Physical and Behavioral Health Training Index 2021

Central PA Health Care Quality Unit

PHYSICAL AND BEHAVIORAL HEALTH TRAINING INDEX 2021

Making a Difference One Training at a Time

The Central PA Health Care Quality Unit (HCQU) provides free trainings and technical assistance to individuals with Intellectual and Developmental Disabilities (ID/DD) or Autism, their families, service providers and county staff. Health- related trainings are offered by registered nurses.

Visit our website at www.geisinger.org/hcqu.

Updated 3 December 2020 Table of Contents

Making a Difference One Training at a Time ...... i Educational Online Courses ...... ii Preventable Deaths in Individuals with Intellectual and Developmental Disabilities ...... iii The PA Dual Diagnosis Direct Support Curriculum is now Available Online ...... v Contact Information ...... vi Available Online Courses ...... 1 Consumer Trainings List ...... 5 Staff Trainings List...... 11 Authors and Resources ...... 38 Index ...... 40

Disclaimer:

All training information is intended to be a general overview or a review of information previously provided by a Health Care Provider. Trainings are not intended to replace medical advice. Participants are advised to consult medical professionals for questions and concerns specific to training topics.

Making a Difference One Training at a Time

Central PA Health Care Quality Unit (HCQU) 100 North Academy Ave. MC 24-12 Danville, PA 17822 Email: [email protected] Website: www.geisinger.org/hcqu

Connecting People to The Services They Need

The Health Care Quality Unit works with Intellectual Disabilities and Behavioral Health programs in 13 central Pennsylvania counties to provide health care management services for persons with Intellectual and Developmental Disabilities (ID/DD) or Autism. Our goal is that all people living in Pennsylvania, regardless of ability, receive the finest community services available – assuring that they are as healthy as possible and can fully participate in community life.

Free Health Related Trainings and Technical Assistance

Free trainings and technical assistance are provided to individuals with ID/DD or Autism, and to caregivers, service providers and county staff. Health-related trainings for caregivers and individuals are offered by our registered nurses.

What’s Happening Now - Face to Face Operations on Pause

With the health and safety of our community paramount to our concerns, we are announcing a significant change to our previous service delivery platform. It is necessary for us to take additional precautions to minimize risk to everyone so all face to face operations have been paused. COVID- 19 has not changed the need for education and support-if anything it has expanded the need. Our team will continue to provide individuals and staff training and technical assistance to the maximum extent possible during the pandemic, while adjusting delivery methods to comply with state and local health/safety restrictions. Until further notice, HCQU RN staff will be facilitating instructor led virtual trainings in substitution for all face to face interactions. In addition, self-study packets and online education courses are available. We remain committed to providing services with the safety and welfare of our individuals and staff as a top priority. Contact the HCQU to discuss your training needs and how to schedule remote learning sessions.

i Educational Online Courses

Expand your educational knowledge with free health literate online courses on different healthcare related topics. Each completed course allows you to receive 0.5 hour of credit towards your annual human services training requirement.

Presently the online course page is performing intermittent upgrade maintenance. This will occur over an extended period of time. Please frequent our webpage to see new and improved updates. Select courses may be temporarily unavailable. All listed courses are available in self-study format. Self-studying involves studying without direct supervision at your own pace. Any course can be delivered virtually by HCQU staff by request. If you have any questions specific to online courses, please contact Kristy Campbell at email [email protected]. For training requests or self-study packets, please contact your regional HCQU nurse.

Online course directions:

• Log on to: http://www.geisinger.org/hcqu. • Click on “Take an Online Course” located on the navigation bar on the left of the website. • Click on the link “listing of the available online courses.” Available courses are then listed. • Click on a desired course which takes you directly to that course. • Upon completion of the course, fill in your personal information. • Click on “Show My Certificate.” The certificate of completion is displayed on the screen which you may print.

Preventable Deaths in Individuals with Intellectual and Developmental Disabilities

The HCQU remains committed to providing an increase in awareness and education surrounding health conditions most likely to result in death or health deterioration for persons with Intellectual and Developmental disabilities. In the past we have offered The Fatal 4 training focusing on aspiration, dehydration, constipation and seizures. These health issues, often unrecognized, are linked to serious illness and preventable deaths in community-based settings.

Research has shown that there is a need to focus on an additional preventable health issue – INFECTION/SEPSIS. Sepsis is a medical emergency. To put it simply, sepsis is a term used to describe a serious illness characterized by a bacterial infection in the bloodstream. Sources of sepsis may be an infection of the kidney(s) or bladder and pneumonia. It is important to recognize the signs of these conditions and other infections and get them prompt treatment. Early intervention can prevent an individual from becoming septic.

iii In 2021, The Fatal 4 training will transition to The Fatal 5 training with the addition of Infection/Sepsis. This revision will align with the Fatal 5 topics that the PA Office of Developmental Programs and HRST promote. This training is a lengthy overview highlighting all five medical conditions.

As more individuals with IDD transition into community settings, caregivers play a vital role in the lives of the people they care for. Knowing how to prevent, recognize and seek treatment for select medical situations will not only improve the quality of their care, but will also save lives.

Training and developing your staff to assist with recognizing and managing these fatal conditions is imperative. Contact the HCQU to schedule a virtual instructor led Fatal 5 training. Further in-depth training on each individual medical condition can also be provided through virtual and online instruction, and self-study packets.

Promoting Skin Integrity

Preventing Pressure Injuries

The HCQU remains committed to making skin integrity and pressure injury prevention a priority. Education and awareness are the essential building blocks in promoting skin health for people of all ages and in the prevention and management of pressure injuries. Pressure injuries can be devastating causing not only pain and distress but can also be life-threatening.

Our goal is for staff to have a clear understanding of the potential impact of a pressure injury and the importance of its prevention, contributing risk factors and strategies that assist in reducing the risk. Contact the HCQU to explore free educational opportunities on skin health and pressure injury prevention through virtual instructor lead trainings, online courses and self-study packets. Together we can make a difference one training at a time.

iv The PA Dual Diagnosis Direct Support Curriculum is now Available Online

The Commonwealth of Pennsylvania, Office of Mental Health and Substance Abuse Services (OMHSAS) and The Office of Developmental Programs (ODP) have undertaken a joint initiative to address the needs of people who have an intellectual disability as well as mental health challenges. People who have both challenges are commonly referred to as those who have dual diagnosis.

The goal of this training curriculum is to provide information that can aid in the understanding of

the struggles and the triumphs of those you support or will support. This curriculum was designed to demonstrate the complexity of dual

diagnoses and the factors that need to be considered to best support those with whom you come into contact.

The PA Dual Diagnosis Direct Support Curriculum was also designed to demonstrate that all people in this world, regardless of their challenges, are much more alike than they are

different.

For more information about each of the specific modules and the course outline, go to the Philadelphia Coordinated Health Care (PCHC) website: www.pchc.org under Resources/Publications/Behavioral Health and click here for the DDX Direct Support Curriculum Training Booklet. The PA Dual Diagnosis Direct

Support Curriculum is now available Online. This curriculum is designed for Direct Supporters who work in either the intellectual disability field or the mental health field. Each specific module has a quiz, certificate and resources attached. The online version of the PA Dual Diagnosis Direct Support Curriculum is available on ** https://www.myodp.org/course/view.php?id=1186.

Contact Information Central PA HCQU services are available in these counties: Blair, Centre, Clinton, Columbia, Huntingdon, Juniata, Lycoming, Mifflin, Montour, Northumberland, Schuylkill, Snyder, and Union Counties.

Until further notice, all HCQU staff are working remotely. Preferred contact is through email.

Blair County Director Sandra Corrigan, RN, CDDN Cheryl Callahan, RN, CDDN [email protected] [email protected]

Centre County Training Coordinator Cheryl Callahan, RN, CDDN Patty Brofee, RN [email protected] [email protected]

Columbia, Montour, Snyder Data Support Analyst & Union Counties (CMSU) Kristy Campbell Laura Aungst, RN, CDDN [email protected] [email protected]

Secretary Huntingdon, Mifflin & Juniata Lesley Murphy Counties (HMJ) [email protected] Joyce Leitzel, RN [email protected]

Lycoming-Clinton Counties Eileen Musgrave, RN [email protected]

Northumberland County Amy Weidner, RN [email protected]

Schuylkill County Brandi McIntyre, RN [email protected]

Online Courses Title Objectives

Available Online Courses

Online Courses Title Objectives

Aging and • Describe the main changes that occur with aging Developmental • Differentiate natural aging with disease processes Disabilities • Discuss factors that affect aging Alzheimer Disease • Define Alzheimer Disease • List signs and symptoms with developmental disabilities • Identify caregiving tips when working with Alzheimer clients • Identify the three stages Anger Management • Name four signs of anger • Name something that causes you to feel angry • Name two things you can do to feel less angry Autism • Describe symptoms of autism • Identify disorders similar to autism • Identify support plans for individuals with autism • State different treatment strategies when dealing with autism Benefits of Sleep • Discuss that sleep is a basic human need • Discuss the importance of sleep • Learn to make sleep a priority Blood Borne Pathogens • Define Blood Borne Pathogens • Understand the most common blood pathogens • Learn how blood borne pathogens are transmitted • Discuss how you can protect yourself against blood borne pathogens Bowel Management • Describe what a normal bowel movement is • Describe the normal functions of the colon (large intestine) • Identify contributing factors of constipation • List several types of food associated with a high fiber diet Caregiver Stress • Define caregiver stress • Discuss how stress can affect a caregiver’s health • Identify ways to prevent caregiver stress Challenging Behaviors • Identify causes of challenging behaviors • Identify ways to manage challenging behaviors • Discuss behavioral challenges Cold and Flu Prevention • State the difference between a cold and the flu • Identify the symptoms of a cold and the flu • List things to do to prevent colds and the flu

Online Courses Title Objectives

Commit to be Fit • Define fitness • State the three elements of fitness • State the difference between aerobic and anaerobic exercise • State the benefits of exercise and how to begin a fitness program • Discuss the importance of successful goal setting Coronavirus (COVID-19) • Define Coronavirus Disease 2019 or COVID-19 • Name the symptoms of COVID-19 • State everyday precautions to prevent the spread of COVID-19 • State what to do if you think you or someone you know has COVID-19 De-Escalation Skills • Discuss factors that may cause challenging behaviors • Explain four functions of behavior • List at least five effective communication skills and de-escalation techniques to prevent a behavioral crisis Dehydration • List and describe symptoms of mild, moderate, and severe hydration • Identify causes and risks associated with dehydration • Discuss prevention and treatment of dehydration Depression • Define depression • Review the signs and symptoms of depression • State available treatment options and ways to get help Diabetes • Identify signs of Diabetes • List treatments for Diabetes • Identify self-care skills • Recognize the differences between Type 1 and Type 2 Diabetes • Recognize the differences between hypoglycemia and hyperglycemia Down Syndrome • List several common traits of Down Syndrome • Describe several medical tests involved in prenatal detection • Identify several health complications associated with Down Syndrome Dysphagia • List the four stages of swallowing • Recognize the causes of dysphagia • List strategies to promote safe eating • Identify special examinations that are used in severe cases or where the cause is not known Effective • Explain the four steps to productive health care meetings Communication • Discuss the importance of knowing the individual’s baseline and reporting any changes in their health and behaviors • Review effective communication skills Epileptic Seizure • Define two main categories of seizures Management • Cite the general care during a seizure • Identify appropriate times to call the doctor Falls Prevention • List several risk factors • Recognize environmental hazards • State possible consequences of falls

Online Courses Title Objectives

GERD • Discuss the difference between acid reflux and GERD (Gastroesophageal • List some lifestyle changes to help reduce the frequency of GERD Reflux Disease) symptoms • List some medications used to treat GERD Health Effects of • Discuss the harmful effects of cigarette smoking on the body Smoking • Discuss the harmful effects of second-hand smoke • Identify the health benefits of quitting smoking Healthy Weight • Give the reasons for weight management Awareness • List some causes for overweight and obesity • Name the key factors to weight management • Use the food pyramid Heat Illness • Define several different types of heat illnesses • Define several ways to treat heat illnesses • List several ways to prevent heat illnesses High Blood Pressure • Define high blood pressure • List causes of high blood pressure • List treatments for high blood pressure Hypothermia • Define hypothermia • List signs and symptoms of hypothermia • Discuss treatment of hypothermia Intellectual and • Define Intellectual and Developmental Disabilities (ID/DD) Developmental • Identify possible causes of ID/DD Disabilities • List preventable risk factors of ID/DD Living Well with Asthma • Define Asthma • Learn asthma triggers • Name asthma attack symptoms • Learn how to take charge of asthma Living Well with Heart • Identify what heart failure is Failure • Learn three types of heart failure • Define the symptoms of heart failure • Learn how to manage heart failure • Discuss the symptoms of a heart attack Menopause • Define Menopause • List the three stages of menopause • Understand the symptoms of menopause • Discuss hot flashes and night sweats • Discuss what can help with menopausal symptoms Metabolic Syndrome • Discuss that metabolic syndrome is a serious health condition • Discuss the signs and symptoms of metabolic syndrome • Learn how to treat or prevent metabolic syndrome

Online Courses Title Objectives

Mood Disorders • Define mood disorders • Recognize signs and symptoms of mania and depression • State useful treatment strategies for mania and depression • Recognize clues of suicidal risks MRSA • Define MRSA (Methicillin-Resistant • Discuss how to protect yourself and others from infection Staphylococcus Aureus) • Learn how to prevent the spread of MRSA Safe Lifting and • Define body mechanics Transfers • Identify safe methods of lifting, transferring, and re-positioning people in need • Discuss how to maintain a healthy back Sepsis • Describe septic shock • Understand the seriousness of sepsis • Identify common sepsis symptoms Skin Health and • Name four skin care routines to keep skin healthy Pressure Injuries • Define pressure injuries and pressure injury stages • List causes and risk factors of pressure injuries • List prevention and treatment of pressure injuries Stress Management • Define stress • List signs and symptoms of stress • Explain ways to manage stress The Role of the • List the roles of the caregiver Caregiver • Understand what each of these roles involves • Understand the ten standards for staff Understanding • Define osteoporosis Osteoporosis • Identify ways to prevent osteoporosis • Review methods to treat osteoporosis Urinary Tract Infection • Explain what a urinary tract infection (UTI) is • List several causes of UTIs • Discuss common symptoms of a UTI Your Dental Health • Discuss the importance of healthy teeth. • Discuss unhealthy dental conditions. • Discuss the ways to keep your teeth healthy. • Discuss the importance of routine dental care.

