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angeliquepache

Dementia In-service

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Hello,

 

I need help. I work in a Day Center and on Wednesday's I have changed the day to serve low-functioning seniors. Monday-friday we are all seniors and out low-funtioning seniors where not getting the 1;1 and attention they deserve. So we have had already completed 2 Wednesday's alreayd and I'm trying to get the CNA's involved in helping out. Also the Management wants them involved too. We only have 30 seniors that day and 9 CNA's 2 of them are Escorts for outside appoinments...so 7 CNA's in the Day Center. They are LOUD, yelling across the room and some just sit there not doing anything. I kkep telling them to sit at a table and what ever activity I'm doing just so the same at their table. They prefer to sit 3 workers together and 1 senior. My typical Wednesday is 9am -coffee social and music time, 10 arts and crafts, 1030 ball toss, 11 word games, 12 lunch, 1 Music Appreciation, 130 armcgair exercise, 2 trivia, and 230 golden movie time. I came up with doing a in-service on how the program should be ran and why we need to lower our voices. Yesterday i was playing classical music at a low volume and one worker yells across the romm and I asked her to lower her voice and she sated"this is not a concentation Camp" I told her we have clients with Dementia and loud yelling and loud music will agiatate them. Then less then 5 mins later she says it agin out loud the same statement. I'm just fed up with the lack of professionalism. OKAY NOW IM VENTING AND IT FEELS GOOD.

I need help on how to conduct a effective in-service. What do i talk about and how do I get my message across??

I do know I want to talk about these points below and talk about how to sit at different tables and help out plus lower the volume of their voices.

Important Goals for our Program:

• To fill the day with positive experiences

• To promote social interaction

• To increase self-esteem

• To minimize anxiety and mood swings

• To promote pleasure and enjoyment

• To maximize functional performance

• To provide safe, successful, and stimulating activities

• To maintain or promote coordination, strength, and range of motion

 

SOMEONE PLEASE HELP ME PLEASE!!!!!!

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First order would be to pull that CNA aside and explain to her exactly why loud voices and yelling are not acceptable in that surrounding. If It continued, I would write her up once, then terminate her.

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Read you message and wanted to tell you about a new book designed to motivate and stimulate seniors. The challenges containded in the book, "Spin & Tell" can be incorporated into almost any activity program, either individual or group, and requires little or no training. I was a caregiver for ten years and found the need for tools that I could use that enabled me to communicate with seniors when we ran out of topics to talk about. When you find time, please visit our web site: www.brainbodychallenge.com and see how unique and effective this book really is. Hope this information helps you with your difficult situation. Scott

 

First order would be to pull that CNA aside and explain to her exactly why loud voices and yelling are not acceptable in that surrounding. If It continued, I would write her up once, then terminate her.

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In-servicing staff is my least favorite part, so you have a good start with the goals, but my suggestion would be to give your CNAs more structure. Instead of staying do whatever I'm doing at your table, tell them CNA A,B & C do this at these specified tables. CNA D,E,F,& G you do this at those tables. Does that make sense?

 

I found a lot of staff will try to do the bare minimum to make it through the work day, so if you change the minimum expectations you might find them to be more effective. And of course if they do not meet these expectations then write them up.

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