Revamping Memory Care Part 2: More Caregivers

Derek Larson and Amanda Krueger join Suzanne Newman on the Answers for Elders podcast to talk about a new program for senior living residents with Alzheimer's and dementia. The program is at Chateau Gardens, part of Chateau at Bothell Landing in Bothell, Washington. Derek Larson is Executive Director, and Amanda is Vice President of Health Services, at Chateau Retirement Communities. This week's show was recorded at Chateau Pacific in Lynnwood, Washington.

Amanda explains, "We really wanted to bring a program together that looked at the resident and not the disease. And so what did that, as far as the care part of it, was the individualized care plans, the staff training, and then also making sure the staff is really taking the time with the residents. And so it took a lot of work.

"One thing that we implemented was a lower staffing ratio with our expansion at Bothell. We have that down to a 1 to 7 for just our caregivers, and that just allows for that resident and and staff person to really develop a bond, so that way they can still get their input as best they can. Maybe it's not verbally, but maybe it's through action, seeing their eyes light up when music plays."

Suzanne asks, "You and Derek have both talked about treating the patient rather than the disease. How does that differentiate when it comes to care?"

Amanda answers, "I think it just allows the resident to be who they are, and to still allow them to be as independent as they go around. And having the staff trained well enough to understand that just because they have dementia, that doesn't mean they can't still wash their face, something simple where, let's have that staff give them a washcloth, and then kind of mirror the action of washing a face, and still allow that resident to be as individual and independent as they can and promote that."

Suzanne says, "Derek mentioned a little bit about how the family is more engaged. How does that happen in the care plans?

Amanda replies, "Letting them give us information. You know, maybe Sally has a hard time bathing, but that the family members let us know that she likes bananas. So let's [have] a banana before we take a bath, and then that helps make it more individualized. So, taking as much data that we can from our family members, or our staff too, because our staff spends a lot of time with our residents. All the little tips and tricks, and making sure then that everybody knows what it takes, to make sure that residents care for them."

Derek adds, "We had something really cool happen at Bothell kind of organically, I think as we got more relationships built with our residents and their families. A lot of the spouses actually created their own groups within our space at Chateau Gardens. So every week they would sit down in our outdoor courtyard, and they would just hang out. Talk, as if things were just as they are, meeting each other in the journey. And the spouses could also kind of relate to one another at the same time. And it just it was really cool to see that organically just grow from having that space, just be welcoming in that way."

Chateau at Bothell Landing is located at 17543 102nd Ave NE in Bothell, Washington 98011-3787.

Chateau Retirement provides independent living, assisted living, and memory care services. They have been locally owned and family operated for more than 25 years. Chateau Retirement has three communities in Washington's Seattle/Puget Sound area: Chateau Pacific in Lynnwood, Bothell Landing in Bothell, and Chateau Valley Center in Renton.

Visit them online or call 800.960.1944. Also visit