Consumer Trainings Title Objectives

Consumer Trainings List

*Trainings developed by sources other than Central PA HCQU Consumer Trainings Title Objectives

Age Appropriate • List the basic screenings that all individuals need Wellness • Understand the importance of health screenings and wellness All About Friendships • Describe what friendship is • List some qualities you want to have in a friend • List some things friends do for each other All About Sleep • Learn why getting enough sleep is so important • List some ways you can get a good night’s sleep Allergies • Understand allergies • Define several symptoms and treatments • List several ways to avoid triggers Anger Management • Name one sign of anger • Describe one thing that causes you to feel angry • Discuss what you can do to feel less angry Anyone Can Fall • List risk factors for falls • Identify actions to take to prevent falls Appropriate Workplace • List examples of horseplay in the workplace Behavior • Discuss examples of good work behaviors • Differentiate between horseplay and appropriate workplace behavior Ask Me 3 • Identify three important questions to ask health care providers Basic First Aid • Describe what first aid is • List several items you should keep in a first aid kit • List several things you should relay when calling 911 Be Safe Online • Learn about internet safety • Learn about the dangers of the internet • Describe good decisions about computer use • Discuss how to protect yourself from inappropriate internet behavior Being a Good Digital Learn to deal with: Citizen – Online Safety • Inappropriate content • Sharing personal information • People asking to meet offline • Cyberbullying Best Quick Meals • Explain ideas for more healthful cooking Building Healthy • Understand what boundaries are Relationships • Learn the difference between external and internal boundaries • Understand why it’s important to have boundaries

Consumer Trainings Title Objectives

Choices in Life Decision • Define decision Making • List steps in decision making Cholesterol • Explain what cholesterol is • List three types of food to avoid • List three types of food that are good for you • List two ways you can help to prevent heart disease Cold and Flu Basics • Name three possible symptoms of a cold • Name three possible symptoms of the flu • List three examples of how to prevent the flu Cold Weather Safety • Learn how to dress in cold weather • Learn what to do for frostbite and hypothermia • Learn proper ways to shovel snow Commit to be Fit • Define fitness • State three elements of fitness • Describe the difference between aerobic and anaerobic exercise • State the benefits of exercise and how to begin a fitness program • Discuss the importance of successful goal setting • Name ways to stay motivated to a fitness program Condoms and Proper • Explain what a condom is and what it is used for Use • Explain the proper way to use a condom Dealing with Annoying • Identify things that are annoying and how you react to them Things Diabetes: Take Control • Explain several basic ideas about diabetes • Discuss three ways to help control your blood sugar • Understand the health risks that can occur with uncontrolled blood sugar Dog Bite Prevention • Know the warning signs/body language of dogs • Learn how to properly greet and interact with dogs Emergency • Identify personal emergencies and types of disasters common to our Preparedness for area Consumers • Understand why emergency preparedness is important • Learn how to assemble a disaster preparedness kit • Know what to do before and during specific disaster situations Fire Safety • Review fire facts • Discuss fire prevention • Identify what to do in case of a fire Four Steps to Food • Define food poisoning Safety • State the four steps of food safety Friendships, • Discuss appropriate manners and ways of touching, hugging and kissing Relationships and • Discuss friendship and dating Sexuality • Discuss sexuality and appropriate sexual behavior

Consumer Trainings Title Objectives

Getting Along Well with • Discuss how to talk to and listen to others Others • Learn how to handle disagreements • Explain the benefits of honesty vs. being dishonest • Discuss simple rules for getting along at work Grief and Loss for • Name several ways we react to a loss Consumers • List some stages of grief we go through when we have a loss • Discuss several things you can do to help someone who is grieving Health Effects of • Explain why tobacco is harmful to the body Cigarette Smoking • Discuss the effects of second-hand smoke • Name three health benefits of quitting smoking Healthy Aging for Older • Identify some changes as we get older that affect the way we eat Adults • List three essential nutrients • List some low-fat foods Healthy Dining Out • Discuss several ways to order healthy choices from the menu • Identify way to meet basic nutritional requirements while ordering fast foods Healthy Weight • Explain what a healthy weight is Awareness • Name three possible conditions that overweight or obese people are at risk to develop • Name four health benefits of physical activity • List two examples of behavioral changes that can play a significant role in weight management Heart Health • Name three parts of the circulatory system • Explain the basic function of the heart • Learn different tests for the heart • Consider healthy lifestyle choices Helping Others in Need • Express the importance of helping others • List ways you can help others Holiday Weight Gain • Review strategies of healthy holiday eating without weight gain • Discuss ways to cook lighter meals for the holidays Home Alone Safety • Identify a stranger • List things to do when home alone to stay safe Housekeeping • Discuss the most important reason for good housekeeping practices • Name three nontoxic ingredients that can be used as cleansing agents • Name two ways to cut down on housework How Not to be a Victim – • Discuss various bullying behaviors How Not to be a Bully • Discuss who bullies • List strategies people can use to deal with bullying How to make a Healthy • Learn how to make some healthier lunch choices Lunch • Describe ways you can change your favorite lunch recipes in order to eat healthier

Consumer Trainings Title Objectives

How to Wash Your • Learn about viruses Hands • Learn the proper way to wash your hands Know Your Lemons • Learn what breast cancer can look and feel like • Recognize the 12 possible signs of breast cancer Living Heart Healthy • Know the signs of heart attack and stroke • Know the risks • Learn how to live a healthy lifestyle • Learn how to shop, cook and eat healthy • Learn how to fit a healthy lifestyle into a busy schedule Managing Your Stress • Define stress • List signs and symptoms of stress • Explain ways to manage stress Mealtime Manners • Describe good mealtime manners • State ways to prevent the spread of germs Men’s Healthy Ways to • List steps to take to stay and become healthy Stay Healthy • Identify health screenings necessary for good health Menstruation and • Discuss things you can do to stay healthy Women’s Health • Explain the importance of feminine hygiene (cleanliness) MyPlate: Holiday Edition • Discuss using MyPlate to create a healthy, balanced lifestyle over the holidays Nutrition and Exercise • State the importance of exercise and healthy food choices for You • Demonstrate an increased awareness of fast food choices • Discuss the importance of portion control Online Training and Understand the importance of: Meeting Manners • Being on time • Saying hello and goodbye • Looking at the camera • Sitting still • Using mute • Dressing appropriately • Using good manners Personal Hygiene – • State the meaning of “personal hygiene” Keep Clean, Be Healthy • State three reasons to keep your body clean and neat 2020 • Describe five healthy habits to practice to have a clean and healthy body Personal Safety • Review and discuss personal safety tips in the home and community settings Personal Safety Keeping • Discuss good touch Myself Safe • Discuss bad touch • Discuss “secret touch” • Discuss the five body safety rules

Consumer Trainings Title Objectives

Preventing and • Define conflict Resolving Conflict • List benefits of effective communication • Define authentic listening • State rules for resolving conflict • Identify effective steps for resolving conflict Quit Smoking • To identify the health benefits of quitting smoking • Identify steps to quit smoking . . . for good Romantic Relationships • Discuss love relationships, friendships, companionships 101 • View and discuss the right way to set up and go on a date • Discuss the dating through marriage sequence S.A.F.E. – Safe Abuse • For Everyone Seizure Care • Explain seizure activity • Provide seizure care Smoking – What You • Understand the facts known about the health dangers of smoking Need to Know • Know where to go for help if you decide to stop smoking • You will gain helpful information about your decision to smoke or not to smoke Social Skills • Demonstrate appropriate behavior when interacting with others • Review appropriate communication • Improve skills within the community STDs (Sexually • Discuss various STDs – you will be able to list at least three Transmitted Diseases) • Describe ways you can get STDs • Discuss how to prevent STDs Stranger Danger • Explain what a stranger is • Name two types of strangers • Name three rules if approached by a stranger Author: Police Division Crime Prevention Unit Sugar in Soda • Identify sugar content in drinks / soda Summer Heat Safety • Discuss sun and heat exposure • Heat emergencies that can occur • Precautions and how we can protect ourselves Summer Safety • Discuss sun and heat exposure precautions and illnesses; list how we can protect ourselves • Lightning precautions: indoors and outdoors • Water safety rules and concerns • Backyard safety precautions • Grill and Campfire safety • Fireworks safety SunWise • State two harmful and two helpful effects of the sun • Review UV radiation and the UV index scale • Name sun safety action steps to protect yourself with sun exposure

Consumer Trainings Title Objectives

Supporting Each Other • Explain what is helpful to support a person dealing with loss in our Grief Tortoise and Hare • Discuss how and why a team uses everyone’s strength to do a good job Teamwork Traffic Safety • State and understand traffic and bicycle safety signs in the community • List the dangers of hitchhiking and strangers VNS Patient/Family • Discuss uncontrolled seizures in people with epilepsy Information on Epilepsy • Discuss the impact of uncontrolled seizures and Treatment Options* • Describe treatment options for uncontrolled seizures, including Vagus Nerve Stimulation (VNS) Therapy™ • List resources Water and Pool Safety • Learn ways to keep safe and healthy when swimming • List ways to prevent a drowning or accident • Discuss the dangers when swimming What are Poisons? • List at least three household products that may be poisonous • Discuss ways to prevent poisoning • Review first aid practices with poisoning What is Alzheimer • Define Alzheimer Disease and dementia Disease • Understand the effects on the brain • List several signs What is Bullying • Name signs of bullying • Describe how bullying makes a person feel • State how to address bullying What is the Difference • Discuss the difference between overweight and obesity Between Overweight • List the consequences of being overweight or obese and Obesity? • Define Metabolic Syndrome What to do if You are • State how to develop a plan if you are being bullied Being Bullied What to do in an • Explain what an emergency is Emergency • Know when to call 911 Why Sleep is so • Discuss the importance of sleep Important • Describe some sleep hygiene tips Women’s Health and • Discuss things you can do to stay healthy Personal Hygiene • Explain the importance of feminine hygiene Your Dental Health • Explain the importance of healthy teeth • Describe unhealthy dental conditions • Discuss the importance of routine dental care • List ways to keep your teeth health

Staff Trainings Title Objectives Staff Trainings List

The HCQU also offers additional orientation education to new staff so they are better equipped to care for individuals with ID/DD or Autism.

