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Pennie last won the day on May 25 2018

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About Pennie

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  • Birthday 07/16/1958

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  1. Hi. Here is one you can download as a sample , It will give you an idea of what to plan and how to display it. hope this helps, Thanks Pennie
  2. MultiDepartmentalForm.pdf View File File imported by an administrator Submitter Pennie Submitted 12/05/2011 Category Newsletters, Calendars, Forms, Puzzles, PrintOuts, FunFacts  
  3. Try not to over think it.. I had a couple of changes that always saved me, One was, I talked my admin into paying me to create my calendars and newsletters at home on my computer. He approved 6hrs a month on my check and that helped. Second was , when I created my activities calendar, I printed one extra for each resident, On the extra copy I would put a blank so that I could put a residents name and room number on the copy. In your case I would end up with 89 resident calendars in a folder, stapled together, that would go to each activity. Each resident in attendance would have their calendar activity highlighted to show attendance, non attendance due to vistor, participation level Red Green Yellow highlighters add a Blue and make your own color legend. Its a fast way to document who was in attendance, include notes. At the end of the month you have your attendance records and data for your careplan and progress notes. Each calendar for each resident in the folder will reflect the entire months attendance with notes, most can be documented with a quick swipe of the marker Here's a sample 3200.docx hope this helps Pennie We create a monthly calendar and newsletter available for download each month. Its a Membership, 9.95 month. http://activitycompanion.com You can use Printmaster or OnlyOffice free online to load our templates and edit to fit your facility.
  4. Are you currently a CNA? We have many students converting from the nursing department to the activity department. It is an easy transition for most as they are already familiar with the facility, residents and daily schedule. We hear many reasons for the change of position when talking with our students. Among the listed reasons: Job Burnout Want More Involvement with Residents Better Work Schedule Have a More Creative Calling This is in no way an exhaustive list. However, it sheds some light on the thought process. Perhaps you are a CNA and have been feeling the need to make some changes for similar reasons. According to our MEPAP instructor, Kathy Hughes: NCCAP has rewritten the Certification requirements over the last year to make the transition easier. A new Track 4 was introduced to allow the NCCAP applicant to apply additional work experience in place of college credits, and requiring only a high school diploma or equivalent to apply for Certification. Here are the requirements for specific to experience in the NCCAP Standards: Applicable Work Experience A. Activity Professionals Certification i. 50% of work experience must be directly working with activity programming and documentation ii. 50% can be indirectly working with activities, ie Restorative, CNA, Dietary Aide, Rehab., etc. iii. 30% of this experience can be volunteer work with individuals across the continuum of care. NOTE: NCCAP will require an official letter from the facility typed on letterhead stating the hours accumulated. ENROLL NOW! Download the Enrollment Packet for the MEPAP 1 Course for complete details. MEPAPEnrollPack.pdf BUY NOW! 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.
  5. Hi Chiquita -- welcome to AD World
  6. Resident Thanksgiving Meal -- Staff Thanksgiving Meal -- December Resident & Family Christmas Party
  7. Excess Disability – Independence with Alzheimer's by M. Celeste Chase, AC-BC, ACC, CDP, CMDCP When someone has Alzheimer's with presenting dementia, their cognitive function continues to decline but they still possess abilities. In fact, skilled healthcare professionals know that continuing to do as much as they can do at their current ability level stimulates the brain and may even help to maintain skills longer. However, family members unknowingly often cause "excess disability" when in their sincere earnest to be helpful, do everything for his/her loved one to make life less challenging for the dementia diagnosed individual. Excess Disability - "Use it or lose it" When you provide opportunities for residents to do for themselves it prevents those intrinsically rooted skills from becoming rusty and ultimately no longer usable. It cannot be overstated how important purposeful activities are when discussing dementia and topics referencing motivation and engagement. Purposeful activities focused on interests work harmoniously to entice and elicit responses essential to maintain the "use it or lose it" concept. As dementia progresses, older adults are capable of less and less. Helping them find self-motivated desires to participate in everyday tasks and activities can boost mood and improve quality of life and holds the power to raise self-esteem and reduce common dementia behaviors, like agitation, repeated questions, and anger. Adapting everyday tasks with purposeful meaning for the individual diagnosed with dementia will entice and encourage mental stimulation, and provide support as needed to help older adults maintain a sense of independence and accomplishment. That is something every one of us strive to maintain for as long as it possible. Why are Dementia Activities so Important? 1) Provides Daily Structure: A structured and consistent daily routine gives needed predictability and stability when the individual is feeling disoriented and confused. 2) Prevents Decline: Continuing to do as many activities and daily tasks as independently as possible helps to preserve innate skills for a longer period of time despite disease progression. 