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Activity Directors - Aging Related Vision Problems - APNCC.org AD Credentialling Center - NAPT Activity Certification Class Starts Feb 2nd 2021 Activitydirector.org

noreply@blogger.com (Activity Directors Network, llc) — Fri, 22 Jan 2021 02:47:00 +0000

Aging Related Vision Problems

There are a number of common aging related eye diseases that may affect visual acuity of our elderly population and thus, make it more challenging for residents to fully participate and engage in facility programs.

It is not unusual for residents to be reserved about admitting that they are dealing with visual problems and equally not unusual for visual problems to develop later after the resident has been admitted to the facility. For this reason, the IDT Interdisciplinary Team members will closely monitor new admissions for developing health issues, whether aging related or other health concerns, that may present either prior to or after admission.

The director of resident programming (Activity Director) is part of that IDT team keeping watchful eyes over our senior population while delivering individualized resident care plans. For this reason, these professionals need to make it a priority to understand the individualized resident’s needs, desires, and overall health status.

Treatment and follow-up for visual difficulties will fall under the clinical team however, as a director of facility programming, you will need to know about visual issues so that you may anticipate and plan for interventions/adaptations to ensure that your resident will not miss out on programs they would otherwise fully enjoy.

Common Eye Conditions

Age-Related Macular Degeneration (AMD)
Floaters
Pink Eye
Retinal Detachment
Refractive Errors
Dry Eye
Glaucoma
Diabetic Retinopathy
Cataracts
Amblyopia (Lazy Eye)
Color Blindness

What is AMD – Age-Related Macular Degeneration?

Age-related macular degeneration (AMD) is an eye disease that can blur the sharp, central vision needed for activities like reading and driving. “Age-related” means that it often happens in older people. “Macular” means it affects a part of your eye called the macula.

AMD is a common condition — it’s a leading cause of vision loss for people age 50 and older. AMD doesn’t cause complete blindness, but losing your central vision can make it harder to see faces, drive, or do close-up work like cooking or regular housekeeping duties.

AMD happens very slowly in some people. Even early onset may not cause vision loss for a long time. For other people, AMD progresses faster and can lead to central vision loss in one eye or both eyes.

What are the symptoms of AMD?
As AMD progresses, many people see a blurry area near the center of their vision. Over time, this blurry area may get bigger or may present blank spots. Things may also seem less bright than before. Some people may also notice that straight lines start to look wavy. This can be a warning sign for late AMD. Eye doctors can check for AMD as part of a comprehensive dilated eye exam. The exam is simple and painless — some eye drops are given to dilate (widen) pupils to allow for examination for AMD and other eye problems.

AMD Risk Factors
Early AMD does not consistently present with warning symptoms, so eye exams are crucial to prevent permanent vision loss. Risk for developing AMD will increase with age. Individuals over age 60 are more likely to have AMD. The risk for AMD is also higher for those that:

Have a family history of AMD
Are Caucasian
Smoke

What’s the treatment for AMD?
There’s currently no treatment for early AMD, the individual will be monitored to keep track of any changes during regular eye exams. Eating healthy, regular exercises, and quitting smoking may somewhat contribute towards preventing progression.

Adaptations/Interventions
Special tools can help people with low vision to read, write, and manage daily tasks. These tools include large-print reading materials, magnifying aids, closed-circuit televisions, audio tapes, electronic reading machines, and computers with large print and a talking function.

Offer the resident with visual deficits to sit closer to the subject of interest. Such as white-boards, television screen, exercise group leaders, and BINGO boards, etc.,
Other tips that may help:

Increase/brighten environmental lighting (diminishes shadowing).
Write with bold, black felt-tip markers.
Use paper with bold lines to help write in a straight line.
Use colored tape on the edge of stairs (often reflective tape) to increase visibility and aide in fall prevention.
Install color contrasting switches (dark-colored light switches and electrical outlets against light-colored walls).
Use motion lights that turn on when entering a room. Auto-on lights in any room will prevent falls and increase “infection control” prevention because it keeps residents from touching these receptacles throughout the day.
Offer large-print items such as books and directional signs as well as cell phones and clocks.

Source:

https://www.nia.nih.gov/health/aging-and-your-eyes?utm_source=nia-mailchimp&utm_medium=email&utm_campaign=healthyaging-20210118
https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/age-related-macular-degeneration

Have a topic request or question for Celeste? Send them over to celestechase@activitydirector.org

Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. 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 © 2021 Activity Directors Network, LLC All rights reserved.

Our mailing address is:
2010 US HWY 190 W Ste 120 Livingston, Texas 77351

Food Service regs have changed for your Residents? Person-Centered Care at work! by Kathy Hughes, ADC Instructor - ActivityDirector.org

noreply@blogger.com (Activity Directors Network, llc) — Tue, 10 Sep 2019 16:21:00 +0000

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

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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

Dehydration and the Elderly - Activity Planning During a Heat Wave by M. Celeste Chase, AC-BC, ACC, CDP

noreply@blogger.com (Activity Directors Network, llc) — Fri, 23 Aug 2019 00:17:00 +0000

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

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Copyright © 2019 Activity Directors Network, LLC All rights reserved.

Our mailing address is:
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Creating In-Services for your Activity Department and the Facility - ActivityDirector.org

noreply@blogger.com (Activity Directors Network, llc) — Fri, 26 Jul 2019 20:16:00 +0000

Creating In-Services for your Activity Department and the Facility

by M. Celeste Chase AC-BC, ACC, CDP

ActivityDirector.org

Learning opportunities through in-services not only sends an intrinsic message that staff is highly valued but will also boost employment retention and job satisfaction. Appropriately supported, in-services have an added benefit of preventing job burnout for those in the demanding healthcare industry and that is a win-win for everyone!

Interpretive Guidelines Tag 679 – Identifies that “all staff” is accountable for assuring that meaningful activities are provided to ALL RESIDENTS regardless of resident limitations or lack of response.

To this end, all staff members must fully understand not only the therapeutic value of engagement as it relates to quality of life, but must possess appropriate skills, techniques and strategies to deliver meaningful activities. The Activity Director is the key individual to take the lead in this training through facility in-services.

A great place to find topics (“good bones”) for in-services can easily be found within the Interpretive Guidelines.

Let’s take a look at three up and coming guidelines from:
[Phase 3] - OBRA 87’ Interpretive Guidelines effective on: November 28, 2019

F940 §483.95 Training Requirements
Facilities must develop, implement and maintain an effective training program that is based on the Facility Assessment. Training must be completed for new staff, existing staff, contracted individuals and volunteers (consistent with their roles). The amount and type of training required should be reflective of the services and patient acuity identified in the Facility Assessment.

This guideline states that training topics must include, but are not limited to:

Communication
Resident’s Rights
QAPI - Quality Assurance & Performance Improvement
Infection Control
Compliance and Ethics
Behavioral Health

F941 Communication Training
Facilities must have mandatory training for direct care staff on effective communications. The importance of communication is emphasized, including communication across all shifts and information sharing between staff, residents and representatives. Direct care staff needs to understand their responsibilities for reporting change in condition and sharing information between team members for continuity in care provided that is based on individualized interventions.

F942 Resident’s Rights Training
Facilities must ensure that all staff members – not just direct care staff – receive appropriate education on resident’s rights and be knowledgeable in the facility’s responsibilities in providing care for its residents.

Under F550 Resident’s Rights, residents have the right to be treated with dignity and respect, and all interventions with residents by staff must assist the residents in maintaining/enhancing their self-esteem and self-worth, show respect for each resident’s individuality and incorporate the resident’ goals, choices and preferences.

NOTE: This training requirement is likely to already exist in most facilities, but facilities that do not have this topic included in its staff education requirements will need to do so by the [Phase 3] deadline mentioned above.

You can easily see that OBRA 87’ Interpretive Guidelines makes training expectations abundantly clear and sets the bar for specific materials for learning opportunities. This will provide you with a strong arsenal of tools from which you can reference for new in-services to ensure that your facility complies with recommended standards. Be sure to compare these topics with your new staff member’s orientation training topics as well as your annual mandatory re-education plan.

For a successful in-service experience, develop a strategy that supports team synergy and mutual respect to get other staff members excited and willing to be committed to your program.

In-Service/ Foundation Plan:
Listed below are the preliminary steps to develop your in-service program. Each component is a building block to the next and will get you well on your way to creating a strong and successful in-service that will enlighten your fellow staff associates in a way in which they will better understand and respect the complex nature of the work you do as a professional Activity Director.

Component # 1 –Training Order
The order of presenting in-service training sessions can start with the most urgent to least urgent or oldest information to newest information, or build upon the initial session to the next. The ladder works well if the attendees need to understand certain things before assimilating more advanced materials.

Component # 2 - Ask How Your Attendees Learn Best
Another effective time saving strategy is to incorporate learning styles that are well suited to in-service attendees. As you most likely know, many of us attain information better when given specific ways to learn. Some people learn the quickest through reading, while others prefer visuals and hands-on experience. Understanding the learning styles of your audience will make your time more effective and productive thus, getting the most value for the time spent.

Component # 3 - Materials Distribution Before the In-Service
Consider distributing informative materials such as manuals, or short “cheat sheets” or step-by-step introductions relating to the topic scheduled for the in-service before training session begins. This is a great way to build up in-service anticipation and interest. Distribution prior to the in-service will also decrease the customary introduction time at the beginning of the in-service and help you jump right into the material to be presented.

Component # 4 - Create a Training Schedule
When in-service trainings are conducted during “on-duty” hours it is wise to set a predictable schedule. This allows attendees to plan for floor coverage and seek necessary supervisory approval in advanced. Be cognizant and adaptable to staff availability to ensure optimum participation. Mindful scheduling during on-duty hours to reduce staff “off the floor time” will also be looked upon favorably by your administration.

