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Found 66 results

  1. I Am Bored: Brainstorming to Alleviate Resident Boredom by Kathleen Hughes, ADC There are lots of postings lately on the numerous Facebook pages for Activity Professionals about how the residents do not like their activities or that residents, families and other staff are bored with the activities offered. There are other comments about how residents ask for specific activities and then do not attend or ignore requests for preferences or suggestions. We also have “younger” residents looking for activities that they are interested in and do not want to be with the “older” residents. Perhaps we are asking the wrong questions and not empowering the residents to make their own calendar of events to encourage them to participate actively or to buy into the activity and have some stake in the game. The residents who actively participate in the planning and implementation of the activity would be more likely to attend and encourage others to attend. During a Brainstorming Workshop my coworkers and I learned a technique that allowed for the free flow of ideas and encouraged the participants to give ideas they may not have thought of. Using these techniques on a quarterly basis at the facility we created new activities, different activities and our activity calendar changed every single month. The only constant was the time of the programs, but the activity itself changed and always changed for the good. Brainstorming follows a specific path that you would need to use to be successful. First, you will need flip charts, markers and tape. These tools will assist with the flow of ideas and staff can help with the process so that they can be a part of it and see what the residents are thinking of. Appoint an Activities Committee as part of your Resident Council if you have one. If you do not have one, then invite all of the residents. Serve a snack and beverage and have them in a circle where they can see all that is being written down. Make sure that the people writing down the ideas write in large print so all can see. Each quarter you would ask the following questions (substitute the season for each question on a quarterly basis): What did you do as a kid in the summer? What did you do with your family in the summer? What is your fondest memory of a summer vacation? What is the best thing you ever did in the summer? Ask one question at a time and give the residents time to respond and reminisce. There are no “bad” answers as the point is to get as many ideas as possible. Do not discourage any of the ideas or thoughts. Write down everything that the residents say. Each idea builds on the other so having the ideas written on the flip chart paper will encourage them to expand upon other’s ideas. For example, we had residents discuss having a lemonade booth, going to the fair, swimming in the lakes, fishing, playing kick the can, making a tree house, renting a cottage on a lake, playing hopscotch, listening to music, sleeping in a tent in their backyard with the kids from the neighborhood, riding their bikes all through town, going to a drive in theater, learning how to hula hoop, clambakes, catching frogs, catching lighting bugs in a jar, campfires, cooking on an open fire, eating vegetables off the vine from their garden, spitting watermelon seeds and running through a sprinkler. We then took the 17 pieces of paper and hung them in the activities office so that we could all generate ideas. Then a week later we gathered a group of residents again and asked them which ideas we could use to plan activities for the summer. Please, remember we did this in April so that we could plan out the summer. We reconvened in August to plan for the Fall. Planning ahead is extremely important to the process. The group then looked over the memories and ideas and placed the activities on an extra-large calendar for the months of June, July and August. We went through all of the listed activities and some were accepted and some were placed on hold. The residents and the activities staff went through the planning process for each month. Keeping the activities we could not change such as religious services and Resident Council. The rest of our days and evenings were up for grabs. Each participant was given a copy of a completed calendar to take with them and asked to talk to other residents about what we had come up with and then get back to the activities staff if anyone had any other ideas. A week later we then had the entire summer schedule completed and ready to implement. Many of the ideas were incorporated into the calendar, including all of the above ideas. Our lemonade stand made $200 that summer and we had a campfire with our neighborhood fire department in our parking lot. We also had residents make the decorations for the events, they made invitations for residents and families, they would also make handouts and door prizes for those that attended and participated so that they could share memories about the programs. When the residents made the table decorations they were very proud of what they created and could not wait to learn who would win them when the event was over. Involving the residents in the brainstorming session and implementation of their ideas encourages creativity and enthusiasm. The staff also became more creative and tried new ideas for activities. The residents got used to the process and would talk among themselves for the upcoming season. Younger residents got to have some innovative activities and the older residents would attend just to see what was up! Give it a try, the key to the entire process is to look at the possibilities and do not have any negative interjections. Each thought, memory and idea should be considered and adapted for the residents. You can also acknowledge the residents that participated and helped plan the activities. Everyone has to be positive and encourage participation in the process. 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 Our Network. Proud Members Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  2. Generation Z is pulling a Z snap on Baby Boomers and in true Generation Z fashion, there’s a meme about it. ‘OK, Boomer’ is popping up everywhere on the Internet as a clap back to all the Boomers’ criticism of the younger generation. The Boomers have been vocal in dismissing Generation Z as a privileged, lazy population with their heads up in the clouds. Accusations of wide spread Peter Pan Syndrome have been popularly noted and expressed from the older generation. Their judgements have not fallen on deaf ears. The response from Generation Z is a message of anger and blame. Gen Z believes the Boomers are out of touch and to blame for the state of an alleged failing economy, environmental protections, political and human equanimity, and so forth. My Opinion I could never promote blame in any way. The only way to move forward is to focus forward. I believe there is many merits to both sides and collaboration would benefit us all. The experience and wisdom of the Boomer generation is something that cannot be devalued. Wisdom must never be ignored for evolution’s sake. The enthusiastic creativity generated by youthful dreaming is of equal value. Two parts that make a beautiful whole. Mother Theresa famously stated that she would never attend an anti-war rally. However, if invited to a peace rally she would attend without hesitations. I believe the path forward is to focus on the solution, as well. For Activity Directors, Inter-generational planning is one of the most important programs we can maintain to keep our residents healthy and full of life. How do we prevent generational divides from affecting our ability to bring people together? Truthfully, we almost have an obligation to at least try. Our place in the facility and the community positions us in one of the prime spots to have a real impact on healing the divide. Ways Forward Focus on Commonality The best place to start in any divide is to first focus on what is in common between the sides. This brings neutrality and a willingness to find friendship, for your purpose of building connections. Gen Z believes Boomers are unwilling to make changes and are stuck in their ways, so to speak. However, Boomers were responsible for the massive social changes that took place in the 60’s and 70’s. One could draw a straight line of positive change from the plight of their cause to the causes taking center stage now. It is all a dream of freedom in one form or another. Humans in general have that in common and it is a good place to start in your planning. What can you plan that would focus on this commonality? Is there a holiday you could utilize to educate on this common thread? Trade Wisdom Create an environment where wisdom is traded and therefore valued. Your facility is stocked with almost all generations. Host workshops where different talents are shared. Younger individuals can teach a short lesson on using technology. Your residents can teach on history, taxes, carving, stamp collecting, etc. Most talents are dictated by the era in which one is raised. Utilize this to bring people together. What’s old is new. Get Real We all have stereo types. We all have judgments. This is a built in system meant to keep us safe and sometimes it goes overboard. This is a fact we shouldn’t work against. The important thing is to end all discussions of conflict with a solution put forward. Have group discussions with your residents about their grievances. Listen to their frustrations about the world as it is now. Of course, it is frustrating to watch the younger generation disappear into a sea of screens. It is equally frustrating to look back and see no action being taken to prevent some of the biggest problems we all now must shoulder. Discuss these things. Read newspaper articles. Talk about this meme. Get real about what is happening. Then talk about solutions and highlight the positive. Talk about what ties us all together. BUY Now! Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. Activity Directors are the key to creating environments that we ourselves would be excited to live in. We envision facilities that feel like homes, not institutions. Facilities that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe providing the best education available, with the most talented teachers we can find, is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. http://ActivityDirector.org 1.888.238.0444 Our mailing address is: 2010 Hwy 190 W #120 Livingston Texas 77351
  3. kyc117

    student

    Hello, I am a student in Recreation Therapy and have a question for one of my assignments. In a nursing home facility, who actually fills out the RAI? Does each discipline fill out their appropriate section? Do activity directors fill out the activity assessment? Other than the RAI, do Activity Directors use other leisure assessments or only depend on the RAI. Thank you so much.