3) Improves Mood: The individuals capabilities continue to decline with disease progression. When individuals participate in everyday tasks can boost mood and improve overall quality of life. 4) Reduce Challenging Behaviors: Challenging behaviors present with less occurrence when opportunities are made available to engage the individual in positive oriented everyday distractions. Thereby, providing a means to release energy and unexpressed emotions. Supporting Remaining Skills Look for adaptive strategies & techniques that focus on strengths/skills that the individual still possesses. Allow the individual to retain as much control possible to help foster a sense of personal dignity. Integrate "chunking" methods - (break down tasks step by step) move to the next tasks in sequence only when the previous one has been completed. Attention span may be limited so plan programs of no more than 20 to 45 minutes of time segments. Programs are most effective when they are multi-sensory & spanned over consecutive days; first day – taste applesauce, next day – taste apple pie and so on (connects related theme to facilitate memory input). Incorporate events that "elicit" a response through use of basic sensory stimulation & 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) 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. Strategies and Techniques Meeting the individual abilities will ensure greater success. Particularly when maintaining the overall goal to support opportunities for independence and accomplishment. Set-up: Pre-plan what is needed in a manner that cues the resident to complete the task independently. Example: Clothing – Place items in order of use: underwear and bra on top, shirt and pants under them. Visual distance supervision: Remain within the line of sight to supervise and assist when needed yet distant enough to allow the individual to complete on their own. Example: Drying dishes – stand within visual view to make sure the dishes are properly towel dried - replace the towel when it has become saturated with water. Prompting: Minimize verbal instructions, simply point to the next task in the sequence to give guidance. Example: Point to the place mat. When it is placed on the table, point to the plate or ask what's next? Verbal Cues: Provide gentle verbal "cues" only as needed to prevent frustration by stating simple directions for task sequence, allow time as needed for the individual to complete one task before you offer another cue to move onto the next task. Example: Bathing – Pick up the washcloth... turn the faucet on... wet the washcloth. Physical Guidance: Use "hand over hand" or "mirror" techniques to help guide physical actions. Example: Brushing teeth: Stand behind and place your hand over the individuals hand while holding the toothbrush. Gentle provide physical guidance for brushing teeth. Note: "Excess disability" refers to the loss of an ability that comes from something other than the disease or impairment itself. In dementia care, this generally refers to the loss of abilities that go beyond the physiological changes that are caused by the dementia. Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org BUY Now 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
  8. Avoid Aging Parents Becoming A Burden By Linda LaPointe, MRA By not planning for the future we guarantee that we will leave our children with a tremendous burden. Just about the time they are preparing for their own retirement and their children's college education, adult children often are overwhelmed with decision-making for their aging parents. As a long term care administrator I heard it daily, I Dont want to be a burden to my children. But unintentionally most of us make it even harder for our children by not clearly defining our wishes or preferences. We can help them out by asserting control over our future health care, residential choices, and even how we will die. There are specific and discrete steps we can take to shape our own destiny. Many of these tasks only take a few moments of your time, some take a little research and others may require professional assistance. None of them are extremely costly or difficult. So why don't more of us do this type of planning? Seniors are concerned about losing control of their life and being a burden to their grown children but many just don't know what to do. For instance, the majority of people want to die at home, but very few do. Become familiar with your options and make your preferences known while thinking clearly, while free from pain and prior to an emergency or crisis. The loss of a parent is difficult enough for an adult child. We can save them additional grief by doing the following, clean house: get rid of all the worthless clutter and unimportant stuff prepare and organize those important papers and throw out the unimportant ones prepare advance directives and tell others what they contain and where they are located make our own funeral plans and ensure there are sufficient funds to pay for it leave our legacy through writings, photo albums, heirloom assignment and recording of family stories You can avoid becoming a burden to your children by taking control of your end of life with as much care, intent and forethought as you have lived the rest of your life. Linda LaPointe, MRA is an ElderLife Matters coach and author of several products to assist families experiencing aging including the pamphlet, Don't Be a Burden: 100 Tips. Get free articles and information at http://www.sospueblo.com/
