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  1. Top 5 Stress Relief Games in 2020 Posted by Yana Yelina | Apr 15, 2020 Source: Mental Health Matters You certainly feel stressed from time to time: negative emotions and fatigue quite often come while you’re at work, and it seems really difficult to get rid of them, distract, and relax a little bit. To provide some examples, 80% of workers are stressed while managing their daily activities (especially those in the USA and China), and almost half admits they need aid in reducing stress and anxiety. Beyond that, according to the statistics, 75% of adults encounter moderate or high levels of stress during few months, with 1 out of 75 persons experiencing panic disorder. Stress is also a top health concern for US and Australian teens. There are several ways to cope with stress from reading a book to yoga. This article explains how you can use stress relief games to help manage your stress. 1. Bubble Wrap Bubble Wrap is a great game for reducing stress. Bubble wrap popping beloved by many people is now available virtually. Just press the bubbles with fingers and make them explode, thus, getting rid of destructive emotions. This free mobile app is also a time killer: you can play it while waiting in a queue or during a long and tiring trip. There’s an option to pop bubbles as long as you desire, or opt for a mini-game (Blitz Pop: the number of bubbles popped within a minute; Pop 500: the speed at which you pop 500 bubbles; Pop All: how fast you’ll be able to pop the whole sheet that includes 2,000 bubbles). The app offers a range of colors, pleasant sounds and allows users to change the bubble size. 2. Color Break Color Break grants a marvelous opportunity to relax and make fun. Try digital painting using your fingertips or stylus and relish an amazing variety of patterns. This app will help to encourage your creativity and forget about a tough day. This stress reliever game boasts an unlimited number of colors and lets users share finished works with friends via emails. This is a great “quiet” game that you can play at work without drawing too much attention your way! 3. Personal Zen Personal Zen is another game for handling stress and anxiety. The app was created with the assistance of neuroscientists, and it’s clinically proven to help people to battle painful emotions and exercise the brain for better wellness. Researchers say it is a bright idea to play Personal Zen a couple of times a week for about 5-10 minutes. However, the longer you play, the better influence on your well-being you experience. Furthermore, the game trains your brain so that you can concentrate on positive things in your life and throw away negatives. Just accurately follow the path of a friendly sprite on the screen without allowing the evil one to distract you. Mediavine 4. Paper Toss Paper Toss is a nice app to use during a break at work. Whenever you feel exhausted and need to relax, take a crumpled piece of paper to make it in a trash basket on your mobile phone. The game offers an automatic count of balls that reached the target, 7 levels of difficulty, stunning graphics, great flick control, natural sounds at the office with comments from angry co-workers, varying speed of the paper flight, and more. So, feel free to have a short break and rest with the Paper Toss app. 5. Relaxing Puzzler Relaxing Puzzler represents a meditative puzzle game with which you’ll be able to take your time and have a rest. Hypnotic soundtracks by Winterpark will give you an opportunity to meditate and reach the state of serenity without noticing the change. The app, inspired by meditative art styles, is easy to use: you just guide the energy by moving rocks around the mystic garden and relax to the full. Read Full Article This pandemic has been incredibly hard for our world. It hit like a ton of bricks and has lasted a great deal of time. It may even seem to most of us that it will never end. The truth is, our world has survived many events that were similar in a lot of ways. In this case, the 1918 Pandemic parallels the struggles that we are facing now. Thankfully, we have made great advancements in our knowledge, skill and understanding and that offers us some relief and tools that were not present in 1918. However, the fear, emotion and disbelief were the same for the people experiencing these events as they are for us. We are never alone in our experiences the way we tend to sometimes feel. The NY Times gathered some excerpts from survivors of the 1918 Pandemic and their insights and thoughts echo much of what can be heard today during this Covid 19 Pandemic. While it is devastating to endure, perhaps we can take heart in the fact that others have gone before us and have come out the other side. Things are ever changing and while this may feel permanent, it will eventually morph into something different. Things will eventfully settle and security will return one day. Below are some of the excerpts from the NY TImes article for you to read and even share with your residents. The full article is linked below it. Memories of the 1918 Pandemic From Those Who Survived Source: https://www.nytimes.com/2020/04/04/us/spanish-flu-oral-history.html Nearly everyone who survived the 1918 flu pandemic, which claimed at least half a million American lives, has since died. But their memories, preserved in oral history interviews, shed light on its indelible impact. Bustling major cities and rural towns were brought to their knees, as transportation, law enforcement, commerce and civic life were wiped out. On the scale of death “They were stacked up in the cemetery and they couldn’t bury them. I was living on 31st Street. then. And that was a two-way street then, you know, and it’s one-way now. But people that died over this way had to be buried over this way and they used to have a funeral procession coming this way. And they used to be crossing. You had, they had to come to this bridge, coming one way or the other. And people would be there. And I would be laying in there and I says, I looked out the window and says, ‘There are two funeral processions. One going one way and one going the other way meeting like that.’ And that’s the way it was. There wasn’t a lot of comforts in those days. But it didn’t worry me. I was taking care of myself. What I mean, I wasn’t thinking about it. I wasn’t knowing whether I was going to die or what. I was just figuring it’s got me, and everything else is going on.” — Clifford Adams, Philadelphia, 1984 On fear of the contagion “That was the roughest time ever. Like I say, people would come up and look in your window and holler and see if you was still alive, is about all. They wouldn’t come in.” — Glenn Holler, Conover, N.C., 1980 On the human cost “They were dying — many families losing one or more in their family. It was getting so bad, the deaths, they even, they had to use wagons drawn by two horses to carry people to the grave. I remember seeing them past the house, seems like to me now it was every day. … At that time, when the phone would ring, when my mother or my father wanted to listen in, and they would turn to us, and they would name the person they just heard had died. It was night and day that you would hear about these people dying. My father never got the flu but he would go to town and buy groceries for the neighbors and take it to the front porch. And we didn’t get the flu at all in our family, but it was terrible.” — Robert McKinney Martin Jr., 1996 Read Full Article You are what you eat. Scientists have fast been connecting nutritional intake and food sensitivities with mental illnesses and behavioral issues. There is no way around it, what you fuel your body with needs to be clean and recognized as real food. This is especially important during times of great stress or when a strong immune system is pertinent. If stress is not managed, it may wreck havoc on your health down the road in the form of physical symptoms. According to Eating Well, there are a several foods you should consider throwing into your diet, and perhaps your food cart, that can specifically help with stress relief. 7 Foods for Stress Relief Source: Eating Well Stress can take a toll on your body’s natural defenses, but eating the right foods can offer relief. 1. Snack on Nuts 2. Add in Red Peppers 3. Serve Salmon Twice a Week 4. Bust Out the Spinach 5. Fill Up on Oatmeal 6. Indulge in Dark Chocolate 7. Sip Tea Read Full Article Activity Starter Create a Tea Cart with a variety of stress relieving teas and some dark chocolate. Pick approximately 3 different tea types and provide disposable cups, hot water, honey and lemon slices. Some good stress relieving teas are: Chamomile Lavender Peppermint *Kava (*this one has one of the strongest sedative effects.) Passionflower The Stress Diet This diet is designed to help you cope with the stress that builds during the day. Breakfast ½ grapefruit 1 slice whole wheat toast (dry) 8 oz. skim milk Lunch 4 oz. lean broiled chicken breast 1 c. steamed spinach 1 c. herb tea 1 Oreo cookie Mid-afternoon snack Rest of Oreos in the package 2 pints Rocky Road ice cream 1 jar hot fudge sauce Nuts, cherries, whipped cream Dinner 2 loaves Garlic Bread with cheese Large deluxe pizza 1 large pitcher of Beer 3 Milky Way candy bars Late evening snack Entire frozen cheesecake (eaten from freezer) Rules for this Diet: If you eat something and no one sees you eat it, it has no calories. If you drink a diet soda with a candy bar, the calories in the candy are cancelled out by the diet soda When you eat with someone else, calories don’t count, if you don’t eat more than they do. Food used for medicinal purposes never count, such as hot chocolate, brandy, toast and cheesecake. If you fatten up everyone else around you, then you look thinner. Movie-related foods, such as Milk Duds, buttered popcorn, Junior mints, Red Hots, and Tootsie Rolls, do not have additional calories because they are part of the entire entertainment package and are not part of one’s personal fuel. Cookie pieces contain no calories. The process of breakage causes calorie leakage. Things licked off knives and spoons have no calories if you are in the process of preparing something. Foods that are the same color have the same number of calories, Examples: spinach and pistachio ice cream; mushrooms and white chocolate. Note: chocolate is a universal color and may be substituted for any other food color. - Author Unknown Courtesy of: Allison Bennett, AD-TXC Enroll Now Over 90 Graduates last Month - NAAPCC.net "The Most Trusted Credentialing Body in the Industry." Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2020 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  2. The Introduction- Meeting Your Resident There is a skill in the art of introducing oneself and every healthcare professional must possess well practiced expertise in this area. The very essence of successful wellness care relies on this ability. This first meet and greet frequently establishes the baseline from which “trust” is built and that’s a seriously powerful tool for those wishing to care for others. You will find yourself doing this introduction repeatedly throughout your workday, and this one action will either hamper your relationship with those you serve or greatly lead to open and trusting exchange. Here are a few reminders about how to introduce yourself to your resident. Use your first and last name. You may wear a name badge to help participants remember your name until they become familiar with you. Even if your resident has short-term-memory issues, he/she will understand and appreciate this small formality. Call your resident by Mr./Mrs. and their last name as well. Those wishing you to use their first names or last name only will tell you so or may announce a preferred nickname. Endearing terms are NOT permissible. Avoid using terms like “sweetie” or “dear” remind yourself that these are very grown up adults; such terms are offensive and patronizing. Use a relaxed and friendly tone of voice. This will help establish a relaxed conversation. In addition, a relaxed tone will also serve to increase the residents’ confidence in your abilities. Keep the volume of your voice at a regular level unless it becomes evident that he/she is having difficulty hearing you. Remember that your “body language” will say more than words. Body language is the physical clue that we use often without thinking. Some examples of positive body language are smiling, a touch, nodding and making eye contact with the person who is talking. Examples of body language that express displeasure are frowning, raising an eyebrow and folding our arms over our chest. Body language should match what you are saying. Even people with severe memory problems who have difficulty understanding what you say, can still “read” your body language. Establish eye contact. This means looking at the person to whom you are talking. Eye contact tells