HINT: In-services held after regular work hours should also be respectfully scheduled so that it doesn't infringe upon the staff’s anticipated leisure time. Once again your consideration and sensitivity in this area will more likely create eager participation.

Component # 5 – Incorporate Session Breaks
It’s a given that long in-service training may not be permissible particularly when staff’s “off the floor” coverage proves to be challenging. That said, take a moment to break away even for s short bathroom visit. It may be all you need to keep your attendees focused and refreshed thus, moving the in-service in a positive direction throughout the session.

Component # 6 – Serve Light Refreshments
As a very common and familiar adage goes, If you feed them - they will come! Providing food at a business event can promote attendance and provide a welcoming atmosphere which in turn, will get your in-service off to a great start. Keep it simple – consider dietary restrictions. What you serve will depend on the time of day that you schedule your in-service. Morning events tend to focus on coffee, tea, fruits, pastries, etc. Afternoon events are more likely to be about soda, cookies, pretzels, etc. Bottled water is always appropriate no matter what time of the in-service and decaffeinated options should always be offered.

Creating and organizing interdisciplinary facility in-services for staff will set you apart from the rest and help you develop a reputation as a knowledgeable and credible professional in your field. Fellow staff members and associates will quickly recognize the complexity of your position and will readily get on board to ensure that every staff member provides “quality of life” opportunities for all the residents within your facility.

“Opportunities for learning - present an extraordinary prospect to expand our knowledge base and growth both in personal confidence and competency skills that ultimately will benefit the residents we serve.”

Have a topic request or question for Celeste?
Send them over to CelesteChase @ activitydirector.org

ENROLL Now

Activity Directors Network was founded in 1996 on the idea that we could help create elderly care that dramatically improved the lives of those we all serve. Activity Directors are the key to creating environments that we ourselves would be excited to live in. We envision facilities that feel like homes, not institutions. Facilities that celebrate our resident’s individuality and allows them to live with dignity, purpose and joy. We believe providing the best education available, with the most talented teachers we can find, is the way to make an impact. Each and every single one of you are the revolution that is changing everything. Thanks for being a part of The Network. Copyright © 2019 Activity Directors Network, LLC All rights reserved.

Our mailing address is:
2010 US HWY 190 W Ste 120 Livingston, Texas 77351

Planning for the Spiritual But Not Religious Resident - ActivityDirector.org

noreply@blogger.com (Activity Directors Network, llc) — Mon, 22 Jul 2019 17:46:00 +0000

Activity Directors have traditionally planned and understood the importance of continuing their resident’s religion within the facility. Often multiple religious activities are planned weekly in order to meet the needs of those they serve. Things they are changing, though. According to a study conducted by the PEW Research Center from 2012 to 2017, approximately 27% of U.S. adults identify as ‘Spiritual but Not Religious’, with 75% identifying as both. This may seem like a vague identification and it certainly leaves the Activity Director in uncharted waters when it comes to planning activities for it.

First, we must understand what ‘Spiritual but Not Religious’ means. It is defined as a life stance that does not believe that organized religion is the best or only path to personal spiritual development. In other words, spiritual people prefer a more customized approach, which can add another layer of complication while trying to plan for multiple people. The spiritual quest is ever evolving and the direction it goes in comes from the resident’s internal ques within. One week they may wish to work on past regrets, while the next week finds them guided towards meditation or mindfulness. Spirituality is not a one size fits all in the same way uniform religion is. For this reason, the Activity Director will need to stay in close communication with their residents and take their inspiration from their needs. In order to make your job a bit easier we have provided a list of suggested spiritual activities that may help guide you and your resident as you take on this noble quest.

Spiritual Activity Starters

Meditation and Yoga- There are numerous guided meditations available for purchase or free on YouTube. Jason Stephenson is a good place to start. Research a guided yoga program that suits your residents. There is such a thing as chair yoga, which might be ideal.

Mindfulness- Practicing being in the present moment during daily activities. Create activities that keep the resident tuned into what they are doing. This would include activities that require concentration such as painting, crafting, puzzles, playing an instrument, or learning to do familiar things in a new way (i.e. writing an entire letter using their non-dominant hand). Slant these activities towards the spiritual side of things and make it known that the overall goal is to remain mindful and alert.

Shadow Work- According to Lonerwolf (a respected site that specializes in soul work), "shadow work is the attempt to uncover everything that we have disowned and rejected within our Shadow Selves". These are all of the things we dislike about ourselves or were taught to dislike, perhaps even impulses that would be considered vile if carried out. This is deep work and Lonerwolf recommends that you attempt shadow work only after establishing a strong degree of self-love.

Spirituality Book Club- Spiritualists love a good “self-help” book. There are so many fascinating books on the topic and many can be found directly through the publisher or on Amazon. Some of my favorite spiritual publishers and authors are Hay House, Sounds True, Eckhart Tolle, Michael Singer, Brene Brown and Wayne Dyer. A book by any of these authors is sure to generate much reflection and communication for the book club.

Conscious Dancing- This basically involves free style dancing. Turn on some tunes and encourage your residents to move freely to the music. They may feel embarrassed to do this, as most of our lives are dictated by socially acceptable behavior, however you can make the difference in their comfort level by displaying your own. This could also be undertaken in smaller groups until participants feel more free and confident. Another option is to begin by having the resident remain seated, close their eyes and move their arms freely. Overtime you will have a room full of free birds!

Chanting- Chanting is another one of those activities that can feel silly to do at first and this makes it a bit off putting to many. However, it is believed that as you are chanting something is slowly transforming within you. I would recommend beginning by having residents listen to a chanting video or audio on YouTube to warm to the idea of chanting themselves. Set the tone by dimming the lights and having residents close their eyes and focusing on the chant. Chants are generally in another language so make sure you select the right one for your residents and inform them of the translation.

In Closing...

These are just a few of the possible spiritual activities you could plan for. The most important thing is that you allow for flexibility and modifications to suit your residents. The ‘Spiritual but Not Religion’ mindset is one of fluidity and honoring oneself. The very fact that you are attempting to modernize your program to encompass all belief systems is admirable and so beneficial. You can be certain that as spirituality gains broader acceptance and becomes more mainstream you will be called upon to adapt your calendar. Some of these practices will benefit many of your residents, spiritual or not, therefor beginning to incorporate these ideas now will surely serve you and your department now and in the very near future.

Namaste (I bow to you).

Resources:
https://www.pewresearch.org/fact-tank/2017/09/06/more-americans-now-say-theyre-spiritual-but-not-religious/
https://lonerwolf.com/shadow-work-demons/
https://www.spiritualawakeningprocess.com/2014/11/10-fun-spiritual-things-to-do.html

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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

noreply@blogger.com (Activity Directors Network, llc) — Fri, 26 Apr 2019 03:32:00 +0000

Lime Green Might be Your Color! The Effects of Color with Alzheimers and Dementia Residents

noreply@blogger.com (Activity Directors Network, llc) — Fri, 19 Apr 2019 05:38:00 +0000

Visual Stimulation for Alzheimer’s Disease and Dementia

Author: M. Celeste Chase, AC-BC, ACC, CDP

The goal in all communications with a person living with Alzheimer’s should be to connect with him/her in positive, constructive, effective ways. But while most of us have long since experienced the positivity of supportive “words” to communicate; those with progressive Alzheimer’s/dementia will eventual lose the skill of language both receptively and expressively.

Using the Environment to Communicate? – Color My World

Studies have shown that the use of various colors, particularly in the environment can be helpful in restoring some level of independence often lost with the disease progression. Strategic use of colors in the environment also has an uncanny way of improving mood and thereby lessening the occurrence of unwanted behavior incidents.

NOTE: The most effective color preferences for individuals with dementia are red, blue and green.

Red has shown to increases brain wave activity and gives and appearance of a smaller room. This color tends to increase the perceived temperature of the room. The use of red is very effective in getting the attention of an individual with Alzheimer's or dementia. Thus, often used to draw the senior to areas or things you want them to pay attention to.

Blue is a “restful” color with a calming effect.

The use of blue in the physical environment can actually lower blood pressure and rooms painted in this color are cooler than other shades; like red or orange.
Painting walls Blue gives the illusion of increased room size.

Green reduces central nervous system activity and is recognized as being symbolic of growth and life; having the most restful affect of all colors. It is often used to helps individuals remain calm much like blue. Painting walls green gives the appearance of a larger area.

Lime green is particularly effective color to use with individuals with Alzheimer's or dementia for visual attention, i.e., visual cues for bathrooms, bedrooms, walkers, etc.

Blue and red are ideal for a dinner plate and eating utensils colors as it too offers good contrast with food to stimulate appetite.

Studies show that individuals feel happier when wearing colors such as coral, peach and variations of orange. Incorporate these colors in clothing wardrobe, to support happy emotions throughout the day.

NOTE: Those with acutely aggressive unwanted behavior issues tend to act out less when pink is the color of choice. It should be noted that the use of pink, blue and green will often be found in facilities that work with individuals with violent or hostile tendencies.

Contrasting Colors Benefits:

The use of contrast is extremely important for marking edges to delineate the amount of space the item occupies relative to the surrounding environment to help define objects more clearly. It is used to draw attention to furniture or other items that may be tripping hazards to prevent falls.
Contrasting colors are strategically used for dinner plates or finding the toilet seat in a white on white bathroom. It is not uncommon for seniors to completely misjudge the location of the toilet seat or even the bathroom itself. Adding color to seats and bathroom doors can significantly reduce toileting accidents.
Color contrasting is useful in drawing attention to key features on walls. Making it easier to locate switches, railings or handrails.

Color Differentiation:
Research has shown that a person with dementia can be less sensitive to differences in colors – including color contrast such as black or white. The aging process is known to lead to natural thickening of eye lens, affecting distinction between certain colors. It causes a ‘washed out’ affect, making it difficult to differentiate between blues, greens and purples (these colors would then be easily used interchangeably to create the same affect). The distinction between blue and black may also become difficult to identify.