  4. What’s The Difference Between Adult Day Centers? Alzheimer’s and dementia care facilities Socialization and safety centers Medical, therapy and socialization centers Adult Day Centers are either social or medical in nature with a specifically trained and compassionate staff that creates programs to meet the needs, preferences and cultural differences of those they serve. These facilities offer supportive assistance by way of physical activities and cognitive stimulation and/ or medical care during the day-time hours (no overnight stays). Family members can plan for daily “predictable respite” for which they might use to relax or go to work or run necessary errands (without the added burden of taking their senior loved ones with them). When participants go home to be with their families after a day at the center, families will find their loved ones happy, stimulated, alert and often more ready to sleep soundly through the night. This provides the entire family with a most welcomed nighttime benefit which is often desperately needed. Without a doubt adult day health programming leads to improved well-being and increased socialization within a safe, nurturing and comfortable community setting. Medical vs. Social - There are two types of adult day care: Both provide a comfortable, secure place for a senior to reside during the day, enabling them to socialize, stay active, remain productive and enjoy an improved quality of life. Typically, the center provides one or two meals a day. Some centers provide transportation for pick up and/or drop off, which may or may not be included in the cost. The main difference between medical and social day care is that the medical model also provides an array of medical professionals, which may include on-site registered nurses, speech therapists, occupational therapists, physical therapists, social workers and registered dietitians. NOTE: The easiest way to identify the difference between these two centers is to take a look at the name. An “adult day care” facility, without the word “health” in the title is not required to adhere to the same standards and regulations and do not offer the availability of on-site health care professionals from a range of disciplines to provide clinical oversight. Adult Day Centers and Offerings Socialization and safety centers – Adult Day Care Adult Day Care centers generally have well-trained activity specialists who lead dynamic activities programs. These programs might include arts and crafts, intergenerational programs, music, cooking classes, exercise sessions, movies, discussion groups, live entertainment and trips into the community. Some care centers offer programs that are especially designed for physically frail individuals with special medical needs such as diabetes, hypertension and post-stroke disabilities, and those with mental health challenges such as dementia, confusion and Alzheimer's disease. The goal is to be an extension of the home environment with caring, personalized service. These centers rely on private pay reimbursement for services provided. Medical, therapy and socialization centers – Adult Day Health Adult Day Health centers offer all of the same services you would find in Adult Day Care centers mentioned above, in addition; they provide ” certified” amenities via trained health care professionals such as physical, occupational and speech therapies, nursing services, personal care, social services and much more depending on the individuals acuity level assessment. These centers are prepared and well equipped to enroll not only very independent individuals but also those with chronic physical illness and/or cognitively challenging needs. Most states have specific governing bodies that work to establish procedures for licensing and regulation standards to oversee the business of Adult Day Health “medical” care centers. These regulations are mandated and centers are required to adhere to guidelines and protocols to be given licensing privileges. These standards are not only specific to medical record guidelines but are also required for the centers to qualify to submit billing to Medicaid and/or Medicare for reimbursement of services on behalf of those participants pre-approved to receive these benefits. Alzheimer’s and Dementia Care centers – may be found in either social or medical model centers (medical facilities usually provide for more advanced stages of the disease). Alzheimer's and Dementia Care centers provide care for patients that are at a heightened risk for safety and cannot be left unsupervised. Progressive memory and cognitive decline may lead to potential for wandering and risk for self harm from misuse of everyday regular household items. This puts family caregivers in a difficult position, especially if outside help is scarce and/or family members are still working. Dementia programs at adult day centers typically utilize security features to prevent wandering as well as improved staffing ratios to ensure seniors are safe and their needs are met in a timely manner. This provides invaluable free time and peace of mind for the dementia caregivers. Skilled Adult day centers that specialize in the care of those with dementia are becoming more and more in demand in light of the increased numbers of seniors diagnosed with this disease over the past few years. Many states require centers to have staff members obtain specific dementia training to care for this population. Trained professionals are able to recognize those seniors that prefer quiet, solitude like environment while others are in desperate need of more stimulation. This expertise proactively minimizes potential disruptive behavior by addressing each individual’s unique needs. State regulations have been written to target this topic requiring medication management to modify behavior to be used only as the last option after it is documented that all non-pharmaceutical interventions have been implemented without success through the individualized care plan. In Conclusion... Adult Day centers provide an array of activities for attendees to participate in; adapted to each person’s unique abilities to maximize enjoyment and minimize frustration. Many centers also offer flexible scheduling choices from attending just a few hours each day to attending the entire day for one or more days per week. The affordable cost of care for Adult Day allows these centers to be more accessible to a wide range of families for senior care options. Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org Introducing a NEW course from Best-Selling Teacher Kathy Hughes, ADC... ENROLL Now Our MEPAP 1&2 Courses 2 Course Formats www.ActivityDirector.org - 1.888.238.0444 Structured Class (16 Weeks) - Begins the First Tuesday of each Month Self Paced Class (13 Weeks-1 Year) - Enroll and Begin Anytime Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  5. Meaningful Memory Care Planning Individuals afflicted with Alzheimer’s and dementia complications go through a number of different stages during the disease progression. Leisure pursuits are crucial for residents living with Alzheimer’s disease, particularly those which offer and encourage engagement opportunities and much needed cognitive stimulation. The Approach to discovering leisure pursuits to offer engagement and stimulation is the same as any resident assessment process with one very significant distinction: Look at what the resident can still do rather than what they can no longer do. Establish consistent routines. Why? The day is a little less scary when the daily pattern is predictable and somehow familiar. Many of us operate on autopilot whilst going about our daily business but memory deficits can cause a snafu in the normal retrieval process. Thus, even our firmly embedded auto pilot can malfunction. While structure and routine is important, there are countless opportunities to do “meaningful” things in unexpected places and times. Daily everyday tasks such as bed making, sweeping, dusting, and watering plants for example are small yet simple though they can provide rich opportunities for engaging residents who perhaps show no interest in bingo, movies, or other group activities. Planning Tips Continuously adjust and accommodate to match to the changing needs of the disease progression. Plan for times during the day when the resident tends to function at their best. Use adaptive strategies and techniques that focus on strengths/skills in which the individual still possesses. Allow the individual to retain as much control as possible to help foster a sense of personal dignity. Simplify tasks: break down step by step. Move to the next step in the sequence only when the first step has been accomplished. Attention span may be limited so plan programs in no more than 20 to 45 minutes segments. Programs are most effective when they are multi-sensory and spanned over consecutive days (facilitate memory input) and are connected to a related theme. Remember: Loss of memory creates an inability for the individual to remember what they did in the past for themselves to find amusement. However, this population may still have the ability to [be amused] well into the disease process. Incorporate events that “elicit” a response through use of basic sensory stimulation and awareness of his/her body movements. Sensory Integration would focus on any combination of the following: -Visual (eyes) -Auditory (ears) -Proprioceptors* (awareness of body position) -Vestibular (balance) -Tactile (touch, feel) -Olfaction (smell) -Gustatory (taste) Proprioceptors* sensory receptors in muscles, joint capsules and surrounding tissues, that signal information to the central nervous system about position and movement of body parts. Activity Starters The following list has been provided as inspiration and motivation only. You will need to look at the individual resident with a Dx of Alzheimer’s to create a “person centered” care plan uniquely suited to the skills that remain and the specific stage of the disease as per nursing assessment. Stuffed Toys Offer stuffed animals and other soft toys to cuddle. Check for any materials that could be removed and become a choking hazard. Baby Dolls and Baby Doll Clothes Provides opportunity to foster nurturing characteristics. The goal is not to dress the doll properly, but rather to “elicit” the desire to change the doll’s clothing whilst working on hand eye coordination. Pet Therapy Animals of varying types are well documented to improve well being and boost emotional connection to something other than themselves. Music and Movies Foster emotional connections via music, videos, and movies. Keep the time frame brief, only watch/listen for 5 to 10 minutes but if they are engaged, keep allowing them to enjoy the experience for long as continue to be engaged. Sensory Sensory deprivation is one of the hallmarks of Alzheimer’s disease. Use everyday objects to arouse one or more of the five senses (hearing, sight, smell, taste and touch), with the goal of evoking positive feelings. Exercise Any physical activity can be beneficial, from a simple walk to yoga. Use props, such as tambourines, clappers, top hat, streamers, maracas, batons, pom poms, stretch bands, scarves, or stretch bands. Bird Watching Hang a bird feeder that will not allow individuals to access the food. Provide chairs or benches to stop and watch the birds. Sunshine and Fresh Air Plan time for the outdoors (weather permitting) for 10-15 minutes. Supply sun protection with wide brim hats and sun lotion on arms and legs. Avoid the sun between 11 and 3 pm. Offer cool drinks. Read Aloud Studies reveal that those afflicted with Alzheimer's disease may be able to hear until very late into the illness. Read articles in magazines and newspapers that the person enjoyed in former times. Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org Our MEPAP 1&2 Courses 2 Course Formats www.ActivityDirector.org - 1.888.238.0444 Structured Class (16 Weeks) - Begins the First Tuesday of each Month Self Paced Class (13 Weeks-1 Year) - Enroll and Begin Anytime Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  6. I was recently passed an interesting article from our instructor Kathy Hughes, ADC that I think we can all relate to. Nursing home food is often compared with hospital food and is rarely accused of being appetizing. However, the nationwide push to make care homes more person-centered has extended well beyond care and is now attempting changes in the dietary department. It may be hard for some to believe but prior to November 2016 family members weren’t allowed to bring outside food in. The value of sharing recognizable comfort food with a loved one in the throes of dementia could easily be recognized by the family, but couldn’t be executed until this all important CMS update in 2016 that was over 20 years in the making. According to the article: The new and modified regulations explicitly state that menus at facilities participating in the Medicare and Medicaid programs must now reflect the religious, cultural, and ethnic needs of residents, be updated periodically, and undergo review by a dietician or nutrition professional (who, according to the new regulations, have higher certification requirements than in the previous iteration). Also, for the first time, nursing homes can officially grow their own food or buy it directly from local producers, and allow residents to eat food brought in by friends and family. Finally, meals and snacks can now be served whenever works best for the residents, not just at designated feeding times. The changes these updates are making can be felt already in many homes, perhaps even yours. Rather than regular American staples day in and day out residents are now enjoying more ethnic foods being served right in their dining rooms. The ability to participate in CSA (community supported agriculture) programs opens a whole new way to plan activities for your community as well, providing pathways for field trips, vegetable, fruit and herb education, harvesting and preparation, increased health education and the lists goes on and on. Better food isn’t just about better taste and nostalgia either. Nutrition is critical in determining how one’s life will unfold particularly at this leg of life. Fresh and accessible food, from a variety of trustworthy sources increase intake in general and nutritional levels greatly. The article discusses many advantages to these CMS updates, but its central point remains that the boost in mental well-being received by these residents is really what counts. The ability to feel autonomous and to be reminded of the good times in life go a long way in contributing to joy. A care home should not feel like a jail and access to a variety of food and lifestyle experiences is a basic freedom. The updates are a huge step in the right direction however there is a stark difference between policy change and implementation. Positive effects are being felt as are the negative effects that variety can have on an ever decreasing dietary budget. The article references some worst cases scenario numbers that come in at less than $1 per meal. Think about that. Staffing issues also remain a concern that block many attempts above and beyond the norm of how things have always been. Even still, these changes are good changes and they were a long time coming. It allows residents to remain in contact with food, which is such a cornerstone of all of our lives and interactions therein. It is true progress and I for one was fascinated to read the article. I grew up in an Activity Department because my Mom was an Activity Director and I can remember the food vividly. I really hadn’t realized that food could be or was regulated in that way and that dietary had such restrictive guidelines and budgets (even though I should have because my Mom’s best friend Debbie was the Dietary Manager and she complained about it constantly!). I am glad to see these changes going into place and it gives me great hope about the type of facilities we are all pushing for together. The future is certainly brighter….and tastier. Article Referenced: Nursing home food is getting better. But the journey is far from over. by Jillian D' Onfro Nov. 27, 2017 Read the Article ENROLL Now Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. Activity Directors are the key to creating environments that we ourselves would be excited to live in. We envision facilities that feel like homes, not institutions. Facilities that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe providing the best education available, with the most talented teachers we can find, is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  7. There is generally some level of dread when state comes in for a survey. No matter how prepared you are there is always a chance that something could not go according to plan or there may be something you have overlooked. We often see members of the network discussing this possibility on social media and there seems to be a need for some Quality Assurance. For this reason, we have created a couple of forms for you to use as an evaluation tool. It allows you to get some perspective, evaluate your direction, adjust accordingly and improve your department and the lives of your residents. It’s a win, win that helps replace the dread of a survey with the excitement of being on top of it. How To Use These Forms There are two forms that will need to be completed on at least a quarterly basis. Use your judgement as to whether this time frame needs to be adjusted. Quality Assurance: Activity Program Review Utilize this form to evaluate your overall department’s performance. Each quarter have a different person complete it. For example, each quarter you could survey one of the following community members: family member, assistant, volunteer, admin, other department head, receptionist, a resident, a nurse and so on. This will give you a great deal of perspective and helps foster a sense of inclusion and teamwork in your work environment. Quality Assurance: Resident Quality Assurance Utilize this form to evaluate the level of quality that your department is delivering to each resident. It would be impossible to survey every resident every quarter. For this reason, survey at random a good cross section of your population and do the best you can. In Conclusion, making use of these two forms as part of your department's policies is one of the best things you can commit to. Evaluation is such an important component to motivation and creativity. When you ask your community to get involved with what you are trying to accomplish things can only improve and your vision can only gain clarity. These forms are complimentary from BEST SELLING book The Activity Directors Bible by Pennie Bacon. Click the link below to Download Quality Assurance FORMS BUY Now Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. Activity Directors are the key to creating environments that we ourselves would be excited to live in. We envision facilities that feel like homes, not institutions. Facilities that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe providing the best education available, with the most talented teachers we can find, is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of Our Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351 ------------------------------------------------------------------------------------------------------------------------------- Dementia Care - Critical Pathway Forms Help Identify Programming Deficiencies
  8. 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, to 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 the necessary 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 dry mouth and/or dry skin in the armpit less frequent urination dark-colored urine 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 cob webs 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 his/her 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 a cooling snack 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; seek senior-friendly places that offer air conditioning (Restaurants, Shopping Mall or Stores, Public Library, Art Museums, Movie Theaters). Senior exercise programs may need to shortened in duration and restricted to easy and simple range of motion programs to prevent over- exhaustion. Don’t forget the hydrating liquids! Stay Cool! Have a topic request or question for Celeste? Send them over to Celestechase @ activitydirector.org Introducing a NEW course from Best-Selling Teacher Kathy Hughes, ADC... ENROLL Now Our MEPAP 1&2 Courses 2 Course Formats www.ActivityDirector.org - 1.888.238.0444 Structured Class (16 Weeks) - Begins the First Tuesday of each Month Self Paced Class (13 Weeks-1 Year) - Enroll and Begin Anytime Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  9. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- View the Seminar Brochure Behavioral Gerontology and Activity Approaches (Final) (1).pdf View and Print the Application Behavioral Gerontology and Activity Approaches Form (1).pdf
  10. Activities for Men While walking through most Long Term Care facilities you will easily take note that the ratio of female versus male residents is significantly tipped towards the female population. Women residents outnumber men at the rate of about 2 to 1 (partly due to the fact women live longer than men). Contributing factors that tip the scale further is that it is not uncommon to find that approximately 80% of the staff is also female and the majority of visitors in general are female as well. Men are simply outnumbered in Long Term Care facilities. http://digg.com/2017/sex-ratio-america-map “this map of America shows the male/female sex ratio for all the states and counties — It's worth noting that, at a glance, the most populous counties in America seem to tilt towards female”. Upon further glance it may appear that a vast number of activity calendars have more programs geared for women than men. Activity calendars often do reflect a variety of feminine-based domestic activities such as cooking, baking or “unisex” geared activities. One might speculate that Activity Directors focus on meeting the needs of the majority (female) residents but it is more the case of how much more challenging it is to create male oriented programs than it is for the female persuasion. Consider some of the following factors that contribute to the increased challenge in planning for men’s activities. Of the less than 30% of male residents in Long Term Care facilities, approximately 1/3 of the population present with less ability to communicate than women due to their respective medical or mental status. Some men suffer from strong fear of failure; particularly relating to starting a new skill in which they may appear incompetent to others. Men of past generations may feel embarrassed or self consciousness relating to their particular disability and how it may cause unsuccessful outcomes. Career responsibilities that have long since pasted may leave a sense of loss or void that may damage self-esteem, and instill feelings of uselessness. All of the above are useful information when planning for men’s activities but are only a fraction of the possible scenarios that today’s Activity Director needs to consider while planning for a balanced and purposeful activity calendar. Additionally, there are lifestyle differences that contribute to men’s personal attitudes regarding leisure pursuits between white collars versus blue collar workers. White collar workers engaged in less physical job related labor, shorter work hours and benefited from higher paying salaries than blue collar laborers. Thus, white collar workers were more likely to feel more energetic, have additional time in the day for leisure choices and possessed the financial means that allowed him to select from a range of interests and pursuits. Below are some considerations that may help you to best identify how to plan for men’s activities, specific to Blue Collar Workers. Men put in exhaustive long hours and often were left with little or no time for leisure pursuits thus they tend to be lacking in leisure related skills. What little available free time in any given day was spent with family members, particularly with their children. Minimal earnings did not allow for financial means to spend on leisure activities. Starting Point – the assessment /gender reviewed: Most likely you already have a standardized assessment form. Take some time to review your assessment form and activity check sheet and take note of the types of activities that may be more specific to male residents. You can create a framework of questions that will help you probe for more details regarding his preferences. As you check those areas of interest expressed by your resident make it your mission to elicit and document more information describing what makes his specific selection particularly appealing. Example - Resident selects Sailing: Questions to ask: Can you describe what your sailboat looked like? Where is your favorite sailing destination? What time of day do you like go sailing? Who do you like to be with when you go sailing? How often did you go sailing? How do you take care of your sailboat? Your resident’s answers can be used to engage him in a conversation at a later time about this past time experience and will aide in re-affirming a particularly meaningful memory. Men of this generation often thoroughly enjoy exchanging stories of past days of glory, sports or children and grandchildren’s accomplishments. Look within your male population to group residents with common denominators that you can foster in friendship and mutual camaraderie. Once you incorporate your residents noted interest/s in the activity calendar and highlight care plan objectives you are well on your way to