the other person you are listening and that you mean what you are saying. Directly face the resident when you speak and get to his/her level (if they are sitting, sit down next to them). Keep in mind, however, and respect different cultural backgrounds and the possibility that they may interpret direct eye contact differently. It can be viewed as confrontational or authoritative posture – know this about your resident. Many older people have difficulty hearing and unconsciously rely on “lip-reading” to understand what others are saying. Never shout; it raises the pitch of your voice. Many older people lose the ability to hear high-pitched sounds. That is why many older people tell you they can understand a man’s voice better than a woman’s voice. Listening is extremely important. It is often more important to “zip your lip” and focus on what the other person is trying to tell you than it is to speak. It takes older people longer to react than the younger ones. Give older people plenty of time to respond to your questions/comments, never make them feel that time is of the essence. Communication is important in all interactions and it is the bridge to successfully learning the wants and needs of your resident. From introductions to day-to-day communication, you will establish a trusting relationship with each resident that forms mutual respect that dissipates the residents’ hesitation and opens the door for you to become his/her champion. 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. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2020 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  3. Infection Prevention and Control Assessment Tool for Nursing Homes Preparing for COVID-19 There is never an issue of too much information or repeated redundancy of information when it comes to the current pandemic [COVID-19]. Take a moment to review these CDC overview guidance published May 8, 2020. CDC provides the much needed up to date research and educational materials on the topic – visit: https://www.cdc.gov/coronavirus/2019-ncov/hcp/assessment-tool-for-nursing-homes.html CDC’s COVID-19 Infection Control Assessment and Response (ICAR) tool was developed to help nursing homes prepare for coronavirus disease 2019 (COVID-19). Nursing homes and other long-term care facilities can take steps to assess and improve their preparedness for responding to COVID-19. This ICAR tool should be used as one tool to develop a comprehensive COVID-19 response plan. This tool may also contain content relevant for assisted living facilities. Health departments can use this tool to assess infection prevention practices and guide quality improvement activities (e.g., by addressing identified gaps). This tool may be used for remote (e.g., by telephone or video chat) or onsite assessment. This tool may also be used by healthcare facilities to conduct internal quality improvement audits. ICAR Items assessed in the ICAR support the key strategies of: Keeping COVID-19 out of the facility Identifying infections as early as possible Preventing spread of COVID-19 in the facility Assessing and optimizing personal protective equipment (PPE) supplies Identifying and managing severe illness in residents with COVID-19 Areas assessed in the ICAR include: Visitor restriction (HCP)[ 1 ]Education, monitoring, and screening of healthcare personnel Education, monitoring, and screening of residents Ensuring availability of PPE and other supplies Ensuring adherence to recommended infection prevention and control (IPC) practices Communicating with the health department and other healthcare facilities Health care personnel (HCP) are defined as paid and unpaid persons serving in health care settings who have the potential for direct or indirect exposure to patients or infectious materials. The following link takes you to CDC published guidelines for Infection Prevention and Control Assessment Tool. This is an infection control assessment and response tool (ICAR) that can be used to help nursing homes prepare for coronavirus disease 2019 (COVID-19). This tool may also contain content relevant for assisted living facilities. https://www.cdc.gov/coronavirus/2019-ncov/downloads/hcp/assessment-tool-nursing-homes.pdf We wish to thank you for caring for our elderly population and for unselfishly dedicating yourself as essential personnel on the front lines each and every day, particularly during today’s current challenges - you are truly making a “world” of difference. . . With heartfelt gratitude from all those you serve and their loved ones! Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org This course will provide the Activity Director with the reasons that fostering inter-generational relationships are so beneficial for both younger and older populations. At one time families lived close to one another and developed deep relationships. In this course I will provide background on family traditions and help you to understand the importance of keeping younger and older people connected. Spending time with each other, being involved with each other’s activities, and showing love for one another gives each group a reason to live more fulfilling lives. Small children bring joy and delight to the elderly just by being in their presence. When teens and young adults listen to and appreciate the elderly reminiscing about life experiences it gives the elderly a feeling of significance. Many examples of existing intergenerational programs, ideas for group activities, 1-to-1 activities including family history discussion questions, arts and crafts projects, and educational activities are included in this course. Just remember we walk along the path of life together and that is what we want our younger and older population to do. Workshop Objectives: Upon completion the student will understand how intergenerational relationships benefit both young and old. The student will understand the importance of implementing programming that creates social connections between residents and children, teens, and young adults through activities. Upon completion the student will have many new ideas that will inspire them to start their own intergenerational program in their facility or in the community. The student will have a variety of activities, projects, and educational materials that may be incorporated directly into their activity programming. Workshop Content: Family Traditions of the Past Where We are Today Preschools within Nursing Homes Intergenerational Programs for Nursing Homes Intergenerational Programs in the Community Group Activities 1-to-1 Activities Arts and Crafts Projects Educational Activities Resources 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. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2020 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  4. Why ADLs and IADLs Matter These terms stand for Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). They represent key life tasks that people need to manage, in order to live at home and be fully independent. Accurate assessment of the individuals “ADLs or IADLs” functionality are in great part essential information to planning facility programs that meet the needs of the resident population served. Difficulties with ADLs and IADLs often correspond to how much help, supervision, and hands-on care an older person needs. This can determine the cost of care and the level of care within a residential living facility. It also determines whether someone is considered “safe” to live at home or even whether a person meets eligibility requirements for certain long-term care services. Activities of Daily Living (ADLs) These are the basic self-care tasks that we initially learn as very young children. They are sometimes referred to as “Basic Activities of Daily Living” (BADLs). They include: Walking, or otherwise getting around the home or outside. The technical term for this is “ambulating.” Feeding, as in being able to get food from a plate into one’s mouth. Dressing and grooming, as in selecting clothes, putting them on, and adequately managing one’s personal appearance. Toileting, which means getting to and from the toilet, using it appropriately, and cleaning oneself. Bathing, washing one’s face and body in the bath or shower. Transferring, which means being able to move from one body position to another. This includes being able to move from a bed to a chair, or into a wheelchair. This can also include the ability to stand up from a bed or chair in order to grasp a walker or other assistive device. For each ADL, people can vary from needing just a little help (such as a reminder or stand-by assist*) to full dependency, which requires others to do the task for them. *Stand-By Assistance refers to the need for someone to assist another individual performing activities that are basic to daily living. Unlike someone who needs continual supervision (i.e. all the time), a person who needs standby assistance has to have a caregiver within arm's reach of the individual at all times to prevent, by physical intervention as necessary, injury to the individual while the individual is performing the activity of daily living (ADL), for example, being ready to catch the individual if the individual falls while getting into or out of the bathtub or shower as part of bathing. Instrumental Activities of Daily Living (IADLs) These are the self-care tasks we usually learn as teenagers. They require more complex thinking skills, including organizational skills. They include: Managing finances, such as paying bills and managing financial assets. Managing transportation, either via driving or by organizing other means of transport. Shopping and meal preparation. This covers everything required to get a meal on the table. It also covers shopping for clothing and other items required for daily life. Housecleaning and home maintenance. This means cleaning kitchens after eating, keeping one’s living space reasonably clean and tidy, and keeping up with home maintenance. Managing communication, such as the telephone and mail. Managing medications, which covers obtaining medications and taking them as directed. Why ADLs and IADLs Matter Generally, older adults need to be able to manage ADLs and IADLs in order to live independently without the assistance of another person. It’s important to understand ADLs when determining the proper level of care for the individual resident. Some ADLs require minimal care while others, like toileting, require 24/7 care. Geriatricians assess ADLs and IADLs as part of assessing an older person’s “function.” Problems with ADLs and IADLs usually reflect problems with physical health and/or cognitive health. Identifying functional difficulties can help us diagnose and manage important health problems. Another crucial role ADLs play is in providing a standard that many insurance companies use to determine the level of coverage to provide. The number of ADLs a senior needs help with, will usually determine whether or not they qualify for assistance in paying for an assisted living home, a nursing home, or in-home care. For many long-term care insurance policies, the inability to perform two ADLs or more is the point where the insurance provider will start paying on the policy. https://www.pioneernetwork.net/wp-content/uploads/2016/10/Definitions-of-Common-Terms-Used-in-Long-Term-Care-and-Culture-Change.pdf Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org Workshop Objectives: Upon completion the student will understand the concept of unconditional love between a pet therapy animal and a person. The student will know the different purposes of therapy pets. Upon completion the student will understand the many benefits of pet therapy. The student will read a wide variety of Teacher Tales to illustrate the benefits. The student will be given information on several national pet therapy organizations that they can draw from to get their own pet therapy program started. Workshop Content: Love—Our Basic Need What is Pet Therapy? Benefits--Importance of Pet Therapy Pet Therapy Visits In-House Therapy Pets Inviting A Team to Your Facility Resources Information and Sample Forms of National Organizations ENROLL Now Now Enrolling for the September 1st class - Visit ActivityDirector.org to enroll. 