Staff Trainings Title Objectives

A Staff Guide to Abuse • Discuss abuse and its impact on those we serve Prevention • Consider the ID/DD system’s impact on abuse • Develop strategies aimed at abuse prevention • Examine resources for supporting those who have been abused Abuse Against the • Define abuse Elderly • Recall types of abuse experienced by people who are elderly and how to recognize the signs • Identify special considerations for people who are elderly and have experienced abuse • Recognize ways to support a person who is elderly and has been abused Abuse Recognizing and • Describe types of abuse Reporting • List signs of abuse • Discuss the steps necessary to report abuse Age Appropriate • List the basic screenings that all individuals need Wellness – Why You • Understand the importance of health screenings and wellness Should See Your Doctor at Various Ages Age Related Eye • List the basic parts of the eye Diseases and • Define a comprehensive dilated eye exam Conditions • Name six eye diseases and conditions related to aging • Identify treatment options for age related eye diseases and condition Aging and • Describe the main changes that occur with aging Developmental • Differentiate natural aging with disease process Disabilities • List factors that affect aging Aging and Down • List some differences in the aging process: general population vs. the Syndrome Down Syndrome population • Discuss screenings that are recommended for individuals with Down Syndrome • List some signs of dementia Alcohol and Cancer • Discuss the relationship between alcohol use and cancer • Review ways to reduce risk factors Allergies and Asthma • Understand the difference between asthma and allergies • Define several symptoms and treatments for each • List several ways to avoid triggers

Staff Trainings Title Objectives

Alzheimer Disease and • Understand the changes that occur in the brain with dementia Dementia • Recognize the stages and symptoms of dementia • Apply knowledge of dementia to individuals’ care Alzheimer Disease and • Define dementia and Alzheimer disease IDDD • Understand the effects of Alzheimer disease on the human brain • List several signs of dementia in the developmentally disabled population • Understand the challenges of caring for persons with Alzheimer disease Alzheimer’s and Memory • Recognize how memory occurs in the brain (APS) • List three types of memory and how they are retained • Identify the lobes of the brain and their role in memory retention • Appreciate changes that occur to memory in relation to dementia/Alzheimer’s • Utilize exercises/games/projects to stimulate brain activity An Overview of Learn to identify: Psychotropic Drugs • The definition of psychotropic drugs • Basic neural processes • Categories of psychotropic drugs including antidepressants, mood stabilizers, psychostimulants, antipsychotics, anti-anxiety and hypnotics, their indications for use and side effects Anaphylaxis • List several symptoms of a stinging insect allergic reaction • List several ways to treat a bee sting • Discuss the use of an EpiPen Angelman Syndrome • Define several criteria used for diagnosis in Angelman syndrome • List several characteristic features of Angelman syndrome • Describe effective ways to deal with people who have Angelman syndrome Anger Management • Discuss different anger management styles • Understand the assertive-problem solving style of anger management • Discuss positive techniques for managing anger Angina Pectoris • Define Angina Pectoris • State the two types of Angina Pectoris • State the risk factors • List the signs and symptoms • Explain the treatment Anxiety and Intellectual • Describe incidence of anxiety in individuals with intellectual disability (ID) Disability • List two potential causes of anxiety in individuals with ID • Identify symptoms and characteristics of anxiety seen in individuals with ID • Discuss two potential techniques to decrease anxiety for an individual with ID Anyone Can Fall • List risk factors for falls • Identify actions to take to prevent falls

Staff Trainings Title Objectives

Artificial Urinary • Define urinary incontinence Prosthesis • List considerations for using the US device • Describe some complications associated with the AUS device ASD 101 and Social • Identify core deficits of Autism Spectrum Disorder (ASD) Skills - Supporting • Identify and explain main co-occurring disorders Students with ASD • Understand how to support students Ask Me 3 • Discuss the problem involving low health literacy • Identify three importance questions to ask providers of health care • Discuss how clear health communication affects your practice • List tips for enhancing patient-provider communication Asperger’s Syndrome • Define Asperger’s syndrome • Identify symptoms of Asperger’s • Discuss treatment options Aspiration Pneumonia • Describe several signs and symptoms of aspiration pneumonia • Explain several complications of aspiration pneumonia Assisted Range of • Define assisted range of motion and its importance Motion • Define basic understanding of passive ROM principles • Review proper mechanics to prevent injury Asthma, Understanding • Discuss the physiology of the lungs and how asthma alters their function • Define types of asthma • List the signs and symptoms of asthma • Specific different treatments for asthma • Identify prevention tips for controlling asthma attacks • Explore how to live with asthma, one day at a time Autism and the Hospital • Define autism Experience • Discuss ways to approach and respond to persons with autism • List steps to create a safe and calm hospital environment benefiting both persons with autism and the staff Autism Spectrum • Define autism Disorder • List facts of autism • Review characteristics and symptoms of autism • Discuss supportive interventions and treatment strategies Avian Influenza Bird Flu • Define Avian Influenza and related terminology • Explain transmission of Avian Influenza • List symptoms and current treatment options for Avian Influenza • Discuss elements of a pandemic Back Safety Gallery • State importance of safe lifting for staff and individuals Walk • Increase staff knowledge of back safety and lifting • Increase staff knowledge of proper wheelchair transfer

Staff Trainings Title Objectives

Back Safety in the • Examine back injury statistics Workplace • List common causes of back injuries • Discuss back injury prevention • Discuss the principles of safe handling • Describe proper lifting techniques Basic Nutrition • Discuss basic nutrition and hydration • Define the six essential nutrients and explain why each is important • Identify ways to help consumers meet basic nutrition and hydration needs Basics of Safe Lifting • Define the term, “body mechanics” • Examine basic anatomy of the body as it relates to movement and work • Review injury prevention techniques • Identify safe methods of lifting, transferring and repositioning consumers to prevent injury to the caregiver and the consumer Beckwith-Wiedemann • List some characteristics of Beckwith-Wiedemann syndrome Syndrome • List several health problems that occur in this syndrome • List several recommended medical and surgical guidelines Bed Bugs • Explain the steps to successfully eliminate bed bugs Benign Prostatic • Define BPH Hyperplasia (BPH) • List the signs and symptoms • Discuss the treatment options Blood Borne Pathogens • Define blood borne pathogens in the Workplace • Review methods to reduce the risk of transmission of blood borne diseases • Review the steps for safe and proper glove removal Blood Borne Pathogens • State what a blood borne pathogen is Protecting Yourself • Name three common and dangerous blood borne pathogens • Define standard precautions • List four ways to lessen the risk of becoming infected with a blood borne pathogen Blood Clots, The Basics • Define what a blood clot is of • State three causes of blood clots • Name three symptoms of a blood clot • Name two treatments for blood clot prevention Blood Disorders • Discuss functions and components of blood • Define the more common blood disorders • Discuss treatment of blood disorders Boundaries APS • Gain a better understanding of what boundaries are • Learn the difference between external and internal boundaries • Address reasons why it’s important to have boundaries • Discuss how boundaries are formed • Explore various forms of expression/communication that may be useful when trying to communicate our feelings to others

Staff Trainings Title Objectives

Bowel Management and • Define constipation, fecal impaction and bowel obstruction Constipation • Identify signs and symptoms of constipation • Identify contributing factors of constipation Bowel Obstruction • Describe some different types of bowel obstruction • List some signs and symptoms of bowel obstruction • Explain diagnosis and treatment Breast Cancer • Define breast cancer • Discuss identified risk factors • List several signs and symptoms of breast cancer • List detection methods • Discuss treatment options Bronchiectasis • Define bronchiectasis • List signs and symptoms • Describe treatment and management Cancer • Define cancer • List some common symptoms of cancer • Explain importance of early detection and screening • Discuss diagnostic and treatment methods • List some risk factors and prevention tips Cancer of the • Identify risk factors for various reproductive cancers Reproductive System, • Recognize signs and symptoms Part I • Understand various treatment options • Understand prognoses and its impact on quality of life Cancer of the • Identify risk factors Reproductive System, • Recognize signs and symptoms Part II • Understand various treatment options • Discuss ways of prevention • Discuss other associated female reproductive cancers Caregiver Stress Taking • Define caregiver stress Care of Yourself • Discuss how stress can affect a caregiver’s health • Recognize the difference between caregiver stress and burnout • Identify ways to prevent caregiver stress and burnout Caring for the Caregiver • Recognize our reactions to stress Stop Stressing • Explore techniques for stress relief • Incorporate stress reduction practices in our daily lives Carpal Tunnel • List some of the signs and symptoms Syndrome • List several treatment options • Describe some exercises to manage or prevent Carpal Tunnel Syndrome Cataracts • Explain what a cataract is • List signs/symptoms of a cataract • List causes/risk factors • Understand treatment options

Staff Trainings Title Objectives

Celiac Disease and • Define Celiac disease Gluten-Free Diet • Identify symptoms of Celiac disease • Discuss treatment, specifically gluten-free diet Cellulitis • Define cellulitis • Discuss causes and symptoms of cellulitis • Discuss risk factors, diagnosis and treatment of cellulitis Cerebral Palsy • Explain the four types of CP • Name five identified risk factors for CP • List five health conditions commonly associated with CP • State four treatments recommended for CP Cervical Cancer / HPV • Discuss cervical cancer and HPV • Understand how to get tested for cancer with a pap test Changing Needs – • Identify risk factors Supporting People with • Discuss effects of Alzheimer Disease Dementia • Define the 3 stages • Discuss the importance of communication CHARGE Syndrome • Define CHARGE syndrome • List some of the abnormalities associated with this syndrome • Identify treatments for CHARGE syndrome Chest PT • Overview the respiratory system • Explain chest PT and its purpose • List precautions for chest PT Choking is an • Understand why choking is a medical emergency Emergency • State signs and symptoms of choking • Identify individuals at risk for choking • Understand emergency first aid for choking (Heimlich maneuver) Choking, Pica and • State signs and symptoms of choking Swallowing Disorders Cholesterol • Define good and bad cholesterol • List some foods that are low in cholesterol • List some foods that are high in cholesterol that you should avoid Chron’s Disease • Have a better understanding of Chron’s Disease • Define Diagnosis • Identify symptoms and treatment Chronic Obstructive • Identify the most common lung conditions associated with COPD Pulmonary Disease • List most common signs and symptoms (COPD) • Describe treatment and management strategies for COPD Clostridium Difficile • Define Clostridium Difficile • Identify how Clostridium Difficile is spread • Explain the treatment for Clostridium Difficile

Staff Trainings Title Objectives

CMV • Define different types of CMV (Cytomegalovirus) • List several complications of CMV • List prevention methods Coffin-Lowry Syndrome • List physical characteristics that may be associated with CLS (CLS) • Identify behavioral features that may be associated with CLS Cold and Flu Basics • Name three possible symptoms of a cold • Name three possible symptoms of the flu • List three examples of how to prevent the flu Colorectal Cancer • Define colorectal cancer • Discuss identified risk factors • List several signs and symptoms of colorectal cancer • List detection methods • Discuss treatment options Commit to be Fit • Define fitness and its three elements • State the difference between aerobic and anaerobic exercise • Discuss the benefits of exercise and goal setting • Name ways to stay motivated to a fitness program Communicating with a • Explain the nature, scope and importance of communication Non-Speaking Individual • Define the difference between the terms “non-speaking” and “non-verbal” • Discuss spoken and non-spoken means of communication • Describe the importance of the environment and communication partners in promoting effective communication Communicating with • Define communication Caregivers • Identify steps in good communication • Identify barriers to communication • State the importance of written communication • Define daily communication methods Communication Skills for • Identify barriers and challenges to a rewarding physician appointment a Rewarding Physician • Explain how to overcome barriers and get the most out of an Appointment appointment Conflict Resolution • Define conflict • Identify causes of conflict • Identify steps for resolving conflict • Practice using these skills Coronavirus COVID-19 • Define Coronavirus Disease 2019 or COVID-19 • Name the symptoms of COVID-19 (Updated as needed) • State everyday precautions to prevent the spread of COVID-19 • State what to do if you think you or someone you know has COVID-19 Crohn’s Disease • Discuss the nature of Crohn’s Disease and describe common symptoms • Explain treatment and role of nutrition • List complications of the disease

Staff Trainings Title Objectives

Cystic Fibrosis • Define cystic fibrosis • Identify signs and symptoms of cystic fibrosis • Identify management and treatment of cystic fibrosis Dandy Walker • List characteristics of Dandy Walker syndrome Syndrome • Understand hydrocephalus associated with Dandy Walker • List treatment options Death and Dying • Identify four signs of impending death • Describe some comfort measures you can offer to a dying person • Discuss physical and emotional aspects involved in dealing with the dying process De-Escalation Skills for • Discuss factors that may cause challenging behaviors the Intellectually • Explain for functions of behavior Disabled Person • List at least five effective communication skills and de-escalation techniques to prevent a behavior crisis • Explain the importance of relationships that impact behavior Dehydration Causes • List and describe symptoms of mild, moderate, and severe dehydration Symptoms and • Identify causes and risks associated with dehydration Treatment • Discuss prevention and treatment Dementia • Define dementia • State the types of dementia • Name the symptoms • Discuss the stages • Discuss how to diagnose dementia. Dental Care for • Describe how to have healthy dental condition Individuals with • Recognize dental abnormalities and describe causes Developmental • Identify prevention and treatment strategies Disabilities • Develop proper oral care Depression • Define depression • Review the signs and symptoms • State available treatment options and ways to get help Developing • Explain the importance of developing relationships with people who have Relationships with profound IDDD People Who Have • State specific strategies to develop relationships Profound IDDD Diabetes • Review the nature of diabetes and identify risk factors associated with type 2 • Identify health complications associated with uncontrolled diabetes • Discuss interventions, treatment strategies, and lifestyle changes to control diabetes Diabetes – Take Control • Review risk factors and symptoms associated with diabetes • Discuss preventative measures as well as treatment options Diabetes Facts and • Review facts and myths about Type I and Type II Diabetes Myths

