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  1. 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
  2. Adaptive Strategies and Techniques Without a doubt, it is important to identify whether the residents have conditions and/or issues for which staff should implement adaptations to allow the resident to fully enjoy the experience. The following is a simplified reference guide examples of specific conditions and appropriate adaptations: Visual impairments: higher levels of lighting without glare; magnifying glasses, light-filtering lenses, telescopic glasses; use of “clock method” to describe where items are located; description of sizes, shapes, colors; large print items including playing cards, newsprint, books; audio books; Hearing impairments: small group activities; placement of resident near speaker/activity leader; use of amplifiers or headphones; decreased background noise; written instructions; use of gestures or sign language to enhance verbal communication; adapted TV (closed captioning, magnified screen, earphones); Physical limitations: the use of adaptive equipment, proper seating and positioning, placement of supplies and materials (based on clinical/nursing or physical therapy referral as appropriate) to enhance: Visual interaction and to compensate for loss of visual field (hemianopsia); Upper extremity function and range of motion (reach); Hand dexterity (e.g., adapted size of items such as larger handles for cooking and woodworking equipment, built-up paintbrush handles, large needles for crocheting); The ability to manipulate an item based upon the item’s weight, such as lighter weight for residents with muscle weakness; Use of only one hand: holders for kitchen items, magazines/books, playing cards; items (e.g., artwork, bingo card, nail file) taped to the table; c-clamp or suction vise to hold wood for sanding; Cognitive impairment: task segmentation and simplification; programs using retained long-term memory, rather than short-term memory; length of activities based on attention span; settings that recreate past experiences or increase/decrease stimulation; smaller groups without interruption; one-to-one activities; NOTE: The length, duration, and content of specific one-to-one activities are determined by the specific needs of the individual resident, such as several short interventions (rather than a few longer activities) if someone has extremely low tolerance or if there are behavioral issues. Examples of one-to-one activities may include any of the following: Sensory stimulation or cognitive therapy (e.g., touch/visual/auditory stimulation, reminiscence, or validation therapy) such as special stimulus rooms or equipment; alerting/upbeat music and using alerting aromas or providing fabrics or other materials of varying textures; Social engagement (e.g., directed conversation, initiating a resident to resident conversation, pleasure walk or coffee visit); Spiritual support, nurturing (e.g., daily devotion, Bible reading, or prayer with or for resident per religious requests/desires); Creative, task-oriented activities (e.g., music or pet activities/therapy, letter writing, word puzzles); Support of self-directed activity (e.g., delivering of library books, craft material to rooms, setting up talking book service). Language barrier: translation tools; translators; or publications and/or audio/video materials in the resident’s language; Terminally ill: life review; quality time with chosen relatives, friends, staff, and/or other residents; spiritual support; touch; massage; music; and/or reading to the resident; NOTE: Some residents may prefer to spend their time alone and introspectively. Their refusal of activities does not necessarily constitute noncompliance. Pain management: spiritual support, relaxation programs, music, massage, aromatherapy, pet therapy/pet visits, and/or touch; Solitary preferences/own room or is unable to leave room: in-room visits by staff/other residents/volunteers with similar interests/hobbies; touch and sensory activities such as massage or aromatherapy; access to art/craft materials, cards, games, reading materials; access to technology of interest (computer, DVD, hand held video games, preferred radio programs/stations, audio books); and/or visits from spiritual counselors; Altering sleep patterns: activities are available during awake time. Some facilities use a variety of options when activities staff are not available for a particular resident: nursing staff reads a newspaper with resident; dietary staff makes finger foods available; CNA works puzzle with the resident; maintenance staff take the resident on night rounds; and/or early morning delivery of coffee/juice to residents; Miscellaneous; Short-stay resident: “a la carte activities” are available, such as books, magazines, cards, word puzzles, newspapers, CDs, movies, and handheld games; interesting/contemporary group activities are offered, such as dominoes, bridge, Pinochle, poker, video games, movies, and travelogues; and/or individual activities