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Pennie

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    Dehydration and the Elderly
    A widespread blanket of increasing rising temperatures is expanding across much of the country. . . . And of course, hot weather always increases the risk of dehydration.

    Older aging populations are vulnerable to climate change-related health impacts for a number of reasons. The body’s normal aging process causes the body’s systems mechanisms that are meant to protect us from dehydration work less efficiently as we age. The elderly population does not have the same internal thirst signals with age progression and consequently do not take action to reach out for that much needed liquid consumption.

    Experts generally recommend that older adults consume at least 57.5 fluid ounces or 7.1 cups within a 24 hour period.

    https://link.springer.com/article/10.1007/s12603-009-0023-z

    NOTE: Elderly people should not be encouraged to consume large amounts of fluids at once but rather small amounts throughout the day.
    Factors that put older adults at risk for dehydration include (includes but not limited to):
    • Chronic problems with urinary continence, which can make older adults reluctant to drink a lot of fluids.
    • Memory problems, which can cause older adults to forget to drink often or forget to ask others for something to drink - even mild dehydration, can cause noticeable worsening in confusion or thinking skills.
    • Mobility problems associated with aging, such as muscle and bone loss, which can make it harder for older adults to get something to drink.
    • Older adults are more likely to be taking medications that increase the risk of dehydration, such as diuretic medications, which are often prescribed to treat high blood pressure or heart failure.
    Dehydration can also be brought on by an acute illness. Older adults are also more likely to have a chronic health condition, such as diabetes, that requires medications for treatment. Vomiting, diarrhea, fever, and infection are all problems that can cause people to lose a lot of fluid and become dehydrated. Dehydration also often causes the kidneys to work less well, and in severe cases may even cause acute kidney failure. Additionally, chronic mild dehydration may further exacerbate constipation problems.
    Physical signs of dehydration may include:
    • high heart rate (usually over 100 beats per minute)
    • low systolic blood pressure
    • dizziness
    • dry mouth and/or dry skin in the armpit
    • less frequent urination
    • dark-colored urine
    • weakness
    • delirium (new or worse-than-usual confusion)
    • sunken eyes
    Caffeine and Dehydration
    Coffee or Tea please!  We all know only too well how important it is for our seniors to enjoy a nice cup of coffee or tea while gathering in morning socials to shake off those morning cobwebs and get ready for the day’s events.  Is there any other way to start the day?

    Technically caffeine is considered a weak diuretic. By definition, a diuretic is a product that increases the body’s production of urine. Hence water, or any drink consumed in large volumes, is a diuretic.

    It should be noted that urinating more does not inevitably lead to dehydration (excessive loss of body water).

    http://theconversation.com/health-check-does-caffeine-cause-dehydration-73965

    Current studies suggest that caffeinated coffee or tea is not proven to be particularly dehydrating in people who drink them regularly. Caffeine, however, may worsen overactive bladder symptoms, so there may be other reasons to be careful about fluids containing caffeine for our senior population.

    Feel free to offer decaffeinated drinks but if an older person particularly loves her/his morning cup of (caffeinated) coffee, there is no reason why they cannot partake unless it is physician ordered to avoid such liquids.
    Help Them Stay Hydrated
    Here are some reasonable approaches to help your seniors remain hydrated during current rising temperatures:
    • Identify continence issues that may make the older person reluctant to drink.
    • Consider a toileting schedule, which means helping the older person get to the bathroom on a regular schedule. This can be very helpful for people with memory problems or mobility difficulties.
    • Offer fluids in small amounts throughout the day; consider doing so on a schedule.
    • Ensuring the appeal of the beverages you offer – they will drink more if they enjoy it.
    • Determine if your senior prefers drinking through a straw.
    • Enlist interdisciplinary staff in your efforts.
    • Track in a journal how much the person is drinking; be sure to note when you try something new to improve fluid intake.
    • Offer more fluids when the senior is ill (seek nursing oversight).
    • Reducing Swallowing Problems by Making Liquids Thicker
    While you focus on actions to prevent dehydration issues be mindful of anyone with a swallowing disorder, often experienced in the elderly. Normal aging causes reduced muscle tone in the pharynx and esophagus and other changes that affect swallowing. Thickened drinks are normal drinks that have a thickener added to make them thicker. They are often recommended for people who can no longer swallow normal fluids safely, because normal drinks go into their lungs, causing coughing, choking or more serious risks such as chest infections and aspiration pneumonia (seek nursing oversight).
    More Ways to Keep Seniors Cool in Hot Weather
    • Offer cooling snacks, like popsicles (use cupcake liner to catch drips).
    • Place a cool washcloth on the back of the neck and a pan of cool water close by to periodically re-cool the towel.
    • Meals should be cold like chicken or pasta salad instead of heavy hot dishes like pot roast.
    • Encourage clothing that is lightweight and in light colored cotton so it’s easy to adjust to the temperature throughout the day by removing layers of clothing.
      https://dailycaring.com/10-tips-to-keep-seniors-cool-in-hot-weather/

    Calendar Programs
    Older people can have a tough time dealing with heat and humidity. The temperature inside or outside does not have to reach 100°F (38°C) to put them at risk for a heat-related illness. Be mindful of the temperatures when planning programs. Restrict your events to locations that offer cool environments. For outings (when applicable), seek senior-friendly places that offer air conditioning (restaurants, shopping malls or stores, public library, art museums, movie theaters). Senior exercise programs may need to be shortened in duration and restricted to easy and simple range of motion programs to prevent over- exhaustion. Do not forget the hydrating liquids!
    Stay Cool!  
    Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org
     
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    This course takes you through the Activity Departments required documentation process from the Baseline Care Plan through the final creation of the Comprehensive Care Plan. Particularly focus is tailored to the individuality of the resident and that care plans are in no way intended to be “cookie cutter” care plans. An appropriate and useful care plan begins with an effective and complete individualized assessment. When designing a care plan for each resident the professional must ensure that multiple sources within the Interdisciplinary Team assessments are considered to address the resident’s specific needs. The care plan you write must address these issues. The care plan is a representation of the accumulation of the facility’s assessment process. It is the final compilation of the individual resident’s problems, needs, and strengths. The care plan definitively scopes the resident’s care treatment process, describing conditions to be treated, expected outcomes, and the specific customized care services to be rendered. This course is intended to help you to become more proficient and savvy when it comes to realistic and relevant care plan development.

    Workshop Objectives:
    Understand care plan relevance relating to resident treatment
    Learn how care plans have evolved historically
    Understand the development process leading to the care plan creation
    Understand how to implement SMART care plan goals
    Utilizing IDT assessment tools data for care planning
    Understanding resident rights in care planning participation
    Recognize the progress notes and care plan relationship
    Recognize the initial assessment and monthly calendar relationship
    Revising the care plan – why or why not
    Merging care plans – consolidate IDT members contributions
    When to use short term care plans
    Understand Rehabilitation care plans


    Workshop Content:
    Care Plan Overview – What is this document?
    The History of Care Plan Development
    Understanding SMART Goals
    The Process – Baseline Care Plan to Comprehensive Care Planning
    Reporting Timeliness
    Common Care Plan Mistakes
    Care Plan Examples
    General Documentation Principles
    Documentation Corrections


    About Your Instructor

    Celeste was involved in the startup of a medical adult day center in the role of Activity Director and worked closely with the Alzheimer’s Association, Massachusetts Chapter during to develop program modules to serve the Alzheimer’s diagnosed participants. She was exclusively instrumental in the successfully implementation of the center’s Child and Adult Care Food Program (CACFP); working with the state to create the centers reporting structure and standards for compliance to state specified regulations. Celeste was recognized for her business development contributions and was became the Centers’ Program Director.

