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  2. RT @RepSwalwell: That’s cute. You think we’re done with the Mueller Report. Stay tuned. https://t.co/FSQftSqJJc

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  4. Orange President Blames Light Bulbs For Making Him Orange 🤣 https://t.co/ips2IPqEil

  5. Ok, it's 8:19 and I've gotta go.....................
  6. Hello ! It's 8:00..... is anyone here?
  7. RT @RepJeffries: House Judiciary Committee just adopted resolution for IMPEACHMENT INVESTIGATION. Voted YES. No. One. Is. Above. The. Law.

  8. Hi everyone! I'm working on getting the amount of CEU's needed for certification. It appears that a class on MDS and care plans is mandatory however I can't find any courses available. Maybe I'm not looking in the right places but does anyone know who offers this CEU? Thanks!
  9. Love that idea Jess! Thanks!
  10. Sounds like a lot of fun and you have a lot planned. what about getting each department to decorate or carve a pumpkin maybe a day before and then have the residents vote on the best pumpkin.!
  11. it's 7:18 pm est so I'm gonna go. hopefully we can get together tomorrow evening.
  12. I'll just leave this and whoever wants to post at a later time can add to it and also with their own special event. My facility is having a BOO fest in October and we have ideas for booths but we need some more. It is an event where the residents and their grandchildren can come. We are having a guessing booth where you can guess the amount of candy in a jar and guess the weight of a pumpkin. We are having a goldfish booth where we will have some goldfish in rose bowls and they have to throw a ping pong ball into the bowl to win. A cute tattoo booth A spider web laundry basket where they have to pull spiders out from the bottom without touching the yarn using tongs A big mouth pumpkin putt putt golf Bowling with a pumpkin to knock down toilet paper ghosts. Does anyone have any other suggestions? Is everyone going to sign up for MEPAP 2 next month?
  13. Hi everyone! I submitted this topic for our class to discuss some ideas for activities and events!
  14. Meaningful Memory Care Planning Individuals afflicted with Alzheimer’s and dementia complications go through a number of different stages during the disease progression. Leisure pursuits are crucial for residents living with Alzheimer’s disease, particularly those which offer and encourage engagement opportunities and much needed cognitive stimulation. The Approach to discovering leisure pursuits to offer engagement and stimulation is the same as any resident assessment process with one very significant distinction: Look at what the resident can still do rather than what they can no longer do. Establish consistent routines. Why? The day is a little less scary when the daily pattern is predictable and somehow familiar. Many of us operate on autopilot whilst going about our daily business but memory deficits can cause a snafu in the normal retrieval process. Thus, even our firmly embedded auto pilot can malfunction. While structure and routine is important, there are countless opportunities to do “meaningful” things in unexpected places and times. Daily everyday tasks such as bed making, sweeping, dusting, and watering plants for example are small yet simple though they can provide rich opportunities for engaging residents who perhaps show no interest in bingo, movies, or other group activities. Planning Tips Continuously adjust and accommodate to match to the changing needs of the disease progression. Plan for times during the day when the resident tends to function at their best. Use adaptive strategies and techniques that focus on strengths/skills in which the individual still possesses. Allow the individual to retain as much control as possible to help foster a sense of personal dignity. Simplify tasks: break down step by step. Move to the next step in the sequence only when the first step has been accomplished. Attention span may be limited so plan programs in no more than 20 to 45 minutes segments. Programs are most effective when they are multi-sensory and spanned over consecutive days (facilitate memory input) and are connected to a related theme. Remember: Loss of memory creates an inability for the individual to remember what they did in the past for themselves to find amusement. However, this population may still have the ability to [be amused] well into the disease process. Incorporate events that “elicit” a response through use of basic sensory stimulation and awareness of his/her body movements. Sensory Integration would focus on any combination of the following: -Visual (eyes) -Auditory (ears) -Proprioceptors* (awareness of body position) -Vestibular (balance) -Tactile (touch, feel) -Olfaction (smell) -Gustatory (taste) Proprioceptors* sensory receptors in muscles, joint capsules and surrounding tissues, that signal information to the central nervous system about position and movement of body parts. Activity Starters The following list has been provided as inspiration and motivation only. You will need to look at the individual resident with a Dx of Alzheimer’s to create a “person centered” care plan uniquely suited to the skills that remain and the specific stage of the disease as per nursing assessment. Stuffed Toys Offer stuffed animals and other soft toys to cuddle. Check for any materials that could be removed and become a choking hazard. Baby Dolls and Baby Doll Clothes Provides opportunity to foster nurturing characteristics. The goal is not to dress the doll properly, but rather to “elicit” the desire to change the doll’s clothing whilst working on hand eye coordination. Pet Therapy Animals of varying types are well documented to improve well being and boost emotional connection to something other than themselves. Music and Movies Foster emotional connections via music, videos, and movies. Keep the time frame brief, only watch/listen for 5 to 10 minutes but if they are engaged, keep allowing them to enjoy the experience for long as continue to be engaged. Sensory Sensory deprivation is one of the hallmarks of Alzheimer’s disease. Use everyday objects to arouse one or more of the five senses (hearing, sight, smell, taste and touch), with the goal of evoking positive feelings. Exercise Any physical activity can be beneficial, from a simple walk to yoga. Use props, such as tambourines, clappers, top hat, streamers, maracas, batons, pom poms, stretch bands, scarves, or stretch bands. Bird Watching Hang a bird feeder that will not allow individuals to access the food. Provide chairs or benches to stop and watch the birds. Sunshine and Fresh Air Plan time for the outdoors (weather permitting) for 10-15 minutes. Supply sun protection with wide brim hats and sun lotion on arms and legs. Avoid the sun between 11 and 3 pm. Offer cool drinks. Read Aloud Studies reveal that those afflicted with Alzheimer's disease may be able to hear until very late into the illness. Read articles in magazines and newspapers that the person enjoyed in former times. Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org Our MEPAP 1&2 Courses 2 Course Formats www.ActivityDirector.org - 1.888.238.0444 Structured Class (16 Weeks) - Begins the First Tuesday of each Month Self Paced Class (13 Weeks-1 Year) - Enroll and Begin Anytime Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  15. A little Disney magic today at #EpcotFoodandWineFestival @WaltDisneyWorld #Epcot 😬👩🏻‍🦰🐭🍅 https://t.co/hhJq6hu8Me

