1019 South Knowles Ave.New Richmond, WI 54017 Finding

Our Voice

Caregiver Conference

Don’t miss this empowering and educational conference for Family members, Caregivers and Professionals. This special day will include vendors, breakout sessions, door prizes, and lunch.

Why Attend?

Creating a plan, connecting with area resources, and networking with others can contribute to enjoyable, rewarding caregiving and help you avoid burnout. At this conference you can:

• Develop positive strategies for caregiving• Establish a broader support network• Connect with speakers and caregivers• Enhance your skills by participating in

breakout sessions• Visit the resource fair to learn about

services and products

ONLINE: Register and submit your credit card payment online at witc.edu/search.

BY FAX OR PHONE: You may fax your registration to 715.246.2777. Register by phone at 800.243.9482, ext. 4221. Only credit card payments will be accepted by fax or phone.

IN PERSON: Our regular office hours are Monday - Thursday, 8AM–6:30PM and Friday 8AM–4:30PM. Cash checks and credit cards are accepted.

BY MAIL: Fill out the attached registration form and mail it with your payment to: WITC-New Richmond ATTN. Continuing Ed 1019 South Knowles Avenue New Richmond, WI 54017

Four Easy Ways to Register!

WITC Conference Center New Richmond, WI

Continuing Education

Learn. Renew. Relax.

This conference would not be possible without the generous support of these businesses and organizations:

Friday, September 19, 2014 8:00am–3:30pm

Tasha’s story is about hope, perseverance and faith. Her message is a real life story of overcoming unbelievable difficulties.

With Inspirational Keynote Speaker, Tasha Schuh

Caregiver ConferenceFinding Our Voice

Friday, September 19, 20148am-3:30pm • WITC-New Richmond

REGISTER TODAY!

Conference Agenda

_________________________________________________________________________________________________________________

REGISTRATION FORMfor Continuing Education (non-credit) Courses

WITC is an equal opportunity employer/educator.

CLASS NO. CATALOG NO. CLASS TITLE LOCATION START DATE CLASS FEE

OFFICE USE ONLY

TOTAL

Term:______

38.14 Contract #_______________

Employer #

__________________

Course Fees

$__________________Other

_______________ _______________

Date/Time _______________________Received By/Ext.

With parent/guardian approval, WITC courses are open to students age 16 or younger when the course meets outside student’s normal school hours. Some courses may have minimum age prerequisites.

Signature of Student/Parent/Legal Guardian _______________________________________________________________________________ Date __________________________

PAYMENT METHOD: Check or money order payable to WITC Cash MasterCard Visa Discover Exp. Date __________________ Security Code _________________ Agency bill - attach required written authorization

Credit Card No.: ___________________________________________________ Name on Card: ______________________________________ Signature: _______________________________________

Month / Year

Social Security No.

2.14

I’ve taken classes at WITC in the past.

___________________________________________________________________________Email address (needed for important communication with all students)

___________________________________________________________________________Home phone Cell phone

___________________________________________________________________________Home address

___________________________________________________________________________City State ZIP Code

___________________________________________________________________________Mailing/Permanent Address (if different from above)

___________________________________________________________________________

___________________________________________________________________________Legal resident of (check one): Township Village City County State

___________________________________________________________________________School District

Last high school attended ______________________________________________________

H.S. Graduate (year) _________

Highest grade COMPLETED (K-12): _____________ Above 12th grade

If this is your first class since June 1, please answer the questions below. We must have your answers on file once each year, as required for state and federal reporting purposes. The information will be kept confidential.

Female Ethnicity: Hispanic/Latino origin? Yes NoRace (check all that apply): American Indian/Alaska Native Asian Black/African American White

Work status at enrollment 01 Employed Full-time 02 Employed Part-time 03 Underemployed/overqualified 04 Unemployed Seeking Employment 05 Not in Labor Market 06 Dislocated Worker 99 Student Declined

Highest Credential Earned 01 = No Credential 02 = GED 03 = HSED 04 = High School Diploma 05 = Some college credit 07 = 1yr Diploma 08 = 2yr Diploma 09 = Associate Degree 10 = Associate Degree Plus Additional Credential 11 = Baccalaureate 12 = More than Baccalaureate 99 = Student Declined/Unknown

Single Parent? 01 Yes 02 No 9 Student Declined

Economically Disadvantaged? 01 Yes 02 No 9 Student Declined

Displaced Homemaker? 01 Yes 02 No 9 Student Declined

Last Name First Name M.I. Former Last Name (if applicable) Date of Birth Age 62+?

City State ZIP Code

City __________________________________________________ State ___________

If an agency or employer has agreed to pay your tuition, complete the section below and attach written authorization.Employer Sponsor/Agency: ___________________________________________________ EMS/Fire Sponsor: ___________________________________________________

_____________ (Initials) I authorize WITC to forward information regarding the completion of this course to the sponsor listed on the line above.