  9. Let's Get Serious About the Nursing Home Tour Tammy Gonzales, Life Coach Before you tour your facility choices be sure you have done your homework. Go online and visit http://medicare.gov Medicare.gov. They have wonderful resources available to you for free. They are user friendly. Please see the end of this article for details. To narrow down your choice between two or three nursing homes or just considering the only available nursing home to place your family member or friend, it takes two visits. Take someone with you and if at all possible take the person who will be moving into the nursing home. Your first visit to the nursing home is what I call "Their Pitch". Set it up for the morning anytime before 11:00 AM on a Saturday and plan to be there at least an hour. Get there 15 to 20 minutes early with a magazine or a newspaper and let the receptionist know you are there. Take a seat in the lobby and wait. This is not wasted time. Open up your newspaper or magazine and eaves drop without calling attention to yourself. Let your senses lead the way. Have you been offered refreshments? Does the facility smell? Does the interaction of others sound pleasant? When you opened the front door into the nursing home did you smell urine, bowel movement, vomit or body odor? Did it to smell like flowers or antiseptic? Or like bad odors are being covered up by good odors. Broccoli, cabbage and brussel sprouts are the only offensive smells that come from the kitchen when they are being prepared. After a short while close up your magazine or paper and receptive to your visual surroundings. If there is someone else sitting there try to start a conversation about the nursing home and find out what they think. Listen to the tone of their voice, watch facial expression and body language. By now the admissions coordinator or someone is going to invite you into their office or take you for a tour and give you "The. When they take you into the office they are going to ask you questions. Names, name of potential resident, age, diagnosis, who their doctor is, where are they now, do they have Medicare, insurance, are you the health care power of attorney, do they have a living will, have you applied for assistance, how soon do you plan to place them here, etc. They are going to try to emotional connect with you as well. They are looking for potential problems too. Pleasantly answer their questions. If you have a few questions ask and be sure to ask if you can have a copy of an information packet or pre-admission packet. So on to the tour. The tour is about showing you the best of what they have to offer. They will introduce you to everyone and show you the facility. Let "Their Pitch" happen and go along with it. Don't ask too many questions now because you will distract yourself from observations that you need in order to make a sound choice. During the tour you will be introduced to the different department managers and shown their offices. You won't be expected to remember names and it is more important how they respond and take an interest in you. Also, during this tour pay attention to the interaction between staff and residents in every area you are toured through. This is important. Observe the residents. Are their clothes clean and in good repair? Are they wearing footwear? Do the men look clean and shaved? Does their hair look cared for or is it a mess? Do the women have appropriate hairstyles (I have seen them put pigtails on top of balding 90 year olds)? Do they still have bibs on from their last meal? Does any one look cold and not have a sweater? Do you see a number of residents that are wet or smell of urine or BM? Do the hands look clean especially under the nails? Do the wheel chairs look clean and cared for with no sharp edges or tatters? Do the residents in wheel chairs look comfortable? Are residents in wheel chairs being pushed too fast or backwards? Are residents that are being walked rushed or are they allowed to walk at their own pace? Is a resident yelling out the whole time you are there? The flooring should be clean and free from any debris. The walls should be clean. The lighting should be good. Carpets free from spots. Decorative items should look well kept. Drapery should be open to allow the natural sunlight in. You will be taken to the nurse's station. The nurses should be pleasant and responsive to the residents and family members. Listen to their tone and responsiveness in their voice. Watch their body language as they acknowledge you or others at the nursing station. Is this representative of how you would like your loved one to be responded to? One area you will be taken to, will be the Rehabilitation area where physical, occupational and speech therapies are provided. How are the therapists interacting with the residents? Are there residents in the area alone? Is privacy being respected? Is it busy with activity or is no one there? Listen to find out if they have at least a full-time physical therapist and occupational therapist, it is important to know, as your loved one may require these services from time to time. Do they mention at least a part time speech-language pathologist? It is always good to have one available to screen your loved one if they ever begin to have speech problems or eating problems like swallowing. Once at the Activities Department, observe what is going on each time you pass by. Make it a point to stop for a few minutes and observe residents and don't be surprised if not every resident in the activities room, is not doing something. Are at least 25% of the residents doing something like reading, watching TV, or doing the activity that is going on at the time? Ask to see or have a copy of the activities calendar. Observe interactions. The dining areas are a very important area to make observations. Check to see if they have more that one dining room or area? If the nursing home that you are at has 120 beds and is not specific to only Alzheimers/dementia residents, then there is a mix of residents functioning at different levels. There are usually three functional levels of dining: residents that can dine independently, residents that require cueing, and residents that need to be fed. Observe for the different types of dinning rooms or areas. If residents are dining observe for a few moments. Are they socializing, smiling, having a difficult time with the food? This is important because as your loved ones functional ability may decline and they may need cueing or to be fed from time to time. What is the facilities policy about residents dining in their room? The tour guide (admissions coordinator) will show you a few resident rooms. Most of the time they will show you the rooms of clean, fairly independent, and continent residents with good family support, a well decorated room, not the room they would be admitting your loved one into. Facilities are limited to the number of private rooms they have. Most of the rooms are semi private with a private bathroom for the two sharing the room or a bathroom that is shared with the adjoining room. Look in the bathroom if you can. There is much to