NOTE: Keep in mind that color preferences can change for those seniors living with dementia as they begin to experiences increasing sensitivity to all things, so it is necessary to create a balance throughout the journey of the disease.

Visual Complications:
Difficulties with sight and perception can cause people to misinterpret the world around them, further fueling the confusion and isolation they’re already feeling. The ability to detect movement may be reduced along with problems with double vision, or struggle to change their gaze. Reflections may also be mistaken for other people and shadow areas become a place of overwhelming fear.

Patterns can cause confusion, so keep patterns on the wall and floor to a minimum or eliminate completely where possible. Seniors with Lewy Bodies dementia may view carpets with patterns to be at different heights and levels. Rugs regardless of patterns or solid colors are often seen as holes in the floor and viewed as obstacles to avoid.

Overview Summary:
Highlight important elements – prominent color contrast for a backdrop adds clarity to the environment and the objects occupying the space. Things such as floors, skirting boards, walls, and stairs should all clearly contrast with one another so that they’re easily distinguished.
Example: Chairs should be in contrasting color to the floors, sinks and toilets should be in contrast to the walls and floors, and table settings must contrast with the table or tablecloth.

Use color to highlight risks – For someone living with dementia, changes in hue values can often be perceived to be changes in floor level. Avoid patterned carpets, especially striped or checkered, which could be perceived as holes in the ground.

Ensure thresholds don’t contrast – If the flooring in one room contrasts with the flooring in the next room it could be perceived as a change in floor level. Try to ensure that the flooring for rooms and areas that lead into each other are the same color so that it is perceived as a continuous level surface.

Reduce unwanted visuals – Clutter can be overwhelming and lead to confusion. As dementia progresses it creates a profound lose of our identity and frequent bewilderment causing ever familiar locations to feel strange. High risk wandering behaviors and attempts to escape the place that no longer feels safe can be colors and patterns advantageously with low contrast to make exit doors recede into the background and become more inconspicuous.

NOTE: Not surprisingly, using colors to paint an exit door or a window image on the wall has been known to distract and camouflage the location of the real exit door and window to redirect attempts to wander.

Many of us are drawn to our favorite colors, and some colors evoke happy memories, but as a general rule of thumb the following colors encourage these reactions:

Blue: Cool colors like blue make a room feel bigger, and have a calming and restful effect, so they’re often used for bedrooms and quiet areas.
Green: This earthy color is associated with growth and life, and is thought to reduce activity in the central nervous system and help people to feel calmer.
Red: This warm color has the opposite effect to blue, making a room feel smaller and often used for rooms that are cool in temperature. It’s also a highly stimulating color which is often used in activity areas to increase brain wave activity and stimulate the production of adrenaline.
Orange: Another warm color with similar properties to red. It is considered an earthy color and is often used in natural environments.
Yellow: This is a stimulating color which is used in activity areas to increase brain wave activity as well. Stimulating colors are good for Alzheimer’s patients as they can trigger fond memories and improved cognitive function.

Download Now

1.888.238.0444 ActivityDirector.org

Behavioral Health Programming Guide for Skilled Nursing Facilities , written by M. Celeste Chase AC-BC, ACC, CDP

noreply@blogger.com (Activity Directors Network, llc) — Fri, 19 Apr 2019 02:18:00 +0000

Behavioral Health Programming Guide for Skilled Nursing Facilities
written by M. Celeste Chase, AC-BC, ACC, CDP,

Price: $14.95
Product Code: BHealthGuid
Buy Now

Product Information

The New Behavioral Health Regulations F740-F744, F758 & F659 have become part of the 2018-2019 CMS.gov Survey Process for Skilled Nursing Facilities. The regulations are facility wide but the Activity Department is right in the middle of things.

This Programming Guide, written by M. Celeste Chase, AC-BC, ACC, CDP, provides a Step by Step approach to help the Activity Professional and Staff to understand the challenges Behavioral Health presents and how to respond with activities that help redirect and reduce disruptive or unwanted behaviors.
Celeste has deconstructed the most common Behavioral Health issues into a language easy to understand, triggers, strategies, engagement, adaptations, interventions, samples and goals. This Programming Guide will help you and your facility become Behavioral Health Compliant with minimal stress.

Behavioral Health - Behavioral health encompasses a resident’s whole emotional and mental well-being, which include, but is not limited to the prevention and treatment of mental and substance use disorders.
Not surprisingly, federal agencies such as the Centers for Medicare and Medicaid Services (CMS) support behavioral health and psychiatric well-being for individuals in senior care facilities. Specifically, the concern centers on the over-reliance of anti psychotic medication use for residents with disruptive behaviors. Unwanted behaviors must first be treated through behavioral interventions before psychoactive medications can be administered.

:::::: Behavior Management mandates requires:

THAT STAFF MUST:

§ Possess appropriate competencies and skill sets to care for residents diagnosed with mental and psycho-social disorders as well as those with a history of trauma and/or post-traumatic stress disorder (PTSD).
§ Provide treatment and services to correct the assessed problem or to attain the highest practicable mental and psycho-social well being for residents that display/diagnosed with;

mental disorder
psycho-social adjustment difficulty
history of trauma or post-traumatic
stress disorder (PTSD)

§      Monitor for patterns of behavior difficulties not previously diagnosed, assessed or revealed that decreases social interaction and/or increases withdrawn, angry, or depressive behaviors- unless the clinical condition demonstrates that development of such a pattern was unavoidable.
§      Provide a resident who displays or is diagnosed with dementia with appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psycho-social well-being.
§      Provide medically related social services to attain or maintain his or her highest practicable physical, mental, and psycho-social well-being.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ sample ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Big Changes Announced by the NAAPCC Activity Director Credentialing Center

noreply@blogger.com (Activity Directors Network, llc) — Fri, 05 Apr 2019 21:40:00 +0000

The Credentialing Center is excited to announce that we have now been in 
business for 8 years! Over that time, trends and expectations in the 
field have evolved. The Board met in March to look at how The Center 
could keep up with trends and continue to set and follow high ethical 
certification standards. NAAPCC continues to follow the standards of the 
National Commission for Certifying Agencies, including those related to 
conflicts of interest. No one on this Board or anyone associated with 
the Board benefits financially from any certification criteria. NAAPCC 
is happy to announce that beginning immediately, several changes will 
occur:

1. NAAPCC will be offering three certifications. You will be able to 
find the PATHs to reach these certifications on our website by April 15 
2019 or you can request an emailed copy from the office.

Activity Professional -Board Certified: AP-BC
Advanced Activity Professional -Board Certified: AAP-BC
Activity Consultant/Educator- Board Certified: AC-BC

As of now, all current AP-BC’s will be grandfathered to AAP-BC per 
industry grandfathering standards. All new applicants will follow the 
new criteria. Certificates will automatically be mailed for those 
grandfathered to
AAP-BC. This will take some time so thank you for being patient. You 
will continue to meet F Tag 680 with your
AP-BC.

All certifications meet F tags 658 and 680 and are national 
certifications.

2. NAAPCC has made some additions to the Standards required, which you 
will also find on the website by April 15, 2019.

3. NAAPCC has added a PATH under the AP-BC that will accept any 
*recognized basic or advanced activity course that equals 36 hours, 
toward AP-BC .

4. All CE credits from any *recognized basic or advanced activity course 
can now be used toward required CE credits (note that 12 required CE 
credits must be from live, face to face education for all PATHs).

5. The face to face, live education hours requirement for all renewals 
and applications will now be a minimum of 12.

* No specific course is required per NCCA standards, but recognized 
courses, including state courses already recognized by CMS, will be 
accepted toward NAAPCC certification under PATH 2 for AP-BC. The 
definition of a recognized course will be in the standards and on the 
website by April 15, 2019.

Please contact the office at naapcc.office@gmail.com with any questions 
or call (303) 317-5682

The NAAPCC is proud to continue to be the Board Certification choice of 
Activity Professionals across the country.

Men's Activities for Senior Care by Celeste Chase AC-BC,ACC,CDP Activity Directors Network

noreply@blogger.com (Activity Directors Network, llc) — Wed, 09 Jan 2019 21:08:00 +0000

Activities for Men . . . .

Author M. Celeste Chase, AC-BC, ACC, CDP Activity Directors Network ActivityDirector.org

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 d hours and benefited from higher paying salaries than blue collar laborers. Thus, white collar workers were more likely to feel more energetic, have additional time in the day for leisure choices and possessed the financial means that allowed him to select from a range of interests and pursuits.

Below are some considerations that may help you to best identify how to plan for men’s activities, specific to Blue Collar Workers.

· Men put in exhaustive long hours and often were left with little or no time for leisure pursuits thus they tend to be lacking in leisure related skills.

What little available free time in any given day was spent with family members, particularly with their children.

· Minimal earnings did not allow for financial means to spend on leisure activities.

Starting Point – the assessment /gender reviewed

Fine tune your Assessment Forms

Most likely you already have a standardized assessment form. Take some time to review your assessment form and activity check sheet and take note of the types of activities that may be more specific to male residents. You can create a framework of questions that will help you probe for more details regarding his preferences. As you check those areas of interest expressed by your resident make it your mission to elicit and document more information describing what makes his specific selection particularly appealing.

Example - Resident selects Sailing:

Questions to ask:

· Can you describe what your sailboat looked like?

· Where is your favorite sailing destination?

· What time of day do you like go sailing?

· Who do you like to be with when you go sailing?

· How often did you go sailing?

· How do you take care of your sailboat?

Your resident’s answers can be used to engage him in a conversation at a later time about this past time experience and will aide in re-affirming a particularly meaningful memory. Men of this generation often thoroughly enjoy exchanging stories of past days of glory, sports or children and grandchildren’s accomplishments. Look within your male population to group residents with common denominators that you can foster in friendship and mutual camaraderie.