Native Hawaiian/Other Pacific Islander

GED HSED (date completed) ____________

06 = Short-term diploma or certificate

It is your responsibility to contact WITC to officially drop a class. If you decide to drop, you should do so immediately as a single day can affect your refund amount.A full refund will be given if you notify WITC prior to the first scheduled class meeting. Refund requests are processed according to WTCS/WITC policy; calculated from classstart date and date your request to drop is received.

Disability? Yes No

Male Gender:

Once registered for a course(s), you have created a liability with WITC and a promise to pay.

Student Declined (Contact WITC’s Accommodation Specialist for available services.)

_________________________________________________________________________________________________________________

___________________________________________________________________________Student ID No.

___________________________________________________________________________

_______________

My address has changed since my last WITC registration.

_________________________________________________________________________________________________________________

REGISTRATION FORMfor Continuing Education (non-credit) Courses

WITC is an equal opportunity employer/educator.

CLASS NO. CATALOG NO. CLASS TITLE LOCATION START DATE CLASS FEE

OFFICE USE ONLY

TOTAL

Term:______

38.14 Contract #_______________

Employer #

__________________

Course Fees

$__________________Other

_______________ _______________

Date/Time _______________________Received By/Ext.

With parent/guardian approval, WITC courses are open to students age 16 or younger when the course meets outside student’s normal school hours. Some courses may have minimum age prerequisites.

Signature of Student/Parent/Legal Guardian _______________________________________________________________________________ Date __________________________

PAYMENT METHOD: Check or money order payable to WITC Cash MasterCard Visa Discover Exp. Date __________________ Security Code _________________ Agency bill - attach required written authorization

Credit Card No.: ___________________________________________________ Name on Card: ______________________________________ Signature: _______________________________________

Month / Year

Social Security No.

2.14

I’ve taken classes at WITC in the past.

___________________________________________________________________________Email address (needed for important communication with all students)

___________________________________________________________________________Home phone Cell phone

___________________________________________________________________________Home address

___________________________________________________________________________City State ZIP Code

___________________________________________________________________________Mailing/Permanent Address (if different from above)

___________________________________________________________________________

___________________________________________________________________________Legal resident of (check one): Township Village City County State

___________________________________________________________________________School District

Last high school attended ______________________________________________________

H.S. Graduate (year) _________

Highest grade COMPLETED (K-12): _____________ Above 12th grade

If this is your first class since June 1, please answer the questions below. We must have your answers on file once each year, as required for state and federal reporting purposes. The information will be kept confidential.

Female Ethnicity: Hispanic/Latino origin? Yes NoRace (check all that apply): American Indian/Alaska Native Asian Black/African American White

Work status at enrollment 01 Employed Full-time 02 Employed Part-time 03 Underemployed/overqualified 04 Unemployed Seeking Employment 05 Not in Labor Market 06 Dislocated Worker 99 Student Declined

Highest Credential Earned 01 = No Credential 02 = GED 03 = HSED 04 = High School Diploma 05 = Some college credit 07 = 1yr Diploma 08 = 2yr Diploma 09 = Associate Degree 10 = Associate Degree Plus Additional Credential 11 = Baccalaureate 12 = More than Baccalaureate 99 = Student Declined/Unknown

Single Parent? 01 Yes 02 No 9 Student Declined

Economically Disadvantaged? 01 Yes 02 No 9 Student Declined

Displaced Homemaker? 01 Yes 02 No 9 Student Declined

Last Name First Name M.I. Former Last Name (if applicable) Date of Birth Age 62+?

City State ZIP Code

City __________________________________________________ State ___________

If an agency or employer has agreed to pay your tuition, complete the section below and attach written authorization.Employer Sponsor/Agency: ___________________________________________________ EMS/Fire Sponsor: ___________________________________________________

_____________ (Initials) I authorize WITC to forward information regarding the completion of this course to the sponsor listed on the line above.

Native Hawaiian/Other Pacific Islander

GED HSED (date completed) ____________

06 = Short-term diploma or certificate

It is your responsibility to contact WITC to officially drop a class. If you decide to drop, you should do so immediately as a single day can affect your refund amount.A full refund will be given if you notify WITC prior to the first scheduled class meeting. Refund requests are processed according to WTCS/WITC policy; calculated from classstart date and date your request to drop is received.

Disability? Yes No

Male Gender:

Once registered for a course(s), you have created a liability with WITC and a promise to pay.

Student Declined (Contact WITC’s Accommodation Specialist for available services.)

_________________________________________________________________________________________________________________

___________________________________________________________________________Student ID No.

___________________________________________________________________________

_______________

My address has changed since my last WITC registration.

REGISTRATION FORMfor Continuing Education (non-credit) Courses

WITC is an equal opportunity employer/educator.

63966 47 520 405 Caregivers Conference New Richmond 9/19 $25/$6.12 for 62+

BREAKOUT SESSIONS: PLEASE CHOOSE ONLY ONE PER SESSION.Breakout Session 1:c 1a Types & Stages of Dementiac 1b Improving Balance & Preventing Fallsc 1c Transitioning Young Adults from School to Workc 1d Care for the Caregiver

Breakout Session 2:c 2a How to Find Your Voicec 2b Consider the Conversation c 2c Creating Dementia Friendly Communitiesc 2d What is the difference between a Memory Clinic Evaluation

vs a Visit to Your Doctor?

