preventing and responding to BPSD. ◦ Knowing when to exit a potentially unsafe situation. ◦ Importance of environment in relation to behaviours. • Environmental design strategies: familiar, homelike, accessible, safe, comfortable, and navigable. • Working with individuals experiencing early, moderate, or severe dementia. ◦ Observing clients and situations. ◦ Appropriate engagement and participation in care and activities for individuals experiencing differing levels of dementia. ◦ Strategies for assisting with eating and drinking. ◦ Non-pharmacological therapies (e.g., music, pets, art, multisensory, massage, bright light, aromatherapy, reminiscence, meaningful activities). • Supporting family members experiencing grief and loss. • Caregiver needs and support.

2. 2. Week 2: Cognitive Challenges in Older Adulthood • Confusion • Neurocognitive disorders ◦ Delirium ◦ Dementia • Reversible vs. irreversible causes • Primary forms: Alzheimer’s disease and other dementias • Pathology, processes, and characteristics • Protective factors and risk factors • Stages of dementia • Person-centred and family-centred care for individuals with dementia. ◦ Principles of person- and family-centred care. ◦ Common person-centred care training programs for caregivers used in B.C. ◦ Common person-centred care models for care facilities. ◦ Stigma associated with cognitive challenges and stigmatizing language. • Effective communication strategies for clients with dementia. • Behavioural and psychological symptoms of dementia (BPSD). ◦ Types of responsive behaviours. ◦ Factors precipitating behaviours. ◦ Strategies for preventing and responding to BPSD. ◦ Knowing when to exit a potentially unsafe situation. ◦ Importance of environment in relation to behaviours. • Environmental design strategies: familiar, homelike, accessible, safe, comfortable, and navigable. • Working with individuals experiencing early, moderate, or severe dementia. ◦ Observing clients and situations. ◦ Appropriate engagement and participation in care and activities for individuals experiencing differing levels of dementia. ◦ Strategies for assisting with eating and drinking. ◦ Non-pharmacological therapies (e.g., music, pets, art, multisensory, massage, bright light, aromatherapy, reminiscence, meaningful activities). • Supporting family members experiencing grief and loss. • Caregiver needs and support.

3. 3. Week 3: Cognitive Challenges in Older Adulthood • Confusion • Neurocognitive disorders ◦ Delirium ◦ Dementia • Reversible vs. irreversible causes • Primary forms: Alzheimer’s disease and other dementias • Pathology, processes, and characteristics • Protective factors and risk factors • Stages of dementia • Person-centred and family-centred care for individuals with dementia. ◦ Principles of person- and family-centred care. ◦ Common person-centred care training programs for caregivers used in B.C. ◦ Common person-centred care models for care facilities. ◦ Stigma associated with cognitive challenges and stigmatizing language. • Effective communication strategies for clients with dementia. • Behavioural and psychological symptoms of dementia (BPSD). ◦ Types of responsive behaviours. ◦ Factors precipitating behaviours. ◦ Strategies for preventing and responding to BPSD. ◦ Knowing when to exit a potentially unsafe situation. ◦ Importance of environment in relation to behaviours. • Environmental design strategies: familiar, homelike, accessible, safe, comfortable, and navigable. • Working with individuals experiencing early, moderate, or severe dementia. ◦ Observing clients and situations. ◦ Appropriate engagement and participation in care and activities for individuals experiencing differing levels of dementia. ◦ Strategies for assisting with eating and drinking. ◦ Non-pharmacological therapies (e.g., music, pets, art, multisensory, massage, bright light, aromatherapy, reminiscence, meaningful activities). • Supporting family members experiencing grief and loss. • Caregiver needs and support.

4. 4. Week 4: Mental Health Challenges • Mental health models. • Factors that influence mental health and well-being in individuals and families, such as stress, illness, loss, and aging. • Common mental health disorders, including causes, symptoms, treatments, and prevalence of: ◦ Anxiety disorders ◦ Affective (mood) disorders ◦ Schizophrenia ◦ Personality disorders ◦ Substance-related and addictive disorders ◦ Dual or multiple diagnoses ◦ Suicide risks and prevention • Stigma associated with mental health challenges and stigmatizing language. • Perceptions of mental health challenges in diverse groups. • Caring for the person and family. ◦ Principles and approaches used to plan and implement effective care. ◦ Person-centred care. ◦ Person-first language vs. identity-first language (e.g., person with a diagnosis of depression vs. depressed client). ◦ Introduction to trauma-informed care. ◦ When and what to report. • Implications of involuntary admission under the Mental Health Act. ◦ Alteration of client’s right to leave the care setting or to refuse treatment. Abuse • Types of abuse (reportable incidents). ◦ Physical, emotional, sexual, financial, neglect (as per Residential Care Regulation). ◦ Self-neglect. • Sign and symptoms of elder abuse, including physical injuries, changes in behaviour, emotional distress, financial manipulation, and neglect. • Risk factors and causes of abuse, including ageism, caregiver stress, social isolation, and mental health challenges. • Types of abusive relationships. ◦ Caregiver/client ◦ Family member/client ◦ Client/client • Four stages of the cycle of abuse. • Strategies for preventing abuse, including promoting awareness, building social networks, and access to supportive services and resources. • Responding to and reporting signs of abuse.

5. 5. Week 5: Caregiver Support

6. 6. Week 6: Summative Assessment Q&A & Review

7. 7. Week 7: Summative Assessment

Assessment

Title Learning Outcomes Value
Mental Health Research Project  1, 2, 3 20%
Capstone Assignment: Supporting Clients with Dementia or a Mental Health Disorder 1, 2, 3 20%
Palliative Modules 1, 2, 3 5%
Quizzes 1, 2, 3 20%
Summative Assessment 1, 2, 3,4 35%
Total 100%

Grading Table

Standard Academic and Career Programs Grading Table

Percentage Letter Grade GPA
90-100 A+ 4.33
85-89 A 4.00
80-84 A- 3.67
76-79 B+ 3.33
72-75 B 3.00
68-71 B- 2.67
64-67 C+ 2.33
60-63 C 2.00
55-59 C- 1.67
50-54 P 1.00
0-49 F 0.00
DNW 0.00

See the Academic Calendar for General Information including how to withdraw from course(s) and other regulations.

Disclaimer

Information contained in this course outline is correct at the time of publication. Content of the course is revised on an ongoing basis to ensure relevance to changing educational, employment and market needs. The instructor will endeavor to provide notice of changes to students as soon as possible. The instructor reserves the right to add or delete material from courses.