Once you incorporate your residents’ noted interest in the activity calendar and highlight care plan objectives you are well on your way to providing for the needs and interests of your resident as a unique individual within the facility community - thereby meeting federal laws for nursing homes.

Men might be the minority in this club but given the opportunity, appropriate resources and a through comprehensive assessment, men may not only be able to participate but contribute greatly by adding to the overall program enrichment through a well balanced activity calendar schedule.

NOTE:

Although the Activity Director professional who will focus on planning these activities keep in mind that the ALL staff members are charged with ensuring that the needs and interests of each individual is met to attain or maintain the highest practical physical, mental, and psychosocial quality of life possible. Such programs are essential to the health and well being of all men and women living in Long Term Care facilities today.

Below are a number of ideas for your consideration but remember, that you’re objective is to find a “match” between your resident’s needs and interests to the many potential ideas you come across.

Train Hobby Club – The collection for the train hobbyist is numerous, everything from the train itself to the landscape and surrounding villages will keep your resident busy. Look for a location in the facility where you can leave the train convoy permanently set up for residents to watch throughout the day.

Men’s Choral Group – Rehearse all time men’s favorite songs to musical accompaniment or 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.

Santas Workshop – Doll houses, airplanes, train kits, bird house, mailboxes etc., make for a super great Santa Shop assembly line. Finished product can be donated to non-profit organizations such as Toys for Tots during the holidays. Your men will love knowing how meaningful their labor of love will be to a child.

Sports Time – Watching a live or a pre-recorded horse race, ballgame, boxing match on a big-screen will get the crowd in the mood. Set out peanuts, popcorn, and pretzels. Serve non-alcoholic beer and soda. NOTE: keep in mind any issue with potential chocking risk/consult with nursing.

Competitors Club – Horseshoes, bean bag tosses, badminton, and bocce ball, balloon toss are fun games that involve a lot of movement while encouraging interaction, socialization, and teamwork.

At the Movies – Ask the residents to select a film (a western, war movie, or mystery). Schedule a matinee or an evening showing. Supply hot-buttered popcorn, movie-style candy, and soda (if permissible- relating to potential chocking/consult with nursing). NOTE: War movies may be triggering for some residents. Be sure to vet your residents for potential behavior relating to aggression that may be triggered from viewing war movies.

Honoring Veterans – Military veterans are often eager to exchange stories about the war days as a way to bond and honor veterans and the past memories. Create a list of “military positions” held by your resident and post in an easily visible location to honor their service.

Casino Night – Organize a game of dominoes, checkers, chess, or a card game (poker or Blackjack). Be sure to decorate with all the ambiance and glitz and glamour to set the tone. Arches ranging from roulette wheel to gleaming gold circle to let the residents make an entrance.

Tool Bits – Provide a variety of different sized nuts, bolts, and washers and a few empty containers. Either direct the person to sort the items or assemble the items and start up a conversation and provide pictures about what each item might be used to make. NOTE: Be aware if there is any evidence whereas you believe that your resident may want to ingest non-consumable items.

Trade Show – Journey out to a local hardware store, such as Home Depot or Lowe’s. Make a project list and ask the men to find the supplies to complete the job. Many men enjoy discovering new tools and many will spend countless hours at a hardware or home-improvement center.

Shoe Shine – Contac a local shoe shop to enlist the tradesman to come to the facility to show off his craft to the men of the house. Your residents can wear their Sunday best shoes for this shoe renovation. Offer newspapers, magazines, books for reading while resident shoes get a new lease on life. The smell of shoe polish may evoke memories and provide opportunities to reminisce.

Card or Coin Collection Club – Many men collected and traded baseball cards or coins when they were young. Gather a collection of baseball cards or coins and set up a sorting/organizing station. Obtain detailed information about the items to share with the residents. Encourage the men to talk about their baseball or coin favorites and share how they acquired their treasures.

Career Day – Gather a collection of photographs with a focus on jobs, occupations, and careers. (Also consider: colleges, military service, sports activities, clubs or organizations, hobbies or leisure activities.) Encourage the person to discuss the photographs and their past employment. Pass around various hats representing different careers and ask residents to talk about which occupation they think the hat belongs to. Share information about each career such as, educational requirements and potential earnings.

M. Celeste Chase, AC-BC, ACC, CDP

How do you Avoid Job Burnout? Internal Validation ... have a look

noreply@blogger.com (Activity Directors Network, llc) — Thu, 25 Oct 2018 20:09:00 +0000

How do you Avoid Job Burnout?

Many of us, admittedly most of us, look for some level of external feedback in the form of recognition to measure the importance of what we do. Feedback from our family, friends, business associates or coworkers helps us to develop a sense of personal and professional contribution. But all too frequently we give away our power to others to rate how successful we are while working to achieve our goals. The success of our own internal ability to self-motivate will increase or decrease greatly when those external sources say yah or nah to what we do often leading to a maker or breaker attitude.
We can always count on our loved ones to give us what we need to succeed but that is not the expected scenario out there in the working world. It is neither rewarding nor any fun to toil away at a job where your efforts go unnoticed. You are especially prone to those influences when the elements of your work are demanding both physically and emotionally.

GIVE YOURSELF PERMISSION
Give yourself permission to find reward and value in what you do. When we are waiting for those external sources to find time during that busy work day to give us praise for work well done, we stand in pause, a momentary state of waiting for validation and responses to unanswered questions. Are we valued, are we not valued for our work? Did we do as well as we thought we did – did we do as well as we wanted to?
Permit yourself to self-reflect and self-rate what you do first and then proceed to include the input from those outside sources. Establishing a sense of a job well done is the best way to prevent burnout. Ask yourself if your still leaving work at the end of the day feeling satisfaction and excitement upon the thought of returning back to work the next day.

SEEK DIRECTION
Before evaluation date, pursue a dialogue with your work supervisor to ask how you are doing. Your approach should not be defensive but rather should be to seek better understanding of what is expected and whether you are on the right track. Ask for clarification if need be so you can make clear plan of action to meet your job requirements. You will ensure that you remain on target to be in line to move into another position of more responsibility if you have aspirations to do so. You are looking to partner with your supervisor in a way that supports the overall mission & goals of your department. Your supervisor will remember & appreciate this meeting when your actual performance rating is scheduled.

EDUCATION
There is never a time when we have learned it all; regardless of what position of professional status one may achieved. Continued education is not only consistently required to maintain certifications but continues to provide one of the largely single greatest source of renewed interest in any given career path. Learning sparks introspective thought that provokes one to look for better and more current strategies to improve delivery and discover more effective ways to offer the services provided.
Job burnout is often seen to take hold when work tasks become mundane in nature or otherwise automatic and lack the need for individualized thought process, thus, mind stimulation through continued education provides a pathway that may prevent that “same old same old” mind set.

YOU ARE NOT ALONE – JOIN THE TEAM
Protect yourself from that “it’s me and me alone” feeling. No one success story in any profession, business or leadership role, was ever accomplished by just one individual alone. Plans are devised policies & procedures are written but it takes the entire team to create a synergy – whereas; combined effect of the sum of all is greater than individual efforts. Remember … “IT TAKES A VILLAGE”

Here are a few qualities that a successful team possess.

Group focus on goals and mutual support of each other’s achievements
Everyone contributes their fair share – jointly collaborating towards a common action plan
The team offers each other support & develops natural synergy amongst the group
Unity of individualized members creates a collaboration of diversity that creates success
Good leadership is balanced by each individuals unique leadership style

Look around for Validation
Look for those rewards that which is not spoken; those quiet subtle nuances that speak volumes. You will see that in the smiles, it will present in the body language, it will be reflected in the positive behaviors and in the active engagement of those you serve. Take time at the end of each day or week to reflect on what went well and what didn’t go as well. This task helps you to recall both what you’re good at and why you do what you do. Concentrate on the positive to nourish your self esteem and self-validate your achievements. Those external sources charged with rating you in the work world will also see that you have that special quality – that capacity to improve the quality of life of others in a meaningful way.

“Look to move away from the desire to obtain external validation; fulfillment, job burnout prevention and real validation will come from within and will always lead to a proven success story.”

Internal Validation to Prevent Job Burnout ….
Author : M. Celeste Chase AC-BC, ACC, CDP
Activity Directors Network - ActivityDirector.org
10/24/2018

noreply@blogger.com (Activity Directors Network, llc) — Wed, 17 Oct 2018 17:41:00 +0000

What’s The Difference . . . between Adult Day Centers?

Author: M. Celeste Chase, ACC, CDP
Activity Directors Network
http://www.activitydirector.org
10/17/2018

-Medical, therapy and socialization centers
-Socialization and safety centers
-Alzheimer’s and dementia care facilities

Adult Day Centers are either social or medical in nature with specifically trained and compassionate staff that creates programs to meet the needs, preferences and cultural differences of those they serve. These facilities offer supportive assistance by way of physical activities and cognitive stimulation and/ or medical care during the day-time hours (no overnight stays).

Family members can plan for daily “predictable respite” for which they might use to relax or go to work or run necessary errands (without the added burden taking their senior loved ones with them). When participants go home to be with their families after a day at the center, families will find their loved ones happy, stimulated, alert and often more ready to sleep soundly through the night. Giving the entire family a most welcomed nighttime benefit which is often desperately needed. Without a doubt adult day health programming leads to improved well-being and increased socialization within a safe, nurturing and comfortable community setting.

Medical vs. Social - There are two types of adult day care:
Both provide a comfortable, secure place for a senior to reside during the day, enabling them to socialize, stay active, remain productive and enjoy an improved quality of life, Typically, the center provides one or two meals a day. Some centers provide transportation for pick up and/or drop off, which may or may not be included in the cost.
The main difference between medical and social day care is that the medical model also provides an array of medical professionals, which may include on-site registered nurses, speech therapists, occupational therapists, physical therapists, social workers and registered dietitians.
Keeping it simple; the easiest way to identify the difference between these two centers is to take a look at the name. An “adult day care” facility, without the word - “health” in the title are not required to adhere to the same standards and regulations and do not offer the availability of on-site health care professionals from a range of disciplines to provide clinical oversight.