Staff Trainings Title Objectives

Diabetes Insipidus • Define Diabetes Insipidus • State at least three causes • List the symptoms and treatment options of Diabetes Insipidus Disorders in the Male • List different types of prostate conditions Urinary System • Identify common signs and symptoms • Explain treatment therapies Down • List several common traits of Down Syndrome Syndrome/Trisomy 21 • Identify several health complications associated with Down Syndrome • List medical guideline recommendations for people with Down Syndrome Dysphagia and Mealtime • To understand the definition of dysphagia Safety • To learn the role of a direct support professional in supporting someone during eating • To understand and follow basic guidelines for safe eating and drinking • To understand the importance of following a person’s diet which may include modifications to solid and liquid food, adaptive equipment, positioning, supervision as well as person-specific instructions Eating, Swallowing, and • Identify basic dysphagia principles and definitions Choking • Recognize signs and symptoms associated with aspiration, dysphagia and choking • Create mealtime plans and comprehensive dysphagia plans that result in an enhanced quality of life and decreased risk of aspiration and choking • Identify modified food textures and the role they play in minimizing the risk of aspiration and choking Effective • Review effective communication skills Communication Skills for • State conditions which cause difficulty with communication Interacting with People • Review communication tips for specific disabilities with Disabilities • The R Word video included (optional) Emergency • Recognize changes – physical and behavioral – that require reporting Preparedness/Staff • State when, to whom, and how an emergency situation should be Empowerment reported • State conditions which are reportable as emergencies Epilepsy and Seizures • Understand the cause and effects of seizures • Understand the caregiver’s role in caring for a person with seizures • Review first aid for seizures • Recognize the importance of observation and accurate documentation of seizures Falls and Fracture • Identify fall risk factors Prevention • Identify the three parts of the fracture prevention triangle • List factors to prevent falls and fractures Falls Assessment and • Learn why falls prevention is important Prevention • Discuss why older people fall • Learn how the risk of falling can be reduced • Develop skills to support the consumer in managing their risk of falling

Staff Trainings Title Objectives

Fatty Liver Disease • Name two functions of the liver • Name two types of fatty liver disease • Identify two risk factors • Discuss treatment strategies Feeding Tubes • Explain the purpose of a feeding tube • List advantages and disadvantages of bolus, gravity and pump feedings • Explain basic care of feeding tubes Fetal Alcohol Syndrome • Define FASD and related disorders (FASD) • Describe techniques used to work with FASD individuals • Describe some major characteristics Fibromyalgia • Give the definition of fibromyalgia • List some of the signs and symptoms • Explain some of the treatments Five Steps to • Learn to project a professional image Professional Success* • Understand the rules and guidelines of your job • Know how to work within a team • Use customer service techniques for the best client/resident care Foley Catheter Care • Explain the proper procedure for skin care, emptying and changing the drainage bag • Explain the importance of following the proper procedure • Identify the signs and symptoms of a urinary tract infection (UTI) • Identify when to call the doctor Foodborne Illness • Identify those at risk and signs and symptoms of foodborne illness • Explain recommendations for food safety (clean, separate, cook, chill, avoid) Foot Care • List several foot problems • Discuss ways to care for feet • Name several things diabetics should do to care for their feet Four Steps to Food • Define food poisoning Safety • State the four steps of food safety Fragile X Syndrome • Identify how Fragile X is transmitted • Name several symptoms of Fragile X • Identify the most accurate test for diagnosing Fragile X Gallbladder Disease • Define gallbladder disease • List signs and symptoms of gallbladder disease • Name several ways of treating this disease Gastric Ulcers and • Define gastric ulcers and diverticulitis Diverticulitis • Review the symptoms and treatments of both Genetic Syndromes – • Review components of genetics – DNA and chromosomes Common • Describe abnormalities associated with specified genetic syndromes • Discuss diagnosis and treatments

Staff Trainings Title Objectives

Genital Hygiene for the • Identify some functions of the foreskin Uncircumcised Male • Describe abnormalities associated with specified genetic syndromes • Describe signs and symptoms to observe for in cases of emergency problems GERD • Define GERD • Identify signs and symptoms of GERD • List the various treatments available • List possible complications of GERD if left untreated Getting Along with • Learn ways to build a peaceful work environment Others • Understand differences among staff members • Learn steps to handling interpersonal differences • Learn conflict resolution strategies Glaucoma • Define glaucoma • List current treatment options Gout • Define gout • List several symptoms of gout • List several foods to cut from the diet when treating gout Grief and Coping with • Define grief, bereavement and mourning Death and Dying • Review the importance of support systems • Identify the stages of grief • Review the normal grief reaction • Explain the dying experience • Discuss methods of coping Grief and Loss in • Discuss the grieving process in the Developmentally Disabled population Individuals with • Describe behavioral and emotional changes that may occur in the Developmental individuals Disabilities – A Guide for • Discuss caregiver coping skills Caregivers Guidelines for Safer • Define the spine’s basic functions Lifting Review safe lifting techniques Head Lice • Describe the life cycle of a louse • Describe “bug busting” • Describe strategies to prevent further lice infestation Health Effects of • Explain why tobacco is harmful to the body Cigarette Smoking • Discuss the effects of second-hand smoke • Name three health benefits of quitting smoking Healthy Aging – the • Examine a general overview of some normal changes that happen with Normal Aging aging • Discuss how to continue to provide care that is person-centered high quality and focused on relationships Healthy Aging for Older • Identify some changes as we get older that affect the way we eat Adults • List three essential nutrients • List some low-fat foods

Staff Trainings Title Objectives

Healthy Dining Out • Discuss several ways to order healthy choices from the menu at a restaurant • Identify ways to meet basic nutrition requirements while ordering fast foods Healthy Living • Explain why it matters what we eat or how well we sleep • Identify ways that exercise makes us healthier • Give reasons not to smoke • Name things that keep us healthier • Describe ways to reduce stress Healthy Teeth • Discuss the importance of healthy teeth • Discuss unhealthy dental conditions • Discuss the importance of routine dental care • List the ways to keep your teeth healthy Healthy Weight • Explain what a healthy weight is Awareness • Name three possible conditions that overweight or obese people are at risk to develop • Name four health benefits of physical activity • List two examples of behavioral changes that can play a significant role in weight management Heart Health • Name three parts of the circulatory system • Explain the basic function of the heart • Learn different tests for the heart • Consider healthy lifestyle choices Heat Illnesses and • Define several different types of heat illnesses Dehydration • Define emergency care for heat stroke • List several ways to prevent heat illnesses Helicobacter Pylori • Define H. Pylori (H. Pylori) • Identify illnesses that H. Pylori can cause or contribute to • List diagnostic studies and treatment strategies Hemorrhoids • Define hemorrhoids • Identify causes and symptoms of hemorrhoids • State preventive measures and treatment options Hepatitis B • Review modes of transmission for Hepatitis B • Describe diagnosis of Hepatitis B • List methods of prevention and treatment High Blood Pressure • Define hypertension (high blood pressure) • List causes of hypertension • List treatments for hypertension • State the importance of mediation compliance Holiday Weight Gain • Review strategies of healthy holiday eating without weight gain • Discuss ways to cook lighter meals for the holidays

Staff Trainings Title Objectives

Home Oxygen Therapy • Define what oxygen is • Name medical conditions that may require home oxygen therapy • List home oxygen safety tips Home Safety • Understand the importance of home safety • Identify hazards in your home • Eliminate or minimize recognized hazards • Keep your home and your family safe and secure Honoring Resident • Identify the rights of residents under the law Rights • Explore common violations of resident rights • Learn effective techniques to safeguard resident rights How We Describe • State the Importance of Good Documentation Good Day/ Bad Day • Define Suitcase Words • Learn to objectively describe potential symptoms • Understand the role we play in the treatment team process Human • Explain what Human Immunodeficiency Virus HIV is Immunodeficiency Virus • State how HIV is transmitted HIV • State how HIV is NOT transmitted Huntington’s Disease • Understand the symptoms, causes and treatment for Huntington’s Awareness disease Hydrocephalus and • Understand the nature of Hydrocephalus Shunts • Identify causes and symptoms of Hydrocephalus • Understand treatment of Hydrocephalus and different types of shunts • List symptoms and complications of shuts Hypercalcemia • Define the roles calcium, vitamin D and PTH play in the body • Define hypercalcemia • List several causes of hypercalcemia Hyponatremia • Define hyponatremia • Describe symptoms and common causes of hyponatremia • Discuss preventative treatment Hypothermia • Define hypothermia • List signs and symptoms of hypothermia • Discuss treatment for hypothermia Individual to Individual • Define individual to individual abuse Abuse Reduction • Identify the three key components involved in determining if abuse occurred • List examples of conflict resolution

Staff Trainings Title Objectives

Infection Control • Verbalize definitions related to infection control Protecting Yourself and • List modes of transmission of infections and portals of entry of bacteria Others with Standard • Explain standard precautions Precautions • Explain the worker’s role in preventing spread of infections • Describe proper hand washing techniques, application and removal of gloves • Describe appropriate techniques of cleaning up spills • Know the location of your agency Infection Control Manual Intellectual and • Define intellectual disabilities and developmental disabilities Developmental • Identify possible causes of ID Disabilities • Learn effective techniques to safeguard resident rights Introduction to • Dispel common myths that cause health disparities in the Developmental developmentally disabled population Disabilities • Review the prevalence of common physical and psychiatric health issues with the Developmental Disabilities population Introduction to Managing • Discuss the seven rights of medication administration Medications • List and describe the role of the direct care staff with medications and the developmentally disabled population they serve Introduction to the • Identify the vision and goal of the HCQU Health Care Quality Unit • Discuss the history of the HCQU • Identify the role/activities of the HCQU • Discuss the HCQU organizational chart of HCQU staff Is This Abuse? • Define abuse • Classify the types of abuse • Identify examples of abuse • Clarify what is and is not abuse Ischemic Colitis • Define Ischemic Colitis • Identify signs and symptoms of Ischemic Colitis • Discuss diagnosis and treatment Kidney Failure • Identify risk factors for kidney disease • Explain the functions of the kidneys • List symptoms of kidney failure • Explain treatment of kidney failure Kidney Stones • Explain what kidney stones are • Name the different types of kidney stones • State what causes kidney stones • List symptoms of kidney stones • Discuss how kidney stones are treated Know Your Lemons • Learn what breast cancer can look and feel like • Recognize the 12 possible signs of breast cancer Laboratory Values and • Gain basic understanding why lab tests are done Diagnostic Testing • Gain a better understanding of basic testing and test results • Recognize abnormal results and common factors of abnormal lab values

Staff Trainings Title Objectives

Lactose Intolerance • Define lactose intolerance • Identify possible ways to diagnose lactose intolerance • Name several symptoms of lactose intolerance • Identify several treatment options Leading and Managing • Identify the components of leadership and management 101 • Identify styles of leadership • Discuss what leaders and managers can achieve for an organization • Name strategies of good leaders and managers that influence employee job effectiveness Legal Competency • Define legal competency • Describe competency components as related to healthcare • Explain other ethical issues related to competency • Compare the medical system’s view of competency with that of the IDDD system • Discuss how the issues of competency may impact a consumer’s health care Lennox-Gastaut • Explain what makes LGS different from other seizure disorders Syndrome* (LGS) • Identify common characteristics of LGS • Identify common interventions used to manage LGS • State the general prognosis for most people with LGS Leukopenia • Explain the function of white blood cells • Define leukopenia • Review causes and treatment for leukopenia Life with Anxiety • Describe what someone with anxiety may feel like • State how anxiety affects the body • List tips for tackling anxiety Lipodermatosclerosis • Define Lipodermatosclerosis • State the signs and symptoms • Explain the treatment Living Heart Healthy • Know the signs of heart attack and stroke • Know the risks • Learn how to live a healthy lifestyle • Learn how to shop, cook and eat healthy • Learn how to fit a healthy lifestyle into a busy schedule Living Well with Asthma • State what asthma is • List signs and symptoms • Identify common triggers • State prevention tips for controlling asthma attacks • State the importance of an asthma action plan Living Well with Heart • Define heart failure Failure • Name three possible causes of heart failure • List four symptoms associated with heart failure • List five examples of self-care to manage heart failure

Staff Trainings Title Objectives

Looking Beyond the • Discuss how the issues of pain or discomfort may impact a person Behavior • Recognize the extent of the relationship between medical and behavior concerns • Identify some of the top medical issues that may be demonstrated behaviorally Lupus • Define lupus • List the different types of lupus • Identify signs and symptoms of lupus Maintaining • Define confidentiality Confidentiality • Explain why confidentiality is important for quality consumer care • Describe at least four ways that confidentiality can be broken during daily work • Explain ways to maintain confidentiality in your daily work • Define HIPPA and examine how regulations may impact group home staff Managing Incontinence • Review the causes and treatments of urinary and bowel incontinence Medication Interactions • Give the definition of a drug interaction and Errors • List the three different types of drug interactions • Explain ways to prevent drug interactions/med errors Meeting the Emotional • Distinguish among feelings of empathy, sympathy and pity Needs of Residents • Discover person-centered approaches for working with residents • Apply effective techniques to build a resident’s self-esteem Men’s Healthy Ways to • List steps to take to stay and become healthy Stay Healthy • Identify health screenings necessary for good health Menopause and • Define menopause Hormone Replacement • List some causes and common signs and symptoms of menopause Therapy • Compare Hormone Replacement Therapy and alternative therapies Menstruation and • Discuss the monthly process of menstruation Women’s Health • Discuss what products to use and when to use them • Explain the importance of feminine hygiene (cleanliness) Methicillin Resistant • Define MRSA Staphylococcus Auerus • Discuss how to protect yourself and others from infection MRSA • List ways to prevent the spread of MRSA Multi Drug Resistant • Define MRSA and VRE (Vancomycin-resistant Enterococcus) Organism • Differentiate between colonization and infection • List ways to care for people with MRSA / VRE Multiple Sclerosis • Define and explain Multiple Sclerosis Myotonic Dystrophy • Understand the symptoms of Myotonic Dystrophy • State how to diagnosis • Explain the treatment MyPlate: Holiday Edition • Discuss using MyPlate to create a healthy, balanced lifestyle over the holidays