providing for the needs and interests of your resident as a unique individual within the facility community - thereby meeting federal laws for nursing homes. Men might be the minority in this club but given the opportunity, appropriate resources and a thorough comprehensive assessment, men may not only be able to participate but contribute greatly by adding to the overall program enrichment through a well balanced activity calendar schedule. NOTE: Although the Activity Director professional will primarily focus on planning these activities keep in mind that the ALL staff members are charged with ensuring that the needs and interests of each individual is met to attain or maintain the highest practical physical, mental, and psychosocial quality of life possible. Such programs are essential to the health and well being of all men and women living in Long Term Care facilities today. Below are a number of ideas for your consideration but remember, that you’re objective is to find a “match” between your resident’s needs and interests to the many potential ideas you come across. Train Hobby Club – The collection for the train hobbyist is numerous, everything from the train itself to the landscape and surrounding villages will keep your resident busy. Look for a location in the facility where you can leave the train convoy permanently set up for residents to watch throughout the day. Men’s Choral Group – Rehearse all time men’s favorite songs to musical accompaniment or acapella style. Let your residents listen to past male entertainment groups (Miracles, The Four Tops, The Platters, etc.) Car Talk – Collect car magazines and new car brochures and solicit a discussion about new cars vs. the old cars, foreign vs. domestic, manual vs. automatic transmission, 2-door, 4-door, convertibles, etc. Car Wash – A simple hose, bucket, soap, sponges, and towels is all that’s needed. Solicit facility staff members to volunteer their car for washing. Each resident may choose whether to wash, rinse, dry, or just watch the scrubbing and polishing busy work. Rope Tying – Former professionals and wanna-be ship mates will enjoy trying and re-trying various rope techniques to get it right - while sharing sea worthy tales. If there is no sea captain in the crowd just purchase the many rope tying teaching books out there and dawn your sailor hat to get the ship moving. Santa's Workshop – Doll houses, airplanes, train kits, bird house, mailboxes etc., make for a super great Santa Shop assembly line. Finished product can be donated to non-profit organizations such as Toys for Tots during the holidays. Your men will love knowing how meaningful their labor of love will be to a child. Sports Time – Watching a live or a pre-recorded horse race, ballgame, boxing match on a big-screen will get the crowd in the mood. Set out peanuts, popcorn, and pretzels. Serve non-alcoholic beer and soda. NOTE: Keep in mind any issue with potential chocking risk/consult with nursing. Competitors Club – Horseshoes, bean bag tosses, badminton, bocce ball, and balloon toss are fun games that involve a lot of movement while encouraging interaction, socialization, and teamwork. At the Movies – Ask the residents to select a film (a western, war movie, or mystery). Schedule a matinee or an evening showing. Supply hot-buttered popcorn, movie-style candy, and soda (if permissible- relating to potential chocking/consult with nursing). NOTE: War movies may be triggering for some residents. Be sure to vet your residents for potential behavior relating to aggression that may be triggered from viewing war movies. Honoring Veterans – Military veterans are often eager to exchange stories about the war days as a way to bond and honor veterans and the past memories. Create a list of “military positions” held by your residents and post in an easily visible location to honor their service. Casino Night – Organize a game of dominoes, checkers, chess, or a card game (poker or Blackjack). Be sure to decorate with all the ambiance and glitz and glamour to set the tone. Arches ranging from roulette wheel to gleaming gold circle to let the residents make an entrance. Tool Bits – Provide a variety of different sized nuts, bolts, and washers and a few empty containers. Either direct the resident to sort the items or assemble the items and start up a conversation and provide pictures about what each item might be used to make. NOTE: Be aware if there is any evidence whereas you believe that your resident may want to ingest non-consumable items. Trade Show – Journey out to a local hardware store, such as Home Depot or Lowe’s. Make a project list and ask the men to find the supplies to complete the job. Many men enjoy discovering new tools and many will spend countless hours at a hardware or home-improvement center. Shoe Shine – Contact a local shoe shop to enlist the tradesman to come to the facility to show off his craft to the men of the house. Your residents can wear their Sunday best shoes for this shoe renovation. Offer newspapers, magazines, books for reading while resident shoes get a new lease on life. The smell of shoe polish may evoke memories and provide opportunities to reminisce. Card or Coin Collection Club – Many men collected and traded baseball cards or coins when they were young. Gather a collection of baseball cards or coins and set up a sorting/organizing station. Obtain detailed information about the items to share with the residents. Encourage the men to talk about their baseball or coin favorites and share how they acquired their treasures. Career Day – Gather a collection of photographs with a focus on jobs, occupations, and careers. (Also consider: colleges, military service, sports activities, clubs or organizations, hobbies or leisure activities.) Encourage the resident to discuss the photographs and their past employment. Pass around various hats representing different careers and ask residents to talk about which occupation they think the hat belongs to. Share information about each career such as, educational requirements and potential earnings. Have a topic request or question for Celeste? Send them over to Our MEPAP 1 & 2 Courses Begin Aug 6th, required for NCCAP Activity Director Certification. Contact Us at ActivityDirector.org - 1.888.238.0444 - admin@activitydirector.net Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  11. Bucket of Games 1 Bucket of Games 2 SALE Ends Aug 5th 1.888.238.0444 Our NCCAP MEPAP 1 & 2 Begins Aug 6th - Make sure your Activity Staff is qualified before your next Survey ActivityDirector.org Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. Activity Directors are the key to creating environments that we ourselves would be excited to live in. We envision facilities that feel like homes, not institutions. Facilities that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe providing the best education available, with the most talented teachers we can find, is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  12. Creating In-Services for your Activity Department and the Facility by M. Celeste Chase AC-BC, ACC, CDP ActivityDirector.org Learning opportunities through in-services not only sends an intrinsic message that staff is highly valued but will also boost employment retention and job satisfaction. Appropriately supported, in-services have an added benefit of preventing job burnout for those in the demanding healthcare industry and that is a win-win for everyone! Interpretive Guidelines Tag 679 – Identifies that “all staff” is accountable for assuring that meaningful activities are provided to ALL RESIDENTS regardless of resident limitations or lack of response. To this end, all staff members must fully understand not only the therapeutic value of engagement as it relates to quality of life, but must possess appropriate skills, techniques and strategies to deliver meaningful activities. The Activity Director is the key individual to take the lead in this training through facility in-services. A great place to find topics (“good bones”) for in-services can easily be found within the Interpretive Guidelines. Let’s take a look at three up and coming guidelines from: [Phase 3] - OBRA 87’ Interpretive Guidelines effective on: November 28, 2019 F940 §483.95 Training Requirements Facilities must develop, implement and maintain an effective training program that is based on the Facility Assessment. Training must be completed for new staff, existing staff, contracted individuals and volunteers (consistent with their roles). The amount and type of training required should be reflective of the services and patient acuity identified in the Facility Assessment. This guideline states that training topics must include, but are not limited to: Communication Resident’s Rights QAPI - Quality Assurance & Performance Improvement Infection Control Compliance and Ethics Behavioral Health F941 Communication Training Facilities must have mandatory training for direct care staff on effective communications. The importance of communication is emphasized, including communication across all shifts and information sharing between staff, residents and representatives. Direct care staff needs to understand their responsibilities for reporting change in condition and sharing information between team members for continuity in care provided that is based on individualized interventions. F942 Resident’s Rights Training Facilities must ensure that all staff members – not just direct care staff – receive appropriate education on resident’s rights and be knowledgeable in the facility’s responsibilities in providing care for its residents. Under F550 Resident’s Rights, residents have the right to be treated with dignity and respect, and all interventions with residents by staff must assist the residents in maintaining/enhancing their self-esteem and self-worth, show respect for each resident’s individuality and incorporate the resident’ goals, choices and preferences. NOTE: This training requirement is likely to already exist in most facilities, but facilities that do not have this topic included in its staff education requirements will need to do so by the [Phase 3] deadline mentioned above. You can easily see that OBRA 87’ Interpretive Guidelines makes training expectations abundantly clear and sets the bar for specific materials for learning opportunities. This will provide you with a strong arsenal of tools from which you can reference for new in-services to ensure that your facility complies with recommended standards. Be sure to compare these topics with your new staff member’s orientation training topics as well as your annual mandatory re-education plan. For a successful in-service experience, develop a strategy that supports team synergy and mutual respect to get other staff members excited and willing to be committed to your program. In-Service/ Foundation Plan: Listed below are the preliminary steps to develop your in-service program. Each component is a building block to the next and will get you well on your way to creating a strong and successful in-service that will enlighten your fellow staff associates in a way in which they will better understand and respect the complex nature of the work you do as a professional Activity Director. Component # 1 –Training Order The order of presenting in-service training sessions can start with the most urgent to least urgent or oldest information to newest information, or build upon the initial session to the next. The ladder works well if the attendees need to understand certain things before assimilating more advanced materials. Component # 2 - Ask How Your Attendees Learn Best Another effective time saving strategy is to incorporate learning styles that are well suited to in-service attendees. As you most likely know, many of us attain information better when given specific ways to learn. Some people learn the quickest through reading, while others prefer visuals and hands-on experience. Understanding the learning styles of your audience will make your time more effective and productive thus, getting the most value for the time spent. Component # 3 - Materials Distribution Before the In-Service Consider distributing informative materials such as manuals, or short “cheat sheets” or step-by-step introductions relating to the topic scheduled for the in-service before training session begins. This is a great way to build up in-service anticipation and interest. Distribution prior to the in-service will also decrease the customary introduction time at the beginning of the in-service and help you jump right into the material to be presented. Component # 4 - Create a Training Schedule When in-service trainings are conducted during “on-duty” hours it is wise to set a predictable schedule. This allows attendees to plan for floor coverage and seek necessary supervisory approval in advanced. Be cognizant and adaptable to staff availability to ensure optimum