Adult Day Centers and Offerings
Socialization and safety centers – Adult Day Care

Adult Day Care Many centers have well-trained activity specialists who lead dynamic activities programs. These programs might include arts and crafts, intergenerational programs, music, cooking classes, exercise sessions, movies, discussion groups, live entertainment and trips into the community. Some care centers offer programs that are especially designed for physically frail individuals with special medical needs such as diabetes, hypertension and post-stroke disabilities, and those with mental health challenges such as dementia, confusion and Alzheimer's disease. The goal is to be an extension of the home environment with caring, personalized service. These centers rely on private pay reimbursement for services provided.
Medical, therapy and socialization centers – Adult Day Health

Adult Day Health centers offer all of the same services you would find in Adult Day Care centers mentioned above, in addition; they provide ” certified” amenities via trained health care professionals such as physical, occupational and speech therapies, nursing services, personal care, social services and much more depending on the individuals acuity level assessment. These centers are prepared and well equipped to enroll not only very independent individuals but also those with chronic physical illness and/or cognitively challenging needs.
Most states have specific governing bodies that work to establish procedures for licensing and regulation standards to oversee the business of Adult Day Health “medical” care centers. These regulations are mandated and centers are required to adhere to guidelines and protocols to be given licensing privileges. These standards are not only specific to medical record guidelines but are also required for the centers to qualify to submit billing to Medicaid and/or Medicare for reimbursement of services on behalf of those participants pre-approved to receive these benefits.

Alzheimer’s and Dementia Care centers – may be found in either social or medical model centers (medical facilities usually provide for more advanced stages of the disease).
Many dementia patients are at risk for safety and cannot be left unsupervised. Progressive memory and cognitive decline may lead to potential for wandering, risk for self harm from misuse of everyday regular household items. This puts family caregivers in a difficult position, especially if outside help is scarce and/or family members are still working. Dementia programs at adult day centers typically utilize security features to prevent wandering as well as improved staffing ratios to ensure seniors are safe and their needs are met in a timely manner. This provides invaluable free time and peace of mind for the dementia caregivers. Skilled Adult day centers that specialize in the care of those with dementia are becoming more and more in demand in light of the increased numbers of seniors diagnosed with this disease over the past few years. Many states require centers to have staff members obtain specific dementia training to care for this population. Trained professionals are able to recognize those seniors that prefer quiet, solitude like environment while others are in desperate need of more stimulation. This expertise proactively minimizes potential disruptive behavior by addressing each individual’s unique needs. State regulations have been written to target this topic requiring medication management to modify behavior to be used only as the last option after it is documented that all non-pharmaceutical interventions have been implemented without success through the individualized care plan.

Adult Day centers provide an array of activities for attendees to participate in; adapted to each person’s unique abilities to maximize enjoyment and minimize frustration. Many centers also offer flexible scheduling choices from attending just a few hours each day to attending the entire day for one or more days per week. The affordable cost of care for Adult Day allows these centers to be more accessible to a wide range of families for senior care options. Clearly, Adult Day Centers are the go to choice for those looking find support that fits into their family values and needs while allowing them to keep their loved one at home.

Author : M. Celeste Chase, ACC, CDP
All Rights Reserved

noreply@blogger.com (Activity Directors Network, llc) — Thu, 30 Aug 2018 19:45:00 +0000

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.

Our Online MEPAP Classes start the first Tuesday of every month.

We are always enrolling!

Visit ActivityDirector.org or call us at 1.888.238.0444

Activity Directors in Long Term Care, Nursing Homes, Assisted Living Facilities, Adult Daycare, Swing-Bed Hospital Care and Recreational Care.

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 Guidelines.

------------

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 35yrs 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, ADC - Adult-Day Health Specialist, Celeste Chase, ACC CDP

Once you experience the Online Classroom setting you'll wonder why you didn't try this sooner.

The 24/7 Chatroom and the Class Forum are just two of the ways each and every Student can reach out to the entire class to either ask for help, offer some advice or share their particular journey with the class. You will enjoy networking with activity professionals who share their ideas and knowledge throughout the course.

Our online class lasts 4 months, a 180hr course, 90hrs Class Study/90hrs of Practicum (Fieldwork). Cost is $600 - Payment Plans are available. If your facility is paying, simply sign our Purchase Order Agreement and begin immediately.

Ask about our "Self Paced Course" format that will allow you to expedite the training or extend it out for a year to help accommodate a busy life.....

To Get Started . visit ActivityDirector.org and download the MEPAP 1 Enrollment Packet . fill out the enrollment forms, fax them in and you're ready to go. (fax 1.866.405.5724).

Be sure and use our "Military Family Discount" $100 off any Military family

Download a Enrollment Packet, fill out the forms, fax it to us. 855-405-5724

Pass it along to your employer to assure them they are making the Right Choice with NCCAP Certification .

Click HERE for the MEPAP1 Enrollment Packet
or

Click HERE to have the Enrollment Packet emailed to you.

Be sure and use our "Military Family Discount" $100 off any Military family

Payment Plans Available - Call or email us to set up a plan that will work for you!

New Classes Start the 1st Tuesday of Every Month

Activity Directors! Mark you Calendars. Reserve the Bus, Mothers Day Comedy Show - MAY 13th Southern CA

noreply@blogger.com (Activity Directors Network, llc) — Wed, 21 Mar 2018 15:03:00 +0000

California here they come... it's the craziness from SeniorComedyAfternoons.com

Bonnie and her bunch have put together a Mothers Day Event like no other..
Mark your Calendars for May 13th 2018 . Get the Bus reserved and make your way to the Palos Verdes Golf Course
Vista Ballroom for an afternoon of Funny!

Here's a little Sample https://youtu.be/qz0W1HVWU18

Download this Flyer for the Details.

Download this Flyer for a Pass Around Flyer to Share.

Home Care Certification Course offered by ActivityDirector.org

noreply@blogger.com (Activity Directors Network, llc) — Fri, 26 Jan 2018 17:33:00 +0000

Caregiver Training Requirements By State

Caregiver training requirements for each state are shown below.

8-hour Home Care Certification course meeting the standards developed by the NCCAP.org

Alabama 8-hour Caregiver Course, No licensing requirements
Alaska 8-hour Caregiver Course,No licensing requirements (only business license required) CPR, First Aid Training, TB test are required.
Arizona 8-hour Caregiver Course, Licensure for Home Care Agencies Requires Basic Caregiver Training. DCW Caregivers for Medicaid (ALTECS) Must Have 6 Hours of Training
Arkansas 8-hour Caregiver Course,
California 10-hours total : 5-hours Training Prior to Presence with a Client + 5 Hours Annual Training
Colorado 8-hour Caregiver Course, Personal Care
Connecticut 8-hour Caregiver Course, Personal Care - Home care agencies not licensed under Dept. of Health but "registered" under Dept. of Consumer Protection, which requires background checks, basic training. Background check required.
Delaware 8-hour Caregiver Course, Personal Care
District of Columbia 8-hour Caregiver Course, Personal Care
Florida 8-hour Caregiver Course, Personal Care
Georgia 8-hour Caregiver Course, Companion/Homemaker, Personal Care
Hawaii 8-hour Caregiver Course,
Idaho 8-hour Caregiver Course,
Illinois 8-hour Caregiver Course, Home Services
Indiana 8-hour Caregiver Course, Companion/Homemaker, Personal Care
Iowa 8-hour Caregiver Course, No license required Home care agency provides training.
Kansas 8-hour Caregiver Course, Home care agency provides training.
Kentucky 8-hour Caregiver Course,
Louisiana 8-hour Caregiver Course, Home care agency provides training. training details
Maine 8-hour Caregiver Course, Home care agency provides training.
Maryland 8-hour Caregiver Course, Personal Care
Massachusetts 8-hour Caregiver Course, Special Business License
Michigan 8-hour Caregiver Course, No licensing required
Minnesota 8-hour Caregiver Course, Special Business License, Personal Care
Mississippi 8-hour Caregiver Course,
Missouri 8-hour Caregiver Course,
Montana 8-hour Caregiver Course,
Nebraska 8-hour Caregiver Course, Personal Care 16 of the 75 hours must be supervised training
Nevada 8-hour Caregiver Course, Companion/Homemaker, Personal Care No specified number of required training hours, but training in 16 subjects is required by the state.
New Hampshire 8-hour Caregiver Course, Companion/Homemaker, Personal Care Home care agency provides training.
New Jersey 76-hour Caregiver Course, CNA, Companion/Homemaker, Personal Care
New Mexico 8-hour Caregiver Course,
New York 8-hour Caregiver Course, Personal Care
North Carolina 8-hour Caregiver Course, Personal Care
North Dakota 8-hour Caregiver Course,
Ohio 8-hour Caregiver Course,
Oklahoma 8-hour Caregiver Course, Personal Care
Oregon 8-hour Caregiver Course, Personal Care
Pennsylvania 8-hour Caregiver Course, Personal Care Must be completed within first 3 months of employment
Rhode Island 8-hour Caregiver Course, Personal Care 20 hours in classroom; 5 hours practical
South Carolina 8-hour Caregiver Course, Established - postponed drafting specifics until October
South Dakota 8-hour Caregiver Course,
Tennessee 8-hour Caregiver Course, Personal Care
Texas 8-hour Caregiver Course, Personal Care
Utah 8-hour Caregiver Course, Companion/Homemaker, Personal Care
Vermont 8-hour Caregiver Course, Caregivers must pass a state test as well as a background check and drug test.
Virginia 8-hour Caregiver Course, Personal Care
Washington 75-hours Companion/Homemaker, Personal Care 85-hours to become a CNA
West Virginia 8-hour Caregiver Course, No licensing requirements
Wisconsin 8-hour Caregiver Course, No licensing requirements for personal care
Wyoming 8-hour Caregiver Course, list provided by Cargiverlist.com

Happy Halloween from the Activity Directors Network

noreply@blogger.com (Activity Directors Network, llc) — Tue, 31 Oct 2017 03:32:00 +0000

How to Become a Home Care Assistant

noreply@blogger.com (Activity Directors Network, llc) — Sat, 04 Jun 2016 17:48:00 +0000

How to Become a Home Care Assistant

How to Become a HomeCare Aide/Assistant

Overview

By Kelli Hansen, RN

Home care assistants serve a vital role in providing much-needed
assistance to the elderly, disabled, and chronically ill populations
within our communities. They care for patients who independently are
unable to maintain good hygiene, proper nutrition, and a clean living
space. They may also assist with daily activities and recreation if
needed by the patient.