    Celeste has served as consultant and “Guest Instructor” for Activity Directors Network since 2011- supporting the student educational experience in pursuit of Activity Director Certification. She is currently lead instructor for Activity Directors Network and author of the National Activity Professional Training Course (NAPT).

    Celeste continues to support educational opportunities as the author of The Activity Consultant’s Help Desk since its inception in 2018. This Activity Directors Network newsletter reaches a readership with interest in further developing of their professional knowledge base as senior care industry professionals. She has also written Continuing Education (CEU) courses and has authored the “Behavioral Health Programming Guide for Skilled Nursing Facilities”.
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    Facebook
    Website
     
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    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 © 2020 Activity Directors Network, LLC All rights reserved.

    Our mailing address is:
    2010 US HWY 190 W Ste 120 Livingston, Texas 77351
     

  2. to all Activity Professionals - Most of you may know that Kathy Hughes has passed.Those of you who had the pleasure of being taught by her were indeed blessed, she was a mountain. Her family is gathering next week to celebrate her life at a family retreat she loved.
     
    Please take a minute to celebrate her legacy during your week,
                I'm sure she'll be close by... We Miss You!
     
    ---  if you would like to send something to the family please email us at pbacon@activitydirector.com

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    From NAAPCC
     
    NAAPCC DOES MEET FEDERAL TAG #658
     

     

     

     

     

     
     
     

    NOTICE TO ALL ACTIVITY PROFESSIONALS

    Contrary to a notice posted 7-1-20 sent out by another organization, NAAPCC DOES meet federal Tag #658 as it is written and will post the full regulation on our website. You can also find it at the CMS website. The regulation states that CMS accepts the standards of ANY accrediting body or State Association, not just NAAP. The Training courses accepted under F Tag 680 only have to meet State approval. They DO NOT need to meet NAAP's approval or be accepted by them. NAAP is a membership organization for Activity Professionals, just as there are other organizations for Activity Professionals. No organization has the authority to approve someone else's work or decide what CMS will accept, nor is that stated anywhere in the regulations. NAAP has their own education and it would be a conflict of interest for them to approve or not approve other courses. The Creators of the NAPT course have no obligation to hand it over to  anyone else for review. While NAAP is mentioned by name in one section, along with several other entities in F Tag 658, it is not an exclusive recognition, and following NAAP's name is the word "etc", meaning other organization standards are also recognized, including State Associations and Accrediting bodies, which does in fact include NAAPCC. Please be assured the information released is inaccurate. CMS has been recognizing and accepting NAAPCC certifications since 2011 and they also accept any State approved course per F Tag 680. If NAAP chooses to not promote other courses or certifications, that is their right, but they have no authority to decide what meets regulations. Please read below! The Highlighted sections dictate how NAAPCC meets the regulation. NAAPCC Standards are posted on the website. Recommended resources for manuals, etc., are also located on our website.

    o   F658 GUIDANCE §483.21(b)(3)(i)
    “Professional standards of quality” means that care and services are provided according to accepted standards of clinical practice. Standards may apply to care provided by a particular clinical discipline or in a specific clinical situation or setting. Standards regarding quality care practices may be published by a professional organization, licensing board, accreditation body or other regulatory agency. Recommended practices to achieve desired resident outcomes may also be found in clinical literature. Possible reference sources for standards of practice include:
    Current manuals or textbooks on nursing, social work, physical therapy, etc.
    Standards published by professional organizations such as the American Dietetic
    Association, American Medical Association, American Medical Directors Association, American Nurses Association, National Association of Activity Professionals, National Association of Social Work, etc.
    • Clinical practice guidelines published by the Agency for Healthcare Research and Quality.
    • Current professional journal articles.

     
     
     
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    Our credentials are recognized by CMS under F tags 658 and 680.

     
     
     

    If you have any questions or concerns please call the office at 303-317-5682 or email us at naapcc.office@gmail.com.

     
     
    We're here to assist you in any way we can. NAAPCC
     
     
    NAAP Credentialing Center
     

    17840 Weymouth Ave, Parker
    CO 80134 United States

     
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    CMS UPDATE- Nursing Home Visitation
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    Read Full Document
    Visit CMS.gov
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    American Healthcare Association's

    Shelter in Place: Planning Resource Guide for Nursing Homes
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    Keep Residents, Staff and Family Members up to date with this blank Covid-19 Newsletter Template. Made simply for your convenience:

    Step 1: Click on Button below
    Step 2: Fill in sections with your info.
    Step 3: Hit print or email.
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    Facebook
    Website
     
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    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 © 2020 Activity Directors Network,  All rights reserved.

    Our mailing address is:
    2010 US HWY 190 W Ste 120 Livingston, Texas 77351

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    Turmoil has certainly visited the world over the last year and it has thrown systems that have been in place for years wide open and exposed areas that are working and areas that are in need of massive social change. One of these areas is in the care of our elderly. Activity Directors have been shifted into the forefront of this pandemic within the walls of your facilities. Your importance in maintaining peace and stability in the lives of those you serve has never been more evident as you are each being called upon to perform tasks that you would have never thought possible only a few months ago. The flip side to upheaval is the renewed ability to put the pieces back together in a better way. I am sure you have thought of many areas over the years that could be improved upon or had many ideas of things that could be introduced that would be game changers. I think now is the time for us to all come together as a profession and start working towards some of these changes for the betterment of all. In light of this shared mission, I wish to dedicate today's Activity Corner to looking at some of the ways we can move in that direction as a team of loving individual's working on improving the industry.

    NOTE: Some of these ideas will not be possible to implement in the current situation we find ourselves in. However, these are ideas that can be worked towards over time and perhaps the planning and groundwork can be laid now.
    Be the Change...
    Activities are so much more than just activities. The way we spend our time determines the thoughts we have, the feeling we feel, the strength of our immune system, our overall longevity and the direction of our energy. What could be more important then that? There are many activities that you universally offer that are pertinent to your communities, such as faith-based activities and crowd pleasers, such as BINGO and trivia. However, you can dig even deeper and insert activities that can truly inspire and transform the inner and outer world of your residents. These activities may share some universal threads, but in order to uncover your specific direction you must include your residents in the discovery process and then build programming around it. Some areas that are proven to enhance the lives of all people, regardless of age, are:
    • Family
    • Health
    • Faith
    • Nature
    • Community
    • Personal Sense of Responsibility
    Let us look at these in turn to get a better idea of how you can enhance them through your strategic activity planning.
    Family
    Ask anyone with any level of true life experience what matters most and you will undoubtedly here family at the top of the list. These are our people, our tribe. Without them all the money, success or materialism in the world means nothing. How can we bring family into the picture more? We must appeal to the residents' family members by creating programs that entices them to make time for it. We need to create something that brings value to both the resident and the family. The resident's family members are extremely busy and involved in the busyness of middle age and this is somewhere we can help. Here are some ideas to get you going:

    Family Volunteer Day- Bring the kids and teach them the importance of volunteer work. Share stories or videos of the difference that can be made. Offer a certificate of achievement to each participating member so that they can take pride in being of service.