participation. Mindful scheduling during on-duty hours to reduce staff “off the floor time” will also be looked upon favorably by your administration. HINT: In-services held after regular work hours should also be respectfully scheduled so that it doesn't infringe upon the staff’s anticipated leisure time. Once again your consideration and sensitivity in this area will more likely create eager participation. Component # 5 – Incorporate Session Breaks It’s a given that long in-service training may not be permissible particularly when staff’s “off the floor” coverage proves to be challenging. That said, take a moment to break away even for s short bathroom visit. It may be all you need to keep your attendees focused and refreshed thus, moving the in-service in a positive direction throughout the session. Component # 6 – Serve Light Refreshments As a very common and familiar adage goes, If you feed them - they will come! Providing food at a business event can promote attendance and provide a welcoming atmosphere which in turn, will get your in-service off to a great start. Keep it simple – consider dietary restrictions. What you serve will depend on the time of day that you schedule your in-service. Morning events tend to focus on coffee, tea, fruits, pastries, etc. Afternoon events are more likely to be about soda, cookies, pretzels, etc. Bottled water is always appropriate no matter what time of the in-service and decaffeinated options should always be offered. Creating and organizing interdisciplinary facility in-services for staff will set you apart from the rest and help you develop a reputation as a knowledgeable and credible professional in your field. Fellow staff members and associates will quickly recognize the complexity of your position and will readily get on board to ensure that every staff member provides “quality of life” opportunities for all the residents within your facility. “Opportunities for learning - present an extraordinary prospect to expand our knowledge base and growth both in personal confidence and competency skills that ultimately will benefit the residents we serve.” Have a topic request or question for Celeste? Send them over to CelesteChase @ activitydirector.org ENROLL Now Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. Activity Directors are the key to creating environments that we ourselves would be excited to live in. We envision facilities that feel like homes, not institutions. Facilities that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe providing the best education available, with the most talented teachers we can find, is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  13. Activity Directors Network Online Classroom Visit ActivityDirector.org or call us at 1.888.238.0444 Our Online MEPAP Classes start Tuesday August 6th 2019 We are now enrolling! FREE CE Course for All August Students Person-Centered Planning Made Easy 8 Credit Hours Activity Directors Network is the premiere online provider of the MEPAP classes with almost all of our students passing the NCCAP national exam. We have taught students from all 50 states, Canada and England. Activity Directors in Long Term Care, Nursing Homes, Assisted Living Facilities, Adult Daycare, Swing-Bed Hospital Care, Recreational Care and PACE programs can take the NCCAP MEPAP Courses. Our MEPAP 1 is the most widely accepted Activity Director Training course in the US. Make sure your Activity Staff is qualified before your next Survey, The Centers for Medicaid and Medicare (cms.gov) State Survey of Senior Care Facilities follow Federal Regulation F680-F679, Surveyors Guideline In some States this course meets all of the Minimum State Requirements under Federal regulation F680, Check with your State Regs and your facility for any additional Continuing Education requirements. ------------ Taking a course Online is a very interactive way to learn. Not only do you benefit from a professional Activity Director Instructor, You also share the knowledge and networking with your entire class. Our Classrooms Lead Instructor, Kathy Hughes ADC, has over 40 years of teaching the NCCAP Certification course experience, as one of the original MEPAP Certification Training Course Authors, Kathy has the "know how", the experience and the resources to train you and your staff to provide innovative activities to your residents as well as learn about the regulations that effect the delivery of activities. Our Guest Instructors - Swing-Bed Specialist, Ruth Martanis - Adult-Day Health Specialist, Celeste Chase ACC CDP Once you experience the Online Classroom setting you'll wonder why you didn't try this sooner. ----------- The 24/7 Chatroom and the Class Forum are just two of the ways each and every Student can reach out to the entire class to either ask for help, offer some advice or share their particular journey with the class. You will enjoy networking with activity professionals who share their ideas and knowledge throughout the course. Our online class lasts 4 months, a 180hr course, 90hrs Class Study/90hrs of Practicum (Fieldwork). Cost is $600 - Payment Plans are available. If your facility is paying, simply sign our Purchase Order Agreement to verify payment. Ask about our "Self-Paced Format" that will allow you to expedite the training or extend it out for a year to help accommodate a busy life..... To Get Started . visit ActivityDirector.org and download the MEPAP 1 Enrollment Packet . fill out the enrollment forms, fax them in and you're ready to go. (fax 1.866.405.5724). Be sure and use our "Military Family Discount" $100 off any Military family Download a Enrollment Packet, fill out the forms, fax it to us. 1+866-405-5724 Enrollment Packets MEPAP 1 MEPAP 2 Click HERE to have the Enrollment Packet emailed to you. Be sure and use our "Military Family Discount" $100 off any Military family EZ Payment Plans Available - Call or email us to set up a plan that will work for you! Email Us - admin@activitydirector.net ** FREE Course requires a paid Enrollment 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 Our Network, Pennie
  14. Activity Directors Network Online Classroom Visit ActivityDirector.org or call us at 1.888.238.0444 Our Online MEPAP Classes start Tuesday August 6th 2019 We are now enrolling! FREE CE Course for All August Students Person-Centered Planning Made Easy 8 Credit Hours Activity Directors Network is the premiere online provider of the MEPAP classes with almost all of our students passing the NCCAP national exam. We have taught students from all 50 states, Canada and England. Activity Directors in Long Term Care, Nursing Homes, Assisted Living Facilities, Adult Daycare, Swing-Bed Hospital Care, Recreational Care and PACE programs can take the NCCAP MEPAP Courses. Our MEPAP 1 is the most widely accepted Activity Director Training course in the US. Make sure your Activity Staff is qualified before your next Survey, The Centers for Medicaid and Medicare (cms.gov) State Survey of Senior Care Facilities follow Federal Regulation F680-F679, Surveyors Guideline In some States this course meets all of the Minimum State Requirements under Federal regulation F680, Check with your State Regs and your facility for any additional Continuing Education requirements. ------------ Taking a course Online is a very interactive way to learn. Not only do you benefit from a professional Activity Director Instructor, You also share the knowledge and networking with your entire class. Our Classrooms Lead Instructor, Kathy Hughes ADC, has over 40 years of teaching the NCCAP Certification course experience, as one of the original MEPAP Certification Training Course Authors, Kathy has the "know how", the experience and the resources to train you and your staff to provide innovative activities to your residents as well as learn about the regulations that effect the delivery of activities. Our Guest Instructors - Swing-Bed Specialist, Ruth Martanis - Adult-Day Health Specialist, Celeste Chase ACC CDP Once you experience the Online Classroom setting you'll wonder why you didn't try this sooner. ----------- The 24/7 Chatroom and the Class Forum are just two of the ways each and every Student can reach out to the entire class to either ask for help, offer some advice or share their particular journey with the class. You will enjoy networking with activity professionals who share their ideas and knowledge throughout the course. Our online class lasts 4 months, a 180hr course, 90hrs Class Study/90hrs of Practicum (Fieldwork). Cost is $600 - Payment Plans are available. If your facility is paying, simply sign our Purchase Order Agreement to verify payment. Ask about our "Self-Paced Format" that will allow you to expedite the training or extend it out for a year to help accommodate a busy life..... To Get Started . visit ActivityDirector.org and download the MEPAP 1 Enrollment Packet . fill out the enrollment forms, fax them in and you're ready to go. (fax 1.866.405.5724). Be sure and use our "Military Family Discount" $100 off any Military family Download a Enrollment Packet, fill out the forms, fax it to us. 1+866-405-5724 Enrollment Packets MEPAP 1 MEPAP 2 Click HERE to have the Enrollment Packet emailed to you. Be sure and use our "Military Family Discount" $100 off any Military family EZ Payment Plans Available - Call or email us to set up a plan that will work for you! Email Us - admin@activitydirector.net ** FREE Course requires a paid Enrollment 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 Our Network, Pennie
  15. Brand New CE Class at ActivityDirector.org. Pass it On! Writing Continuing Education Workshops 6CE,s Ever wondered how to contribute back to your industry. Writting CE Classes might be for you... This class is a 6hr study course that explains the entire process of Writing and Sharing and Selling your passions. http://www.activitydirector.org/classroom/course/category.php?id=7
  16. The Villas at Stanford Ranch, Rocklin's luxurious assisted living community for seniors, is seeking an Activities Director to add to the team! Our assisted living community houses all three tiers - Memory Care, Assisted Living, and Independent Living. We are seeking an activities Director for our Independent and Assisted Living sector.. Are you an upbeat, happy-go-lucky, event planning, organized, outside the box thinker? If you answered yes, and meet the requirements below, apply today! Responsibilities include: Ensure our residents recognize personal satisfaction and enrichment through designing and implementing innovative and creative activities, programs, outings and other events. Develop newsletter content, flyers, activity calendars, one-pagers, and other collateral material that support resident/family/staff awareness and engagement. Collaborate with other Department Heads to ensure full visibility of programming. Develop, proactively plan and implement creative activities, outings and programs that enrich our resident's lives. Control costs, manage the activities budget, manage and inspire the activities team Promote participation in activities and help foster social connectedness between residents. Gather feedback from residents concerning activities and adjust programs to best meet the resident's needs. Involve family members and guests in activities/programs whenever possible. Coordinate resident transportation for needs including, but not limited to, activities, shopping, and doctor trips Establish and coordinate the Community Resident Council and attend all meetings Listen and respond to all resident problems, complaints, suggestions, and ideas regarding activities Coordinate use of all volunteers Document history of community with photographs and scrapbooks Works under general supervision but functions well with autonomy. MUST be a team player! Skills required: Excellent communication skills: You will be working with a variety of people and departments, so it's critical that you enjoy interacting with others on a daily basis and are comfortable speaking in front of small groups. Incredible attention to detail: It's the little things that count! Self-directed: Must be able to take a project, run with it, and (ideally) exceed expectations by anticipating needs. Creativity: We are a luxurious community and hold ourselves to a high standard. Creativity in developing outside the box activities that differentiate us from the competition is crucial. Organization: Amongst the chaos of the day to day responsibilities and activities, maintaining organization is a must. If you are looking for a rewarding position and a great company culture, we urge you to apply! The Villas At Stanford Ranch is an Equal Employment Opportunity Employer. Full-time Staffing staffing@thevillasatstanfordranch.com 1430 W. Stanford Ranch Rd. Rocklin, CA 95765 Phone: (916)741-7050 Fax: (916)259-2698