114 Graduates this month! NAAPCC.net Est. 2011 Members NCCA Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2020 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  5. National Day of Prayer September 1st Celebrate by organizing a prayer circle. Get permission from residents who wish to participate to pass their prayer request to another resident, creating a prayer chain. Encourage participants to try organizing their prayers utilizing the ACTS of Prayer. Below is some guidance on this practice: “Do you ever sit down to pray and just not know what to say? ‘ACTS’ is a common acronym that Christians use for leading themselves through these moments. Using this well-known tool, you’ll first pray in “adoration” of God, then in “confession,” thanksgiving,” and supplication [petition].” It was used famously by Billy Graham. But it’s no modern fad, its oldest usage dating back to 1883. Many believers throughout the years, including me, have needed help knowing what to pray and how to pray it. I’m grateful that ACTS reminds us all to worship, repent, and express gratitude before we present our requests for help. It’s good practice in putting ourselves last, as Jesus would have us do (“So the last will be first…” Matthew 20:16).” Excerpt from Hosting a Bible Study by Allison Lewis Bennett, AD/TXC Source: Anchor Devotional by Haven Ministries. Oct 2016 Ed. Now is the time to connect more than ever and we are forced to make those connections using technology. Add some variety and intimacy to the interactions by panning this heartwarming activity for September. Have your interested residents record themselves reading one of their favorite stories on a video for their grandchildren. Many books can be found for free online or accessed through a Kindle Unlimited account. The other option is to have the child’s parent use a book the child already owns and loves. The resident could read the transcribed words while the parent follows along at home, showing the child the pictures. Be sure and have the family members records the video for a special memory. NOTE: These videos are for personal use only. Special permissions are generally needed for reading an author’s work in a public video, for example your facility’s website. Free Queso Day September 17th The Queso Cart Celebrate Free Queso Day by setting up a Queso Cart! It flows right off the tongue, right! I included a recipe below that should be flexible enough to suit all tastes, provided you exclude or reduce some of the hotter components depending. Click the button below the ingredients list to read the full directions and there is even a video you can click on if you prefer to watch the directions. Serve in a single serve disposable cup with a small bag of chips or other cheese carrier. Topping Suggestions Pico Avocado Jalapenos Ground beef Lime wedge Drink Suggestion Limeade Crockpot Queso Total Time: 1 hour Servings: 16 people Author: Becky Hardin - The Cookie Rookie Ingredients 2 14.5 ounce cans Fire-Roasted Tomatoes with Green Chilies Rotel-style 2 12 ounce cans whole fat evaporated milk Juice of 1-2 limes 1 pound white American block cheese, cubed or thinly sliced and chopped 1 pound yellow American block cheese, cubed or thinly sliced and chopped 1 pound Velveeta Queso Blanco cheese, cubed 1 7.06 package shredded Supremo Mexican Blend cheese ½ bunch cilantro chopped 2 tablespoons olive or canola oil 2-3 jalapeno peppers seeded & ribs removed, diced ½ medium yellow onion diced 1 teaspoon ground cumin ¼ teaspoon crushed red pepper flakes 1 teaspoon chili powder optional Get Full Recipe HERE National One-Hit Wonder Day September 25th Play some of these songs for your residents and see if they remember any of them. Which ones were their favorites? One Hit Wonders from the 50’s The Silhouettes – "Get a Job" (1957) Ronald & Ruby – "Lollipop" (1958) Bobby Day – "Rockin' Robin" (1958) The Monotones – "The Book of Love" (1958) Laurie London – "He's Got the Whole World in His Hands" (1958) The Jamies - "Summertime, Summertime" (1958) Frankie Ford – "Sea Cruise" (1959) The Mystics – “Hushabye” (1959) Larry Hall – "Sandy" (1959) Source: https://en.wikipedia.org/wiki/List_of_one-hit_wonders_in_the_United_States 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. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2020 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  6. You may not think you will want to reflect on this time, but one day you will. This is a momentous time and is incomparable to any other health event in our history. You are the front line workers, who are dedicating yourselves day in and day out for the well being of your residents. Take this time to create a capsule that you and your residents can dig up at a later date when the dust has settled so that you can truly take in what you all accomplished. You can never doubt your strengths or resilience again! Quarantine Time Capsule Materials Shoe Box/Plastic Box/Empty Paint Can Markers Shovel Personal Items Examples Pictures A craft made during this time Newspaper articles Thumb drive with documents/conferences/music Grocery store receipt Letter to your future self Journal entry about your current struggles and favorite memories Prediction about how the quarantine will come to an end and when Angel figurine to watch over the capsule Directions Decorate your capsule with phrases or words that represent this time period. Be sure and include the date. In the example picture above, the individual took pictures and coupons ads and used Mod Podge to adhere them to the can. Fill your box with items that you feel you or your residents may benefit from reflecting on in the future. Seal your box closed and bury it somewhere around the facility. Make a map showing where it is buried and hang it in the facility with the planned open date displayed. Choose an open date that is at least one year from the date of creation. Puzzle time looks quite a bit different then it use to around our facilities. Making this easy and quick portable puzzle board gives your residents the freedom to work on their puzzles while in their doorways or other areas that are less isolated then their rooms. You could create a Puzzle Time where your interested residents all come in their doorways with their puzzle boards and work on them together with a bit of distance and socialization. Load your cart up and serve snacks while they work. DIY Portable Puzzle Board Yields 1 Materials 1/2" Board, cut to about 23x30 Decorative Duck Tape Set of Handles Directions Purchase 1/2" scrap wood from your local home improvement store. Most offer a service that will cut the board to the size you need at no extra cost. Wrap the edges with decorative duck tape to prevent splinters and to add style. Screw in handles on either side. Voila! Shot Glass Appetizers Single serve disposable food items are the order of the day! We all need creative ways to serve our residents, while offering a bit of variety into the mix. Enter: Shot Glass Appetizers! These fun recipes give you the opportunity to be creative with your choices, while still being mindful of germs. There are tons of combinations that can be utilized and plastic shot glasses can be purchased relatively inexpensively. Check out some of the options above to get you going. A quick internet search will provide you with tons of ideas and recipes to get you started right away. Cheers! Combination Ideas Veggies and Dill Dip Fruit and Cream Cheese Dip Olive Medley and Feta Cheese Tomato Soup and Mozzarella Cheese Sticks/Grilled Cheese Triangle/Pimento Cheese Triangle Whipped Cream, Strawberry and Angel Food Cake 7 Layer Bean Dip and Tortilla Chip Pudding and Vanilla Wafers Shrimp and Cocktail Sauce or Tartar Sauce Churro Bites and Caramel Sauce Meatballs and Marinara Sauce Vintage Health Poster Circa 1950 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. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2020 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  7. From NAAPCC NAAPCC DOES MEET FEDERAL TAG #658 NOTICE TO ALL ACTIVITY PROFESSIONALS Contrary to a notice posted 7-1-20 sent out by another organization, NAAPCC DOES meet federal Tag #658 as it is written and will post the full regulation on our website. You can also find it at the CMS website. The regulation states that CMS accepts the standards of ANY accrediting body or State Association, not just NAAP. The Training courses accepted under F Tag 680 only have to meet State approval. They DO NOT need to meet NAAP's approval or be accepted by them. NAAP is a membership organization for Activity Professionals, just as there are other organizations for Activity Professionals. No organization has the authority to approve someone else's work or decide what CMS will accept, nor is that stated anywhere in the regulations. NAAP has their own education and it would be a conflict of interest for them to approve or not approve other courses. The Creators of the NAPT course have no obligation to hand it over to anyone else for review. While NAAP is mentioned by name in one section, along with several other entities in F Tag 658, it is not an exclusive recognition, and following NAAP's name is the word "etc", meaning other organization standards are also recognized, including State Associations and Accrediting bodies, which does in fact include NAAPCC. Please be assured the information released is inaccurate. CMS has been recognizing and accepting NAAPCC certifications since 2011 and they also accept any State approved course per F Tag 680. If NAAP chooses to not promote other courses or certifications, that is their right, but they have no authority to decide what meets regulations. Please read below! The Highlighted sections dictate how NAAPCC meets the regulation. NAAPCC Standards are posted on the website. Recommended resources for manuals, etc., are also located on our website. o F658 GUIDANCE §483.21(b)(3)(i) “Professional standards of quality” means that care and services are provided according to accepted standards of clinical practice. Standards may apply to care provided by a particular clinical discipline or in a specific clinical situation or setting. Standards regarding quality care practices may be published by a professional organization, licensing board, accreditation body or other regulatory agency. Recommended practices to achieve desired resident outcomes may also be found in clinical literature. Possible reference sources for standards of practice include: • Current manuals or textbooks on nursing, social work, physical therapy, etc. • Standards published by professional organizations such as the American Dietetic Association, American Medical Association, American Medical Directors Association, American Nurses Association, National Association of Activity Professionals, National Association of Social Work, etc. • Clinical practice guidelines published by the Agency for Healthcare Research and Quality. • Current professional journal articles. Our credentials are recognized by CMS under F tags 658 and 680. If you have any questions or concerns please call the office at 303-317-5682 or email us at naapcc.office@gmail.com. We're here to assist you in any way we can. NAAPCC NAAP Credentialing Center 17840 Weymouth Ave, Parker CO 80134 United States You received this email because you signed up on our website or made a purchase from us. Unsubscribe
  8. Lockdown Continues .. All of our CE Classes On Sale! 33% Off - As long as we are stuck inside we might as well make the most of it. New CEs by Celeste Chase, AC-Edu-BC, ACC, CDP, CMDCP , The Care Plan - A Road Map This course lays out the Care Plan procedure in a Person Centered dialogue, not the same old cookie cutter care plan, Explore new insights and planning tools to re-invent your way of thinking about care plans. New from Instructor: Allision Bennett, ADC/TXC Hosting a Bible Study One thing you do not want to do is to host a Bible Study with a group of elderly folks and not know your stuff !!! This course provides the basics of studying the Bible so that you will have some foundation to be better prepared to share with your residents. Studying the Bible can help you see the hope and joy that only Jesus can bring. New from Instructor: Gloria Hoffner Science for Seniors This course will guide you step by step in the use of everyday materials such as vinegar and baking soda to help residents discover their world. Instructor: Haley Burress "Must Play Well With Others: Training Your Team and Other Departments" Federal and State guidelines require Activity Professionals to train all disciplines on how to assure that each resident gets a great quality of life. However, in all types of care settings, this can be a challenge for even the most accomplished Activity Professional. This course will teach you a variety of ways to inspire, encourage and lead your team, as well as passing on that inspiration to different disciplines too. You will have the opportunity to learn how to train in a short amount of time, how to structure in-services, and how to keep Activities at the forefront of everyone’s mind. Instructor: Dr. Alison Ward "Therapeutically Enhanced Group Activities" This workshop focuses on relevant literature, experiential exercises, and skills that an activity professional would need to “therapeutically enhance” an activity group. This workshop rose out of a concern that older adults in the nursing home were not provided with enough opportunities to grow and develop. It incorporates theories of lifespan development, tenets of life review, existential-person-centered psychology, and basic listening skills. The intent is for activity professionals to use the