    Family Night- Host a fun monthly event that offers family activities. Plan movies, plays, carnivals, etc. Bring in a balloon animal artist or caricature artist... Something that offers excitement for the children. Focusing on the children is what will bring everyone together. It is a shared goal for the children to have fun.

    Well Being Lectures- Invite experts in well being topics to come and speak with your residents and family members. Choose a topic that you feel would be most helpful for your residents. Perhaps a lecture on brain health, forgiveness, preparing for death, loving communications, etc. Any area that would benefit both the residents and other participants. You want to generate open discussion. You could even have your Social Worker make some time to work with the families as a service. There can be many hidden resentments that could have built up throughout a lifetime that you may be able to facilitate a healing for. Achieving this would free your resident and their families.
    Health
    A Healthy body feeds a healthy mind and vice versa. A snack laden with sugar in the morning could inadvertently lead to agitation in the afternoon. The body processes chemicals in ways that directly affect well being. This can be easily seen in new bodily systems, such as those of a child, but they are there for us all at any age. Health makes us feel better, which leads to more empowered thoughts and actions. Consider how unstoppable you may have felt when you attempted a healthy new program. The key, and the tricky part, is maintaining this routine. There are ways you can commit to revamping your program to focus on healthy body, healthy mind. Some ideas are:

    Create a Wellness Program- Have your residents design and wellness program that commits to the well being of the entire facility. This may mean you all commit to healthy snacks during activities, that you offer a wellness associated activity 3 times a week, time spent in nature is incorporated weekly, invite different members of the community to start walking programs, host varied workout routines, discuss health issues, etc. There is so much that can be included with your dedication to making it a part of your planning.

    Language- There is much that can be inferred to through use of language, accurate or not. Try and be hyper aware of the language you may be using when conversing with your residents. We all need to be told that we matter and to be encouraged to reach beyond what we believe is possible. If you believe in your residents strong enough and long enough that will begin to change how they feel about themselves. Use encouragement with everything you do. Build activities around self-worth and love. Post affirmative message and visuals around the facility as constant reminders. A facility full of love will take off and create more outward and inward love then you can even imagine.
    Faith
    The world can get incredibly heavy if you believe you are meant to take it all on by yourself, this is where faith comes in. This is where strength is built, and comfort can be found. However, the traditional faith model that is mostly utilized in out facilities does not always address every individual's needs for faith. Faith comes in all shades of love and therefore your programming must reflect this level of inclusivity if it is meant to have an impact for all. For this reason, we must understand the faith of each of our residents and determine how to serve those needs. Some of our residents may not have faith or follow religion. They must be included as well. Aside from religious activities that involve different religions we can bring faith in by other means for those that are not served by that model. Some ideas include:

    Positive Psychology- Introducing activities that are meant to boost positive psychology can increase faith in oneself and faith in the world. The Dalai Llama has been quoted as saying that his religion is happiness. This may resonate with some of your residents.

    Faith in Oneself- Faith helps to explain the unknown and offers the idea that the strength to overcome is within. This can be done through many means, not just a specific doctrine. Try and create activities that are somewhat challenging so that the resident can build confidence in themselves. You could pair residents together and have them offer support to one another. You could have residents reminisce about past hardships and review how they were able to overcome them. There are many ways that faith in oneself can be nurtured. Consider what experiences you have had that showed you your strength and try to utilize your own personal lessons.
    Nature
    Nature can slow us down and connect us to the reality of life. Nothing is as serious as it seems, and nature reminds us of this. It literally grounds us and helps alleviate the cloudy thoughts floating around in our psyche. Notice how the birds live in the moment. Reflect upon the strength of the trees or the power of water falling from the sky and nourishing and cleansing all. Notice how the seemingly weaker plants (ie the grass) can bend without breaking through the most powerful of storms. A powerful way idea to consider this connection is:

    Earthing- Earthing is simply placing your bare skin in contact with the energy of the Earth. This means you dig in the dirt with your hands or you place your bare feet on a patch of Earth. This contact facilitates an ion exchange that is incredibly important to the health of our body, minds and souls. Create an Earthing Zone outside of your facility that encourages contact with the Earth.
    Community
    We all know that community involvement is key to keeping our resident's morale up. The tricky part is keeping the community as excited and passionate about this exchange as possible. Somehow you must find a way to keep your community programs fresh and alluring. Perhaps you can invite the community to share some of their hobbies, you could host a mentor program, or Adopt a Grandparent, you could host recycling drives or neighborhood watch groups or yard sales, etc. Maybe you can host a fundraiser that will provide a playground area on your facility's grounds that would be open to all the children in the surrounding community. There is a way to bring the two worlds together and the exciting part is using trial and error to get there. Set your intention and you will be shown the way that works best for who you serve.
    Personal Sense of Responsibility
    This is a biggie for us all. We all want to feel needed and useful. Incorporating ways for this to happen may be a little tricky in an environment where most needs are already provided for. Some ways that personal responsibility may be enhanced are:

    Pets- Caring for a pet goes way beyond simply keeping busy. There is an exchange of love and gratitude between the two that is so healing. The pet could be a bird or fish tank. It could be a small coy pond or an outside cat. Check with your facility to see what is possible and then enlist your residents to help care for the pet/s.

    Making a Difference- Your residents have the benefit of a long life well lived and can see the bigger picture better then most. Ask them for ways that the facility can be improved upon and encourage them to be a part of the solution. This may look like giving residents free space to air grievances, or weekly group counseling sessions. It might involve giving residents more freedom throughout their day or offering more snacking options. Allowing residents to vote on things such as weekly programming, or the meal one day a week, or the movie selected, etc. There are so many areas that could involve them and their opinions that would help them to feel personally responsible for the well being of every resident. You can even create an advocacy program where a resident helps to serve another resident that is less able to advocate for themselves. There are so many options.

    What you do is so much more then host activities. You are directly responsible for the mental well being of each and every resident and that is no small task. But the good news is that you don't have to do it alone. We can all pull together, residents included, and change the world! We can all wake up with a renewed passion and common goals that transform the status quo. You are needed now more then ever, and we believe in you and the power you have within. We invite you to write us with your thoughts and ideas and passion! We want to be involved and help you, the game changers, as much as we possibly can. The world is wide open and ready, and we know you are too.
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    www.ActivityDirector.org - 1.888.238.0444
     
     

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    Dear Students,

    It is with heavy hearts that we announce the passing of our beloved instructor Kathy Hughes. She was our loyal instructor for 11 years and we have grown exponentially due to her expertise and passion for the Activity Profession. Kathy's whole life was her students and it showed. She dedicated herself to her classes, to attending conventions and furthering her knowledge for the benefit of all. We already miss her dearly. Due to Kathy's passing all courses will be placed on hold until July 7th while we initiate some big changes that we feel will benefit our students and the entire industry.