consider. During the tour they will hopefully show you outdoor areas for the residents. Is it shaded from the sun? Is it partially protected from the weather like rain, snow, and wind? Do they have an area outdoors for residents who smoke? Are there seating areas? Is it visually appealing? This is usually what happens during "Their Pitch". They ask you for information and you ask questions and make observations. Just like when you are with a salesman they want you to get emotionally connected with their facility. At the closing be sure to thank them for their time and let them know that you will be in touch with them soon. Before your second visit, try and read the information related specifically to the nursing home and what their expectations are of you and the resident from the information packet or a pre-admission packet you received. Then make a list of questions for the next visit. If you can't think of any questions, Medicare's publication Guide to Choosing a Nursing Home has questions on several pages that you can tear out and take along with you to what I call the YOUR Q&A VISIT. Try to make YOUR Q&A VISIT unexpected on a weekday. Ask to speak to the admissions coordinator or some one who can answer some questions that came up. I will just tell you now, that if they respond timely to you at this visit that's how you will be responded to if your family member was in the nursing home. This is your opportunity to get your questions answered and to get any additional information that will help you make the best choice. If you live in a small town this nursing home may be your only choice and you will learn to be a good advocate. However, if you live in a large town or metropolitan area you will have a choice of several nursing homes, pick the one that suits your loved ones needs and not your convenience. I wish you the best of luck on your search. Thank you. Here are the valuable Resource Links that I promised. Just click on the title. http://www.medicare.gov/NHCompare/Include/DataSection/Questions/SearchCriteria.asp "Home Health Compare“ Will provide you data about home health agencies most recent survey and compare it to others you select for free. http://www.medicare.gov/HHCompare/Home.asp "Long-Term Care Counselor" Will help you make a determination of the type care and where the care can best be provided for you or for some that needs help or supervision. http://www.medicare.gov/LongTermCare/Static/LTCCounselor.asp Publications - Guide to Choosing a Nursing Home, Medicare and You 2020, Medicare Coverage & Skilled Nursing Facility Care http://www.medicare.gov/Publications/Search/SearchCriteria.asp Tammy Gonzales, Life Coach specializing in family and professional caregivers, the elderly, patients, survivors, those facing crisis and the end of life. Copyright © 2020 RevitaLife Coaching & Consulting, LLC Her current project, Caregiver& Aging Awareness Campaign is to provide all caregivers and the aging with useful information and direct them to the resources of free available information to complete their life planning. http://www.revitalifecoaching.com tammy@revitalifecoaching.com
  10. Bingo Is Not Just A Game! By Jerry Lynn Daniels, ADC/ALF/MC/AD/EDU, CDP ** Article describing Bingo as an assessment tool. Food for Thought ** Bingo is very popular in geriatric recreational programming. It is the most requested activity in most seniors facilities or communities. Activity Professionals for years have heard the dreaded "all you do is play bingo all day" from co-workers, friends and family alike. Bingo is not all they do but it is a very important part of their jobs. Although it is at times dreaded by professional caregivers, it should remain a part of recreational programming because of it obvious entertainment value. And of course we know if it were removed it could cause a revolt. There is a not-so-obvious reason as well. Therapists, nurses, social workers, friends, families as well as activities professionals should learn to use bingo as an assessment tool. The best part is that there are no fancy, expensive assessment packages to purchase. You use an activity which is already taking place. --------------------------------------------- Bingo can be used to assess a persons level of function in certain areas such as these: Hearing. It will become obvious if someone is constantly asking that the numbers be recalled. or if a person who normally sits at the back of the room all of a sudden asks to sit closer to the caller. Visual cards may be required. Sight. You may observe a person straining their neck or eyes. They may be leaning in closer to the card or may have many called numbers still uncovered. Speech. A person must be able to yell "bingo" but must also be able to call out there numbers once they have won the game. Cognition. A person may begin to have trouble finding the numbers once they have been called or may not be able to follow through with covering the number once called. Fine Motor Skills. Fine motor skills must be used to manipulate the cards whether slide cards or traditional cards and chips are being used. They may repeatedly knock all their chips from their card or be unable to slide the covers into place. Social Appropriateness. The persons ability to interact appropriately in a social setting is also assessed. ------------------------------------------- When using bingo as an assessment tool, one session will tell you a lot about the person. However, observing several games over a course of time is best. If you are a professional in one of the senior settings, learn to assess your clients using bingo. If you are a family member who is noticing some changes in your loved one, get them involved in games such as these. Not only will they help with socialization and entertainment but they may also help you to understand different aspects of your loved one's functional level. There are many websites where you can create your own bingo cards. Just search "free bingo cards" or go to either of these sites http://www.print-bingo.com or http://www.dltk-cards.com There are senior centers throughout Jacksonville which offer full activities calendars including bingo. For a listing of the City of Jacksonville Community Senior Centers go to http://www.coj.net/Departments/Recreation+and+Community+Services/Adult+Services/Community+and+Senior+Centers/default.htm If you have any comments or questions regarding this article or a suggestion for an upcoming article please contact me at jerrylynndaniels@yahoo.com. Continue reading on Examiner.com: Bingo is not just a game - Jacksonville elder care | Examiner.com http://www.examiner.com/elder-care-in-jacksonville/geriatric-recreational-programming-bingo-not-just-a-game#ixzz1DQWfAjX9