“Home care assistant” is often a generalized term used to refer
collectively to two different branches of assistants: personal care
aides and home health aides. Each branch varies in job function and
responsibilities.

Home health aides (HHAs) help
patients with personal necessities like dressing, bathing, and hygiene
needs. By assisting with housekeeping and other IADLs (instrumental
activities of daily life) like cooking and laundry, HHAs enable clients
to live safely in their own homes, greatly improving their quality of
life in the process. Aides may have to document the patient’s condition
and the care that they provide, along with any problems encountered
during care, submitting this report to a supervisor. In some cases, HHAs
also facilitate transportation and leisure activities for clients.
Depending on the state regulations, they may be able to take vital
signs, give medications, and perform basic wound dressing changes as
needed.

Personal care aides assist patients with
self-care and everyday tasks as well as provide some clients with much
needed companionship. Personal care aides are sometimes known by other
titles, including caregiver, companion, and personal attendant. They
often perform tasks similar to those of home health aides; however, they
cannot provide any type of medical-related services, whereas home
health aides may be able to provide basic medical services depending on
state regulations.

Work

Environment

The word “home” within the title of home care assistant would
suggest that the environment is primarily within an individual’s home,
but this is not necessarily true. While most home care assistants do
work in homes, their job functions may also be performed in a variety of
provider settings such as retirement homes, community centers,
residential group homes, and even nursing care facilities. An assistant
may care for one individual or many, depending on the provider setting
in which he or she works. The length of time during which a home care
assistant may work with a client or clients varies from one day to
multiple years. Work may include nights, weekends, and holidays
depending on the requirements of the employer or the private client with
whom the assistant is working.

Because of their work environments, home care assistants have a
higher rate of injury than the national average. The work provided in
this role can at times be very emotionally and physically demanding.
Injury can occur when lifting a client, helping a client ambulate
(walk), or simply helping a client to get in and out of a bed, chair, or
shower. Clients may suffer from Alzheimer’s or other cognitive
impairments that prove very challenging at times; the client may even
become violent and aggressive. In some instances, personal care aides
may be exposed to communicable diseases or infections when working with
clients, depending on the nature of a client’s health issues.

Requirements

Education

No formal education is required to become a home care assistant. But
according to the Bureau of Labor Statistics (2014), most home health
aides have earned a high school diploma. This is true for personal care
aides as well.

HHAs who aim to work in a certified home health or hospice agency are
required to get formal training. In anticipation of this, preparatory
classes are offered at some community colleges or through
vocational/technical schools. To enroll in classes, students typically
must be at least 18 years of age.

Training

Training requirements for home care assistants vary from state to
state. Broadly, for both HHAs and personal care aides, there are
circumstances in which no formal training programs are required and the
budding professional receives all necessary training while on the job.
This is often the case for personal care aides, who may be trained by a
nurse, social worker or other aide to meet the specific needs of a
particular client – for instance, if a client has cognitive impairment
issues or has very specific dietary requirements.

However, formal training programs are required in some states and are
available from vocational schools, community colleges, agencies and
elder care programs. The duration of these programs varies based on
varying state requirements.

An HHA who wishes to work with a home health agency will need to
obtain formal training and pass a competency exam before becoming
employed. Some states include additional required training above the
nationally mandated minimum for working within an agency.

Furthermore, if a home health aide wishes to become certified, which
can definitely improve job prospects, he or she must obtain a minimum of
75 hours of training in order to become eligible for certification.

Licensing

and/or

Certifications

Home health aides are not licensed, but many employers prefer or require that HHAs, Care Givers, obtain certification. The National Certification Coucil of Activity Professionals
(NCCAP) (http://www.nccap.org/) oversees a HHC certification. Minimally, in
order to become certified, the candidate must complete 75 hours of
training. In some states, the required amount of time is greater than 75
hours. You can refer to this map
for HHA training requirements in your state. Upon completing the
training, HHAs will have to take a standardized written test and
correctly demonstrate the skills they learned during training.

Necessary Skills and Qualities

Because they focus on direct patient care, home care assistants must
possess patience, dependability, good interpersonal skills, and
effective time management skills. They must be detail-oriented to follow
specific rules and protocols. Home care assistants will be working
closely with patients who may have severe pain or who may be
experiencing emotional distress; they must be able to show sensitivity
to patients’ emotions. It is important for the aide to be warm,
compassionate, and emotionally stable. This role involves performing
physical tasks such as lifting, turning and repositioning patients; an
aide must possess a higher level of physical stamina and strength in
order to be comfortable and safe performing those required tasks.

Opportunities for Advancement

Personal care aides may start within their role and progress into the
role of a home health aide by receiving additional health training.
Once they advance into the HHA role, they may have more opportunities to
advance even further into medical assisting, nursing or both. Many home
care assistants with experience and a higher level of training seek out
available opportunities to teach students or supervise new home care
assistants.

Salary and Job Outlook Interactive Map of Salary and Job Growth

Projections

The annual mean wage reported by the Bureau of Labor Statistics (BLS) is $21,380 for home health aides. Salaries range from a low of $17,040 up to a high of $29,560.

Meanwhile, the median annual wage for a personal care aide is $20,440, according to the BLS. The lowest 10% of wage earners make around $16,580 and the highest 10% earn closer to $27,910.

Job opportunities for home care assistants will be numerous from now
well into the future; based on its statistic, the U.S. Bureau of Labor
Statistics anticipates a 48% employment increase for HHAs and a 49% increase
in jobs for personal care aides between 2012 and 2022. This job growth
is due mostly to more elderly people needing care and choosing to stay
in their homes as long as possible. Some clients don’t require medical
related assistance as much as additional assistance with household tasks
or minor personal hygiene assistance. Hiring a home care assistant may
be a cheaper option for many clients who wish to stay in their homes to
avoid the increased expenses that occur with moving to a higher level of
care, such as an assisted living facility or retirement home.

Visit www.activitydirector.org for Home Care Certification Classes Online

noreply@blogger.com (Activity Directors Network, llc) — Mon, 30 May 2016 02:45:00 +0000

Enjoy a bit of Memorial Day Humor from the Adventures in Activities

artist Bradey Sooter

Theme for the Day is Super Heroes..

download a copy at Download MemorialDay Comic

noreply@blogger.com (Activity Directors Network, llc) — Wed, 13 Apr 2016 18:54:00 +0000

Activity Director Needed Cedarbrook Memory Care, Fresno California

Posted by CedarbrookED – Fresno, California, United States

Job Description

Cedarbrook Memory Care is looking for an experienced Director of Activities for their 68 bed community.
We will be accepting applications through April 18th.
Requirements:

1 year or more experience in planning activities
must be able to conduct and lead group activities
provide person centered care with seniors in the memory care setting
have experience managing employees
experience creating calendars
must work with a team and mentoring staff
must be able to drive our bus
must be able pass criminal backgound check and health screening

How to Apply

You may apply in person at 1425 E Nees, Fresno, CA

Email your inquiry or resume to CedarbrookED@Koelschsenior.com

For more details or to list a job opening please visit http://www.activitydirectorjobs.com

How to Create a Care Plan 1 What is a Care Plan?

noreply@blogger.com (Activity Directors Network, llc) — Sat, 17 May 2014 22:52:00 +0000

noreply@blogger.com (Activity Directors Network, llc) — Fri, 21 Feb 2014 01:53:00 +0000

Learning About Adult Day Care

By Debra Wood, RN

Many Americans who care for an older adult feel overwhelmed and trapped by the situation. Adult day care programs can help caregivers and the people they care for.

"Adult day centers are the best thing you never heard of," says Burton V. Reifler, MD, director of Geriatric Psychiatry Outreach Program and professor at Wake Forest University School of Medicine. "It gives people their lives back."

Relief for Caregivers
Caregivers Sue Coleman and Pam Buenaventura agree. Coleman began caring for her father, Harry, about eight years ago and ended up losing two jobs because her father, who was home alone and frightened, called her every 30 minutes.

"I would have to leave and come home to try to figure out what was real," Coleman explains. "As he was aging and had more health problems, it was more difficult to hold down a job."

With her father's care her top priority, Coleman realized she had to come up with a solution, but did not want to move him out of her home. A nurse told Coleman about Day Break at Winter Park, Florida, an adult day center where her father could socialize while Coleman worked. Once enrolled, the phone calls stopped. Her father is happy, and Coleman does not know what she would do without day services.

"Caregiving was much more difficult than I had anticipated," says Buenaventura, whose grandmother, Myrtle, attends Eastside Adult Day Services in Bellevue, Washington. "Adult day care gives me time to go and do something I want to do. When she first came to live with us, I could not leave her. I could not go anywhere unless somebody was here."

Taking a Break
Caregiving often leads to feelings of entrapment, depression, and hopelessness. Researchers from Pennsylvania State University conducted a study to evaluate whether adult day services affected caregiver stress and psychological well-being. They found that three months after sending a loved one to adult day care twice a week, caregivers experienced fewer feelings of overload and strain and significantly less depression and anger.