    We will be updating all of our curriculum to meet the standards of the National Association of Activity Professional Credentialing Center (NAAPCC). They are the choice of Activity Professionals for Board Certification and are the only credentialing body for Activity Professionals that follows the standards set forth by the National Commission for Certifying Agencies (NCCA). NAAPCC offers an all-encompassing certification to assure an individual is well rounded and prepared to work in any long term care, adult day program, assisted living, in-home program, senior centers or retirement community. Becoming Board Certified demonstrates that the individual has the knowledge and ability to provide high standards within any geriatric setting. NAAPCC follows FTags 658 and 680 and is accepted by CMS.

    We feel this transition is more pertinent then ever as the world is being rapidly changed by our shared experience with the COVID Pandemic. This new process will allow you to move more seamlessly and easily through the certification process, it will reduce the out of pocket cost and allows your hard earned experience to count towards your certification, eliminating the need for in person Practicum work. We see the changes happening in our industry and our so excited to be a part of this positive movement.
     

    We invite you to call (1-888-238-0444) with any questions, concerns or suggestions you may have. We will be sending regular updates and calling each one of our active students to personally discuss their path forward so that this transition is as smooth as it can be. We wish to thank you from the bottom of our hearts for all of your support and we appreciate your patience while we make these necessary changes.

  7. CMS has a New Grant underway to strengthen safety and health outcomes for nursing home residents and
    to improve quality of life by equipping nursing home staff, administrators and
    stakeholders with technical tools and assistance to enhance resident care.  
    Click to Apply for Grant money below .

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    Self-Care for Those Giving Care
    Indisputably, COVID-19 has increased the level of stress and anxiety across all walks of life. This frightening and highly contagious adversary is particularly weighing heavily on our front line healthcare professionals and they are feeling the conflicting hardship of helping those they care for while at the same time ensuring their own safety. But you need to know that you’re not alone and there are some things you can do to help mitigate the negative effects on your overall well-being.

    American Psychological Association (APA) notes that managing stress early on can prevent long-term mental health troubles. “If you start to feel an acute increase in anxiety, depression, or other condition, consider seeking professional help sooner rather than later, if possible.” The following are some strategies and preventative measures to help you take action to integrate self care while giving care to others.
    The Art of Self Support
    Self-care and engaging in strategies to help maximize wellness isn't always easy, especially for busy healthcare professionals. This highly contagious disease does not discriminate over race, age, nor global logistics and so it is more imperative than ever for healthcare professional to commit to carving out time for their own self-care.  

    Self-Support Strategies:
    • Take breaks from watching, reading, or listening to news stories and updates (including social media; hearing about the pandemic repeatedly can be upsetting).
    • Take care of your body. Take deep breaths, stretch, exercise or try meditation.
    • Try to eat healthy, well balanced meals.
    • Get plenty of sleep and avoid alcohol.  
    • Carve out time to unwind. A hot bath works wonders.
    • Connect with others. With today’s abundantly available technology you can continue to talk with people you trust about your concerns and how you are feeling.
    The Value of Self-Care
    Have you ever heard some of these caretaker clichés?
    1.) Take care of yourself first or you will have nothing left to give others.
    2.) We can’t give what we don’t have.
    3.) Taking care of ourselves is taking care of them too.


    We can all agree on the value of self-care. That said, it is interesting to note that healthcare professionals are often the ones that often forget or completely dismiss self-care practices altogether. So don’t forget to care for yourself so you can better take care of others.
    • Self-Monitor for Stress: Along with self-monitoring for physical symptoms of Covid-19, assess yourself for emotional symptoms. Look for signs such as irritability, insomnia, fatigue, headaches and digestive problems. Be aware that it’s normal to be experiencing some manifestations of anxiety (such as restlessness and difficulty focusing) during this period of exceptional uncertainty.
    • Practice Self-Care: Healthy activities can help maintain equilibrium in trying times. Exercise, eat healthy foods, maintain a sleep schedule, pray, dance in the living room.
    • Stay Personally Connected: Despite social distancing and quarantines, we can stay in touch via telephone, FaceTime, Zoom meetings and other platforms. Set up group chats with friends and relatives to keep grounded in your personal lives and allay the concerns loved ones might feel about your work with a high-risk population.
    • Sharing the Facts About COVID-19 and understanding the actual risk to yourself and people you care about can make an outbreak less stressful. When you share accurate information about COVID-19 you can help people feel less stressed and allow you to connect with them.
    Meditation
    Meditation and daily affirmations are a great way to get your own self-care program jump started. The time needed to pursue either can be flexible and easily retrofitted to accommodate your demanding schedule throughout the day.

    There is a variety of meditation practices that you can try. “Meditation” actually refers to many different practices. In the West, the most well-known set of practices is “mindfulness meditation.” That means paying attention, purposefully and non-judgmentally, to your experience in the present moment.


    Studies have shown meditation to benefit on so many levels:
    • Reduce stress
    • Control anxiety
    • Promotes emotional health
    • Enhances self awareness
    • Lengthens attention span
    • May reduce age-related memory loss
    • Improves sleep
    • Pain management
    • Decrease blood pressure
    Lastly but certainly not least, meditation can generate kindness. . . and that’s an added blessing that all of us welcome in our everyday lives.

    NOTE: Headspace, the meditation app, is offering free access to healthcare professionals this year.
    Affirmations
    Affirmations are positive statements that can help you to overcome self-sabotaging, negative thoughts. Identify the thoughts or behaviors that you'd like to change then come up with positive, credible, and achievable affirmation statements that are the opposite of negative thoughts. Repeat your affirmations several times a day, especially when you find yourself slipping into negative self-talk or engaging in negative behavior. Positive affirmations can be used to combat these often subconscious patterns and replace them with more adaptive narratives.
    Source:
    https://positivepsychology.com/daily-affirmations/

    The art of viewing self-care as something other than a selfish act is rather difficult thing for healthcare workers to accept but the simple truth is that self-care pursuits “benefit everyone”. . . the healthcare workers’ family, fellow colleagues and associates, and ultimately caring for ourselves benefits the residents we serve.
     
    Thank you for all you do!
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    Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org
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    CMS Technology Grant

    Civil Money Penalty Reinvestment Program
    A CMP is a monetary penalty the Centers for Medicare & Medicaid Services (CMS) may impose against nursing homes for either the number of days or for each instance a nursing home is not in substantial compliance with one or more Medicare and Medicaid participation requirements for long-term care facilities. A portion of CMPs collected from nursing homes are returned to the states in which CMPs are imposed. State CMP funds may be reinvested to support activities that benefit nursing home residents and that protect or improve their quality of care or quality of life.