  11. REFLECTING RESIDENTS' SPIRITUAL NEEDS IN CARE PLANS --- By Sue Schoenbeck, R.N., Michael Rock, Jill Cullen, Carol Gabor Authors: Sue Schoenbeck, R.N., is director of resident care; Michael Rock is administrator and chief executive officer; Jill Cullen is plan of care coordinator; and Carol Gabor is a social worker at Ingleside Skilled Nursing and Rehabilitation Center, Mount Horeb, Wis. --- Far less is known about the human spirit than is known about the body and the mind. But issues of the spirit are important when caring for the elderly in long term care environments, as well as preparing residents, families, and staff for the death of a resident. Therefore, it is judicious for the caregiving team to gather information about spiritual as well as physiological, mental, and psychosocial needs. Ingleside Skilled Nursing and Rehabilitation Center, Mount Horeb, Wis., has created a spiritual assessment tool congruent with the minimum data set (MDS 2.0) to help determine each resident's spiritual needs, which then can be addressed in the care plan. to create your Spiritual Care Assessment... Ingleside's spiritual care program is rooted in a theory of logotherapy developed by Viktor Frankl, a Viennese psychiatrist who survived several World War II concentration camps. He proposed that people can find meaning in life events, including suffering, and can transcend what fate bestows. Frankl believed that people search for meaning in life up to and often through the death event. Asking questions pertinent to spiritual needs makes residents feel welcome to share their spiritual side. How a person chooses to live life is reflective of the spirit that lies within. By using an assessment tool to gather data, caregivers can build a care plan upon the experiences the resident values most and wishes to retain. The Assessment Tool The first part of Ingleside's spiritual care assessment tool (see box below) gleans information from the resident pertaining to concepts of a god or deity, religious practices, and helping others. Questions include: Do you usually attend church, temple, or synagogue? Do you find strength in your religious faith? Have you participated in or would you be interested in a Bible study group? Do you enjoy helping others? In what ways have you helped others? Ingleside Spiritual Assessment Part I: Activities Name: _______________ Medical Record # ____________ Date___________ Concept of God Is religion or a god important to you? Is prayer helpful? Does a god play a role in your life? Customary Routine: Involvement Pattern Do you find strength in your religious faith? Do you usually attend church, temple, synagogue, etc.? Are there any religious practices that are important to you? Religious Practices Has being sick made any difference in your religious practices or prayer? What religious books or songs are helpful to you? Have you participated in/would you be interested in a bible study group? Helping Others Do you enjoy helping others? In what ways have you helped others? Recommendations for care plan: __________________________________________________________________________________ ______________________________________________________ Assessor's Name _____________________ Title _______________ Source: Ingleside Inc. Part II of the spiritual assessment tool (see box below) engages the resident in conversation about sources of help and strength, relation between spiritual self and health, and impending death. Questions in this section include: What are your personal goals? Do you want to participate in or assist with religious services at the facility? Are there roles you had in your life before that now are closed off to you? What has given your life meaning in the past? What gives your life meaning now? Ingleside Spiritual Assessment Part II: Social Services Name ______________ Medical Record # ________ Date _______ Sources Of Hope And Strength Who is the most important person to you?______________________ Are there roles you had in your life before that are now closed off to you? If so, how do you feel about this? What has given your life meaning? What gives your life meaning now? In what ways do others help you? What helps you most when you feel afraid or need special help? What is your source of strength or hope? Goals What are your personal goals? Do you want to participate in and/or assist with religious services at Ingleside? Relation Between Spiritual And Health What do you think is going to happen to you? Has being sick made any difference in your feelings or beliefs about God or religion? Is there anything particularly frightening or meaningful to you now? Impending Death Do you want a bedside service? __ No __ Yes Clergy: Your own? ______ Parish _______ Phone _______ Other? _______ Parish _______ Phone_______ Do you want it in your room or chapel? _______________ Do you wish to be present or would you prefer it be held without your presence? Are there any special words, prayers, songs, or thoughts you would like expressed at the service? Recommendations for care plan: ___________________________________________________________________________________ ______________________________________________________ Assessor's Name _____________________ Title _______________ Source: Ingleside Inc. Once the caregiver has completed the resident interview, information from the spiritual assessment tool is incorporated into the individual's care plan. For example, when a resident reports prayer as a daily part of his or her past life, staff can include "provide private times for prayer" in the care plan. A resident with Alzheimer's disease for whom evening prayer had been a ritual can be guided by staff each evening in this routine. Staff