Breakout Session 3:c 3a Powers of Attorney-Documents Worth Their Weight in

Goldc 3b Caregiving Challengesc 3c Setting up your Home Environment for your Child’s Success c 3d Assessing Home Environments for Safety

CEU’s available. Please contact Dori Marty at WITC for more information

8:00-8:30am Registration/Resource Fair/Coffee & Rolls

8:30-8:45am Opening Remarks

8:45-9:45am Keynote: Little is Huge – Tasha Schuh

9:45-10:00am Resource Fair

10:00-11:00am Breakout Session I

1a It’s Not Just Ole’ Timers: Types & Stages of Dementia, Presenter: Dr. Colleen Erb, Director, Amery Regional Medical Center’s Behavioral Health CenterWhile Alzheimer’s Dementia affects a significant portion of our older adults, it is just one of many causes of dementia. Learn the different types of dementia and how these different diseases progress so that as a caregiver you can be better prepared for the challenges ahead.

1b Improving Balance & Preventing Falls, Presenter: J.W. Matheson, P.T.-Catalyst Sports Medicine This informative session will provide information on the potential causes of falls in the home. Advice and demonstrations on fall risk screening, balance training, strengthening exercises and safe transfer techniques for the caregiver will be provided.

1c Transitioning Young Adults from School to Work, Presenter: Ginny Ballentine, parent of a child with Down Syndrome & Lisa LandryTransitioning a young disabled individual from school to work finding resources, working with high school staff or vocational counselors, and developing plans for a successful future. Two parents will help describe their journey and how to plan, who to consult with, and where the resources are when you are seeking a meaningful plan for a young adult.

1d Care for the Caregiver, Presenter: Kris Linner, Director of Spiritual Care, St Croix HospiceThis presentation will discuss the challenges of caregiving including dealing with anticipatory grief and stress. Tips for self-care will be shared to help em-power caregivers to care for themselves while caring for others.

11:00-11:15am Break/Resource Fair

11:15-12:15pm Breakout Session II

2a Empower Yourself: How to Find Your Voice, Presenters: Tasha Schuh-Speaker/AuthorTasha will share how she learned to advocate for herself, find resources, and how it really empowered her to be the person she is today. There will also be a question-and-answer session to answer your questions about this topic and other questions that you might have.

2b Consider the Conversation, Presenter: Julie Holle, RN-Palliative Care Manager, Adoray Home Health and HospiceConsider the Conversation is an intimate story about the American struggle with communication and preparation for life’s end and includes the perspec-tives of patients, family members, doctors, nurses, social workers, clergy and national experts from around the country.

2c Creating Dementia Friendly Communities, Presenter: Kim KinnerWhat makes a community “dementia friendly?” We will explore the grassroots momentum of dementia friendly communities, its importance and how to make that happen in your community.

2d What is the difference between a Memory Clinic Evaluation vs a Visit to Your Doctor? Presenter: Dr. Joan Hamblin, UW Health/Eau Claire Family Medicine Residency Program DirectorThis session will help define the difference between a memory clinic and an appointment with a general physician, types of testing and how you can advocate.

12:15-1:15pm Lunch/Resource Fair

1:15-2:15am Breakout Session III

3a Powers of Attorney-Documents Worth Their Weight in Gold, Presenter: Jennifer O’Neill, CELA, O’Neill Elder LawPowers of attorney for finance and healthcare are two of the most valuable documents anyone can have. Learn the history of why powers of attorney were created and how they can be used to preserve flexibility, privacy, and dignity for every individual.

3b Caregiving Challenges: Caregiving, Conflict, Communication, and Coordination, Presenters: Pat Jonas and Shirley Cronick, CaregiversCaregiving creates opportunities to learn how to communicate and manage resistance or misunderstanding. Pat and Shirley talk about dementia, how to determine who does what, how to communicate with the care receiver and the other caregivers to create a successful journey.

3c Setting up your Home Environment for your Child’s Success, Presenter: Deanna Wanzek, PT, St Croix Therapy This presentation will discuss how the home environment can have an impact on your child’s behavior. It will include a discussion on appropriate use of color, music and organization.

3d Assessing Home Environments for Safety, Presenter: Gary Dockter, PTDiscussion will include the importance of using certified physical or occupational therapists to make recommendations about a safe home environment for those with physical disabilities or dementia.

2:30-3:15pm Closing: Ecumen Awakenings Program, Presenter: Maria Reyes, R.N.-Quality Improvement Nurse at Ecumen Ecumen Awakenings is an integrated care approach that improve lives by reducing antipsychotic use among people who do not have a sup-porting diagnosis of psychosis but who do have behavioral symptoms of Alzheimer’s and related dementias.

3:15-3:30pm Door Prizes/Evaluations