As CMS prepares the field for the Hospice Outcomes & Patient Evaluation (HOPE) Model, hospice organizations nationwide are re-examining how they deliver, document, and demonstrate quality. The HOPE Model — a comprehensive assessment and quality framework designed to replace the Hospice Item Set (HIS) — elevates key domains of care that lie at the heart of hospice philosophy. These include pain management, symptom (and behavioral) management, and psychosocial and spiritual needs. 
 
Learn more from CMS here. 

I am humbled and honored to work with such amazing and talented people.  As a trainer, I believe we learn as much from those we are training as they learn from us.  We are all practicing when it comes to dementia care.  Every day is a new day and no matter where we fit into the spectrum, we all need each other to learn and grow.  Let's talk about person-centered care practices.

Quite simply, the definition of personhood is the quality or condition of being an individual person.  At the core of personhood is the self- who we are are, our values and beliefs.  It's who makes us who we are.  Being able to recognize the "self" of personhood is key to understanding and practicing person-centered care for persons living with dementia.

What exactly is the meaning of Life Enrichment?  

Challenging behavior is a catch-all term that, in the context of dementia, includes one or combinations of things like shouting, wandering, biting, throwing things, repetitive talking repetitive movements, destroying personal possessions and other objects without regard for whom it belongs, agitation and general anger, physical  or verbal attacks on others, waking others at night, making sexually inappropriate comments, disrobing inappropriately, and urinating or defecating in undesirable locations. This is not an all-inclusive list and I am sure you can think of many more examples that fit under the umbrella term of challenging behavior.