knowledge, skills, and attitudes they have gained from this workshop to “enhance” their reminiscence-based activity groups. Visit Activity Directors Network ActivityDirector.org Our National Activity Professionals Training courses for NAAPCC National Certification Begins Aug 4th - Now Enrolling - The NAPT Course provides an 8wk Advanced Activity Training Course giving you the training and knowledge to Pass your National Exam, plus it also provides you with all 36 CE credits, both published and live to meet the NAAPCC Certification requirements for National Certification. Do you have 1yr of experience in the past 3yrs working with the Elderly, Assisting, Directing, Volunteering? Do you have a High School diploma or equivalent? Will you be able to Pass the National Competency Exam after you finish this class? A. yes Will you have the 36 Required Published CE credits and Live Credits to Meet Path 1 and 2 for NAAPCC National Certification? A. yes NAAPCC AP-BC National Certification could be within your reach! Call or Email NAAPCC Credentialing Center at 303)-317-5682 naapcc.office@gmail.com "The Affordable Choice" The certifications for Activity Professionals recognized under CMS.gov F Tag 680 are the NAAPCC AP-BC & AC-BC, NCCAP ADC & ACC, CTRS, OTR, and COTA. Visit https://www.activitydirector.org/classroom and Fill-Out an Enrollment Form to save your spot. Also be aware that we have an OwnPace option if your Schedule is "a little crazy" The NAPT National Activity Professionals Training is taught by Celeste Chase, AC-BC, ACC, CDP, DMDCP - Celeste is NCCAP & NAAPCC Certified Educator and she was also Kathy Hughes Assistant for 8yrs, Our late Instructor. The Course Provides all the CE Requirements for Path 1&2 - NAAPCC Standards One Class, One exam, One National Certification NAAPCC "The Affordable Choice" Contact NAAPCC.Office@gmail.com Phone: 303-317-5682 Let their counselors reassure you you're on the right Path to National Board Certification See if you qualify! Check NAAPCC Standards NAAPCC Est. 2011 is the only Activity Credentialing Council that follows the ICE NCCA Standards for Accreditation They are NON-Profit. NOTE: SCAPA and Georgia Society will only advocate for NAAPCC National Board Certification. California, West Virginia, several States have NAAPCC Certified Instructors teaching Advanced Activity Programs for NAAPCC National Certification, Its your Choice! Your Affordable Choice . While you are enrolled and working towards any Accredited Certification Requirements you meet the F680 regulations set forth by the CMS.gov to insure each Activity Professional can complete their accrediting bodies standards. Here is the Federal Regulation For Activity Professionals from CMS.gov Most States do not have a State License or AD Register, these States are governed by F680 (most States) Section (ii) A . The Activities Program must be directed by a Activity Professional who is Eligible for Certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after Oct 1 1990. American Healthcare Association's Shelter in Place: Planning Resource Guide for Nursing Homes Keep Residents, Staff and Family Members up to date with this blank Covid-19 Newsletter Template. Made simply for your convenience: Step 1: Click on Button below Step 2: Fill in sections with your info. Step 3: Hit print or email. Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2020 Activity Directors Network, LLC All rights reserved. {suite_name} {reg_total} {member_posts} {suite_url}
  9. A free webinar about the importance of caregiver wellness programs and why they should be introduced more. 7/30/2020. Caregiver burnout is even more prevalent with COVID-19 precautions in place. Caregiver wellness is an important program in any senior living community, not only for the caregivers and residents, but the business side of senior living as well. Pulled from site: https://us02web.zoom.us/meeting/register/tZcoce6srjoqHdP6PXroj3E-shurAGMO0CHq "Stephen Cree, Director of Employee Wellness at Lifetime Wellness will discuss how you can improve caregiver wellness, how proactively focusing on staff wellness can benefit patient outcomes, as well as answer your questions about whole-person wellness in the senior living industry. Join us to receive actionable insights, tools, and techniques you can implement to combat compassion fatigue and address growing concerns. Highlights: – Discover how you can improve caregiver wellness in your community – Learn how to enhance patient outcomes by focusing on caregiver wellness – Receive tools and techniques to address and combat caregiver burnout – Be inspired by how caregiver wellness improves quality of life"
  10. I know you've had to cancel entertainers coming in, but we all know how important music and entertainment is for well being as well as a distraction. For that reason I have started a video series that will be available each week until we know what's going on with the virus. Each video series is me performing a concert for your residents online with fun backdrops and pictures. Each video is 45 minutes and you can watch them multiple times--there are no watch limits. New videos are added each Monday to keep variety in your entertainment. These videos series will be $50 each and available to you through a private link to YouTube that will be sent directly to you. I'm hoping this can help during this unusual time. We can share this with communities all over the United States, so let's share the joy! While the video series is Private and only for those that order, you can view a short video sample here https://youtu.be/0ukHDj520XY Jennifer Gilmore www.JenniferGilmoreSings.com YouTube.com/JenniferGilmoreSing 863-412-6697 --
  11. New Survey Guidelines for Nursing Facilities were issued April 19th Upcoming Requirements for Notification of Confirmed COVID-19 Among Residents and Staff ...more info
