OUTERBANKS

We have a Alz unit and they love this one and it really gets everyone ,even the staff, cause as you know, they have no filters...........here is how it works. We print out a quirky picture, it may be a squirrel with shoes on..............we ask, "Whats going on here" they start with and build on a story about the squirrel................we right down verbatum what they say...............after a month we bring out the picture and read the story they wrote.............all laugh and it serves as there is no right or wrong answer, they stay on task, its social and critical and expressive thinking.........its a Hoot !

Went to a open discussion with the State Surveyor here in Florida, Paula Havrid, she went over the Mds 3.0... we had some questions she could not answer and will "get back to us" , however the way it was explained, the Act Section, F , is only required with the initial, an annual or a sig change........however the quartely notes will be reviewed for changes and revision and what the resident has been doing according to the care plan from the CAA and the assessment..........if the F section is all you are assigned............we too are looking at a crunch time, we are an 180 bed facility with a 40 bed medicare unit(transition)unit...........the way we understand it that we are facing 60+ residents who will require both a 2.0 and a 3.0 to capture the money within a 14 - 30 day span, not including new residents............ something that did come out of the "jam session" was that the Surveyors love the I care plans..............our team does too..

Our facility has begun them and we were not too thrilled,BUT NOW they are great, you put yourself in the residents place and ask what do you need to know about me, what do i like, why I am resistant etc an example would be: problem/concern/strength I dreaded coming to a nursing home, so I might be angry and withdraw from what you offer me, I have hx of depression and am in pain rt: my osteoarthritic back Goal: While I am in this facility engage me in one or more forms of a spiritual prgm, I take great strength from my faith easing my anxiety and as a diversion from my pain etc.. Hope this helped....................it really gives you the answers from the "what if it were me" mentality

Our section answers will be determined by the bims(might not be the right letter acronym) score the ss dept will lead off with, also the ss section d will trigger our CAAs Our concern is that the time frame required for submissions will put all of us who have a "interview" at the resident in short time span, they can get resistant and impatient with the "questions" It remains to be seen if it truly is "resident centered". I have really not seen a "here is how you do it "seminar or inservice. Oct 1 is coming fast.................also the residents whose assessments fall both with the MDS 2.0 will also have to have a MDs 3.0 to capture the money...............the way our schedule looks now we have 27 resident assessments that will require both..............oh yeah, the rest of your work still goes on......................not looking forward to the first month or the first Survey under the 3.0