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ActivityGal

Care Plans and the New Regs

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I liked the idea of the Activity Log and had brought this up at my facility in stand up meeting so I could keep up with what others were doing for the residents. I was told that this was the same as chart and would violate the HIPPA laws. Needless to say I was shot down before getting started. It's very hard at times to get other department to document any more than they are. Any suggestions?

Thanks!

Concerned in NC, Debra

Debra,

i have the same problem. when I asked my DON about this she laughed saying CNA's didn't have time to document their own and hardly consider for my dept. They think things are all up to me!!!!!!!! Help How do I make them understand?????????//

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Debra,

i have the same problem. when I asked my DON about this she laughed saying CNA's didn't have time to document their own and hardly consider for my dept. They think things are all up to me!!!!!!!! Help How do I make them understand?????????//

I just went thru survey, and in talking to the surveyors,two of their comments stuck in my mind. 1st off they said it is not just up to me to provide the residents with 1on 1's any more the staff should be helping with this and documenting it.

2nd if a resident refused to come to an activity that is their choice, just have it in place in a care plan what you are doing with them or what they are doing when not in activities

 

wubby1963

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I'm awaiting my first survey :D ....

 

I'm also interested in the Activity Log mentioned above. If you have time and the inclination, my email is sara_elaine1955@hotmail.com.

 

Thanks :blink:

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Hi ....Could you please send me a copy of this form...My email address is emt3225@yahoo.com ..Thank you soo much..

 

Hi! I would like a copy as well. My email is wisegreekwoman@yahoo.com. Thank you very much!

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I have read all of the replies and I like the action that it is getting. I want to remind you all that there is a CarePlan section in the forum area of this site and I serve as moderator. I am glad to help if needed. Also, I wanted to give you all a warning on some of the replies that I have seen regarding forms.

 

In some of the facilities that I have consulted for, the strict guidelines for each individual corporate policy, could...repeat could, make any and all of your documentation useless in the eyes of the surveyors. Due to the new regs and the subjectivity of each individual surveyor....some of these facilities have been sited because they used a "cookie cutter" form instead of making each resident an individualized Care plan/progress note/interview/etc.

 

Since I have not seen the forms that you speak of...I just wanted to throw that out for you.

 

I have seen a ton of Nursing Home staff, become overly reliant on checklists instead of making a unique assesment. There are many products that rely on this way of charting, and if you get the right surveyor, you could get burned.

 

 

Just a tip...

 

Come see me at the CP forum.

 

 

bigchris

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Hi all,

 

I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.

I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.

 

1. problem - Res had decreased lower body strength

goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA

 

or

 

2. problem - Res needs to maintain her current cognative functioning

goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.

 

These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.

 

Thank Your

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can someone please send me the form too? thanks

 

brmolina1@stx.rr.com

 

thanks again billie.

May I please see the forms I am still in class and would know If I was shown this. Alot Of things I have to ask over and over. Just want to make sure I am aware of what I need to know Thank You very much Kathy Ramos E-mail address is grams0708@aol.com

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Sounds to me that you are on the correct path. The goal needs to be person centered rather than group centered and it looks like you have the idea in the two examples you have given....Linda

 

Hi all,

 

I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.

I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.

 

1. problem - Res had decreased lower body strength

goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA

 

or

 

2. problem - Res needs to maintain her current cognative functioning

goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.

 

These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.

 

Thank Your

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Hi all,

 

I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.

I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.

 

1. problem - Res had decreased lower body strength

goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA

 

or

 

2. problem - Res needs to maintain her current cognative functioning

goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.

 

These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.

 

Thank Your

 

 

Hello,

I have to tell you, I only use the "I" format in care planning now, and I don't have problem, but I have activity Interests example: Activity Interests: (A) I love to read, (:D I love Bingo, ect. Goal: I will read for at least 1 hour each day, I will attend all bingo's offered. And then the key is to put all the "problems" under approaches, such as 1) I have a hearing impairment and I wear hearing aides, also I list like 2) group activities of my interest: bingo, fitness (ect).

 

I do still use I will attend at least 13 or what ever group activities offered, only if the resident states that she/he loves to attend group activities.

 

I hope this helps!

Edited by tmackc

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Hi smrld.. the forms have assessments with new doc area for updates, multi dept participation logs, we print these out and put them on a clipboard that floats any staff leading a discussion, observing a self directed activity.. volunteers even fill these out. we have them in our Volunteer pack.. we give them to the family members to pencil in anything they discuss any wishes expressed.. the note resident reaction, times.. dates.. they are 3per sheet.. I am taking them directly from the clipboard and filing with my participation records..making notation in Progress notes.. updating assessements.. creating careplanning therapies as I go.. its helping tremendously .. I have even started a seperate sheet to start grouping similar interests for clubs, tourneys, functions.. If I can get my residents participating in self directed group functions..clubs and what not I will be more a community coordinator.. merely providing support for my groups.. I have 2 very established functions meeting weekly.. and have been offering membership/participation to new arrival-residents.. now if I can get a few culture oriented groups going.. that can help me to understand their backgrounds and needs .. I will have pretty good thing going.. :-P

 

 

Hi out there. could use a copy of any forms I been in activities for only a short time and need help...activitygoof@alltel.net

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Hi does any one have a form they want to share for interdisciplinary charting on things that other staff do with residents. We might be using a form if I can find one that suits our purpose.

 

Thanks

Suzie in Iowa

laugh.gif Hey Activity Pals,

I use a form called an Activity Logs. This form my staff write down what they visit with the resident, What TV station they put on for the resident, & and so on. I let my staff & family know that this is a way for me & state know what the staff is doing with the resident and what the resident is doing. I have this form in every residents room. One for each resident. Each month I use this to help me chart what my residents are doing in their rooms and thru out the building. I hope this helps you out. I do not put these forms in the charts I have a folder I keep them in.

I would like this form also :-)

My email is light_house74@yahoo.com

Thank you

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Hi there is a complete set of off-hour and interdisciplinary charting activity tracking forms included in the activitydirector.org CE course F248-249 New Guidelines and also if your a member of activitydirector.com there is a set of forms there also.. the forms are simple logs to track activity in the facility . Your inservice should attempt to bring the entire facility together residents and staff in an attempt to make sure everyone is respectful and mindful of each persons life, their wants their needs .. their story. the forms are place on the inside of a closet doors for staff or volunteers to log visits or conversations.. the lending of a radio or lending of a book.. late nite staff should have log forms to enter off-schedule activity that occur in the evening.. snacks and movies, dominoe game, piano in the lobby.. residents gathered for any reason.. the whole facility should be a family . each working with the other to make sure everyone has what they need and what they are accustom to..

 

thanks, Pennie

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