can assist family members to record familiar prayers for playing to their loved ones. Furthermore, resident prayer and hymn requests can be incorporated into a weekly nondenominational service. If the assessment shows the resident is experiencing spiritual distress, care plan approaches may include pastoral counseling, psychotherapy intervention, and medication regimen evaluation. But caregivers should not assume that residents' feelings will remain static. Entering a nursing facility does not mean a person stops growing and changing. Residents often reevaluate and change what they value. Therefore, spiritual needs must be regularly monitored and changes to the care plan made accordingly to guide staff in providing the support the resident needs. Bedside Closure Service It is understandable that residents and families have heightened spiritual needs as death approaches. But facility management should remember that staff, too, will have intensified needs because of their close interactions with residents. Therefore, Ingleside holds a bedside closure service to comfort those left behind. Part II of the assessment tool provides information about whether or not a resident and family want a service and what they would like incorporated into the service. The service is designed not only to honor the resident in the manner requested, but to give staff the opportunity to say good-bye and to share with family, friends, and the departed some of the good times experienced together. For example, at an Ingleside bedside closure service for a man who communicated only by repeating two syllables, certified nurse assistants (CNAs) told family members how they had learned what the resident wanted by his intonation of the two syllables. Another CNA thanked the family for the opportunity to care for a man who had taught her she wanted to make a career of helping people with speech impairments. A housekeeper commented he would miss joking around and seeing the resident's broad smile. Ingleside staff has assembled a bedside closure service guide that includes some of the songs and prayers most frequently requested by the facility's population. This guide is printed in large type for ease in reading. A staff-written prayer book is given to each new resident and staff member to help people find words with which to pray together. Program Benefits In 1995, Ingleside conducted an exploratory descriptive study of the value of its spiritual care program for residents, families, and staff. Results indicated that the program led to increased knowledge of and response to residents' spiritual needs. Impending deaths were more openly discussed, leading staff to communicate with residents about their last wishes. The quality of life near death was enhanced as individual wishes were honored. Families also benefited. Positive written responses have been received from the families of residents for whom a bedside closure service was held. A daughter wrote on behalf of her family, "We felt the service for Mother was helpful and thoughtful. We felt she was liked and respected although we know she was a trying woman." Giving spiritual care offers staff the opportunity to get to know the spiritual side of the residents and, with residents and families, explore the meaning of life.
  12. Best Laid Plans by M. Celeste Chase, AC-BC, ACC, CDP, CMDCP A best-laid plan refers to when things gone awry or simply stated, something that has not turned out as well as one initially had hoped for. The expression the best-laid plan carries the implication that one should not expect everything to always turn out as planned. Easier said than done… right? The idea that no matter how much thought or pre-planning gets devoted towards a certain task or endeavor and it may still turn out unsuccessful is disheartening to say the least. That said, when things do not go as expected, it is completely normal to feel as though someone has just taken a bit of a bite out of your self-confidence. Such is the scenario when the appropriate time has been dedicated to review resident assessments, history, clinical status and pursuits of interest to develop the perfect mix of calendar events for your resident. Surprisingly and low and behold – your resident does not want to participate in the event. In fact, your resident very unapologetically lets you know that your event was a total flop. Adding salt to the wound, that is the same resident initially expressed an interest and requested the event to begin with! Yikes yet again! It Happens Without a doubt, many of us if not all of us in this field have been there. Sincerely and earnestly planning what we believe to be on target “person centered” pursuits of interest. Only to have the very same residents who had asked for the program to flat out reject it. So what happens when those “best laid plans” go off the rails and turn out all wrong! When your plans hit the fan, you can either fuss about it and go negative or choose to take the opportunity to cultivate an optimistic viewpoint. How it that done anyways? It’s a question of rolling with the punches – and acquiring the ability to remain flexible – not take the rejection personally – and lastly, learning from the experience. “Adversity can - make you stronger!” Why? Humans have the capacity and the determination to avoid the same outcome previously experienced. Resiliency is a gift and one that we all posses - it’s time to pull up those boot straps ladies and gents and look at the process to find out why that well planned event was not well received by your resident. Resident Planning Committee Make it your mission to involve the residents in planning the calendar every time a new one needs to be created. The consistent and routine resident participation in planning events will lead to a number of great benefits for both you the professional and the residents you serve. Start the process by searching for two residents that seem excited about contributing ideas for calendar events. These two residents will become your “volunteer ambassadors”. These “ambassadors” should be good communicators, warm and friendly residents willing to personally visit fellow residents to talk about all the ways he/she can contribute