    What CMP Funds Can Be Used For
    CMP funds may be used for (but not limited to) the following:
    • Assistance to support and protect residents of a facility that closes or is decertified.
    • Time-limited expenses incurred in the process of relocating residents to home and community-based settings or another facility when a facility is closed or downsized pursuant to an agreement with the state Medicaid agency.
    • Projects that support resident and family councils and other consumer involvement in assuring quality care in facilities.
    • Facility improvement initiatives, such as joint training of facility staff and surveyors, or technical assistance for facilities implementing quality assurance and performance improvement programs.

    As part of its continued commitment to the nation’s most vulnerable populations, the Centers for Medicare & Medicaid Services (CMS) has launched the Civil Money Penalty Reinvestment Program (CMPRP) to improve quality of life by equipping nursing home staff, administrators and stakeholders with technical tools and assistance to enhance resident care. CMPRP is one of several initiatives CMS has underway to strengthen safety and health outcomes for nursing home residents.
    Apply for Grant
    American Healthcare Association's

    Shelter in Place: Planning Resource Guide for Nursing Homes
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    Keep Residents, Staff and Family Members up to date with this blank Covid-19 Newsletter Template. Made simply for your convenience:

    Step 1: Click on Button below
    Step 2: Fill in sections with your info.
    Step 3: Hit print or email.
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    Website
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    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
     
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    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.
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    Copyright © 2019 Activity Directors Network, LLC All rights reserved.

    Our mailing address is:
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  8. I don't know how many of you are looking at FaceBook at this time but there are so many clever AD's out there. I am loving the ways they are doing the "Carts". For example: Coffee & Donuts, Happy Hour, Easter Cart, Bread Cart (this one was very clever, she actually baked bread on halls & then put fresh bread in cups & passed out to residents in their room. The smell!). Another thing I thought was clever was asking family members to come by & bring the kids. They (the kids/family member) stay on outside of facility & resident on inside. They face each other & using painter tape make a tic-tac-toe pattern on the window. Each person has wipe & write marker (You can place a basket of these on outside of facility) they play a few games. However one of my tabulate favorite was this: A resident was sitting in the facility at a window with a cell phone & her family member brought her lawn chair & sat on the other-side of the window with her cell phone. They sat facing each other & had a conservation.


  9. As far as having a group activity this varies from facility to facility. Some are not allowing any activities outside of the residents room. I have heard from a few AD's where they are allowed to have a group activity as the area they are holding the activity in is a large room & they are able to keep residents the required 6 feet apart. But none are allowed to have more than 10 residents in any type group activity. The biggest thing on FB for a while was the hallway actives, however it seems that it is mostly a thing of the past too. The best thing at this time is to follow the procedure that your facility has set in place. 


  10.  
    Do you have questions about infection control procedures?  questions about masks, gowns, respirators, gloves and visiting room to room?
    This document outlines the Guidelines CMS.gov has issued to State Surveyors concerning State Inspections For Nursing Homes During the COVID-19 Outbreak.   F-880
    Take a minute to read the document and Print out Pages 10-28, the Nursing Home Checklist Tools, to help you evaluate your facility. 
     

    SurveyforActivitieslrg.png

         

     

    Activity Directors Network

    Activity Director Course - Next MEPAP Starts April 7th
    NCCAP Approved MEPAP 1&2
    Flexible Practicum Extension for COVID-19

    Activity Director Courses
    Enroll Today!

    MEPAP Part I & MEPAP Part II
    Starts 1st Tuesday
    of Every Month

    - or -
    MEPAP Part I - OwnPace &
    MEPAP Part II - OwnPace

    Starts Any Time
    Take Up to a Year!


    Activities
    Free Bingo Cards Disposable
    Newsletter Template
    NCCAP_Approved.jpg

     


  11. fd1db6cc-2108-42bd-b7e2-3de9fc69ec2c.jpg
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    COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
     
    A.D.N. will continue to provide updates from CMS to keep you informed. The following portions has been extracted from CMS bulletin to highlight areas of immediate concern to you – please see the following link for the full article.
     
    The following blanket waivers are in effect, with a retroactive effective date of March 1, 2020 through the end of the emergency declaration. For general information about waivers, see Attachment A to this document. These waivers DO NOT require a request to be sent to the 1135waiver@cms.hhs.gov mailbox or that notification be made to any of CMS’s regional offices.
     

    Long-Term Care Facilities and Skilled Nursing Facilities (SNFs) and/or Nursing Facilities (NFs)
    • 3-Day Prior Hospitalization. Using the authority under Section 1812(f) of the Act, CMS is waiving the requirement for a 3-day prior hospitalization for coverage of a SNF stay, which provides temporary emergency coverage of SNF services without a qualifying hospital stay, for those people who experience dislocations, or are otherwise affected by COVID-19. In addition, for certain beneficiaries who recently exhausted their SNF benefits, it authorizes renewed SNF coverage without first having to start a new benefit period (this waiver will apply only for those beneficiaries who have been delayed or prevented by the emergency itself from commencing or completing the process of ending their current benefit period and renewing their SNF benefits that would have occurred under normal circumstances).
    • Reporting Minimum Data Set. CMS is waiving 42 CFR 483.20 to provide relief to SNFs on the timeframe requirements for Minimum Data Set assessments and transmission.
    • Staffing Data Submission. CMS is waiving 42 CFR 483.70(q) to provide relief to long-term care facilities on the requirements for submitting staffing data through the Payroll-Based Journal system.
    • Waive Pre-Admission Screening and Annual Resident Review (PASARR). CMS is waiving 42 CFR 483.20(k) allowing states and nursing homes to suspend these assessments for new residents for 30 days. After 30 days, new patients admitted to nursing homes with a mental illness (MI) or intellectual disability (ID) should receive the assessment as soon as resources become available
    • Physical Environment. CMS is waiving requirements related at 42 CFR 483.90, specifically the following:
    - Provided that the state has approved the location as one that sufficiently addresses safety and comfort for patients and staff, CMS is waiving requirements under § 483.90 to allow for a non-SNF building to be temporarily certified and available for use by a SNF in the event there are needs for isolation processes for COVID-19 positive residents, which may not be feasible in the existing SNF structure to ensure care and services during treatment for COVID-19 are available while protecting other vulnerable adults. CMS believes this will also provide another measure that will free up inpatient care beds at hospitals for the most acute patients while providing beds for those still in need of care. CMS will waive certain conditions of participation and certification requirements for opening a NF if the state determines there is a need to quickly stand up a temporary COVID-19 isolation and treatment location.
     
    - CMS is also waiving requirements under 42 CFR 483.90 to temporarily allow for rooms in a long-term care facility not normally used as a resident’s room, to be used to accommodate beds and residents for resident care in emergencies and situations needed to help with surge capacity. Rooms that may be used for this purpose include activity rooms, meeting/conference rooms, dining rooms, or other rooms, as long as residents can be kept safe, comfortable, and other applicable requirements for participation are met. This can be done so long as it is not inconsistent with a state’s emergency preparedness or pandemic plan, or as directed by the local or state health department.
     