Staff Trainings Title Objectives

Normal Pressure • Review the causes, symptoms, diagnostic procedures, and treatments Hydrocephalus (NPH) for NPH • Review possible complications of shunts Nutrition and Exercise • State the importance of exercise and healthy food choices for You • Demonstrate an increased awareness of fast food choices • Discuss the importance of portion control Nutrition Matters – • Discuss key macronutrients needed in the diet Diabetes • Explain why nutrition is important for diabetes • State how to create your plate using simple steps Observation Skills • Recognize changes in physical and behavioral condition that require reporting • State conditions which are reportable as emergencies • Recognize situations that may lead to physical distress • Increase staff’s comfort level when dealing with physical distress Osteoarthritis and • Discuss symptoms and treatment options of Osteoarthritis (OA) Rheumatoid Arthritis • List some common characterizations of rheumatic diseases • Discuss symptoms and treatment options for Rheumatoid Arthritis (RA) Osteoporosis Medication • Understand that although there is no cure for osteoporosis, there are Options steps that can be taken to prevent, slow, or stop its progress • Identify specific osteoporosis medication options including benefits and special considerations Ostomy Care • List some reasons why an ostomy is done • Review possible peristomal skin issues • Explain basic care of an ostomy and changing the ostomy appliance Overview of Intellectual • Gain a general understanding about the diagnoses of intellectual Disability (ID) and disability (ID) and autism spectrum disorder (ASD) Autism Spectrum • Learn about the history of support systems for those with ID Disorder (ASD) (training • Gain a general understanding of ID with a co-occurring mental health used for law diagnosis (Dual Diagnosis) enforcement) • Discuss common observed behaviors and issues that may occur • Learn about possible tools and strategies as well as online resources Overview of Traumatic • What is Brain Injury Brain Injury • Types of Brain Injury • Causes and prevalence • Common effects of Brain Injury • Management strategies • Brain Injury resources Pacemakers • Define Bradycardia • List several devices that interfere with pacemaker function • List some signs and symptoms of problems with the pacemaker Pain Management • Understand the mechanism of pain and how it can affect our daily lives • Be knowledgeable regarding pain relief options available • Understand how the various pain scales can be applied to the appropriate level of client to effectively assess his/her pain relief

Staff Trainings Title Objectives

Pain Management – • Define pain Advocacy Alliance • Identify types of pain • Assess pain symptoms, including in those individuals with cognitive impairments and/or limited verbal abilities • Understand general pain management options • Differentiate between pain facts and pain mythos Pancreatitis • Describe normal functions of the pancreas • Define pancreatitis • Discuss two types of pancreatitis, acute and chronic • Describe causes, symptoms and treatment of acute and chronic pancreatitis Parkinson’s Disease • Define Parkinson’s disease • Identify symptoms of Parkinson’s disease • List some treatment options • Discuss some general care points for people with Parkinson’s Parkinsonism • Define Parkinsonism • Identify general characteristics/symptoms of Parkinsonism • List some treatment options for Parkinsonism Patient Rights and • Identify patients’ rights and responsibilities Responsibilities • Discuss patients’ rights • Discuss patients’ responsibilities • Describe how to talk to a doctor if there is a problem with a medical treatment • Describe what to do if a patient has a problem with their doctor Peritoneal Dialysis • Explain the functions of the kidneys • List symptoms of kidney failure • Explain treatment of kidney failure using peritoneal dialysis Personal Care for • Recognize individual rights Individuals with • List risk factors for skin break down Developmental • List signs and symptoms of pressure sores and urinary tract infections Disabilities Phenylketonuria (PKU) • List some symptoms of PKU in untreated adults • List some foods high in Phe that should be avoided in persons with PKU • List some complications that can occur in PKU PICA – What is it? • Define PICA • Identify the warning signs • Recognize the medical harm PICA causes • Describe treatment, management and control of PICA Pituitary Tumor • Discuss the Pituitary Gland functions • Recognize potential symptoms of a pituitary tumor • Review treatment options Pneumonia: • Define pneumonia Recognizing, Treating • Identify signs and symptoms and Preventing • Describe the treatment

Staff Trainings Title Objectives

Post-Traumatic Stress • Define PTSD Disorder • Describe PTSD symptoms in those with ID/DD • Identify why it is important for caregivers to know about an individual’s history of trauma Prader-Willi Syndrome • List several characteristics of Prader-Willi • Describe several health complications which may occur • List several treatment options Preventing and • Identify characteristics of a good leader and team member Resolving Conflict • Recognize the importance of treating all consumers equally • Identify methods that will help prevent conflict between consumers Professional and • Gain a better understand of what boundaries are Personal Boundaries Prostate Cancer • Define prostate cancer • Identify signs and symptoms of prostate cancer • List possible treatments Psoriasis • Identify the factors for development of psoriasis • List the clinical features • Describe the progressive management of the clinical features • List the adverse effects of psoriatic treatments Pseudobulbar Affect • Explain Pseudobulbar Affect PBA • Discuss PBA and IDD relationships • State the impact of PBA • Discuss treatment Psychological Trauma • Increase awareness of what evens could cause psychological trauma and how all aspects of the person may be affected • Become familiar with potential indicators that a person may have experienced psychological trauma • Gain an understanding of how to best support someone who is experiencing the effects of psychological trauma Psychotropic • Become familiar with common classes of psychotropic medications, Medications indications for their use, and side effects • Understand the importance of monitoring side effects of medications • Become familiar with signs and symptoms of serious or life-threatening side effects of medications Pulmonary Embolism • Define pulmonary embolism and deep vein thrombosis • Identify risk factors, symptoms and treatment options for pulmonary embolism • List preventative measures for deep vein thrombosis and pulmonary embolism

Staff Trainings Title Objectives

Pulmonary Fibrosis • Define Pulmonary Fibrosis • List causes and risk factors • State signs/symptoms and complications • Explain treatments • Manage Symptoms • Recognize Emergencies • State when to call the Doctor Quit Smoking • Identify the health benefits of quitting smoking • Identify stopes to quit smoking… for good Raynaud’s Syndrome • Define Raynaud’s syndrome • List signs and symptoms of Raynaud’s • List self-help measures to prevent Raynaud’s attacks from occurring Recognizing and • Define pain Managing Pain • Identify how the body experiences pain • Recognize factors that cause pain • Become familiar with objective signs of pain Recognizing Common • List five common skin disorders Skin Disorders • Identify the ABCDEs of melanoma • Name the steps of self-skin examination • Name at least six CDC recommendations to protect your skin from harmful UV radiation Recognizing Physical • Recognize signs of physical distress Distress • Recognize situations that may lead to physical distress • Increase staff’s comfort level when dealing with physical distress Redirection • State examples of redirection • Explain how to guide a person to alternative behaviors via instruction and simple cues • List three ways to redirection • State three redirection tactics Reporting and • Explain what documentation is Documenting: What to • List the different types of charting style Say and How to Say It • Discuss the reasons for charting Residential Boot Camp • Residential Boot Camp will teach you how to care for others, function as a member of a team, and prepare you to meet the everyday challenges as a Direct Service Professional. Our “Drill Instructors” will blend the principles of support with Chapter 6400 regulations • Recruits will refresh their knowledge of the many different roles assigned to them in their positions as DSPs • Basic training for recruits will include positive decision making, recognizing and reporting abuse, Specialized Mealtime plans, general health and wellness, Restrictive Procedures, communication, and documentation

Staff Trainings Title Objectives

Respiratory Disease • Explain the overall function of the respiratory system • Name four of the more common respiratory illnesses • Identify signs, symptoms and treatment of the four most common respiratory illnesses Restrictive Lung • Define restrictive lung disease Disease • List signs and symptoms • Identify treatment options Rett Syndrome • List diagnostic and supportive criteria for Rett syndrome • Explain long term care for persons with Rett syndrome • List common complications Routes of Medication • List and describe common routes of medication administration Administration • List the six rights of medication administration Rubinstein-Taybi • Describe Rubinstein-Taybi syndrome Syndrome • List several common health problems that occur in this syndrome • List several recommended medical guidelines that should be followed Scabies • Define scabies • Discuss signs and symptoms of scabies infestation • Identify methods for treatment and eradication of scabies infestation Schizophrenia • Discuss the symptoms of schizophrenia • Review treatment options • Discuss communication skills to use when working the a DD person with schizophrenia Seasonal Influenza • Define influenza • Explain transmission of and symptoms of influenza • List high risk groups and complications • Discuss “Take 3 Actions” to prevent influenza • Discuss treatment Sepsis • Define sepsis • Name two of the four symptoms necessary to be diagnoses with sepsis • Name four possible causes • State the primary treatment options • Name the best defense again developing sepsis Sexual and Domestic • Discuss the need for sexuality and healthy relationships for the person Violence with People with ID/DD with Disabilities • Recognize the prevalence of abuse and violence with the ID/DD person • Identify ways to support the person who is a victim of trauma Sexuality Healthy • Understand the myths and misperceptions about individuals with IDD Relationships and and their impact access to education on healthy relationships and Disability sexuality • Identify tools and strategies for teaching individuals with IDD about healthy relationships and sexuality • Understand the role of healthy relationships and sexuality education as a primary sexual abuse prevention strategy

Staff Trainings Title Objectives

Sexuality Healthy • Understand the myths and misperceptions about individuals with IDD Relationships and and their impact access to education on healthy relationships and Disability sexuality • Identify tools and strategies for teaching individuals with IDD about healthy relationships and sexuality • Understand the role of healthy relationship and sexuality education as a primary sexual abuse prevention strategy Sexuality Issues for • Learn how to focus on positive outlooks regarding sexuality for Direct Care Workers individuals with DD • Discuss strategies to educate individuals with DD on sexual issues • List several staff responses to inappropriate sexual behaviors Sexuality Resources for • Specific to adult individuals with ID/DD Direct Care Supporters • Helps direct care supporters focus on positive outlooks regarding of Adult Individuals with sexuality for this unique population ID/DD • Resources can be used alone or in combination to meet specific needs and interests of these individuals • Divided into 10 sections: Friendships; Boundaries; Body Parts; Masturbation; Birth Control/STIs; Sexual Violence/Harassment/Personal Safety; Sex Education for IDD; Sexuality Issues for Direct Care Workers; Gender Identify Issues; Resources Shingles • Define shingles • Discuss causes and symptoms of shingles • Discuss risk factors, diagnosis and treatment • Become aware of and be able to discuss the shingles vaccine Short Bowel Syndrome • List symptoms/causes of Short Bowel Syndrome • List treatment options • Discuss complications if symptoms are not controlled Skin Conditions • List signs and symptoms associated with the identified skin disorders • Describe the appropriate treatment of each disorder Skin Health Prevention • State four skin care routines to keep your skin healthy and Detection of Skin • Define a pressure injury and pressure injury stages Breakdown • List causes and risk factors of pressure injuries • List treatment and prevention of pressure injuries Sleep and Aging Well • State the effects of aging and sleep • Discuss sleep problems and disorders prevalent among older persons • Review sleep tips • Discuss medications and sleep problems • Discuss consequences of sleep changes Sleep Apnea • Define sleep apnea • List symptoms and identify treatments available Sleep Disorders • Define some different types of sleep disorders • List several risk factors for sleep apnea • List several treatment options for sleep apnea

Staff Trainings Title Objectives

Sleep Problems and • Review sleep problems and disorders Disorders • Define insomnia • Identify pharmacological and behavioral treatments for insomnia • Define restless leg syndrome and treatment options Smoking – What You • Understand the fats known about the health dangers of smoking Need to Know • Know where to go for help if you decide to stop smoking • You will gain helpful information about your decision to smoke or not to smoke Sodium Restrictive Diets • Explain the role that sodium plays in our bodies • Describe several health concerns regarding high sodium foods • List several foods that are low in sodium Spina Bifida • Define Spina Bifida/Neural Tube defects • Describe how a person is affected • Identify secondary conditions associated with Spina Bifida • List screening tests and prevention methods Stay in Circulation Facts • Define PAD About Peripheral Arterial • State signs and symptoms of PAD Disease (PAD) • Discuss risks and risk reduction of PAD Sticks and Stones: • Gain an understanding of the seriousness and the extent of bullying that Helping People with ID occurs with IDD Deal with Bullying • Learn what people with IDD need to know to protect themselves, including a specific strategy to help them deal with bullying • Identify additional strategies they may utilize to address bullying on an individual basis and in the broader social context Stress Reduction and • Recognize our reactions to stress Relaxation Techniques • Explore techniques for stress relief • Incorporate stress reduction practices into our daily lives Stress: What’s it Doing • Describe the physical effects of stress on the major body systems to Us? • List emotional and behavioral warning signs of stress • Utilize stress management techniques Stroke • Discuss three parts of the brain and their functions • Discuss the three types of stroke • State four ways to reduce risk of stroke • Review symptoms of stroke Sugar in Soda • Identify sugar content in drinks/soda Summer Safety • Discuss sun and heat exposure precautions and illnesses; list how we can protect ourselves • Lightning precautions: indoors and outdoors • Water safety rules and concerns • Backyard safety precautions • Grill and Campfire safety • Fireworks safety SunWise • Learn the good and bad effects of exposure to the sun Developed by the US Environmental Protection Agency