  12. Visit Website The American Healthcare Association invites you to share a message of support for our seniors. Click on the link below for more details and to see other's videos. Be sure and share some of these videos and stories with your residents so they know how much they are loved. LOVE is strengthening and healing. #CareNotCOVID Our MEPAP 1&2 Courses 2 Course Formats www.ActivityDirector.org - 1.888.238.0444 Structured Class (16 Weeks) - Begins the First Tuesday of each Month Self Paced Class (13 Weeks-1 Year) - Enroll and Begin Anytime Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. We envision facilities that feel like homes and that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe the exchange of education and wisdom between the most talented teachers and passionate students is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  13. Rob Sings for You remotely from Michigan! Hey Everyone, I am available at robcrozier123@gmail.com to offer live streams directly to whatever platform that we can configure together. I will say that Facebook works well. I can also do FaceTime or Skype. I offer a nice Sing a Long video (click for a sample of the actual video) to all of you on a sliding scale. I have recently posted a good quality St. Pat's concert for free. This was prerecorded and produced a little. Bio: Rob Crozier is a multi-instrumentalist performing throughout South East Michigan. Rob holds a BFA for Jazz and Contemporary Improvisation in Double Bass from University of Michigan. His teachers include Robert Hurst, Diana Gannett, David Friesen and Rufus Reid. Mr. Crozier’s twenty year musical career has included sharing bills with rock groups like Blues Traveler and Credence Clearwater Revisted, and jazz greats like Perry Robinson and Tony Malaby. Rob is the leader of “The Rob Crozier Ensemble” where he composes, plays jazz bass, didjeridoo and ethnic percussion. This ensemble tours the midwest as a featured artist in various festivals in support of his second CD, “Ocean Blue”. In addition to upright bass, Rob is sought after in Michigan as an electric bassist and plays with ensembles with styles such as Americana, folk, rock, pop, cajun, African and Celtic. He also performs regularly a “solo act” where he sings, plays guitarist, and harmonica. Mr. Crozier also actively performs and records with many exotic instruments such as didjeridoo, mbira, ethnic hand drums, For many years he was the curator of the live radio show, “Music is Freedom” on WCBN 88.3FM (U of Michigan radio) where his groups performed long, uninterrupted sets of improvised music. Rob is a main component of Nessa, where he helps Kelly arrange the ballads of the U.K. Here is a partial songlist: Take it Easy Old Time Rock n Roll Something Can't Buy Me Love Sixteen Tons Tiny Bubbles New York, New York Night and Day Ain't She Sweet All of Me All I Have to Do is Dream Amazing Grace Bye Bye Blackbird Clementine Crazy (Willie Nelson) Danny Boy Don't Fence Me In Down by the Riverside Five Foot Two Fly Me To the Moon Hey Good Lookin' Hound Dog A Four Leafed Clover I Saw the Light I've Been Workin' on the Railroad I've Got You Under My Skin Irish Lullabye Just a Closer Walk with Thee Kansas City Blues L.O.V.E. Oh Lady Be Good On the Sunny Side of the Street Ring of Fire Summertime Sweet Caroline Sweet Child Of Mine Take it Easy (Eagles) Tennessee Waltz When the Saints Go Marching In You Are My Sunshine
  14. 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.
  15. Activity Directors Network Online Classroom Visit ActivityDirector.org or call us at 1.888.238.0444 Our Online MEPAP Classes start Next Tuesday March 3rd 2020 We are now enrolling! 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 most 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, AC-BC, ACC, CDP, CMDCP 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, and start the class , we will wait on a Check . --------------------------------------------------------------------------------- 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 download the MEPAP 1 Enrollment Packet fill out the enrollment forms + purchase order if applicable. fax them in and you're ready to go. (fax 1+866-405-5724). Enrollment Packets >> click here>> 🔻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 , use the Make a Payment option on https://activitydirector.org - Call or email us to set up a plan that will work for you! Email Us - 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. 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 The Behavioral Health Programming Guide is a "Must Have" for your facility. Not only does this comprehensive guide explain the new Behavioral Health Regs But it lays out a plan of action to keep your entire facility in Compliance. Learn to evaluate your residents for the most common BH issues Learn to classify and develop activities and careplans with measurable goals. Most of all make sure your facility is BH Ready for your next State Survey $14.95 - in the AD Store - Digital Download Written By : Celeste Chase, AC-BC, ACC, CDP, CMDCP
  16. Hi Everyone!! Well, it's Hot off the Press and now into your hot little computer screens ready to entice you into coming to our next exciting and tasty show! So feast your eyes on the two attachments I've enclosed and tell all your friends, family and neighbors that you're planning on going to our show! You'll be glad you did. Why not have your own clan at your own table too!?? I love the music and mirth of the Irish so we'll truly be having one heck of a party and a show! You won't want to miss it! And if.. you didn't get a chance to visit the Airplane Park at the Proud Bird at the last show they'll be a tour with a docent as soon as the show finishes waiting to tell you all about their WW2 Planes in their newly remodeled park! So... here's an Irish blessing to leave you with.. May the luck of the Irish lead to happiest heights and the highway you travel be lined with green lights! And here's an Irish Fun Fact..The City of Chicago has been dying its River GREEN since 1962, it starts the morning of the parade at 9 AM March 17th! Be Well! And..YES..tickets will go on- sale on-line February 1st... but if you can't wait and want to send a check in ahead of time.. feel free! Just don't forget to tell me what you'd like for lunch! Always, I Live to Laugh! Bonnie Barchichat Executive Producer Senior Comedy Afternoons.com 714-914.2565 P.S. Please share this email with friends who can use some more fun, laughter and sociability in their life and then please feel free to give me physical addresses to add on to our growing mailing list. Who doesn't like mail!? P.P.S. Sponsors.. If you're Senior Friendly and want to meet our Audience here's your opportunity! Drop me a line and say tell me more! www.Here's the Proud Bird! ©2020 Senior Comedy Afternoons LLC. | 2313 Nelson Avenue, Redondo Beach, Ca. 90278
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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
  25. 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
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