    • Resident Groups. CMS is waiving the requirements at 42 CFR 483.10(f)(5), which ensure residents can participate in-person in resident groups. This waiver would only permit the facility to restrict in-person meetings during the national emergency given the recommendations of social distancing and limiting gatherings of more than ten people. Refraining from in-person gatherings will help prevent the spread of COVID-19.
    • Resident roommates and grouping. CMS is waiving the requirements in 42 CFR 483.10(e) (5), (6), and (7) solely for the purposes of grouping or cohorting residents with respiratory illness symptoms and/or residents with a confirmed diagnosis of COVID-19, and separating them from residents who are asymptomatic or tested negative for COVID-19. This action waives a facility’s requirements, under 42 CFR 483.10, to provide for a resident to share a room with his or her roommate of choice in certain circumstances, to provide notice and rationale for changing a resident’s room, and to provide for a resident’s refusal a transfer to another room in the facility. This aligns with CDC guidance to preferably place residents in locations designed to care for COVID-19 residents, to prevent the transmission of COVID-19 to other residents
     
    Home Health Agencies (HHAs)
    • Requests for Anticipated Payment (RAPs). CMS is allowing Medicare Administrative Contractors (MACs) to extend the auto-cancellation date of Requests for Anticipated Payment (RAPs) during emergencies.
    • Reporting. CMS is providing relief to HHAs on the timeframes related to OASIS Transmission through the following actions below:
    - Extending the 5-day completion requirement for the comprehensive assessment to 30 days.
    - Waiving the 30-day OASIS submission requirement. Delayed submission is permitted during the PHE. 13
    • Initial Assessments. CMS is waiving the requirements at 42 CFR §484.55(a) to allow HHAs to perform Medicare-covered initial assessments and determine patients’ homebound status remotely or by record review. This will allow patients to be cared for in the best environment for them while supporting infection control and reducing impact on acute care and longterm care facilities. This will allow for maximizing coverage by already scarce physician and advanced practice clinicians and allow those clinicians to focus on caring for patients with the greatest acuity.
    • Waive onsite visits for HHA Aide Supervision. CMS is waiving the requirements at 42 CFR §484.80(h), which require a nurse to conduct an onsite visit every two weeks. This would include waiving the requirements for a nurse or other professional to conduct an onsite visit every two weeks to evaluate if aides are providing care consistent with the care plan, as this may not be physically possible for a period of time. This waiver is also temporarily suspending the 2-week aide supervision by a registered nurse for home health agencies requirement at §484.80(h)(1), but virtual supervision is encouraged during the period of the waiver.
    Read Full Article
    Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org
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    Facebook
    Website
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    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
     
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    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.
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  12. Here is an industrious undertaking..  UnityPoint Healthcare has provide a website with details for making a new modular mask, The Olson, named after 1930's legendary maker nurse Lyla Mae Olson.  The Mask was quickly developed by clinicians from UnityPoint Health and is being shared across the globe in the fight against COVID19

    St Lukes Hospitals are in short supply of masks.  

    UnityPoint Health has provided downloadable patterns, YouTube Videos, and complete instructions on how to Sew, Package and Send completed Masks to the St. Lukes Hospitals.

    ----------------
    https://www.unitypoint.org/cedarrapids/sewing-surgical-masks.aspx

    --------------

    Completed Masks

    • Enclose completed masks in a closed plastic bag or closed plastic box.
    • We will launder them prior to use so no need to wash before delivering.
    • Please deliver to the St. Luke's Foundation, 855 A Ave. NE,  1st floor, Cedar Rapids. Phone (319) 369-7716.

    IMG_3295%20(1).jpg

     

    • Like 2

  13. Hey All.. here is a unique way to get a scheduled Sing-A-Long activity on the calendar. Rob Crozier from Michigan, is a Sing-a-long entertainer in Senior care. He has put a demo of his program up on youtube. Schedule a Hallway Sing-A-Long for each afternoon at 3: I love it, Let me know what you think and contact Rob for more info on his program. We need a few days of song.. He seems like a hard working creative guy, Activity Director material... thanks Pennie

    ROB CROZIER ( ROBCROZIER123@GMAIL.COM )

    Website - Youtube Channel

    Hello,   I am an Ann Arbor, MI music professional with a specialty in sing a longs and senior entertainment.

    As you may know, musician gigs are all cancelled in Michigan.

    I was wondering if it would be possible to share the work that I'm doing with your community?

    I'm offering a full sing a long program for one month with unlimited use for $100 per facility.

    The video is ready as a Youtube link that can easily be played back like this demo: https://youtu.be/ZC4TiSqzxYg 

       As you may know all "Outside Entertainers" have been cancelled and as Senior Home Musicians we are trying to get creative.

    I’m worked out a new platform of "Online Entertainers" a Sing-A-Long YouTube Presentation video for a month’s use, perfect for scheduled activities several times throughout the month , great way to economize).

    You get to use it for a full month for $100. Are you interested in my Sing a Long youtube link?

    Let me know if you can put this to use. These videos take about 8 hours to record, edit, mix and upload. Just so you know that I’ve put some thought and hard work into this product.

    Feel free to send any feedback, or if you are running into hardship, you can pay whatever is affordable.

    Here is a demo: https://youtu.be/ZC4TiSqzxYg 

    All the best, Rob

    Website - Youtube Channel

    • Like 2

  14. Movie News ..   New Release Movies will change to "Video On Demand Programming" to help with Social Distancing.

     

    Universal - The Hunt, Ema and The Invisible Man  Goto "On Demand" on Friday.  Check your cable or satellite for days and prices.

    Trolls World Tour , still pending for working moms with kids home...

     

    https://news.google.com/articles/CAIiEB1HnokAxrRfqYh8Sct994IqFggEKg0IACoGCAowoPUEMKAjMP6Y1gU?hl=en-US&gl=US&ceid=US%3Aen

    • Like 1

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    HIPAA for Activity Directors
    Activities professionals deal with resident information on a personal level, including but not limited to: family issues, special requests from the resident, newsletter articles, etc. Without a doubt, there is a great deal of detailed personal information that must be monitored to prevent unintended disclosure.
     
    The following information will hopefully ease your mind about HIPAA regulations. That way, you will be able to have your calendars, banners, bulletin boards and posters, while being in full compliance with all of the regulations.
     
    The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
    The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, was enacted on August 21, 1996.

    It details standards for the electronic exchange, privacy and security of health information. These guidelines were initially designed to regulate "individually identifiable" - health information that was transmitted electronically. Since then, the "Privacy Rule" that is defined by HIPAA has expanded that concept.
    Covered Entities "must" be HIPAA Compliant
    HIPAA, or Health Insurance Portability Accountability Act of 1996, covers both individuals and organizations. Those who must comply with HIPAA are often called HIPAA-covered entities. This information will focused on Health Care Providers known as nursing homes - specifically health care professionals in the role as Activity Directors.
     

    Some of these entities are:
    Health care providers such as nursing homes, rehab facilities, hospitals or any other facility providing skilled or intensive care.
     