Staff Trainings Title Objectives

Supporting Each Other • Explain what is helpful to support a person dealing with loss in our Grief Swine Flu H1N1 • Understand the risks of the H1N1 flu virus • Discuss ways to reduce the spread of the virus infection • Review ways to care for the sick person Syndrome of • Define SIADH Inappropriate • List several symptoms of SIADH Antidiuretic Hormone • Discuss treatment options Secretion (SIADH) Tardive Dyskinesia and • Identify what tardive dyskinesia and tardive dystonia are Tardive Dystonia: • Recognize Understanding the signs and symptoms Possible Effects of • Identify the importance of reporting and documenting Psychotropic Medications Team Building • Define Teamwork and Team Building • State necessary teamwork skills • Name the four stages of team building *Credit to www.challenge.nm.org (Sharon Doner-Feldman) Team Building 101 • Identify what makes a team • List characteristics of a team player • Identify barriers and solutions of the team process Team Building 202 • Review why conflicts occur • Identify which of the five typical conflict responses are primarily used in managing conflict • Review strategies to improve conflict situations Testicular Cancer • Name the two classifications of testicular cancer • Discuss signs and symptoms of testicular cancer • Describe several screening and diagnostic tools • List several treatments The Basics of Sleep • Discuss the importance and benefits of sleep • Describe the stages of the sleep cycle • List sleep needs, patterns and characteristics for all ages • Discuss sleep deprivation and its consequences prevalence, symptoms and risk associated with major sleep problems and disorders The Birds and the Bees: • Define sexual health Supporting Choice and • State barriers to sexual wellness Relationships • Name 3 conditions to informed consent • Discuss the role of a support team with sexuality The Dangers of Drowsy • Name the characteristics of drowsy driving Driving • Identify risk factors and state the effects of fatigue • Discuss risk factors and the size of the problem The Facts About • Understand the changes that occur in the brain with dementia Dementia and Other • Recognize the stages and symptoms of dementia Related Conditions • Apply knowledge of dementia to residents’ care

Staff Trainings Title Objectives

The Fatal Four • List the six common health conditions that impact individuals with Intellectual and Developmental Disabilities (IDD) at a greater rate and with more severity than those in the general population. • List signs and symptoms of each specific health condition. • Understand treatment options for each specific health condition. The Impact of Trauma* • Recognize the prevalence of abuse in ID/DD population • Discuss what affects trauma response • Examine the stages of recovery The Role of the • Define the role of the caregiver Caregiver • State the 10 performance standards for staff developed by the National Institute for People with Disabilities Thrush • Define thrush • Identify signs and symptoms • List things to do to prevent thrush Thyroid Disorders • Explain the overall function of the thyroid gland • Name three common thyroid disorders • Identify signs, symptoms and treatment of the three common thyroid disorders Tobacco and Cancer • Discuss the relationship between tobacco use and cancer • Review ways to reduce risk factors Today’s Professional • Define professionalism • Name three types of verbal communication • Identify effective types of communication • Name four tips for a successful meeting • Explain the “R” word campaign Tourette Syndrome* • Define Tourette syndrome • Discuss diagnosis and treatment • List ways to support individuals with Tourette syndrome Tracheostomy Tubes • Explain what a tracheostomy is • List risks and complications of tracheostomy • Review emergency care for someone with a tracheostomy Transient Ischemic • Define what a TIA is Attack (TIA) • List signs and symptoms of a TIA • List risk factors for a TIA • Describe how TIAs can be prevented Tuberculosis • Give the definition of tuberculosis • Explain how tuberculosis is contracted • List ways to prevent yourself from contracting tuberculosis • Describe the symptoms of tuberculosis Tuberous Sclerosis • Be able to describe what tuberous sclerosis is • List several organs affected • Identify behavior characteristics associated with tuberous sclerosis • List treatment options

Staff Trainings Title Objectives

Understanding Asthma • Discuss the physiology of the lungs and how asthma alters their function • Define types of asthma • List the signs and symptoms • Specify different treatments • Identify prevention tips for controlling asthma attacks • Explore how to live with asthma, one day at a time. Understanding Cirrhosis • Define cirrhosis • Enlist signs, symptoms and causes of cirrhosis of liver • Discuss management and treatment of cirrhosis Understanding • Define osteoporosis Osteoporosis • Identify ways of prevention • Review methods of treatment Understanding Pain • Define pain • Identify how the body experiences pain • Recognize factors that cause pain • Become familiar with objective signs of pain Urea Cycle Disorders • Review UCD, hyperammonemia, and atrophy (UCD) Urinary Tract Infection • Identify the name and function of the organs involved in the urinary (UTI) system • List types and causes of UTIs • List signs and symptoms of UTIs • List preventative measures and treatment of UTIs Vaginal Yeast Infections • List some signs and symptoms of a vaginal yeast infection • Describe several ways of prevention Vagus Nerve Stimulation • Define VNS (VNS) • List several potential side effects • List several benefits Vancomycin-resistant • Define VRE Enterococci (VRE) • Differentiate between active infection and colonization/carrier • List ways to care for people with VRE Vital Signs – the Basics • Describe the four vital signs • Identify common problems associated with each vital sign • Describe factors that affect the vital signs and accurate measurement VNS Patient/Family • Discuss people with epilepsy whose seizures are uncontrolled Information on Epilepsy • Discuss the impact of uncontrolled seizures and Treatment Option* • Discuss treatment options for uncontrolled seizures, including VNS Therapy™ • List resources

Staff Trainings Title Objectives

We're all in This • Learn how to anticipate normal reactions to stressful situations Together Coping with • Learn how to reduce the negative impact of stress by recognizing how Coronavirus stress can affect our bodies • Learn how to discuss the benefit of practicing self-care and stress- reducing activities • Know when and where to seek help when stressed What are Poisons? • List at least three household products that may be poisonous • Discuss ways to prevent poisoning • Review first aid practices with poisoning What if You Were Me? • Participants will be able to increase their ability to interact with an individual with special, physical, and/or mental health needs by sharing feelings and experiences in this simulated experience to build skills and empathy What is Scoliosis and • Identify symptoms of Scoliosis and Kyphosis Kyphosis • List screening and diagnostic studies • Describe treatment options of each condition What is the Difference • Discuss the differences between overweight and obesity Between Overweight • List the consequences of being overweight or obese and Obesity? • Define Metabolic syndrome When to Seek • Identify what constitutes and emergency Emergency Treatment • State five reasons an individual would require emergency treatment • Define “CAB” • Explain why individuals with ID rely on staff to interpret nonverbal cues in an emergency situation • Identify necessary information needed on a 911 call Why Sleep is so • Discuss the importance of sleep Important • Discuss sleep hygiene tips Williams Syndrome • List several physical traits of Williams syndrome • Discuss some of the medical issues common in Williams Women’s Health and • Discuss things you can do to stay healthy Personal Hygiene • Explain the importance of feminine hygiene You and I • Examine general life differences between DD individuals and staff

Authors and Resources

▪ Advocacy Alliance ▪ American Board of Bariatric Medicine- W. McCarthy, MD ▪ American Cancer Society ▪ American Heart Association/American Stroke Association ▪ Andrea Layton, M.A., BCBA ASERT PAautiem.org ▪ APS Healthcare- SW PA HCQU ▪ Autumn Delmonico, RD, LDN Diabetes Educator ▪ Basil J. Zitelli, M.D., Miriam F. Seltman, MSW ▪ Boston Sleep Care Center ▪ Brain Injury Association of PA – www.biapa.org ▪ Children’s Hospital of Pittsburgh ▪ Canada’s Digital Collections Program ▪ CDC Office on Smoking and Health ▪ Central PA HCQU ▪ Community Health Connections ▪ Cyberonics, Inc. ▪ DDS SafetyNet ▪ Durham Region Bed Bug Presentation ▪ Finding Balance – www.findingbalanceontario.ca ▪ www.foodandhealth.com ▪ Food and Health Communications ▪ GlaxoSmithKline-GSK ▪ Kenneth Reedy, Sr. Habilitation Specialist at TDTP; Greg Kemp, Former ABSS at TDTP; and Joy Schumacher, Program Trainer at TDTP ▪ L’Arche Canada 2010 Aging and Disability ▪ L’Arche Community ▪ Loss Prevention and Safety- John Baltes, Director/Safety Coordinator, FP&M-Chou Lor ▪ Merckvaccines.com ▪ Milestone Centers, Inc., Health Care Quality Unit West ▪ Molly Faulkner, PhD, CNP, LISW, University of New Mexico, Continuum of Care ▪ Mrs. Bonnie Hodgson, RN, BS -Central Region OMR Health Care Coordinator ▪ Northwest Health Connections ▪ National Sleep Foundation ▪ NEHEP National Eye Health Education Program ▪ New Hampshire Local Government Center ▪ Ohio State University, University Medical Center, Employee Health Education, Back Health and Safety

38 Staff Trainings Title Objectives

▪ Partnership for Clear Health Communication ▪ Penn State Cooperative Extension-Mary Alice Gettings, MS,RD,CDE ▪ Philadelphia Coordinated Health Care PCHC ▪ Riki Geyer, MSW and David Attryde, MS LPC ▪ RRTCDD – Rehabilitation Research and Training Center on Developmental Disabilities and Health ▪ Saskatchewan Lung Association ▪ Select images of different food textures are the property of the Connecticut Department of Developmental Services ▪ The Advocacy Alliance-SC PA HCQU University of Nebraska- Lincoln ▪ Yvon Boudrias B.Sc. (P.T.) - Terry Fox Mobile Clinic, ▪ The Rehabilitation Centre ▪ University of Massachusetts Amherst, Amherst MA ▪ University of Nebraska Lincoln Extension-Alice Henneman, MS,RD, Linda Boeckner, Ph.D, RD ▪ University of Wisconsin Oshkosh and Wisconsin Department of Health Services ▪ U.S. Air Force Auxiliary- Civil Air Patrol ▪ U.S. Environmental Protection Agency

INDEX

Abuse A Staff Guide to Abuse Prevention (Staff) ...... 11 Abuse Against the Elderly (Staff) ...... 11 Abuse Recognizing and Reporting (Staff) ...... 11 Individual to Individual Abuse Reduction (Staff) ...... 23 Is This Abuse? (Staff) ...... 24 Residential Boot Camp (Staff) ...... 30 S.A.F.E. – Safe Abuse for Everyone (Consumers) ...... 9 Sexual and Domestic Violence with People with Disabilities (Staff) ...... 31 The Impact of Trauma (Staff) ...... 35 Aging Abuse Against the Elderly (Staff) ...... 11 Age Appropriate Wellness – Why You Should See Your Doctor at Various Ages (Staff) ...... 11 Age Appropriate Wellness (Consumers) ...... 5 Age Related Eye Diseases and Conditions (Staff) ...... 11 Aging and Developmental Disabilities (Online)...... 1 Aging and Developmental Disabilities (Staff) ...... 11 Aging and Down Syndrome (Staff) ...... 11 Changing Needs – Supporting People with Dementia (Staff) ...... 16 Healthy Aging – the Normal Aging(Staff) ...... 21 Healthy Aging for Older Adults (Consumers) ...... 7 Healthy Aging for Older Adults (Staff) ...... 21 Sleep and Aging Well (Staff) ...... 32 Alcohol and Cancer (Staff) ...... 11 Allergies (Consumers) ...... 5 Allergies and Asthma (Staff) ...... 11 Alzheimer Disease Alzheimer Disease (Online) ...... 1 Alzheimer Disease and Dementia (Staff) ...... 12 Alzheimer Disease and IDDD (Staff) ...... 12 Alzheimer’s and Memory (Staff) ...... 12 Changing Needs - Supporting People with Dementia (Staff) ...... 16 Dementia (Staff) ...... 18 The Facts About Dementia and Other Related Conditions (Staff) ...... 34 What is Alzheimer Disease (Consumers) ...... 10 An Overview of Psychotropic Drugs (Staff) ...... 12 Anaphylaxis (Staff) ...... 12 Anger Management (Consumers) ...... 5 Anger Management (Online) ...... 1 Anger Management (Staff) ...... 12 Angina Pectoris (Staff) ...... 12 Anxiety Anxiety and Intellectual Disability (Staff) ...... 12 Life with Anxiety (Staff) ...... 25 Anyone Can Fall (Consumers) ...... 5 Anyone Can Fall (Staff) ...... 12 Arthritis, Osteoarthritis and Rheumatoid (Staff) ...... 27 ASD 101 and Social Skills – Supporting Students with ASD (Staff) ...... 13 Assisted Range of Motion (Staff) ...... 13 Asthma Allergies and Asthma (Staff) ...... 11 Living Well with Asthma (Online) ...... 3 Living Well with Asthma (Staff) ...... 25 Understanding Asthma (Staff) ...... 13, 36 Authors and Resources ...... 38 Autism ASD 101 and Social Skills – Supporting Students with ASD (Staff) ...... 13 Autism (Online) ...... 1 Autism and the Hospital Experience (Staff) ...... 13 Autism Spectrum Disorder (Staff) ...... 13