  17. Senior Comedy Afternoon is an excellent Activity for any Senior Group.. Plan to attend and make a day of it.. 3 Course Meal, a Show .. all presented by Bonnie and her bunch of Misfits.. if you haven't experienced one of these "Afternoons" you're missing Out. the Event is in LA... near LAX ..the recently refurbished The Proud Bird Restaurant and Event Center (Tuskegee Room) Starts at Noon, Lunch at noon-thirty and the show is at 1:30.. and a guided tour of the Air Park can be enjoyed after the show. 3:15 July 14th, plenty of time to plan and reserve your buses.. dontmissthis Have Fun! Pennie
  18. The Consultants Help Desk is delivered to your Inbox every month. The Newsletter covers a variety of topics all designed for Today's busy Activity Director. SignUp Creating Effective Flyers Why should you invest your time and attention to creating flyers? Consider a flyer as a blank canvas where you can explore your creative abilities while getting the word out about your upcoming event. What could be better? Oh yes, flyers are read, passed along, reproduced, posted up on bulletin boards , mailed or sent electronically to reach the intended audience. Thus, multiplying the success rate of reaching its intended audience. Flyers can vary in themes from — advertisements, announcements, invitations, updates and welcome notices. Additionally, flyers will promote musical events, fundraiser, craft shows or any other event that has potential to be of public inquisitiveness and enjoyment. What characterizes an effective flyer? Ingredients of a Good Design If you’re new to the design process, it can be tough figuring out what kinds of design choices work together to create an attractive yet effective final product. Why do certain fonts go together? How did the great color scheme come into play? Here are some basic qualities you’ll want to get right on your flyer. Eye-Catching: If it does not have visual interest no one will be persuaded to investigate what that flyer contains. Clear Focal Point: Simply put, this is the part of the layout that draws viewers into the design and subsequently into its message. It could be an image or graphic, a headline or promotion, or other text/lettering — but the focal point of a design is usually the thing people notice first. HINT: make sure your focal point directs viewers to the most important information you have to communicate. Relevant Imagery: Simple graphics like shapes or icons, a photograph in the background, or something fancier like a custom illustration or hand-drawn typography. HINT: A visual component that is relevant to the purpose or theme of the flyer will help viewers immediately get a grasp on what the flyer is all about before reading the fine print. Appropriate Fonts: Typography plays an immensely important role in pretty much any text document, particularly as it relates to flyers. However, in the same way that choosing images requires consideration of a flyer’s purpose, context, and audience, picking fonts calls for just as much care. Because fonts alone can give a design a distinct look or mood, you’ll want to make sure any typeface you choose matches up with the overall style and intent of your design. Color Considerations We are visual creatures and nothing’s attracts our attention quite like a splash of color. Colors evoke and engage our feelings and emotions. It creates flyer impact. For instance, warm colors like red and orange are thought to communicate warmth, energy, and excitement, while cool colors like blue and green are considered more calming, nature-inspired, and conservative. Use these qualities to enhance your flyer’s message. HINT: Colors are known to have tremendous impact and reactive powers and are selectively used to promote mood for those afflicted with Alzheimer’s disease. Bonus Tip: If color printing isn’t an option, you can still infuse some color into your design by using black ink on colored paper. Being limited to one color ink doesn’t mean your flyer has to look plain. Use imagery in the form of drawings, text fonts, decorative designs, bold borders and pictures to create interest. Find A Balance Incorporate strategic use of white or blank space in the layout without text or graphics to direct the eye to the focal point relevant to flyer content. Think of those blank areas as a roadmap that viewers use to navigate visual mapping with ease. Your mission is to lay the intended message out in plain sight without the reader having to take time to decide what the flyer is all about. The more time the reader spends in this way, the lower your success rate will be and the anticipated following. HINT: The flyer should make its intended communication “crystal clear” at a glance. Too much information crammed onto one page will discourage the reader’s interests. If creativity is not one of your strong points, you can source your imagery elsewhere rather than creating it yourself, but be selective in this approach as this may likely increase your initial costs. Make sure to search out high-quality options both in terms of form (i.e., no clip art, matches mood/purpose of flyer) and function (high enough resolution for printing, etc.). A quick Google search turned up the following “free” flyer maker sites: https://spark.adobe.com/make/flyer-maker https://www.postermywall.com/index.php/l/online-flyer-maker https://crello.com/create/flyers/ Here are a few basics tips to keep in mind while creating your own successful flyers: 1. Keep your flyer content brief- Look at the overall design and the size of your flyer and the areas where want to leave blank to map the contents out for your readers. Don’t overwhelm your reader by squeezing in a lot of information. Write your content in a concise way. Include only the essentials. 2. Divide your copy into digestible sections- Divide your content into sections with headings to make it pleasing to the eye. At first glance, long paragraphs require more reading time that could turn off your reader. 4. Create a captivating headline- Your headline will always be the first line of text that your recipients will read. Try to make it catchy in order to hook them to read further. 5. Add a call-to-action– Tell your readers what you need. The most important component of your flyer will be to tell your reader what you need them to do after reading the information. “Call Us” or “Order Now” are common examples, but feel free to be creative. 6. Highlight directions & contact information– Make the location and contact information to your event easy to find on your flyer. Directions and contact information needs to be visually bold so as not to get lost in the text nor graphic design of your flyer. The bottom section of your flyer is usually the ideal placement because it is the last text it makes it easier for your reader to reference that information. 7. Proofread your content- Mistakes in your content could be translated as lack of invested time on your part and thus, lack of importance of the information within your flyer. After you proofread ask someone else to review it. The author of the content may easily overlook his/her own mistakes. 8. Limit the font choices- Select no more than two or three different fonts. Using multiple fonts often makes your design visually cluttered. Two to three typefaces are ideal when creating flyers. Additionally, choose fonts that are easy to read, even from a distance. 9. Choose the right paper stock- Flyers may be handled numerous times so choose paper stock that is durable and good quality. When flyers take on a tattered appearance they fail to give the event the feel of “NEW” – “UP AND COMING” attraction that you want to be communicated to your readers. 10. Use high-resolution photos- Low-resolution images equates to unprofessional flyers and lack of attention to details. Additionally, printing multiple copies of the original can take a toll on the quality of the original photo resolution. This is not likely to be a problem, however, when you use professional printing services. 11. Incorporate your logo with the design– If your facility has a particular logo be sure to include that image in your flyer as it represents brand recognition and supports the credibility of your flyer. Distribution: 1. Think of places where people frequently go and stand idle. 2. Think of your target audience and where you might find them. Rental car, subway or bus transportation locations– Many of us use public transportation to commute to our destinations throughout the day. Where do they go to pick up a ride? Local coffee shop- A flyer with a cup of coffee is a perfect match. School bulletin boards- Ask permission to put flyers in student gathering areas. This is particularly a great location if your target audience are children or parents. Checkout counters and reception areas- Anyplace where you find a physical counter where people wait is a great place for your flyer. Community bulletin boards- Chamber of Commerce, town hall, grocery stores, libraries, community organizations Laundromats- People waiting for laundry will be drawn to read – why not read your flyer? Show off your creativity and get the word out about your event in a flyer!!! The Consultants Help Desk is delivered to your Inbox every month. The Newsletter covers a variety of topics all designed for Today's busy Activity Director. SignUp 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 Our Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  19. M. Celeste Chase, AC-BC, ACC, CDP 10yr Instructor for the Activity Directors Network has written a guideline to help you with your Men residents. Men have always been a topic of discussion when it comes to planning Activities. Read through this guide and let us know what your best success with Mens Activities are..... Activities for Men . . . . January 08, 2019 While walking through most Long Term Care facilities you will easily take note that the ratio of female versus male residents is significantly tipped towards the female population. Women residents outnumber men at the rate of about 2 to 1 (partly due to the fact women live longer than men). Contributing factors that tip the scale further is that it is not uncommon to find that approximately 80% of the staff is also female and the majority of visitors in general are female as well. Men are simply outnumbered in Long Term Care facilities. ref: http://digg.com/2017/sex-ratio-america-map “this map of America shows the male/female sex ratio for all the states and counties — It's worth noting that, at a glance, the most populous counties in America seem to tilt towards female”. Upon further glance it may appear that a vast number of activity calendars have more programs geared for women than men. Activity calendars often do reflect a variety of feminine-based domestic activities such as cooking, baking or “unisex” geared activities. One might speculate that Activity Directors focus on meeting the needs of the majority (female) residents but it is more the case of how much more challenging it is to create male oriented programs than it is for the female persuasion. Consider some of the following factors that contribute to the increased challenge in planning for men’s activities. Of the less than 30% of male residents in Long Term Care facilities, approximately 1/3 of the population present with less ability to communicate than women due to their respective medical or mental status. Some men suffer from strong fear of failure; particularly relating to starting a new skill in which they may appear incompetent to others. Men of past generations may feel embarrassed or self consciousness relating to their particular disability and how it may cause unsuccessful outcomes. Career responsibilities that have long since pasted may leave a sense of loss or void that may damage self-esteem, and instill feelings of uselessness. All of the above are useful information when planning for men’s activities but are only a fraction of the possible scenarios that today’s Activity Director needs to consider while planning for a balanced and purposeful activity calendar. Additionally, there are lifestyle differences that contribute to men’s personal attitudes regarding leisure pursuits between white collars versus blue collar workers. White collar workers engaged in less physical job related labor, shorter work d hours and benefited from higher paying salaries than blue collar laborers. Thus, white collar workers were more likely to feel more energetic, have additional time in the day for leisure choices and possessed the financial means that allowed him to select from a range of interests and pursuits. Below are some considerations that may help you to best identify how to plan for men’s activities, specific to Blue Collar Workers. Men put in exhaustive long hours and often were left with little or no time for leisure pursuits thus they tend to be lacking in leisure related skills. What little available free time in any given day was spent with family members, particularly with their children. Minimal earnings