    Other entities also included are:  Health Plans, Health Care Clearinghouses, and Business associates. Not sure if you are working in a Covered Entity; download this PDF for more details check the following resources.
     

    Source:  https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/HIPAA-ACA/Downloads/CoveredEntitiesChart20160617.pdf
     
    Source: https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/HIPAA-ACA/AreYouaCoveredEntity
     
    Personal Health Information (PHI)
    The specific information targeted under the HIPAA regulations is data known as: "Personal Health Information" or PHI. This would be any data that provides "Individually identifiable health information" - including demographic data.
    PHI information may be received or created by a facility. It may contain past, present or future health diagnosis, history and/or treatment and is inclusive of payment information for medical services normally found in medical charts and billing files. Portions of such personal information may often be found on bulletin boards, photos, calendars, birthday cards, activity rooms, common areas and activity progress notes.


    The Nuts and Bolts for Directors
    There are several ways to keep your department and resident's privacy intact and remain in compliance with HIPAA regulations. Staff orientation must include appropriate training in this area across all interdisciplinary team members.
     

    When is PHI distribution approved under HIPAA?
    There are different allowable ways to exchange medical information. Generally, the facility may provide select PHI details to family members, friends and clergy.
    The resident's name and room number.
     The general condition of the resident:

     - Having a good day today.
    - Asked to attend sing-a-long group.
    - Has been a little sad today.

    The residents' religious affiliation.

    Note: Be sure to check if your residents have authorized a legal "Health Care Proxy". This appointed person or persons can stipulate the dissemination of any health information or may over-ride permissions as to whom this personal information may be given.
     
    That said, the following are scenarios in which you are not allowed to disclose medical information in any circumstances:

    Never walk away from your computer, laptop or other electronic health record device without shutting down or entering sleep command to close your screen. It is never permissible to momentarily walk away to tend to another matter while leaving personal information visible on your screen.
     

    Never carry on conversations in areas lacking privacy within the facility between staff members. There will never be any circumstance when you should discuss or comment about your resident's day within open areas in which the conversation might be accidently overheard; such areas could be hallways, bathrooms, etc. REMEMBER: "THE WALLS HAVE EARS"
     

    Any inbound or outbound resident health information whether fax, email, completed forms, and standard mail. Any document must be immediately addressed upon receipt. Under no circumstances should any health information be allowed to remain in waiting within view on your desk, fax machine or open file organizer until you can tend to it.
     
    Activity Plans, Bulletin Boards and Other Publications
    Photographs/Pictures: Ensure that a permission form has been signed by the authorized individual and is filed in the resident's chart. This permission form is mandatory if you plan to take resident pictures. However, once you include the resident's name with that picture, you will be in violation of HIPAA. If you need to use a name (on a bulletin board for example) all you really need to do is ask the resident for permission and document that permission was given.

    Calendars and Birthday Cards: Simply remove the birth year from any information. You may only provide the residents name, month and day of birth within the given month.
    For example: Happy Birthday to Teddy – (3/21). It goes without saying that you should never include medical information (diagnoses, dementia items, etc.) on your monthly calendars.


    Bulletin Boards and Miscellaneous: Documented permissions are worth their weight in gold.  In almost every case if you take the proper steps to ask permission, you can prevent any confusion and facility privacy citation during survey. Never add names to pictures. If you absolutely must, be sure to get explicit permission and again document that it was given. However, I would suggest you to steer clear of adding names period to prevent possible confusion.
     

    Activity Rooms and Common Areas: Can pictures of residents be used in your common areas? Yes, but once more, be sure that no medical information accompanies those pictures. Additionally, never identify residents by room or unit, especially if that resident resides on a memory/dementia care unit. This information is simply not needed to convey the resident experience through pictures.
     

    Activity and Progress Notes: As previously stated, completed resident forms should never lie in waiting, inclusive of all progress notes. These forms must be put away in the individual chart to prevent unwanted viewing of resident privacy information. Never leave it out in the open on your desk to attend to another matter. The only exception would be when you are able to secure (lock) the document in an office.
    Shreddables
    Pure and Simple...you bear the responsibility of ensuring that no "unauthorized" eyes are able to view resident health information. This also applies to any documentation that is no longer required for record retention.
     

    "Record retention guidelines" outline how long resident & treatment records must be retained.  Records deemed to expire must be permanently disposed of by way of shredding. Always check with your facility Administrator to ensure your understanding of how and when shredding services are utilized by your facility.
     
    The major goal of the Privacy Rule is to assure that individuals' health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being.


    Source: https://managemypractice.com/cms-releases-record-retention-guidelines/?print=print
    Source: https://www.cms.gov/Regulations-and-Guidance/Guidance/CMSRecordsSchedule
    Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org
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    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
     
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    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.
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    Copyright © 2019 Activity Directors Network, LLC All rights reserved.

    Our mailing address is:
    2010 US HWY 190 W Ste 120 Livingston, Texas 77351

  16. Senior Comedy Afternoons Logo
     

    Hi Everyone!!

    Or, As the Irish in Ireland say "Dia Dhuit! (May God Be With You!)

    Well I trust you all had a lovely weekend, what with Valentine's Day and Presidents Day.. !!
    Chocolates, flowers, dinner out.... clothes, furniture, sales, it's all good! Time spent with loved ones or shopping.. it's the American way!

    So, the clock is ticking! This past Sunday makes it one month away from our Big Irish Extravaganza! and yes, I finally got my green outfit! Not an easy feat.. green is not exactly the most popular color I find.. and i have been searching for weeks!! It helps me to get in the mood and excited for putting on our shows... So I'm excited now!!
    Are you getting excited yet? To wear your green, to laugh, to sing, to celebrate a Holiday that brings the spirit of a country and a culture to life?.. I am!

    There are many reasons to associate green with Ireland and by extension with its Saint Patricks Day games and traditions.
    Green is one of the colors in Ireland's tri-color flag. It is also the color most typically associated with the classic Irish symbol, the shamrock, and of course Ireland herself is frequently referred to by her nickname, the "Emerald Isle."

    And did you know that Ireland is the home of the Limerick. It's said that Limericks were invented in the 18th century by an Irish brigade when they were returning from France. They sang a song with a chorus about Limerick, an Irish port city. Impromptu verses were added. Each verse was about adventures of people from other Irish towns. The verses had to be invented on the spur of the moment, each line by a different singer. After each verse the whole group sang the chorus, "will you come back to Limerick?".. so began Limericks! Who knew!!??

    Here's two for you when you're having a cocktail to remember!
    .. An Irishman name of Pat Sweeney,

    In Nice drank a quart of Martini.

    The local gendarme,

    Wired his wife in alarm,

    "Nous regrettons Pat Sweeney est fini."
    .

    Some merry old monks of Manulla,

    Found life was becoming much dulla.

    So they brewed a fine ale, in a massive big pail,

    And they and their lives were much fulla.

    Nevertheless,.. ticket sales are percolating so get yours now while they're hot! And remember, we're not just comedy, we've got our Irish dancers, musicians, and we love celebrating birthdays so come celebrate your lives with us!
    And that's no blarney!

