CONFERENCE REGISTRATION FORM CONFERENCE REGISTRATION FORM Limited Space so Register Today! Limited Space. Register Today!

Please register one person per registration form. Registration fees Please must register one person registrationChecks form. Registration be paid at time per of registration. can be madefees payable to must be paid at time of registration. If you need to register multiple the Alzheimer’s Association. people with the same address please call 515.440.2722. Checks can be made payable to the Alzheimer’s Association. Name______________________________________ NO REFUNDS.

NameAddress_____________________________________ City__________________ State_________ Zip_____ Address Email_______________________________________ Zip City State Phone______________________________________ Email Please indicate your registration type below (please choose one): Phone

Health Professionals (i.e. nurses, aides, therapists, social workers) Please indicate your registration type below: _____ Healthcare Providers (with contact hours)

$95

_____ Family/Non-Paid Caregiver

$20

Health Professionals (i.e. nurses,(no aides, therapists, social workers): _____ Healthcare Providers contact hours) $85 ____Healthcare Providers (includes CEUs) $95.00 Families, unpaid caregivers, and persons with$85.00 dementia: ____Healthcare Providers (NO CEUs) Families, caregivers, and persons with dementia: _____non-paid Person with Dementia $20 ____Family / Non-Paid Caregiver $20.00 Breakout session preference: AM _____ PM _____ ____Person with Dementia $20.00 Specialfee Meal Needs: _____________________________________ Registration includes conference materials, snacks, and lunch. Speaker presentations will be posted the website Registration fee includes conferencetomaterials, snacks and lunch. alz.org/greateriowa after the Speaker presentations will conference. be posted to the website alz.org/greateriowa after the conference

The discounted price of $20 per person for family caregivers Nopossible Refunds and persons with dementia, is made by the generosity of Stan & Dotty Thurston of Des Moines. _____ MC _____ VISA _____ DISCOVER _____ AMEX To pay by credit card please provide the following: _____MC _____VISA _____DISCOVER _____AMEX ———— ———— ————-———— __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp. Data — — / — — CVV____________________ Exp. Date __ __ /__ __ CVV__________________

Registration at alz.org/greateriowa or and mail form and Register at alz.org/greateriowa or mail form payment to: payment to: Alzheimer’s Association Alzheimer’s Association 28th Street 1730 1730 28th Street Des Moines, IA 50266 WestWest Des Moines, IA 50266

CONFERENCE QUESTIONS

Linda Brown, MSN, Program Director - [email protected] CONFERENCE QUESTIONS 515.440.2722 Linda Brown, MSN, Program Director - [email protected] .

1730 28th S treet oi nes , I A 50266 Des M Wes t 28th 1730 Street a re a te ri oIAw50266 rg /gMoines, a l z . oDes West alz.org/greateriowa 24/7 He l p l i n e 800. 272. 3900 24/7 Helpline 800.272.3900

Name on Card__________________________________________ Name on Card Signature______________________________________________ Signature Today’s Date____________________________________________ Today’s Date

owaa i r e t greaateriow / g r e alz..oorg/gr : n lz io mattion: a r o f e In rma Moorre Info M

To pay by credit card please provide the following

22001178

BrainWorks BrainWorksConference Conference Living Well With Dementia Help Me Help Myself

Tuesday, April 10, Tuesday, 18, 2018 2017

Meadows Events Events & & Conference Conference Center Center Meadows 1 Prairie Prairie Meadows Meadows Drive Drive -- Altoona, Altoona, IA IA 1 7:30 a.m. Registration/Check-in 7:30 a.m. Check-in 8:30 a.m. 4:45 p.m. Conference 8 a.m. - 4:45 p.m. Conference

CONFERENCE DETAILS

AGENDA

Purpose Statement: The purpose of the 2018 BrainWorks conference is to equip those affected by dementia with the knowledge and resources to live well.

April 10, 2018

Audience: Includes nurses, nursing assistants, social workers and other dementia care professionals. Family care partners, friends, students and individuals with early-stage dementia are also welcome.

8:30 – 8:45

Conference Objectives: • Identify the needs of caregivers caring for people with dementia. • Identify strategies to assist in managing caregiver stress. • Attendees will be able to demonstrate the use of technology as a way to manage dementia. • Attendees will be able to incorporate the knowledge learned about financial resources to help pay for dementia related costs. • Demonstrate and describe how to navigate behavioral changes in dementia from the tools presented. Contact Hours: IBON approved 6.0 Contact Hours • It is the licensees’ responsibility to determine if the continuing education programs they attend meet the requirements of their professional licensure board. • Full attendance is required to earn contact hours, No partial attendance credit will be awarded.

Accommodations

Call Prairie Meadows Racetrack and Casino Hotel by March 9 for special rate. 800.325.9015 Group Code 0410218ALZ

Contact Hours

Program approved for 6.0 contact hours through DMACC, IBON Provider #22

7:30 – 8:30 Registration Conference launch: housekeeping, introductions

8:45 – 10:15 “My Two Elaines” Martin Schreiber 10:15 – 10:30 Break 10:30 – 11:35 Breakouts #1 Both “Dementia Chats Live with Caregivers”: Lori La Bey #2 Professional “Navigating Behavioral Changes in Dementia”: Kyle Page Ph.D #3 Families “Managing Caregiver Stress”: Faye Petersen LISW #4 Families “Technology In Action for Aging”: Katie Baker #5 Professionals “Supporting the LGBTQ Community”: Rajean Paul Moone PhD

11:35 – 12:35 Lunch and Exhibits 12:35 – 1:50

“Reason to Hope: Research Update”: James Hendrix Ph.D.

1:50 – 2:20 Exhibitors 2:20 – 3:25 Breakouts #1 Professional “Technology In Action for Aging”: Katie Parker #2 Families “Navigating Behavioral Changes in Dementia”: Kyle Page Ph.D #3 Professionals “Managing Caregiver Stress”: Faye Petersen LISW #4 Both “How do I pay for this?” Scott Hartsook Esq. #5 Both “Supporting the LGBTQ Community”: Rajean Paul Moone PhD

3:35 – 3:45

Closing Remarks

3:45 – 4:45

“Hanging by a Thread”: Lori La Bey

GUEST SPEAKERS Martin J. Schreiber Former Wisconsin Gov. Martin J. Schreiber is an awardwinning crusader for Alzheimer’s caregivers and persons with dementia. Marty uses humor and compassion as he shares lessons from his ongoing, decade-plus journey as a caregiver detailed in his acclaimed book, “My Two Elaines: Learning, Coping, and Surviving as an Alzheimer’s Caregiver.”

James Hendrix Ph.D. James A. Hendrix, Ph.D., is Director of Global Science Initiatives at the Alzheimer’s Association where he leads the Global Biomarker Standardization Consortium, and assists with the coordination of $100 million Imaging Dementia-Evidence for Amyloid Scanning (IDEAS) Study on the clinical usefulness of amyloid PET imaging.

Lori La Bey Lori La Bey is the founder of Alzheimer’s Speaks, a Minnesota based advocacy group making an international impact by providing education and support for those dealing with Alzheimer’s disease and other dementias.