did not allow for financial means to spend on leisure activities. Starting Point – the assessment /gender reviewed Most likely you already have a standardized assessment form. Take some time to review your assessment form and activity check sheet and take note of the types of activities that may be more specific to male residents. You can create a framework of questions that will help you probe for more details regarding his preferences. As you check those areas of interest expressed by your resident make it your mission to elicit and document more information describing what makes his specific selection particularly appealing. Example - Resident selects Sailing: Questions to ask: Can you describe what your sailboat looked like? Where is your favorite sailing destination? What time of day do you like go sailing? Who do you like to be with when you go sailing? How often did you go sailing? How do you take care of your sailboat? Your resident’s answers can be used to engage him in a conversation at a later time about this past time experience and will aide in re-affirming a particularly meaningful memory. Men of this generation often thoroughly enjoy exchanging stories of past days of glory, sports or children and grandchildren’s accomplishments. Look within your male population to group residents with common denominators that you can foster in friendship and mutual camaraderie. Once you incorporate your residents’ noted interest in the activity calendar and highlight care plan objectives you are well on your way to providing for the needs and interests of your resident as a unique individual within the facility community - thereby meeting federal laws for nursing homes. Men might be the minority in this club but given the opportunity, appropriate resources and a through comprehensive assessment, men may not only be able to participate but contribute greatly by adding to the overall program enrichment through a well balanced activity calendar schedule. NOTE: Although the Activity Director professional who will focus on planning these activities keep in mind that the ALL staff members are charged with ensuring that the needs and interests of each individual is met to attain or maintain the highest practical physical, mental, and psychosocial quality of life possible. Such programs are essential to the health and well being of all men and women living in Long Term Care facilities today. Below are a number of ideas for your consideration but remember, that you’re objective is to find a “match” between your resident’s needs and interests to the many potential ideas you come across. Train Hobby Club – The collection for the train hobbyist is numerous, everything from the train itself to the landscape and surrounding villages will keep your resident busy. Look for a location in the facility where you can leave the train convoy permanently set up for residents to watch throughout the day. Men’s Choral Group – Rehearse all time men’s favorite songs to musical accompaniment or a Capella style. Let your residents listen to past male entertainment groups (Miracles, The Four Tops, The Platters, etc.) Car Talk – Collect car magazines and new car brochures and solicit a discussion about new cars vs. the old cars, foreign vs. domestic, manual vs. automatic transmission, 2-door, 4-door, convertibles, etc. Car Wash – A simple hose, bucket, soap, sponges, and towels is all that’s needed. Solicit facility staff members to volunteer their car for washing. Each resident may choose whether to wash, rinse, dry, or just watch the scrubbing and polishing busy work. Rope Tying – Former professionals and wanna-be ship mates will enjoy trying and re-trying various rope techniques to get it right - while sharing sea worthy tales. If there is no sea captain in the crowd just purchase the many rope tying teaching books out there and dawn your sailor hat to get the ship moving. Santas Workshop – Doll houses, airplanes, train kits, bird house, mailboxes etc., make for a super great Santa Shop assembly line. Finished product can be donated to non-profit organizations such as Toys for Tots during the holidays. Your men will love knowing how meaningful their labor of love will be to a child. Sports Time – Watching a live or a pre-recorded horse race, ballgame, boxing match on a big-screen will get the crowd in the mood. Set out peanuts, popcorn, and pretzels. Serve non-alcoholic beer and soda. NOTE: keep in mind any issue with potential chocking risk/consult with nursing. Competitors Club – Horseshoes, bean bag tosses, badminton, and bocce ball, balloon toss are fun games that involve a lot of movement while encouraging interaction, socialization, and teamwork. At the Movies – Ask the residents to select a film (a western, war movie, or mystery). Schedule a matinee or an evening showing. Supply hot-buttered popcorn, movie-style candy, and soda (if permissible- relating to potential chocking/consult with nursing). NOTE: War movies may be triggering for some residents. Be sure to vet your residents for potential behavior relating to aggression that may be triggered from viewing war movies. Honoring Veterans – Military veterans are often eager to exchange stories about the war days as a way to bond and honor veterans and the past memories. Create a list of “military positions” held by your resident and post in an easily visible location to honor their service. Casino Night – Organize a game of dominoes, checkers, chess, or a card game (poker or Blackjack). Be sure to decorate with all the ambiance and glitz and glamour to set the tone. Arches ranging from roulette wheel to gleaming gold circle to let the residents make an entrance. Tool Bits – Provide a variety of different sized nuts, bolts, and washers and a few empty containers. Either direct the person to sort the items or assemble the items and start up a conversation and provide pictures about what each item might be used to make. NOTE: Be aware if there is any evidence whereas you believe that your resident may want to ingest non-consumable items. Trade Show – Journey out to a local hardware store, such as Home Depot or Lowe’s. Make a project list and ask the men to find the supplies to complete the job. Many men enjoy discovering new tools and many will spend countless hours at a hardware or home-improvement center. Shoe Shine – Contac a local shoe shop to enlist the tradesman to come to the facility to show off his craft to the men of the house. Your residents can wear their Sunday best shoes for this shoe renovation. Offer newspapers, magazines, books for reading while resident shoes get a new lease on life. The smell of shoe polish may evoke memories and provide opportunities to reminisce. Card or Coin Collection Club – Many men collected and traded baseball cards or coins when they were young. Gather a collection of baseball cards or coins and set up a sorting/organizing station. Obtain detailed information about the items to share with the residents. Encourage the men to talk about their baseball or coin favorites and share how they acquired their treasures. Career Day – Gather a collection of photographs with a focus on jobs, occupations, and careers. (Also consider: colleges, military service, sports activities, clubs or organizations, hobbies or leisure activities.) Encourage the person to discuss the photographs and their past employment. Pass around various hats representing different careers and ask residents to talk about which occupation they think the hat belongs to. Share information about each career such as, educational requirements and potential earnings. M. Celeste Chase, AC-BC, ACC, CDP Activity Directors Network - MEPAP 1&2 Begins the 1st Tuesday of every month. ActivityDirector.org 1.888.ADU.0444
  20. Is your facility ready for the NEW Behavioral Health Regulations? Kathy Hughes has written an all inclusive CE Course to guide you and your team through the new regulations. This is a 15CE NCCAP PreApproved Online Course The New Ftags were enacted to ensure residents effected by "Behavioral Health" are properly cared for and their needs met. This course was created to help you identify behavioral health issues in your residents and plan your programs in a purposeful way. Many examples are provided to guide you on your path to creating meaningful experiences. You are in a unique position to greatly improve the lives of those you serve and to help them in ways that may significantly and positively impact them. This course will teach you what is needed to satisfy your State Surveyors New Behavioral Health Regulations for providing care for residents with Behavioral Health conditions. We will compare exactly what is written in the regulations to the paperwork and forms we use everyday. Topics covered include: Conditions or Diseases that Fall within the Behavioral Health Category and Specific Ways to Address Each of Them. Assuring Careplans and Activity Programs are Compliant with the New Behavioral Health Regulations (f740-f744). This will be an exciting journey that will greatly improve the way your department addresses individual needs. This course will force you to look at things in a whole new light, while empowering you to take meaningful action. Let's begin! Visit Activity Directors Network at http://www.activitydirector.org/classroom
  21. MEPAP 1 & 2 Starts the 1st Tuesday of the Month --------------------------------------------------------------------- Subject: Great news from Lisa Drew (ME1&2 alumna) Date: Sat, 26 Jan 2019 15:41:27 +0000 (UTC) Dear Kathy-- I finished my MEPAP2 this past November and I'm moved to write and tell you that before I've even had a chance to take my NCCAP exam, I've been offered an amazing job! I will be opening and running the Life Enrichment Department at a new AL & Memory Care facility opening in the Spring here in the Nashville, TN area. It was absolutely a direct result of the work I did and the information and knowledge I got in your two courses that I was able to step up and demonstrate how prepared I was to run a department. I had forms and lists and ideas and plans and even a job summary for hiring an assistant I was able to present on my very first interview. More importantly, finishing the courses gave me a tremendous amount of confidence. Where I am today from where I was a year ago before starting the course is incredible. You gave me what I needed to get the job of my dreams. And even though it's not a regulation that I be an ADC for this position, I am sending in all my paperwork this weekend and will sit for the exam as soon as I can arrange it. Thank you again for the life-changing classes. Please feel free to use this letter as a testimonial for the course if you wish. Sincerely, Lisa ............................................... Subject: Re: Great news from Lisa Drew (ME1&2 alumna) Date: Mon, 28 Jan 2019 16:13:34 -0800 Hello Lisa, Congratulations! I am so proud of you. Let us know how the new job is going!Kathy
  22. Internal Validation to Prevent Job Burnout …. Author : M. Celeste Chase AC-BC, ACC, CDP Activity Directors Network - ActivityDirector.org 10/24/2018 Many of us, admittedly most of us, look for some level of external feedback in the form of recognition to measure the importance of what we do. Feedback from our family, friends, business associates or coworkers helps us to develop a sense of personal and professional contribution. But all too frequently we give away our power to others to rate how successful we are while working to achieve our goals. The success of our own internal ability to self-motivate will increase or decrease greatly when those external sources say yah or nah to what we do often leading to a maker or breaker attitude. We can always count on our loved ones to give us what we need to succeed but that is not the expected scenario out there in the working world. It is neither rewarding nor any fun to toil away at a job where your efforts go unnoticed. You are especially prone to those influences when the elements of your work are demanding both physically and emotionally. GIVE YOURSELF PERMISSION Give yourself permission to find reward and value in what you do. When we are waiting for those external sources to find time during that busy work day to give us praise for work well done, we stand in pause, a momentary state of waiting for validation and responses to unanswered questions. Are we valued, are we not valued for our work? Did we do as well as we thought we did – did we do as well as we wanted to? Permit yourself to self-reflect and self-rate what you do first and then proceed to include the input from those outside sources. Establishing a sense of a job well done is the best way to prevent burnout. Ask yourself if your still leaving work at the end of the day feeling satisfaction and excitement upon the thought of returning back to work the next day. SEEK DIRECTION Before evaluation date, pursue a dialogue with your work