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  17. Hi Michael, we are in the same MEPAP class! We are almost through one and then on to two!
  18. Hi Katy, my name is jeanine and I am an activity assistant, currently working on becoming a director. I work in an independent facility so our census isn't very fluctuating. I do know one activity that all the ladies love (whether they are coming or going) and that is getting manicures.
  19. Hi Jessica! That sounds like fun and really original! My favorite game to play is Family Feud. I divide the residents into 2 teams and they have to answer the top 5 answers or the other team gets to steal the point (played very similar to the game show on TV). It's a blast and some of the answers that the residents come up with are so cute!
  20. I was recently passed an interesting article from our instructor Kathy Hughes, ADC that I think we can all relate to. Nursing home food is often compared with hospital food and is rarely accused of being appetizing. However, the nationwide push to make care homes more person-centered has extended well beyond care and is now attempting changes in the dietary department. It may be hard for some to believe but prior to November 2016 family members weren’t allowed to bring outside food in. The value of sharing recognizable comfort food with a loved one in the throes of dementia could easily be recognized by the family, but couldn’t be executed until this all important CMS update in 2016 that was over 20 years in the making. According to the article: The new and modified regulations explicitly state that menus at facilities participating in the Medicare and Medicaid programs must now reflect the religious, cultural, and ethnic needs of residents, be updated periodically, and undergo review by a dietician or nutrition professional (who, according to the new regulations, have higher certification requirements than in the previous iteration). Also, for the first time, nursing homes can officially grow their own food or buy it directly from local producers, and allow residents to eat food brought in by friends and family. Finally, meals and snacks can now be served whenever works best for the residents, not just at designated feeding times. The changes these updates are making can be felt already in many homes, perhaps even yours. Rather than regular American staples day in and day out residents are now enjoying more ethnic foods being served right in their dining rooms. The ability to participate in CSA (community supported agriculture) programs opens a whole new way to plan activities for your community as well, providing pathways for field trips, vegetable, fruit and herb education, harvesting and preparation, increased health education and the lists goes on and on. Better food isn’t just about better taste and nostalgia either. Nutrition is critical in determining how one’s life will unfold particularly at this leg of life. Fresh and accessible food, from a variety of trustworthy sources increase intake in general and nutritional levels greatly. The article discusses many advantages to these CMS updates, but its central point remains that the boost in mental well-being received by these residents is really what counts. The ability to feel autonomous and to be reminded of the good times in life go a long way in contributing to joy. A care home should not feel like a jail and access to a variety of food and lifestyle experiences is a basic freedom. The updates are a huge step in the right direction however there is a stark difference between policy change and implementation. Positive effects are being felt as are the negative effects that variety can have on an ever decreasing dietary budget. The article references some worst cases scenario numbers that come in at less than $1 per meal. Think about that. Staffing issues also remain a concern that block many attempts above and beyond the norm of how things have always been. Even still, these changes are good changes and they were a long time coming. It allows residents to remain in contact with food, which is such a cornerstone of all of our lives and interactions therein. It is true progress and I for one was fascinated to read the article. I grew up in an Activity Department because my Mom was an Activity Director and I can remember the food vividly. I really hadn’t realized that food could be or was regulated in that way and that dietary had such restrictive guidelines and budgets (even though I should have because my Mom’s best friend Debbie was the Dietary Manager and she complained about it constantly!). I am glad to see these changes going into place and it gives me great hope about the type of facilities we are all pushing for together. The future is certainly brighter….and tastier. Article Referenced: Nursing home food is getting better. But the journey is far from over. by Jillian D' Onfro Nov. 27, 2017 Read the Article ENROLL Now Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. Activity Directors are the key to creating environments that we ourselves would be excited to live in. We envision facilities that feel like homes, not institutions. Facilities that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe providing the best education available, with the most talented teachers we can find, is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  21. #PresidentPAB https://t.co/24g9wKvgwN

  22. @chrissyteigen Boss, drag him girl!! 👊😬

  23. Hello everyone, My name is Michael and I work on West Melbourne, in Florida. right now I'm on MEPAP1 and looking forward to learn more.
  24. RT @TheBeatWithAri: The Daily Beast has reported Homeland Security officials have spent $120M on luxury furniture, despite claiming resourc…

  25. I love @Publix and love to shop there twice a week. But if they can’t get on board with no longer allowing gun open… https://t.co/DjUQnSjuFC

  26. Blue deal, green deal, she is the whole deal! So loving everything about @ewarren #ClimateChange https://t.co/nubwE57tZf

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