"You are no longer a 24/7 caregiver," explains Steven H. Zarit, PhD, lead author of the study and professor of human development. "We had reports by family members that their relatives looked forward to going, that their behavior was better when they came home. They were more alert, less agitated."

Day Services Benefit Participants
Like many caregivers, Buenaventura and Coleman have seen an improvement in their older relative's conditions. Elders who participate in adult day care make friends, and day programs provide structure and remind some attendees of going to work. Meaningful activities fill the hours and give participants something to talk about over dinner.

"The biggest benefit for clients is having a reason to put their shoes on, a place to show up for life," says Jan Nestler, past chairperson of the National Adult Day Services Association and executive director of Eastside Adult Day Services in Washington. "It is a place where someone feels not only that they belong, but it is safe and they have dignity and are allowed a level of independence and choice."

Leaving her father, with tears in his eyes on the first day, tugged at Coleman's heart. But he agreed to give it a try and ended up loving it. He plays the piano again, something he had given up after his wife died, entertaining Day Break members and staff with upbeat renditions of big band tunes.

"His dementia has lessened, and he is more active," Coleman says. "He loved going out to get pumpkins and to the university to see how new classrooms were set up and what the students were working on. Those are things a caregiver does not have time to do."

Comprehensive Care
Participants enjoy music, dancing, exercising, and other activities. Many allow clients time to themselves to read, work on a craft item, or visit with someone. Some programs may provide transportation to and from the center.

Many centers also offer medical services. In adult day health programs, nurses check members' blood pressure and blood sugar, administer medicines, and monitor chronic health conditions. Some centers provide bathing and personal care services. Social workers or nurses provide caregivers with suggestions for other community resources and sometimes facilitate support groups.

Day Centers May Not Be for Everyone
While most older adults enjoy the day out, the programs may not suit every potential client. Programs are tailored and paced to benefit adults with physical or cognitive limitations. An active senior, who still drives and handles the checkbook, potentially functions too well for an adult day center and might find a senior center more suitable.

Someone who has always been a loner may resist an adult day center's socialization. Patients with dementia may be fearful of going to a new location. Some centers will not accept clients who hit, kick, or punch other people. Some caregivers worry that staff will not correctly interpret a loved one's needs.

"We asked families about their satisfaction with day care, and they were overwhelmingly positive about all aspects except the cost. For many people, cost is a problem," Dr. Zarit says. Fees vary depending on the program. Long-term insurance might cover some of the expenses. Many nonprofit facilities offer a sliding scale, and some states provide financial assistance to eligible clients.

What to Look For
The National Adult Day Services Association recommends that caregivers considering a day program assess their and their loved one's needs before visiting a center. Keep the following questions in mind when looking for a program:

Can participants with certain conditions be admitted? Under what circumstances would someone not be allowed to attend?

Is help available for using the bathroom, cutting up food, taking medicines, or walking or pushing a wheelchair?

What happens if a participant has an incontinence episode? (Some centers keep clean, spare clothing available and will wash the soiled garments.)

Can the center provide a special diet, a bath, or transportation?

What type of exercise program is offered?

How long has the center been open? Is it licensed by the state?

What is the cost?

What is the ratio of clients to staff?

Who owns the center?

Has the center received accreditation by CARF (the Rehabilitation Accreditation Commission)?

Do clients and staff seem happy about being there?

Is the furniture comfortable?

Is the center clean? Are there odors?

Is the building secure? Could someone wander away?

How are outings supervised?

Are activities tailored to the individual or is everything done as a group?

Nestler suggests that families select facilities where they feel comfortable and accepted—a facility that feels like home.

"I would urge [anybody caring for someone with dementia ] as strongly as I can to go visit an adult day center," says Dr. Reifler. "People do not realize how good they are until they see one. They are places where there is a lot of vigor and vitality."

The information contained on www.lifescript.com (the "Site") is provided for informational purposes only and is not meant to substitute for advice from your doctor or health-care professional. This information should not be used for diagnosing or treating a health problem or disease, or prescribing any medication. Always seek the advice of a qualified health-care professional regarding any medical condition. Information and statements provided by the site about dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. Lifescript does not recommend or endorse any specific tests, physicians, third-party products, procedures, opinions, or other information mentioned on the Site. Reliance on any information provided by Lifescript is solely at your own risk.

Senior Facility offers "Come Stay for the Winter" Residency trials are a huge success!

noreply@blogger.com (Activity Directors Network, llc) — Wed, 22 Jan 2014 01:54:00 +0000

PulsePoints

Posted By: Cambridge Realty Capital
January 17, 2014

Senior Housing Providers Can Benefit from Residency Trials

In an effort to improve occupancy, senior housing communities should consider offering short-term trial stays to potential residents. When a trial-stay is successful and the resident decides to move in permanently, the community increases its occupancy, revenue, and net operating income. Thereby improving its financial position and its ability to obtain financing for future growth.

Many assisted living communities offer short-term stays for people that are recovering from surgery, but there are other opportunities to offer trial-stays as well. Because of the cold weather, increased potential for power outages, and feelings of isolation and loneliness that are often more common during the winter, some communities have found that this time of year is an ideal time to offer trial-stays to potential residents.

Furthermore, trial-stays are an excellent marketing tool because they allow residents to “test drive” a community and they also give the adult children who are typically instrumental in their parents’ transition to senior housing, another way to broach the subject with their parents and to get them comfortable with the idea of moving into a senior housing community. While it’s currently not a widespread practice, an increasing number of senior housing communities are beginning to offer trial-stays to potential residents. For example, Epoch Assisted Living at Brewster Place in Massachusetts began unofficially offering winter trial-stays at someone’s suggestion five years ago, and because it was a success, it made the program official last year.

Now every year Epoch sends invitations to potential residents inviting them to “spend the winter” at Brewster. The winter stay lasts for three months (a fourth month is offered for free) costs $5,000, and comes with a large room with a kitchen and sitting area, three meals a day, exercise and entertainment activities, cable TV, a phone, linen service, housekeeping, transportation, and shopping trips as well. Last year seven people took advantage of the program and 5 of them ended up moving in permanently after their trial stay ended. This year, residents like Ann Golini, who spent the night without utilities at her home last year when the power went out, were quick to accept Epoch’s invitation to spend the winter there. Losing utilities aren’t a concern at Epoch due to the presence of a generator.

In addition to the many benefits that trial-stays offer residents, communities also benefit from the arrangement. Trial-stays help communities maintain occupancy, generate revenue, and improve their financial position. This in turn increases their ability to obtain financing for future growth. Accordingly, before interest rates increase this year, senior housing communities should consider offering trial-stays to generate additional revenue and enhance their ability to obtain additional financing from companies like Cambridge Realty Capital.

Mom with Alzheimer's marries, her eyes now sparkle and her smile is genuine

noreply@blogger.com (Activity Directors Network, llc) — Thu, 09 Jan 2014 17:38:00 +0000

Mom with Alzheimer’s Marries and Finds New Joy

Although the future is unknown, I believe that there can be new life after Alzheimer’s and that falling in love can renew anyone’s brain.

By Sandy Balli
+Alzheimer's Reading Room

My 89 year-old mother, deeply forgetful for eight years, improved significantly since meeting a kind 93 year-old man in the assisted living center where they each had lived for six months.

Note: Sandy writes that the look on her mother's face changed dramatically, and for the positive. As can be seen in the pictures above.

Does she look younger and more aware?

This reminded me of the change that came over Dotty's face from 2005 to 2012. As we moved from burden to Joy.

Subscribe to the Alzheimer's Reading Room

After playing pool together every day and eating meals together in the dining room, the couple decided that they wanted to marry.

His mind is quite good, but my mom is challenged with short term memory loss and other issues related to Alzheimer’s.

Although his daughter and I explained to him what could lie ahead, he ultimately decided he still wanted to marry her and spend their last few years together.

He had been married 72 years and mom 66 years before each being widowed. They joke that they had 138 years of combined marital experience at the time of their December 22, 2013 wedding.

Mom has been “glowing” since she fell in love with this man. Her eyes now sparkle and her smile is genuine.

Her husband has a witty sense of humor and he makes mom laugh. He is patient and tenderhearted in relating to her forgetfulness.

As for Mom, she has a purpose in life now. She folds his clothes and walks his dog.

It has made a difference for her and for me, her caregiver.

Just Married

Although the future is unknown, I believe that there can be new life after Alzheimer’s and that falling in love can renew anyone’s brain.

*Sandy Balli, Ph.D. is a professor at La Sierra University in Riverside, California. She teaches research methods courses in the School of Education and mentors doctoral students through their dissertations. She has written for scholarly education journals and published a book, Making a Difference in the Classroom, in 2009. Sandy is an only child who has been the primary caregiver for her 89 year-old mother for three years.

Online Fax Leads as Favored HIPAA Solution

noreply@blogger.com (Activity Directors Network, llc) — Thu, 09 Jan 2014 15:52:00 +0000

December 12, 2013

Healthcare Organizations Share Perspectives on ACA-Driven Compliance, Document Management and Mobile Priorities for 2014

LOS ANGELES, CA -- (Marketwired) -- 12/12/13 -- eFax®, the world's leading online fax service and a brand of j2 Global, Inc. (NASDAQ: JCOM), announced today the results of the company's inaugural Healthcare IT Pulse Survey. The survey of healthcare industry employees revealed valuable IT trends in the healthcare industry, including the fact that over a quarter of healthcare providers surveyed view online fax services as the most effective technology for helping with HIPAA compliance security.
Key findings unveiled major trends in the importance and relevance of fax, as well as the top security and compliance concerns faced by healthcare companies. Respondents also identified technology priorities for 2014, indicating strong adoption rates for mobile, even in a heavily compliance-driven industry.
Fax Continues to Rank as Favored Approach for Communication

61 percent of healthcare organizations surveyed cited fax as one of its top approaches to exchanging critical information with nonemployees, with 26 percent citing fax as the number 1 approach to exchanging critical information. Digital file transfer was ranked No. 1 by only six percent of respondents.
12 percent of healthcare organizations surveyed ranked email in their two least used methods of communication for exchanging critical information with nonemployees.