Avian Influenza Bird Flu (Staff) ...... 13 Basic First Aid (Consumers) ...... 5 Be Safe Online (Consumers) ...... 5 Bed Bugs (Staff) ...... 14 Blood Borne Pathogens Blood Borne Pathogens in the Workplace (Staff) ...... 14 Blood Borne Pathogens Protecting Yourself (Staff) ...... 14 Blood Clots, The Basics of (Staff) ...... 14 Blood Disorders (Staff) ...... 14 Bowel and Urinary Artificial Urinary Prosthesis (Staff) ...... 13 Bowel Management (Online) ...... 1 Bowel Management and Constipation (Staff) ...... 15 Bowel Obstruction (Staff) ...... 15 Colorectal Cancer (Staff) ...... 17 Crohn's Disease (Staff) ...... 17 Disorders in the Male Urinary System (Staff) ...... 19 Hemorrhoids (Staff) ...... 22 Ischemic Colitis (Staff) ...... 24 Managing Incontinence (Staff) ...... 26 Ostomy Care (Staff) ...... 27 Pancreatitis (Staff) ...... 28 Short Bowel Syndrome (Staff) ...... 32 Urea Cycle Disorders (UCD) (Staff) ...... 36 Urinary Tract Infection (Online) ...... 4 Urinary Tract Infection (Staff) ...... 36 Brain Hydrocephalus and Shunts (Staff) ...... 23 Normal Pressure Hydrocephalus (NPH) (Staff) ...... 27 Overview of Traumatic Brain Injury (Staff)...... 27 Pituitary Tumor (Staff) ...... 28 Stroke (Staff) ...... 33 Transient Ischemic Attack (TIA) (Staff) ...... 35 Vagus Nerve Stimulation (VNS) (Staff) ...... 36 Bullying How Not to be a Victim -- How Not to be a Bully (Consumers) ...... 7 Sticks and Stones, Helping People with ID Deal with Bullying (Staff) ...... 33 What is Bullying (Consumers) ...... 10 What to do if You are Being Bullied (Consumers) ...... 10 Cancer Alcohol and Cancer (Staff) ...... 11 Breast Cancer (Staff) ...... 15 Cancer (Staff) ...... 15 Cancer of the Reproductive System, Part I (Staff) ...... 15 Cancer of the Reproductive System, Part II (Staff) ...... 15 Cervical Cancer / HPV (Staff) ...... 16 Colorectal Cancer (Staff) ...... 17 Prostate Cancer (Staff) ...... 29 Testicular Cancer (Staff) ...... 34 Tobacco and Cancer (Staff) ...... 35 Caregivers Caregiver Stress (Online) ...... 1 Caregiver Stress Taking Care of Yourself (Staff) ...... 15 Caring for the Caregiver Stop Stressing (Staff) ...... 15 Communicating with Caregivers (Staff) ...... 17 Maintaining Confidentiality (Staff) ...... 26 Meeting Emotional Needs of Residents (Staff) ...... 26 Sexuality Issues for Direct Care Workers (Staff) ...... 32 Sexuality Resources for Direct Care Supporters of Adults with ID/DD (Staff) ...... 32 The Role of the Caregiver (Online) ...... 4 The Role of the Caregiver (Staff) ...... 35 Carpal Tunnel Syndrome (Staff) ...... 15 Catheter Care, Foley (Staff) ...... 20 Celiac Disease and Gluten-Free Diet (Staff) ...... 16 Cerebral Palsy (Staff) ...... 16

Challenging Behaviors Appropriate Workplace Behavior (Consumers) ...... 5 Challenging Behaviors (Online) ...... 1 De-Escalation Skills (Online) ...... 2 De-Escalation Skills (Staff) ...... 18 Looking Beyond the Behavior (Staff)...... 26 Choice and Relationships, The Birds and the Bees (Staff) ...... 34 Choice in Life Decision Making (Consumers) ...... 6 Cholesterol (Consumers) ...... 6 Cholesterol (Staff) ...... 16 Chron’s Disease (Staff) ...... 16 Cirrhosis, Understanding (Staff) ...... 36 Clostridium Difficile (Staff) ...... 16 CMV (Staff) ...... 17 Cold and Flu Basics (Consumers) ...... 6 Cold and Flu Basics (Staff) ...... 17 Colitis, Ischemic (Staff) ...... 24 Communications Ask Me 3 (Consumers) ...... 5 Ask Me 3 (Staff) ...... 13 Boundaries APS (Staff) ...... 14 Communicating with a Non-Speaking Individual (Staff) ...... 17 Communicating with Caregivers (Staff) ...... 17 Conflict Resolution (Staff) ...... 17 De-Escalation Skills (Online) ...... 2 De-Escalation Skills (Staff) ...... 18 Effective Communication (Online) ...... 2 Effective Skills for Interacting with People with Disabilities (Staff) ...... 19 Five Steps to Professional Success (Staff) ...... 20 Getting Along Well with Others (Consumers) ...... 7 Getting Along with Others (Staff) ...... 21 How We Describe Good Day/Bad Day (Staff) ...... 23 Online Training and Meeting Manners (Consumers) ...... 8 Preventing and Resolving Conflict (Consumers) ...... 9 Preventing and Resolving Conflict (Staff) ...... 29 Residential Boot Camp (Staff) ...... 30 Skills for a Rewarding Physician Appointment (Staff) ...... 17 Social Skills (Consumers) ...... 9 Today's Professional (Staff) ...... 35 Consumer Trainings ...... 5 Contact Information ...... x COPD (Chronic Obstructive Pulmonary Disease) (Staff) ...... 16 Coronavirus (COVID-19) (Online) ...... 2 Coronavirus COVID-19 (Staff) ...... 17 Coronavirus, We’re all in This Together Coping with (Staff) ...... 37 Crohn's Disease (Staff) ...... 17 Cystic Fibrosis (Staff) ...... 18 Dealing with Annoying Things (Consumers) ...... 6 Death and Dying (Staff) ...... 18 Dental Dental Care for Individuals with Developmental Disabilities (Staff) ...... 18 Healthy Teeth (Staff)...... 22 Thrush (Staff) ...... 35 Your Dental Health (Consumers) ...... 10 Your Dental Health (Online) ...... 4 Depression (Online) ...... 2 Depression (Staff) ...... 18 Developing Relationships with People Who Have Profound IDDD (Staff)...... 18 Diabetes Diabetes (Online) ...... 2 Diabetes (Staff)...... 18 Facts and Myths (Staff) ...... 18 Foot Care (Staff) ...... 20 Insipidus (Staff)...... 19 Nutrition Matters – Diabetes (Staff) ...... 27

Take Control (Consumers) ...... 6 Take Control (Staff) ...... 18 Diet and Nutrition Basic Nutrition (Staff) ...... 14 Best Quick Meals (Consumers) ...... 5 Celiac Disease and Gluten-Free Diet (Staff) ...... 16 Feeding Tubes (Staff) ...... 20 Healthy Dining Out (Consumers) ...... 7 Healthy Dining Out (Staff) ...... 22 Healthy Living (Staff) ...... 22 How to make a Healthy Lunch (Consumers) ...... 7 MyPlate Holiday Edition (Consumers) ...... 8 MyPlate Holiday Edition (Staff) ...... 26 Nutrition and Exercise for You (Consumers) ...... 8 Nutrition and Exercise for You (Staff) ...... 27 Residential Boot Camp (Staff) ...... 30 Sodium Restrictive Diets (Staff) ...... 33 Sugar in Soda (Consumers) ...... 9 Sugar in Soda (Staff) ...... 33 Documentation Observation Skills (Staff) ...... 27 Residential Boot Camp (Staff) ...... 30 Dog Bite Prevention (Consumers) ...... 6 Drowsy Driving,The Dangers of (Staff) ...... 34 Dysphagia Choking is an Emergency (Staff) ...... 16 Choking, Pica and Swallowing Disorders (Staff) ...... 16 Dysphagia (Online) ...... 2 Dysphagia and Mealtime Safety (Staff) ...... 19 Eating, Swallowing, and Choking (Staff) ...... 19 Educational Online Courses ...... vi Emergency Preparedness for Consumers (Consumers) ...... 6 Emergency Preparedness, When to Seek Emergency Treatment (Staff) ...... 37 Epilepsy Epilepsy and Seizures (Staff) ...... 19 Epileptic Seizure Management (Online) ...... 2 Seizure Care (Consumers) ...... 9 VNS Information on Epilepsy and Treatment (Consumers) ...... 10 VNS Information on Epilepsy and Treatment (Staff) ...... 36 Exercise and Fitness Commit to be Fit (Consumers) ...... 6 Commit to be Fit (Online) ...... 2 Commit to be Fit (Staff) ...... 17 Nutrition and Exercise for You (Consumers) ...... 8 Nutrition and Exercise for You (Staff) ...... 27 Falls Anyone Can Fall (Consumers) ...... 5 Anyone Can Fall (Staff) ...... 12 Falls and Fracture Prevention (Staff) ...... 19 Falls Assessment and Prevention (Staff) ...... 19 Falls Prevention (Online) ...... 2 FASD (Fetal Alcohol Syndrome) (Staff)...... 20 Fatal Four, The (Staff) ...... 35 Fatty Liver Disease (Staff) ...... 20 Feeding Tubes (Staff) ...... 20 Fetal Alcohol Syndrome (FASD) (Staff)...... 20 Fibromyalgia (Staff) ...... 20 Foley Catheter Care (Staff) ...... 20 Foodborne Illness (Staff)...... 20 Foot Care (Staff) ...... 20 Four Steps to Food Safety (Consumers) ...... 6 Four Steps to Food Safety (Staff) ...... 20 Gallbaldder Disease (Staff) ...... 20 Gastric Ulcers and Diverticulitis (Staff) ...... 20 GERD (Online) ...... 3

GERD (Staff) ...... 21 Gluten-Free Diet and Celiac Disease (Staff) ...... 16 Gout (Staff) ...... 21 Grief Grief and Coping with Death and Dying (Staff) ...... 21 Grief and Loss for Consumers (Consumers) ...... 7 Grief and Loss in Individuals with Developmental Disabilities (Staff) ...... 21 Supporting Each Other in our Grief (Consumers) ...... 10 Supporting Each Other in our Grief (Staff) ...... 34 Head Lice (Staff) ...... 21 Heart ...... 8 Heart Health (Consumers) ...... 7 Heart Health (Staff) ...... 22 Living Heart Healthy (Staff) ...... 25 Living Well with Heart Failure (Online) ...... 3 Living Well with Heart Failure (Staff) ...... 25 Pacemakers (Staff) ...... 27 Pulmonary Embolism (Staff) ...... 29 Pulmonary Fibrosis (Staff) ...... 30 Stay in Circulation Facts About Peripheral Arterial Disease (PAD) (Staff) ...... 33 Heat Illness (Online) ...... 3 Heat Illness and Dehydration (Staff) ...... 22 Helicobacter Pylori (H. Pylori) (Staff) ...... 22 Hemorrhoids (Staff) ...... 22 Hepatitis (Staff) ...... 22 High Blood Pressure (Online) ...... 3 High Blood Pressure (Staff) ...... 22 Honoring Resident Rights (Staff) ...... 23 Housekeeping (Consumers) ...... 7 Human Immunodeficiency Virus HIV (Staff) ...... 23 Huntington's Disease Awareness (Staff) ...... 23 Hypercalcemia (Staff) ...... 23 Hyponatremia (Staff) ...... 23 Hypothermia (Online) ...... 3 Hypothermia (Staff)...... 23 Infectious and Communicable Diseases Blood Borne Pathogens (Online) ...... 1 CMV (Staff) ...... 17 Cold and Flu (Online)...... 1 Cold and Flu Basics (Consumers) ...... 6 Cold and Flu Basics (Staff) ...... 17 Infection Control Protecting Yourself and Others with Standard Precautions (Staff) ...... 24 Methicillin Resistant Staphylococcus Auerus MRSA (Staff) ...... 26 Multi Drug Resistant Organism (Staff) ...... 26 Scabies (Staff) ...... 31 Seasonal Influenza (Staff)...... 31 Sepsis (Staff) ...... 31 Shingles (Staff) ...... 32 Swine Flu H1N! (Staff) ...... 34 Vancomycin-resistant Enterococci (VRE) (Staff) ...... 36 Intellectual and Developmental Disabilities (Online) ...... 3 Intellectual and Developmental Disabilities (Staff) ...... 24 Introduction to Developmental Disabilities (Staff) ...... 24 Introduction to the Health Care Quality Unit (Staff)...... 24 Ischemic Colitis (Staff) ...... 24 Kidneys Kidney Failure (Staff) ...... 24 Kidney Stones (Staff) ...... 24 Peritoneal Dialysis (Staff)...... 28 Kyphosis, and Scoliosis, What is (Staff) ...... 37 Laboratory Values and Diagnostic Testing (Staff) ...... 24 Lactose Intolerance (Staff) ...... 25 Leading and Managing 101 (Staff) ...... 25 Legal Competency (Staff) ...... 25 Leukopenia (Staff) ...... 25