to facility programming and thereby adding their valued ideas. This “buddy resident” system is a successful approach for both new and existing residents. New Residents Consider that newbie residents may be shy and undecided about starting interactions with the large existing (perhaps scary) group of residents. When the new resident is approached by two friendly, outgoing and happy residents; he/she may find it less intimidating and more likely open to be part of the Resident Planning Committee. Existing Residents “Buddy resident” system makes for great ambassadors to help current residents as well. The pair can help to revitalize interest and help fellow residents to feel valued once again. It just takes a couple of energetic residents to give a gentle nudge now and then. Committee Structure and Process If you have more than one resident interested in chairing the committee, ask residents to assume the resident chair position on a rotation bases. This gives everyone that desires to do so a turn and gives a well deserved break to those that have previously served as chair. Write the resident ideas for events on a white board – keep them up on the white board till the next meeting. Why? 1) This allows you to erase events after they have been put on the calendar. Thus, you can keep adding and erasing as you are able to schedule them in any given month. Additionally, this is a great visual for the resident to see his/her ideas actively go from the white board to the calendar and gives the resident a sense of achievement. 2) Visually displays what the Resident Planning Committee has created for all to see. This is particularly useful for memory impaired residents as they can become agitated or upset when they do not like or recognize a program idea even though they initially suggested it. NOTE: Memory issues are the commonly seen contributor relating to event rejection and refusal because the resident does not recognize what they asked for in the previous moments. 3) Residents can be fearful that their ideas may not be well liked by others. Create an “anonymous “idea box” to keep the identities of those that would not otherwise give up what they secretly want you to add to facility programming. Memory impaired residents may perhaps make up the majority of the group you serve. When a program event is rejected by this group, whether it was initially the residents’ idea or not, do not take it personally. Remind yourself that his/her behavior is a product of related memory issues. The most effective response for you as a professional is to quickly “redirect” your resident to something else to prevent further emotional or behavioral escalation. Know Your Audience Knowing who your audience means that you can adapt the content of your presentation to address the main concerns of your audience. Professionals leading a group of seniors regardless of the group size must know and understand why the group wants to be present, what motivates the group, and whether you are matching your information to their level of understanding and interests. It’s an ongoing day to day learning experience for the Activity Professional and we all know that you have the knowledge and the skills – Remember that you got this! The best-laid plans of mice and men often go awry. No matter how carefully a project is planned, something may still go wrong with it. The saying is adapted from a line in “To a Mouse,” by Robert Burns: “The best laid schemes o' mice an' men / Gang aft a-gley.” Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org BUY Now 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
  13. Hi. your facility routine is definitely unique .. it doesn't follow regulation but it seems that the only thing missing is a way to communicate to the Coordinator the information from the Activity's Dept as to whether or not there is a significant change in activities. All departments know of the residents with significant changes within a facility, you might take a copy of the Sec F and mark the information as it pertains to each resident and leave it for the Coordinator before hand. Anything to promote teamwork, it makes life so much less stressful.. thanks Pennie " A significant change is determined by 2 departments usually nursing and dietary. Therapy also determines a significant change. Activities would not trigger, but reinforce one determined by the other depts. When you look at section F it would never change from the initial documentation. I know that the MDS would remain the same. Activities rarely triggers a significant change. Kathy"
  14. Programming for Deaf and Visually Impaired Elderly Vision and hearing loss are particularly prominent in the older adult population. The most common senses that are “lost” are sight and sound. These senses are specifically controlled by the visual and auditory cortex, respectively. It is possible to lose the senses of taste, smell, and touch, but these are much less common. While vision loss can have a profound negative impact on a person's perception of the world, hearing loss diminishes a person's mode of communication and can lead to social isolation. Leisure pursuits for the deaf and visually impaired aging are paramount to preventing feelings of isolation and lack of independence brought on by physical deficits. Visual and auditory loss can make everyday activities more difficult and significantly contributes to the sense of exclusion from society. Adapted leisure opportunities offer those moments of inclusion that seem to be without disabilities and significantly improves overall quality of life. Compensating for Sensory Loss Studies conclude that when you no longer need to use that part of the brain to process images (for example), more energy and processing power is shifted to the senses of hearing and touch. The brain automatically compensates to improve your ability to move through the world. Such is the case for blind individuals who often use a technique called “clicking”, in which they make small clicking sounds and then interpret the echo they hear to determine the environment around them. This echolocation technique can even allow people to determine specific objects and walk normally without bumping into