form - Hope Dementia & Alzheimer`s Services

REGISTRATION FORM
Spring Educational Conference
March 19, 2015
16th Annual
Spring Educational Conference
Conference Fees
Conference fee is nonrefundable
Registration must be received by March 14
A NEW PHILOSOPHY OF
[ ] $95 Tuition
Includes printed materials, continental breakfast and 3.5 CEs
ALZHEIMER’S CARE
Name ____________________________________
Company _________________________________
Address __________________________________
City, St, Zip ________________________________
Phone ___________________ Fax _____________
Thursday, March 19, 2015
8:00 a.m. - 12:30 p.m.
Method of Payment
[ ] Check
DoubleTree by Hilton Cape Cod
287 Iyannough Road, Hyannis, MA 02601
RN/LPN
LICSW
Activ. Prof
Health Care Admin OT/PT
Psychologist
CNA
HHA
[ ] Certificate of Participation Only
Continuing credit is provided by Commonwealth Educational Seminars (CES)
Psychologists, LICSWs, RNs, LPNs, CNAs, HHAs, OT/PT, Nursing Home Admin and Activities Professionals
are eligible for 3.5 CE hours to credit for this conference. Disciplines not listed need to check with their
licensing board for CE criteria. More CE info at HopeDementia.org
Mail or fax this form & payment to:
Hope Dementia & Alzheimer’s Services
765 Attucks Lane
Hyannis, MA 02601
P: (508) 775-5656
F: (508) 790-9333
Register online:
HopeDementia.org
Continuing Education: 3.5 CEs
Register online: HopeDementia.org
License # required to receive CEs
Professional Discipline (circle one):
765 Attucks Lane, Hyannis, MA 02601
Continuing Education Units
[ ] Yes, I am requesting CEs
License # ______________________________
16th Annual SPRING EDUCATIONAL CONFERENCE
(Make payable to Hope Dementia & Alzheimer’s Services)
[ ] Credit Card
VISA
MasterCard
AmEx
Credit Card No. _________________________
Exp. Date _______________CVS___________
Cardholder Name ________________________
Billing Address __________________________
A New Philosophy of Alzheimer’s Care
Email ____________________________________­
A New Philosophy of Alzheimer’s Care
16th Annual Spring Education Conference
Dr. John Zeisel wrote a book, hosted a recent PBS special titled Hopeful Aging, and founded a company to
address the way we view people with dementia. He is committed to giving people with dementia a life
worth living.
As the founder of Hearthstone Alzheimer Care and the author of I’m Still Here: A New Philosophy in
Alzheimer’s Care, John Zeisel is well-versed on the aging brain. He’s a longtime proponent of treating
dementia without pharmaceuticals. Instead, he’s developed a host of unique approaches to making life
better for those with age-related dementias — and as it turns out, the arts and creativity are key.
The Spring Conference will also include a demonstration from “The Art Without Boundaries Association”
in the use of MnemeTherapy®. This therapy combines the use of art and creativity through a unique
combination of singing, movement, painting and storytelling to stimulate dramatic changes in the brain
creating more engagement in the lives of those with dementia and neurological disorders.
Snapshot
8:00 a.m. - 8:50 a.m.
Registration
8:50 a.m. - 9:00 a.m.
Welcome
9:00 a.m. - 10:30 a.m.
John Zeisel, Ph.D.
Hopeful Aging
10:30 a.m. - 10:45 a.m. Break
10:45 a.m. - 12:15 p.m. Wendi C. Smith
Certified Mneme Therapist
Interactive Mneme therapy
demonstration
12:15 p.m. - 12:30 p.m. Wrap up/evaluation
Conference Highlights
John Zeisel, Ph.D.
Hearthstone
Alzheimer Care
A revolutionary new
approach to Alzheimer’s
care, focusing on a
patient’s strengths to
maintain connections with
others and the world.
There currently is no cure
for Alzheimer’s disease —
though it can be treated.
For the last fifteen years,
John Zeisel, Ph.D. has
spearheaded a movement
to treat Alzheimer’s
non-pharmacologically by focusing activities and
interactions that help to strengthen the parts of
the brain that still exsist.
Wendi C. Smith
Certified Mneme
Therapist Member,
Art Without
Boundaries
Association
Location and date:
March 19, 2015
DoubleTree by Hilton Cape Cod
287 Iyannough Road, Hyannis, MA 02601
Register online at HopeDementia.org
MnemeTherapy® uses
the arts in an
instructional way to
stimulate the brain’s
neuroplasticity. The goal
is to find new ways to
stimulate the brain to
adapt and to rebuild
lost functions.
Conference Sponsor
765 Attucks Lane, Hyannis, MA 02601
(508) 775-5656 | Info@HopeDementia.org
HopeDementia.org
Part of the HopeHealth family of services