supervisor to ask how you are doing. Your approach should not be defensive but rather should be to seek better understanding of what is expected and whether you are on the right track. Ask for clarification if need be so you can make clear plan of action to meet your job requirements. You will ensure that you remain on target to be in line to move into another position of more responsibility if you have aspirations to do so. You are looking to partner with your supervisor in a way that supports the overall mission & goals of your department. Your supervisor will remember & appreciate this meeting when your actual performance rating is scheduled. EDUCATION There is never a time when we have learned it all; regardless of what position of professional status one may achieved. Continued education is not only consistently required to maintain certifications but continues to provide one of the largely single greatest source of renewed interest in any given career path. Learning sparks introspective thought that provokes one to look for better and more current strategies to improve delivery and discover more effective ways to offer the services provided. Job burnout is often seen to take hold when work tasks become mundane in nature or otherwise automatic and lack the need for individualized thought process, thus, mind stimulation through continued education provides a pathway that may prevent that “same old same old” mind set. YOU ARE NOT ALONE – JOIN THE TEAM Protect yourself from that “it’s me and me alone” feeling. No one success story in any profession, business or leadership role, was ever accomplished by just one individual alone. Plans are devised policies & procedures are written but it takes the entire team to create a synergy – whereas; combined effect of the sum of all is greater than individual efforts. Remember … “IT TAKES A VILLAGE” Here are a few qualities that a successful team possess. Group focus on goals and mutual support of each other’s achievements Everyone contributes their fair share – jointly collaborating towards a common action plan The team offers each other support & develops natural synergy amongst the group Unity of individualized members creates a collaboration of diversity that creates success Good leadership is balanced by each individuals unique leadership style Look around for Validation Look for those rewards that which is not spoken; those quiet subtle nuances that speak volumes. You will see that in the smiles, it will present in the body language, it will be reflected in the positive behaviors and in the active engagement of those you serve. Take time at the end of each day or week to reflect on what went well and what didn’t go as well. This task helps you to recall both what you’re good at and why you do what you do. Concentrate on the positive to nourish your self esteem and self-validate your achievements. Those external sources charged with rating you in the work world will also see that you have that special quality – that capacity to improve the quality of life of others in a meaningful way. “Look to move away from the desire to obtain external validation; fulfillment, job burnout prevention and real validation will come from within and will always lead to a proven success story.” Internal Validation to Prevent Job Burnout …. Author : M. Celeste Chase AC-BC, ACC, CDP Activity Directors Network - ActivityDirector.org 10/24/2018
  23. The value of what you do …. by M. Celeste Chase, ACC, CDP Activity Directors Network Not everyone is cut out for a career in the healthcare field. Those that pursue this career path come to the educational table with innate characteristics some of which can’t be learned or earned but rather are an intrinsic natural properties within their chemical makeup. Such are the qualities of today’s activity professional. Today’s activity professionals is tasked with undertaking the ability of building a program framework that offers emotional support and cognitive stimulation to an elderly population that may include those individuals that are op-positional, uncommunicative and in overall poor health. Not an easy do . . . . The foundation of the activity professionals’ program development for senior care facilities must incorporate several layers of pursuits that speak to a diverse range of elderly population. The program must appeal to those that remain present in time and able to gravitate towards independent leisure interests to those that are “in their own world” and challenge the activity professional to elicit a response. The “body of knowledge” study topics for these healthcare professionals are in-depth. Curriculum is comprehensive and includes but is not limited to regulations, management/personnel, legal and ethical issues to human development, spirituality, biology, sociology and psychology of the aging and the education links the undeniable connection between clinical and emotional management to improve well being. Published studies continue to substantiate that better emotional health significantly contributes to internal positivity and thus, improves the individuals overall health. The combination of characteristic qualities and educational knowledge are essential ingredients to the success of the activity professional. These professionals effectively devise daily affirmation programs that acknowledge the individuals’ history, family, contributions, and activities of preference for a wide range of ages, needs, interests and cultural diversity and value each individual’s life story. Ultimately healthcare professionals often have great responsibility placed upon their shoulders and the Activity Professional takes this in their stride, never underestimating the importance of the work they do. The measure of value cannot be measured through statistics – but there is no greater reward than the measure of value, gratitude and thankfulness that comes from the families and loved ones served by the Activity Professional. “Activity professionals actively seek to discover diversified ways to create and offer programs that support the unique individuality of our elderly population and the days past in a celebratory way.”
  24. What’s The Difference . . . between Adult Day Centers? Author: M. Celeste Chase, ACC, CDP Activity Directors Network 10/17/2018 -Medical, therapy and socialization centers -Socialization and safety centers -Alzheimer’s and dementia care facilities Adult Day Centers are either social or medical in nature with specifically trained and compassionate staff that creates programs to meet the needs, preferences and cultural differences of those they serve. These facilities offer supportive assistance by way of physical activities and cognitive stimulation and/ or medical care during the day-time hours (no overnight stays). Family members can plan for daily “predictable respite” for which they might use to relax or go to work or run necessary errands (without the added burden taking their senior loved ones with them). When participants go home to be with their families after a day at the center, families will find their loved ones happy, stimulated, alert and often more ready to sleep soundly through the night. Giving the entire family a most welcomed nighttime benefit which is often desperately needed. Without a doubt adult day health programming leads to improved well-being and increased socialization within a safe, nurturing and comfortable community setting. Medical vs. Social - There are two types of adult day care: Both provide a comfortable, secure place for a senior to reside during the day, enabling them to socialize, stay active, remain productive and enjoy an improved quality of life, Typically, the center provides one or two meals a day. Some centers provide transportation for pick up and/or drop off, which may or may not be included in the cost. The main difference between medical and social day care is that the medical model also provides an array of medical professionals, which may include on-site registered nurses, speech therapists, occupational therapists, physical therapists, social workers and registered dietitians. Keeping it simple; the easiest way to identify the difference between these two centers is to take a look at the name. An “adult day care” facility, without the word - “health” in the title are not required to adhere to the same standards and regulations and do not offer the availability of on-site health care professionals from a range of disciplines to provide clinical oversight. Adult Day Centers and Offerings Socialization and safety centers – Adult Day Care Adult Day Care Many centers have well-trained activity specialists who lead dynamic activities programs. These programs might include arts and crafts, intergenerational programs, music, cooking classes, exercise sessions, movies, discussion groups, live entertainment and trips into the community. Some care centers offer programs that are especially designed for physically frail individuals with special medical needs such as diabetes, hypertension and post-stroke disabilities, and those with mental health challenges such as dementia, confusion and Alzheimer's disease. The goal is to be an extension of the home environment with caring, personalized service. These centers rely on private pay reimbursement for services provided. Medical, therapy and socialization centers – Adult Day Health Adult Day Health centers offer all of the same services you would find in Adult Day Care centers mentioned above, in addition; they provide ” certified” amenities via trained health care professionals such as physical, occupational and speech therapies, nursing services, personal care, social services and much more depending on the individuals acuity level assessment. These centers are prepared and well equipped to enroll not only very independent individuals but also those with chronic physical illness and/or cognitively challenging needs. Most states have specific governing bodies that work to establish procedures for licensing and regulation standards to oversee the business of Adult Day Health “medical” care centers. These regulations are mandated and centers are required to adhere to guidelines and protocols to be given licensing privileges. These standards are not only specific to medical record guidelines but are also required for the centers to qualify to submit billing to Medicaid and/or Medicare for reimbursement of services on behalf of those participants pre-approved to receive these benefits. Alzheimer’s and Dementia Care centers – may be found in either social or medical model centers (medical facilities usually provide for more advanced stages of the disease). Many dementia patients are at risk for safety and cannot be left unsupervised. Progressive memory and cognitive decline may lead to potential for wandering, risk for self harm from misuse of everyday regular household items. This puts family caregivers in a difficult position, especially if outside help is scarce and/or family members are still working. Dementia programs at adult day centers typically utilize security features to prevent wandering as well as improved staffing ratios to ensure seniors are safe and their needs are met in a timely manner. This provides invaluable free time and peace of mind for the dementia caregivers. Skilled Adult day centers that specialize in the care of those with dementia are becoming more and more in demand in light of the increased numbers of seniors diagnosed with this disease over the past few years. Many states require centers to have staff members obtain specific dementia training to care for this population. Trained professionals are able to recognize those seniors that prefer quiet, solitude like environment while others are in desperate need of more stimulation. This expertise proactively minimizes potential disruptive behavior by addressing each individual’s unique needs. State regulations have been written to target this topic requiring medication management to modify behavior to be used only as the last option after it is documented that all non-pharmaceutical interventions have been implemented without success through the individualized care plan. Adult Day centers provide an array of activities for attendees to participate in; adapted to each person’s unique abilities to maximize enjoyment and minimize frustration. Many centers also offer flexible scheduling choices from attending just a few hours each day to attending the entire day for one or more days per week. The affordable cost of care for Adult Day allows these centers to be more accessible to a wide range of families for senior care options. Clearly, Adult Day Centers are the go to choice for those looking find support that fits into their family values and needs while allowing them to keep their loved one at home. Author : M. Celeste Chase, ACC, CDP All Rights Reserved Contact
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