Life with Anxiety (Staff) ...... 25 Lipodermatosclerosis (Staff) ...... 25 Lupus (Staff) ...... 26 Maintaining Confidentiality (Staff) ...... 26 Making a Difference One Training at a Time ...... v Managing Your Stress (Consumers) ...... 8 Mealtime Manners (Consumers) ...... 8 Medication Management Interactions and Errors (Staff) ...... 26 Introduction to Managing Medications (Staff) ...... 24 Osteoporosis Medication Options (Staff) ...... 27 Psychotropic Medications (Staff) ...... 29 Routes of Medication Administration (Staff) ...... 31 Meeting the Emotional Needs of Residents (Staff) ...... 26 Men's Health Benign Prostatic Hyperplasia (BPH) (Staff) ...... 14 Disorders in the Male Urinary System (Staff) ...... 19 Genital Hygiene for the Uncircumcised Male (Staff) ...... 21 Men’s Healthy Ways to Stay Healthy (Consumers) ...... 8 Men’s Healthy Ways to Stay Healthy (Staff) ...... 26 Prostate Cancer (Staff) ...... 29 Testicular Cancer (Staff) ...... 34 Mood Disorders (Online) ...... 4 MRSA (Online) ...... 4 MRSA (Staff) ...... 26 Mutiple Sclerosis (Staff) ...... 26 Myotonic Dystrophy (Staff) ...... 26 New Initiatives to Increase Awareness and Education ...... vii Obesity, What is the Difference Between Overweight and Obesity? (Staff) ...... 37 Observation Skills (Staff) ...... 27 Online Courses ...... 1 Online Training and Meeting Manners (Consumers) ...... 8 Osteoporosis Osteoporosis Medication Options (Staff) ...... 27 Understanding Osteoporosis (Online) ...... 4 Ostomy Care (Staff) ...... 27 Pain Pain Management - Advocacy Alliance (Staff) ...... 28 Pain Management (Staff) ...... 27 Recognizing and Managing Pain (Staff) ...... 30 Recognizing Physical Distress (Staff) ...... 30 Understanding Pain (Staff)...... 36 Pancreatitis (Staff) ...... 28 Parkinsonism (Staff) ...... 28 Parkinson's Disease (Staff) ...... 28 Patient Rights and Responsibilities (Staff) ...... 28 Personal Care for Individuals with Developmental Disabilities (Staff) ...... 28 Personal Development Leading and Managing (Staff) ...... 25 Online Training and Meeting Manners (Consumers) ...... 8 Professional and Personal Boundaries (Staff) ...... 29 Team Building (Staff) ...... 34 Team Building 101 (Staff) ...... 34 Team Building 202 (Staff) ...... 34 Personal Hygiene -- Keep Clean, Be Healthy (Consumers) ...... 8 Phenylketonuria (PKU) (Staff) ...... 28 PICA - What is it? (Staff) ...... 28 Pituitary Tumor (Staff) ...... 28 Pneumonia, Aspiration (Staff) ...... 13 Poisons, What are Poisons? (Consumers) ...... 10 Poisons, What are Poisons? (Staff) ...... 37 Preventable Deaths in Individuals with Intellectual and Developmental Disabilities ...... vii Pseudobulbar Affect PBA (Staff) ...... 29 Psychological Trauma (Staff) ...... 29 Psychotropic Drugs, An Overview (Staff) ...... 12

Psychotropic Medications (Staff) ...... 29 Psychotropic Medications, Understanding the Possible Effects from Tardive Dyskinesia and Dystonia (Staff) ...... 34 Pulmonary Embolism (Staff) ...... 29 Pulmonary Fibrosis (Staff) ...... 30 Recognizing Physical Distress (Staff) ...... 30 Redirection (Staff) ...... 30 Relationships All About Friendships (Consumers) ...... 5 Building Healthy Relationships (Consumers) ...... 5 Developing Relationships with People Who Have Profound IDDD (Staff) ...... 18 Friendships, Relationships and Sexuality (Consumers) ...... 6 Helping Others in Need (Consumers) ...... 7 Personal Safety Keeping Myself Safe (Consumers) ...... 8 Romantic Relationships 101 (Consumers) ...... 9 Sexuality Healthy Relationships and Disability (Staff) ...... 31, 32 The Birds and the Bees, Supporting Choice and Relationships (Staff) ...... 34 Reporting and Documenting Tardive Dyskinesia and Tardive Dystonia – Understanding the Possible Effects of Psychotropic Medications (Staff) ...... 34 What to Say and How to Say It (Staff) ...... 30 Residential Boot Camp (Staff)...... 30 Respiratory and Lungs Allergies and Asthma (Staff) ...... 11 Aspiration Pneumonia (Staff) ...... 13 Bronchiectasis (Staff)...... 15 Chest PT (Staff) ...... 16 COPD (Chronic Obstructive Pulmonary Disease) (Staff) ...... 16 Cystic Fibrosis (Staff) ...... 18 Home Oxygen Therapy (Staff) ...... 23 Pneumonia - Recognizing, Treating and Preventing (Staff) ...... 28 Respiratory Disease (Staff) ...... 31 Restrictive Lung Disease (Staff) ...... 31 Tuberculosis (Staff) ...... 35 Routes of Medication Administration (Staff) ...... 31 Safe Lifting and Transfers (Online) ...... 4 Safety Back Safety Gallery Walk (Staff) ...... 13 Back Safety in the Workplace (Staff)...... 14 Basic First Aid (Consumers) ...... 5 Basics of Safe Lifting (Staff) ...... 14 Be Safe Online (Consumers) ...... 5 Being a Good Digital Citizen – Online Safety (Consumers) ...... 5 Cold Weather Safety (Consumers) ...... 6 Dehydration Causes Symptoms and Treatment (Staff) ...... 18 Dog Bite Prevention (Consumers) ...... 6 Emergency Preparedness/Staff Empowerment (Staff) ...... 19 Fire Safety (Consumers) ...... 6 Four Steps to Food Safety (Consumers) ...... 6 Four Steps to Food Safety (Staff) ...... 20 Guidelines for Safer Lifting (Staff) ...... 21 Home Alone Safety (Consumers) ...... 7 Home Safety (Staff) ...... 23 Personal Safety (Consumers) ...... 8 Summer Heat Safety (Consumers) ...... 9 Summer Safety (Consumers) ...... 9 Summer Safety (Staff) ...... 33 SunWise (Consumers) ...... 9 SunWise (Staff) ...... 33 The Dangers of Drowsy Driving (Staff) ...... 34 Traffic Safety (Consumers) ...... 10 Water and Pool Safety (Consumers)...... 10 What are Poisons? (Staff) ...... 37 What to do in an Emergency (Consumers) ...... 10 Schizophrenia (Staff) ...... 31 Scoliosis and Kyphosis, What is (Staff) ...... 37 Sepsis (Online) ...... 4

Sexuality Condoms and Proper Use (Consumers) ...... 6 Friendships, Relationships and Sexuality (Consumers) ...... 6 Issues for Direct Care Workers (Staff) ...... 32 Resources for Direct Care Supporters of Adults with ID/DD (Staff) ...... 32 Sexuality Healthy Relationships and Disability (Staff) ...... 31, 32 STDs (Consumers) ...... 9 The Birds and the Bees, Supporting Choice and Relationships (Staff) ...... 34 Skin Cellulitis (Staff) ...... 16 Psoriasis (Staff) ...... 29 Recognizing Common Skin Disorders (Staff) ...... 30 Scabies (Staff) ...... 31 Shingles (Staff) ...... 32 Skin Conditions (Staff) ...... 32 Skin Health Prevention and Detection of Skin Breakdown (Staff) ...... 32 Sleep All About Sleep (Consumers) ...... 5 Apnea (Staff) ...... 32 Benefits of Sleep (Online) ...... 1 Disorders (Staff) ...... 32 Problems and Disorders (Staff) ...... 33 Sleep and Aging Well (Staff) ...... 32 The Basics of Sleep (Staff) ...... 34 Why Sleep is so Important (Consumers) ...... 10 Why Sleep is so Important (Staff) ...... 37 Smoking Health Effects of Cigarette Smoking (Consumers) ...... 7 Health Effects of Cigarette Smoking (Staff) ...... 21 Health Effects of Smoking (Online) ...... 3 Quit Smoking (Consumers) ...... 9 Quit Smoking (Staff) ...... 30 Tobacco and Cancer (Staff) ...... 35 What You Need to Know (Consumers) ...... 9 What You Need to Know (Staff) ...... 33 Spina Bifida (Staff) ...... 33 Staff Trainings List ...... 11 Sticks and Stones, Helping People with ID Deal with Bullying (Staff) ...... 33 Stranger Danger (Consumers) ...... 9 Stress Post-Traumatic Stress Disorder (Staff) ...... 29 Stress Management (Online) ...... 4 Stress Reduction and Relaxation Techniques (Staff) ...... 33 What’s it Doing to Us? (Staff) ...... 33 Stroke (Staff) ...... 33 Stroke, Transient Ischemic Attack (TIA) (Staff) ...... 35 SunWise (Consumers) ...... 9 SunWise (Staff) ...... 33 Syndromes Angelman Syndrome (Staff) ...... 12 Asperger's Syndrome (Staff) ...... 13 Beckwith Wiedermann Syndrome (Staff) ...... 14 Carpal Tunnel Syndrome (Staff) ...... 15 CHARGE Syndrome (Staff) ...... 16 Coffin-Lowry Syndrome (Staff) ...... 17 Common Genetic Syndromes (Staff) ...... 20 Dandy Walker Syndrome (Staff) ...... 18 Down Syndrome (Online)...... 2 Down Syndrome and Aging (Staff) ...... 11 Down Syndrome/Trisomy 21 (Staff) ...... 19 Fragile X Syndrome (Staff) ...... 20 Lennox-Gastaut Syndrome (Staff) ...... 25 Metabolic Syndrome (Online) ...... 3 Prader Willi Syndrome (Staff) ...... 29 Raynaud’s Syndrome (Staff) ...... 30

Rett Syndrome (Staff) ...... 31 Rubinstein-Taybi Syndrome (Staff) ...... 31 Short Bowel Syndrome (Staff) ...... 32 SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion) (Staff) ...... 34 Tourette Syndrome (Staff) ...... 35 Williams Syndrome (Staff) ...... 37 Table of Contents ...... 2 Tardive Dyskinesia and Tardive Dystonia – Understanding the Possible Effects of Psychotropic Medications (Staff) ...... 34 Team Building (Staff) ...... 34 Team Building 101 (Staff) ...... 34 Team Building 202 (Staff) ...... 34 The Birds and the Bees, Supporting Choice and Relationships (Staff) ...... 34 The Facts About Dementia and Other Related Conditions (Staff) ...... 34 The PA Dual Diagnosis Direct Support Curriculum is now Available Online ...... ix Thrush (Staff) ...... 35 Thyroid Disorders (Staff) ...... 35 Today's Professional (Staff) ...... 35 Tortoise and Hare Teamwork (Consumers) ...... 10 Tracheostomy Tubes (Staff) ...... 35 Transient Ischemic Attack (TIA) (Staff) ...... 35 Tuberous Sclerosis (Staff) ...... 35 Understanding Osteoporosis (Staff) ...... 36 Vision Age Related Eye Diseases and Conditions (Staff) ...... 11 Cataracts (Staff) ...... 15 Glaucoma (Staff) ...... 21 Vital Signs - The Basics (Staff) ...... 36 VNS, Vagus Nerve Stimulation (Staff) ...... 36 We’re all in This Together Coping with Coronavirus (Staff) ...... 37 Weight Management Healthy Weight Awareness (Consumers)...... 7 Healthy Weight Awareness (Online) ...... 3 Healthy Weight Awareness (Staff) ...... 22 Holiday Weight Gain (Consumers) ...... 7 Holiday Weight Gain (Staff) ...... 22 Sugar in Soda (Staff) ...... 33 What is the Difference Between Overweight and Obesity? (Consumers) ...... 10 What is the Difference Between Overweight and Obesity? (Staff) ...... 37 What if You Were Me? (Staff) ...... 37 When to Seek Emergency Treatment (Staff) ...... 37 Women's Health Breast Cancer (Staff) ...... 15 Cancer of the Reproductive System, Part I (Staff) ...... 15 Cancer of the Reproductive System, Part II (Staff) ...... 15 Cervical Cancer/HPV (Staff) ...... 16 Know Your Lemons (Consumers) ...... 8 Know Your Lemons (Staff) ...... 24 Menopause (Online) ...... 3 Menopause and Hormone Replacement Therapy (Staff) ...... 26 Menstruation and Women’s Health (Staff)...... 26 Vaginal Yeast Infections (Staff) ...... 36 Women’s Health and Personal Hygiene (Consumers) ...... 10 Women’s Health and Personal Hygiene (Staff) ...... 37 Women's Menstruation and Women’s Health (Consumers) ...... 8 You and I (Staff) ...... 37