Please Register by September 9, 2004 to Avoid the $50.00 Late Fee

Registration Form

Please register by September 9, 2004 to avoid the $50.00 late fee.

Registration Details:

Last Name:First Name:Title:

Organization/Affiliation:

Mailing Address:

Telephone (Business):Fax:

Telephone (Residence):E-mail:

Please Note Any Special Personal Needs:

Discipline:To assist in matching the most appropriate sessions please identify your closest discipline/status:

Conference Fee Schedule: / Reg. Fee / Office use
Regular Two Day Conference Registration Fee: / $125.00
Regular One Day Registration: ___Thursday or ___Friday / $ 75.00
Special Rates:
Student Two Day Conference Registration Fee: / $ 75.00*
Student One Day Registration Fee: / $40.00*
Poster Presenter Two Day Registration Fee: / $75.00*
Oral Presenter Registration Fee: / Waived*
Late Fee will be added to registrations received after Sept. 9, 2004 / $50.00
Total Enclosed

See Reverse For Session Selection:Selection preference will be given on a first come first serve basis.

Payment Options:

Credit Card Payment:

Cardholder’s Name (Please Print): Signature:

Card Number:Expiry Date:

Make cheques payable and send registrations to:

Brandon Regional Health Authority – Mindful Care

B13 – 800 Rosser Avenue Brandon Manitoba R7A 6N5

Fax: (204) 726-8684 Phone: (204) 571-8300

Please Rank your top Four Preferences (1-4) plus Four Alternates (5-8) for Thursday’s Sessions

(No guarantee made on availability of sessions… Daily schedules will be determined on a first come first serve basis.)

Title / Presenters / Rank
Thursday – Concurrent / 1 to 8
Th1 / Behaviors & Dementia / Dr. David Conn
Th2 / The Expanding Role of Acetylcholinesterase Inhibitors / Dr. Barry Cambpell
Th3 / Delirium – How to Recognize It and What to Do / Dr. Lint/Dr. Bookatz
Th4 / Stress Inoculation Training to Enhance Coping S kills / Dr. Colleen Millikin
Th5 / Resistance to Care: Providing Care When Refused / Barbara Evans
Th6 / The Challenge of Dual Diagnosis Alzheimers/Downs / Marilyn Maartense & Tracy Yablonski
Th7 / Position Statement on the Mini Mental State Exam / Mary Lou Schrader & Marie Surridge
Th8 / Family Members and Formal Caregivers: Partners in Care / Kathy Flemington & Heather Karasinski
Th9 / Leadership in Times of Change: Turning it Inside Out / Gloria Dixon & Maureen Hamonic
Th10 / Family Therapy without Family: A Support Group / Suzanne Rutledge
Th11 / Depression and Suicide in the Elderly / Terry Klassen
Th12 / Clinical Case Presentation and Discussion …..Part 1 / Dr. Gunson & Dr. Vipulananthan
Th13 / Clinical Case Presentation and Discussion …..Part 2 / Dr. Gunson & Dr. Vipulananthan
Th14 / Reflexive Practice: Self-as-Practitioner / Renee Will
Th15 / Alcohol Gambling and Substance Misuse / Rona Maynard & Jan Smith & Jill Overwater
Th16 / Psychogeriatric Challenges for Seniors of Ethno-cultural
Communities / Dr. A. S. Arneja & Dr. M. Singh

Please Rank your top Four Preferences (1-4) plus Four Alternates (5-8) for Friday’s Sessions

(No guarantee made on availability of sessions… Daily schedules will be determined on a first come first serve basis.)

Friday – Concurrent / 1 to 8
Fr17 / Managing Depression / Dr. Joel Sadavoy
Fr18 / Developing a Community Based Resource for Elder Abuse / Lori Jones & Jill Hannah-Kayes
Fr19 / Knowing the Person: Spiritual Assessment of Persons with Dementia / Ina Baas-Penner
Fr20 / Understanding Dysphagia in the Psychogeriatric Population / Corinne M Poirier
Fr21 / The Ethic of Dignity as a Guiding Principle for Health Care Workers / Joanne Egilson SW -Eastview Lodge
Fr22 / Working with Challenging behaviours in Personal Care Homes / Angela Carlson & Barbara Graham North
Fr23 / Turning Knowledge into Practice / Kathy Flemington & Heather Karasinski
Fr24 / Psychosocial Approaches to Seniors Mental Health Across Canada / Dr. Penny McCourt
Fr25 / Volunteerism and Mental Health of Older Adults in SW Manitoba / Barbara Gfellner/Brandon University
Fr26 / The Impact of an Adult Child Death on the Older Parent / Tony O'Regan
Fr27 / Family's Journey to Recovery / Deanna Kowalchuk & Krista Pedlow
Fr28 / Financial Assistance Available for Caring at Home / Merle Teetart, Cherly Boulet & Cheryl Cormack
Fr29 / Bill of Rights for the Dementia Patient / Peter Wiebe
Fr30 / Informal Caregiving: What are the Rewards? / Verna Pangman & Pamela Hawranik
Fr31 / Enhancing Wellbeing through Self-Care / Lynda Wolf
Fr32 / Older Wiser Lifestyles: Older Adults Making Healthy Lifestyle Changes / Debbie Christie
Fr33 / Exploring Issues around Do Not Resuscitate Decisions / Dr. C. Norman

Refer to the brochure; or for more detailed session information including learning objectives.