    Hope I've made you laugh and think this week!
    Have yourself a grand one!

    Always,

    or Mise Le Meas! (Sincerely in Gaelic)

    I Live to Laugh!

    Bonnie Barchichat
    Executive Producer
    Senior Comedy Afternoons.com GO HERE FOR TICKETS!
    714-914.2565 Or CALL!

    P.S. Please share this email with friends who can use some more fun, laughter and sociability in their life.

    P.P.S. Sponsors.. If you're Senior Friendly and want to meet our Audience here's your opportunity! Drop me a line and say "tell me more!"

    www.Here's the Proud Bird!

    O Lucky You Postcard 2020
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    Don't forget to email me what you'd like to have for lunch! All orders must be in by March 9th!

    O LUCKY YOU 2 March 15 2020-1
     

  17. Hi..  Don Weitz wrote to the Activity Directors Network sometime last week asking to share his Contact Info with Activity Directors in the Dallas Fort Worth for -- Facility Entertainer - Pianist - Available -- . 

    If you have ever been to the Highland Park Cafeteria , than you've probably enjoyed his music, he plays there 2-3 times a week.  Please visit the Cafeteria, it is Amazing made better by Don's accompaniment .. https://highlandparkcafeteria.com/             Plan an Outing... seriously...

    If you would like Don at your facility, send him an email   ..  Go ahead and call around for recommendations, he was at the The Legacy at Willow Bend Memory Care, Independent Living and Rehab, The Reserve, Sunrise on Hillcrest, Briarview, and the Jewish Community Center of Dallas over the last couple of months....  here is his bio , in his own words..

     

     

    "I am a pianist and I entertain at several retirement communities in the Dallas / Plano / Richardson areas, though I would be happy to expand beyond those cities.

     

    Over the past few months, I have played at Edgemere, The Legacy at Willow Bend Memory Care, Independent Living and Rehab, The Reserve, Sunrise on Hillcrest, Briarview, and for seniors at the Jewish Community Center of Dallas.

     

    Playing for Memory Care is especially uplifting as residents often start singing along with songs they knew 50+ years ago.

     

    I am a regular pianist at Highland Park Cafeteria and entertain there 12-15 times a month.

     

    My repertoire consists mainly of popular music from the 1960s.  My clients like that this appeals to residents and diners 65+ years old.  Folks were in their teens and 20s during the 1960s and often comment, "Thanks for the memories, I haven't heard that song since I was in high school!"  I recently performed a promoted “1960s Night” at Highland Park Cafeteria.

     

    I play by ear, and can easily customize my music list to include hits of the 1950s and earlier, as well as songs from the 70s and later. I establish rapport with the residents by telling the names of the songs and if I know a bit of trivia, sharing that as well, such as when originally recorded and by whom.

     

    Other than your piano, I require no additional equipment.

     

    I’ll be glad to come by and play a tune or two on the piano and discuss how I may be of service. 

     

    Please contact Don Weitz at donsweitz@gmail.com.  “Wouldn’t it be Nice” to have a special oldies performance!"

     

     


  18. 0f72cf2d-f14e-4d74-9c17-ad541b32ae33.jpg
    8627ef3f-9633-476d-820b-0742dfcf553f.jpg
    For Your Stomach
    972bb45b-e90d-43ff-bce2-7db984ba9302.jpg

    Yield: 6-8
    This popcorn is best eaten the day it is made, so if you are making this for a party, grate the cheese ahead of time then toss together at the last minute.
    Ingredients
        7 cups salted popcorn (roughly 1/3 cup unpopped kernels)
        1/4 cup butter, melted
        1/4 cup crumbled bacon
        1 cup finely grated Irish cheese
     
    Instructions
    In a large bowl, toss together the popcorn, butter, bacon, and cheese. Popcorn is best eaten the day it's made.
    For Your Fun
    64e08e05-f02c-4796-93d4-1c93bf4467dc.jpg
    Shamrock Mason Jars
    Materials
    Pint Size Regular Mouth Mason Jars
    Quart Size Regular Mouth Mason Jars
    Gold Metallic Spray Paint
    Green Acrylic Paint
    Toothpicks
    Medium Tip Paint Brush

    Instructions
    Spray paint jars gold and allow to dry.
    Use paint brush to create 3 small green dots in a clover pattern.
    Create a stem by dragging a toothbrush down at the bottom of the dot formation.
    Place varied shamrocks all over your jar to suit your taste.
    For Your Brain
    1. Saint Patrick was the patron saint and national apostle of Ireland who is credited with bringing_____________ to Ireland.
    a. beer
    b. Christianity
    c. snakes
    d. clovers
     
    2. Saint Patrick is most known for driving the snakes from Ireland. Snakes more likely represent:
    a. criminals
    b. snakes
    c. pagan religions
    d. leprechauns
     
    3. The story goes that Saint Patrick converted the Druid warrior chiefs and princes by baptizing them and thousands of their subjects in a spring that still bears the same name of:
    a. Holy Wells
    b. Lochness Springs
    c. Emerald Waters
    d. Golden Hole
     
    4. Saint Patrick's Day is a traditional day for spiritual renewal and offering prayers for missionaries worldwide.

    T or F
     
    5. Today, many Catholic places of worship all around the world are named after Saint Patrick, including cathedrals in California and Dublin City.
    T or F
     



    Answers: 1. b. Christianity, 2. c. pagan religions, 3.a. Holy Wells, 4. True, 5. False. Saint Patrick’s Cathedrals are in New York and Dublin City.
    For Your Smile
    36c3e5c7-92b3-44ee-9d8d-1c5113e55634.jpg
    For Your Wallet
    0b59b11b-49ce-4408-bdfc-c60fb3ead5e5.jpg
    BUY NOW!
     
    32b2e3a5-d236-4f30-b926-0430ca8043c1.gif
    ENROLL NOW!
    157336ee-e65f-45b6-be0f-a1d17cfc6014.png
    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.
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    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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  19. 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.


  20. 624a2989-d4fa-4025-b985-6a42151394bf.jpg
    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.
    090fa9ab-54a4-42f5-8a56-bd82c16f7c8a.jpg
    Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org
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    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
     
    157336ee-e65f-45b6-be0f-a1d17cfc6014.png
    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.
    d820bd07-1237-4127-a86b-b91880553a13.png
    Copyright © 2019 Activity Directors Network, LLC All rights reserved.

    Our mailing address is:
    2010 US HWY 190 W Ste 120 Livingston, Texas 77351

  21. 624a2989-d4fa-4025-b985-6a42151394bf.jpg
    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.”
    c4233b8c-958f-44f9-ae75-bf8968ab037e.jpg
    Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org
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    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
     
    157336ee-e65f-45b6-be0f-a1d17cfc6014.png
    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.
    d820bd07-1237-4127-a86b-b91880553a13.png
    Copyright © 2019 Activity Directors Network, LLC All rights reserved.

    Our mailing address is:
    2010 US HWY 190 W Ste 120 Livingston, Texas 77351

  22. 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"

     

 
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