The Affordable Care Act Brings New Document Concerns to Healthcare IT
Changes brought on by legislation such as the Affordable Care Act, including the new healthcare exchanges, often means a sudden influx of added paperwork for healthcare organizations. HIPAA non-compliance outranks document management and information security as the top concern.

54 percent of organizations surveyed cited HIPAA compliance as their top concern, even more important than document management, organization and record keeping.

Security Remains a Major Concern -- and Online Fax Leads as Favored HIPAA Solution
When it comes to protecting the large amount of sensitive data that healthcare organizations generate and manage, there is a surprising motivating factor for keeping it all safe: money.

37 percent of healthcare organizations surveyed rank financial liability due to regulatory noncompliance as their biggest concern -- not identity theft or data privacy. These organizations know they face substantial financial penalties if they run afoul of HIPAA or other regulations.
42 percent of respondents said online fax is the most effective technology solution for helping with HIPAA compliance security, and 37 percent see online fax as the most undervalued technology with respect to security and business needs.
Just 18 percent of respondents cited exposing sensitive data to the wrong eyes due to risks from emerging trends such as BYOD as their leading concern.

Mobility and HIPAA Compliance: More Compatible Than You'd Think
Despite privacy and security concerns in the healthcare industry, the rise of a mobile workforce continues to grow, and technological advances are adapting to regulations faster than ever.

46 percent of respondents have already started rolling out company-sponsored tablets to employees.
14 percent plan to initiate a tablet program in 2014, and a further 16 percent plan to roll out tablet programs in the next three years.

2014 Outlook: Mobile Fax is Good Medicine
With healthcare company employees on the go, compliance is an ever-present concern.

44 percent of healthcare organizations surveyed said mobile fax (the ability to fax from a mobile device) will be important or very important to their organization in the coming year.
More than a quarter (27 percent) cited mobile solutions as their No. 1 technology priority for 2014.

"With new legislation in place, penalties are increasing for HIPAA noncompliance, and enforcement will be more aggressive than in the past." says Ross Leo, HIPAA compliance specialist and instructor at Training-HIPAA.net. "Regardless of cause, the high cost of violations will be a painful reality for healthcare concerns of all sizes, and even higher for avoidable violations. With an increasingly mobile workforce relying on tablets and mobile devices to stay connected, document management and compliance will be top priorities in 2014. Ensuring the security of sensitive information handled through these devices will be among the highest priorities."
"The Affordable Care Act is forcing healthcare providers to re-examine all of their processes for sensitive-document management, storage and transfer," said Rick Stevens, director of enterprise marketing for eFax. "This survey reveals that the healthcare industry continues to place its trust in hosted fax services."
Listen to a podcast interview with Rick Stevens on the survey findings.
Study Methodology: eFax Healthcare IT Pulse Survey
This study was conducted by eFax during the period of November 1-30, 2013. eFax sent the online survey to more than 1,500 healthcare customers, which included hospitals, insurers, medical suppliers and physician/group organizations and enterprises. Company sizes ranged from under 5 employees, to over 500 employees -- the majority of respondents (58 percent) were from organizations with 100 employees or more. For more information on the survey and to see the raw data, click here: eFax Healthcare IT Pulse Survey
About eFax®
eFax® is a brand and registered trademark of j2 Global, Inc. (NASDAQ: JCOM). eFax® offers a range of online fax plans perfectly suited for individuals and small businesses at www.efax.com and SME and corporate/enterprise users at enterprise.efax.com.
About j2 Global, Inc.
(NASDAQ: JCOM) and its affiliates provide Internet services through their two divisions: Business Cloud Services and Digital Media. The Business Cloud Services Division offers Internet fax, virtual phone, hosted email, email marketing, online backup, unified communications and CRM solutions. It markets its services principally under the brand names eFax®, eVoice®, FuseMail®, Campaigner®, KeepItSafe® and Onebox® and operates a messaging network spanning 49 countries on six continents. The Digital Media Division consists of Ziff Davis Inc., which offers technology, gaming and lifestyle content through its digital properties which include PCMag.com, IGN.com, AskMen.com, Toolbox.com and others. Ziff Davis also operates NetShelter Powered by BuyerBase, an advanced digital ad targeting platform, and Ziff Davis B2B, a leading provider of research to enterprise buyers and leads to IT vendors. As of December 31, 2012, j2 had achieved 17 consecutive fiscal years of revenue growth. For more information about j2, please visit http://www.j2global.com.
Press contact:
Bill Threlkeld
Senior Manager, Public Relations
Email: pr@j2global.com
Source: eFax
News Provided by Acquire Media

Stricter Home Health Care requirements proposed by States

noreply@blogger.com (Activity Directors Network, llc) — Sun, 08 Dec 2013 14:22:00 +0000

Olga Hajishengallis, USA TODAY 9:03 a.m. EST December 8, 2013

States are proposing stricter requirements for the home health care workforce including background checks, mandatory training hours, and licensing of agencies.

Concerns over the loose regulation of some home care workers is leading several states to consider bills aimed at increasing oversight and requirements for this workforce.
Measures being considered include establishing mandatory training hours and requiring background checks for these workers, as well as the licensing of home-care agencies.

Bernie Vonderheide, president and founder of Kentuckians for Nursing Home Reform, says that complaints about home health workers – often related to their questionable background – seem to be increasing by the year. Lawmakers are becoming aware that constituents are asking them to do something about this, he says.
Vonderheide says there is a "building resentment among the general public" regarding state and federal agencies that regulate this workforce. He says people are becoming aware that it is necessary to have more control in order to prevent more neglect and abuse from these workers.

Ohio resident Dolly Gregory, 71, says she has had first-hand experience with home care workers who lacked the appropriate training and could not fulfill the duties assigned to her. Gregory's recent caregiver – Debbie Corder – ended up being a good fit.
"My thought was that these people are supposed to be trained, screened, and, you know, maybe had a little background check on them," Gregory said.

The home health care workforce is made up of two kinds of workers, explains Christopher Kelly, associate professor at the Department of Gerontology at University of Nebraska at Omaha, who has studied the issue. There are home health aides, who provide medical services and are employed by home health agencies, and home care aides, who provide non-medical services, including help with personal care, toileting and feeding.
While home health aides are regulated under Medicare and receive 75 hours of training , the regulation of home care aides is left to the states, Kelly says.
Kelly, who published a study in 2012 on states' differences in training for home care workers and licensing of home care providers, says states vary widely in areas such as training requirements. Very few require "anywhere near the 75 hours Medicare requires of home health aides," he says.
Recent state developments for home care regulation include:

— California: In October, Democratic Gov. Jerry Brown signed the Home Care Services Consumer Protection Act. Beginning in 2016, this law will require the regulation and licensing of home care organizations. It also requires background checks, a minimum of five hours of entry-level training and registration for home care aide applicants.

— Iowa: In April, Republican Gov. Terry Branstad signed a bill that includes a mandatory study of background checks for home health workers, says Joshua Ewing, a policy specialist for the Health Program at the National Conference of State Legislatures. The study, which will be led by the Department of Inspections and Appeals, will look at background check improvements and requirements for certain providers of home heath, including individuals and agencies that are not subject to state certification, licensing or regulation. Findings must be submitted to the governor and General Assembly by Dec. 15.

— Kentucky: Kentucky currently has the Kentucky Applicant Registry and Employment Screening Program (KARES), which is a voluntary fingerprint-supported state and FBI background check program for long-term care employers. Kerri Richardson, communications director of the office of Democratic Gov. Steve Beshear,says the governor supports legislation that will make this mandatory and that this legislation is still being drafted.

In addition, there is the Personal and Home Care Aide State Training Program (PHCAST), a measure authorized under the Affordable Care Act, that has been funded in California, Iowa, Maine, Massachusetts, Michigan, and North Carolina.

Its purpose is the development of education and training models, which cover "key legislatively dictated topics" for personal and home care aides such as personal care skills, health care support, nutritional support, safety and emergency training, among others, says Jennifer Craft Morgan. Craft Morgan is an assistant professor at the Gerontology Institute of Georgia State University and co-leads the evaluation for the North Carolina PHCAST grant.

Craft Morgan believes the problem is that "states are unprepared to support and develop" the home health and personal care aide workforce, which is expected to have grown 70% from 2010 to 2020, she says. Though she says the majority of workers are passionate about their work, "the lack of consistent preparation" renders them unprepared for their duties.
She also says turnover comes from inadequate preparation, which leads to "less consistent" care for clients.
"Without standardized training, employers have difficulty identifying well-qualified workers," she said.

Carla Washington, executive director for Direct Care Alliance, says her organization supports increased regulation and oversight of the home care workforce. Direct Care Alliance is a national not-for-profit advocacy organization, which provides a voice for direct care workers in long term care.
"We support measures that will allow consistency and setting standards nationally," Washington said. She says such standards include national credentialing and training requirements for the home care workforce.
Direct Care Alliance has been at the forefront of advocating such standards, she says, and has created the Personal Care and Support Credential, a competency-based test "that will distinguish workers that will have the minimum requirements." This is being used by D.C. as a sole way for credentialing home care workers, she says, while the organization has presented it for use to other states.

Bill Dombi, vice president for policy at the National Association for Home Care & Hospice (NAHC) says, "for the bare minimum end of consumer," a background check is essential.
"There is no more risky situation than having a stranger in the client's residence," Dombi said. "If the consumer at least knows the worker has had a background check, it lets them have an informed choice."

Kelly also says the matter merits great attention.
"It is not to be taken lightly. When you are talking about home care, you are talking about the most intimate level of care you can receive," Kelly said.

Contributing: Amber Hunt, The Cincinnati Enquirer