walls or obstacles. Look for senses that remain intact to help your resident navigate and relate to his/her environment. Sense of Touch: Using the sense of touch feel the shape, surface texture, weight and size combined to identify the unknown object which cannot be seen. Sense of Taste: Offer a variety of food items and ask what ingredients can be identified. Often a specific food will be remembered from childhood days – encourage those memories. Sense of Smell: A particular fragrance can also evoke memories. Perhaps apple or pumpkin pie made with grandma’s love and care. A fragrance distinct to flowers, candles, colognes or spices can be identified and all may elicit memories from days past. The “Golden Rule”: Focus on the senses that still remain to lead the way to programming success. Tapping into the remaining senses helps to keep minds active by doing things that require inquisitive thought and intellectual problem solving strategies. Stimulating and success oriented programming allows residents to feel useful again, despite their physical disadvantages. The Hearing Impaired The hearing-impaired elderly are often at risk of having social challenges and not being able to fit in with mainstream groups. This is largely because “communication” is primarily language-based. But there are many available types of leisure pursuits for the hearing impaired that help foster communication and contribute to a feeling of community. A little ingenuity will go a long way towards the discovery of hearing impaired leisure pursuits. These include: Computer Skills: Computer savvy skills are integral for keeping up with those that are not close by. Studies have shown that older adult with computer skills were less likely to experience mild cognitive decline as they aged. Art: From drawing and coloring to painting and weaving, art promotes creativity and expression. Hearing-impaired adults can work with clay and ceramics, as well as all types of sewing activities. Bingo: Options for the hearing impaired are available. Such as large calling cards with a yellow background that can be held up for those who can't hear the numbers being called. Video Games: Video games are no longer just for children. Studies revealed that video games improve cognitive reflex and help to sustain cognitive processing for adults over 60 years of age. Board Games: Board games and card games are suitable for hearing impaired seniors. Generally hearing impaired with no visual loss can read game board “how to play rules”. Sports: Other options for those who are hearing impaired with good mobility include playing pool, foosball, bocce ball, and shuffleboard. Headset: If the resident is not completely deaf, a good set of headphones can make listening to music or audio books enjoyable again. The Visually Impaired Age-related vision loss is common as we grow older and can often be corrected with glasses, eye drops, surgery and other medications. Some eye conditions however, such as macular degeneration, glaucoma, cataracts and other diseases may evolve into blindness or partial-blindness presenting considerable challenges to those affected. There are many game products are available in adaptive versions for blind seniors. https://www.maxiaids.com/board-games Some of these games include: Monopoly: All of the properties and spaces are in large type and accompanied by braille. All of the cards are in braille and large print. The dice and money notes are in braille as well. Checkers: Each space and piece is marked in a way that the blind and visually impaired can enjoy this game just as much as sighted people. Bonus points for knowledge of braille not being required to play. Chess: There are bumps on the white pieces to differentiate them from the black ones and the black spaces on the board are slightly raised. Scrabble: There is an overlay grid that prevents shifting pieces, as well as braille markings on said pieces. Here are a few topic oriented books that may be of particular interest to the visually impaired: Touching the Rock: An Experience of Blindness - by John M. Hull Autobiography; instructive and profoundly touching. The Country of the Blind - by H. G. Wells A mountaineer named Nunez slips and falls into a valley cut-off from the rest of the world where inhabitants are all blind. If You Could See what I Hear - by Tom Sullivan Blind from birth, Tom tells you stories that will make you laugh out loud. Stars Come Out Within - by Jean Little Autobiography of Canadian children's author Jean Little, blind since birth. A Dolphin in the Bay - by Diana Noonan A young boy's relationship with a dolphin helps him overcome his fears. Tips for Communicating with Visually Impaired People In general, observe first -then ask if your resident requires help - ask for instructions on how they want you to help. Don't raise your voice – or be excessively louder than normal volume. Use normal language- there's no need to avoid words such as "look", "see". Don't point or say 'over there'- be specific; "It is on the bed to your left". Identify yourself as you enter- "Hi Mary, it's Linda". It is acceptable to describe colors, patterns and shapes. Never patronize- do not assume that you have to make things 'easy' for them. When walking, describe the terrain- number of steps, texture of walking surface (carpet, grass . . .). Always respect the person's individuality, dignity and independence. What Is Available? Reach out to clubs and organizations for those who are deaf to encourage individuals who are deaf-blind to participate in social activities to reduce isolation. YMCAs/YWCAs Church leagues/synagogue leagues Community leagues Local associations for the blind Ski for Light - https://www.sfl.org/ University- or college-affiliated programs Local deaf club Lastly, but most importantly- Remember that your program must be “interest based” and “person centered”. You will always have a successful program when you ask your residents to guide you. Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org ENROLL Now 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 ... Starts Tuesday October 1st ... 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
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