designed to match the goals of therapy, such as jigsaw puzzles to enhance fine motor skills; Younger resident: individual and group music offerings that fit the resident’s taste and era; magazines, books and movies that fit the resident’s taste and era; computer and Internet access; and/or contemporary group activities, such as video games, and the opportunity to play musical instruments, card and board games, and sports Diverse ethnic or cultural backgrounds: special events that include meals, decorations, celebrations, or music; visits from spiritual leaders and other individuals of the same ethnic background; printed materials (newspapers, magazines) about the resident’s culture; and/or opportunities for the resident and family to share information about their culture with other residents, families, and staff. Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org The NAPT- National Activity Professionals Training Course is written and taught by Celeste Chase, AC-BC, ACC, CDP, DMDCP - NCCAP & NAAPCC Certified Educator. The Course Provides all the CE Requirements for Path 1&2 - NAAPCC Standards Do you have 1 year of experience in the past 3yr working with the elderly as an assistant, a director or other? Do you have a high school diploma or higher? Do you hate doing practicum lessons about tasks you have been doing for years? Do you have 8 weeks to take the National Activity Professional Training (NAPT) Class and pass the National Board Certification Exam? Do you have the MEPAP1 Course? It is accepted at the NAAPCC. Do you have money and time to throw away? If not, then the NAAPCC Activity Board Certification Path is for you! One Class, One exam, One National Board 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. "Your Experience Counts!" See if you qualify! Check NAAPCC Standards The certifications recognized under CMS F Tag 680 for Activity Professionals are the NAAPCC AP-BC & AC-BC, NCCAP ADC & ACC, CTRS, OTR, and COTA. NAAPCC Est. 2011, is the only Activity Credentialing Organization that follows the ICE, NCCA Standards for Accreditation. They are NON-Profit. Contact NAAPCC.Office@gmail.com Phone: 303-317-5682 Let their counselors reassure you you're on the right Path to National Board Certification "Your Experience Counts!" See if you qualify! Check NAAPCC Standards 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. Our mailing address is: 2010 US HWY 190 W Ste 120 Livingston, Texas 77351
  3. Become Activity Professional Board Certified (AP-BC) with : NAAPCC offers the most comprehensive and direct path towards CMS Approved Activity Professional Board Certification there is. The National Association of Activity Professionals Credentialing Center (NAAPCC) was formed in January of 2011, they are the most trusted independent body exclusively for the purpose of credentialing Activity Professionals that meet the standards and requirements set forth by the Center. They are the only credentialing body for Activity Professionals that follow the standards set forth by the National Commission for Certifying Agencies (NCCA). All Activity Professionals will need to successfully pass the competency exam to be issued a National Board Certification. This certification meets The Centers for Medicare and Medicaid (CMS) State Surveyors for Regulation F680 listed in the surveyor guidelines for Skilled Nursing Facilities, Adult DayCare, Assisted Living, Long Term Care, and Dementia Care. Certification Levels Career Growth Ever dreamed of one day becoming an Activity Consultant? Perhaps you would like to become an Activity Educator. The NAAPCC Certification Paths make career growth obtainable for all. Grow as your Experience Grows! (AP-BC) Activity Director - Board Certified (AAP-BC) Advanced Activity Director - Board Certified (AC-BC) Activity Consultant/Educator - Board Certified Certification Simplified NAAPCC Board Certification utilizes your work experience and streamlines your required coursework into one all inclusive course so that you can reach your career goals sooner! Note: Degree Holders If you have a Bachelor's Degree or Higher you don't even need to take the an additional course (refer to Path 1 under AP-BC)! Your experience hours and level of education supersede that requirement. The National Activity Professional Training Course (NAPT) Our NAAPCC Approved Training Course begins the 1st Tuesday of every month. It is completely online to accommodate the ever-changing world we live in and your busy lifestyle. This is the most up to date course curriculum that is designed to equip you with the knowledge and confidence to run the best activity department you can. The course is laid out in an easy to follow format, allowing you to work on it when it is convenient for you throughout your week. Exciting Live Webinars and interactive chats connect you with the some of the top experts in your field and allow for peer networking. Activity Professional Certification Made Simple. 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
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