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Long Term Care Newsletter
by Alternative Solutions in Long Term Care

December 2005 Issue


Certifications

If you have wanted certifications but have put it off, now is the time to take this very important step for yourself. You can log on to www.nccap.org for information and questions you have regarding certification. Certification will lead to other opportunities and pay increases. 2006 should be the year you make a commitment to yourself to obtain your certification.


MORE NEW PRODUCTS

Dietary and Nutritional Guide for Alzheimer's

Abilitations: "Full Sensory Line for Room Visits and Sensory Rooms" - Over 300 new products.

Creating Moments of Joy Book is an excellent tool to use for your communication in-service and provides excellent examples of what to say for repeated questions by your dementia clients. It shows how to enter their reality and live their truth and avoid catastrophic reactions when you try to use reality orientation vs. living their truth.

Wake Up which is an excellent sensory book for your low functioning clients.


Wilfrid Gordon McDonald Partridge - Every Activity Director will want this book as part of their intergenerational programs! This is perhaps the most moving book you will ever read!

Activity Planning Work book for Dementia provides excellent activities for dementia.

Moth Balls in My Attic
Therapeutic Recreation professionals, Activity Planners, staff and volunteers use the book to stimulate memory recollection and life review.


Care Plans for Dementia Clients

Memory Lane DVD
Memory Lane’s family of products, from the creators of Baby Einstein® (now part of The Walt Disney Company) can transform caring for a loved one with Alzheimer’s into a positive, uplifting experience on many levels.

Inservices to present for staff


How to visit with low functioning residents as they decline: Tips for successful visits.

Sensory Inservice

Dehydration Inservice

Weight Loss and Dementia Inservice

Resident Rights In-service

Wandering Committee Guidelines Inservice




All of our Products

Activity Planning Workbook
Adaptive Clothing
Adult Day Care Calendar
Alzheimer/Dementia Store
Alzheimer/Dementia Policy and Procedures
Analysis Forms for Calendars

Books
Moments of Joy book
Pet Therapy
Resident Council Handbook
Sensory Integration
Books & Videos from Alternative Solutions

Calendars for Long Term Care & Adult Day Care
Care Planning Cookbook
Care Plans for Dementia
Client Council Resources
Communicating with the Alzheimer's Population
Creating Moments of Joy

Dates to Remember
Dementia/Alzheimer Store
Dementia calendar
Dietary and Nutritional Guide for Alzheimer's

Enhancing the Self Esteem
Elder Rage
Sensory Enrichment Program
Ethic Products

Grandfather's Memories
Grandmother's Journal

Healthcare Care Plans
High functioning calendar

Inservices for staff
Low functioning calendar

MEPAP
Mothballs In My Attic

Nursing Policy/Procedures

Online Shopping

Party Store
Pet Therapy Books
Pet Therapy & Intergenerational Program Training
Policy and Procedures
Posters at Zazzle!
Posters 

Resident Council Handbook
Resident Council Resources
Resident Rights Prints

Senior Housing
Sensory Integration Book
Sensory Products
Sensory Care Plans
Sensory Inservice
Sensory Policy/Procedures
Sensory Products
Spiritual Assessment

Validation® Method
Video - Aquarium
Video - Inside Edge Films
Video - Memory Lane video
Video - Vic Campbell's Snowfall Serenade
Volunteer Management Essentials

Wake Up! A Sensory Stimulation Program
Wandering Committee Guidelines Inservice
Weight Loss and Dementia Inservice
Wilfrid Gordon McDonald Partridge
Who Moved My Dentures?

Zazzle Posters

 

Resident Rights Prints

We offer a gorgeous new product line. Resident Rights posters are generally what we see in long term care settings. A company has come up with an innovative way to educate staff, family and residents to Resident Rights. The product line offers a set of 21 prints. Each unique Norman Rockwell print is paired with a specific Resident Right. You can purchase one print or the entire set. Customers can select the color of mat and wood frame. This is a gorgeous and innovative way to not only memorize a Resident Right but keep residents interested, educated and informed. Please see www.activitytherapy.com to view the full product line.


Special Links

National Council of Certified Dementia Practitioners

Activity Director Store

NCTRC Exam Secrets Study Guide - Next NCTRC exam is January 2-6, 2006 & May 1-5, 2006. Purchase your study guide today.


Free CEU's


Announcement from the National Council of Certified Dementia Practitioners. Many health care professionals who are either certified or licensed have taken the steps to become certified dementia practitioners. The NCCDP has partnered with Alzheimer's Care Guide Magazine and Eldercare Activities Guide: The Activity Professional Magazine. If you are a CDP upon renewal you will need 10 CEU's in dementia related seminars. Both of these publications publish an article a month with a test. The test and CEU's are complimentary. You will need a subscription to either magazine and many facilities are subscribing to the magazine. The NCCDP has received many calls about whether other organization will also accept the CEU's. It is up to each accrediting organization to answer that question and the NCCDP can not speak for them. To order this magazine, please go to www.nccdp.org and click on the magazine's logo. If you have questions about free CEU's for CDP's please contact 1 877 729 5191 or visit the web site. To apply for CDP, you must meet several criteria: 3 years experience in health care, Certified / Licensed in a health care profession or hold a Masters or Ph.D., Complete an approved Alzheimer's and Dementia Seminar that is approved by the NCCDP. A list of instructors who are offering these classes in your state are listed on the site. If you're an activity professional working in health care and are not certified, the NCCDP encourages you to contact National Council of Certified Activity Professionals at www.nccap.org for a list of courses in your area and to download their application to become a Certified Activity Director or Certified Activity Assistant.


CONTACT


Alternative Solutions in Long Term Care
103 Valley View Trail
Sparta, N.J. 07871
973.729.6601

URL: www.activitytherapy.com

Email:

PARTY SUPPLIES


Thousands of party goods! See our full line of party accessories and novelties including lightropes & glow products, hats, maracas, decorating kits, paper goods, gifts and much more!
Click here for more details


Happy Holiday!

On behalf of all the staff at Alternative Solutions in Long Term Care we wish you all a healthy 2006.

Sandra Stimson CALA, ADC, CDP
Executive Director

Lisa Reidinger CTRS, LNHA, CSW, CDP
Executive Director

 

Activity Professionals Week: Suggestions to make your week successful.

This newsletter is sponsored by:

National Council of Certified Dementia Practitioners
"Free CEUS for CDP's" See our web site for details.
www.nccdp.org


Happy National Activity Professionals Week - January 22nd - January 27th 2006!

Activity Professionals Week: Suggestions to make your week successful


  1. Make a banner and proudly display this in the lobby.
  2. Have a table that displays all the things your department does.  You could use a display board and place pictures of events and descriptive words that also describe the wide array of programs you provide and the impact it has on the residents.  Words such as Bingo, Room Visits, Pet Therapy, Intergenerational Programs, etc.  Descriptive words such as Empowerment, Therapeutic, spiritual, Depression, Enhance Communication, Independence, Self Esteem, Community Involvement, Benefits, Physical Condition, Wellness, Life Skills, Etc.
  3. Create a word puzzle of words associated with therapeutic recreation and activities.
  4. Create a gorgeous poster in a frame that has descriptive words of your department.
  5. You could create a winter wonderland of Trees and have a theme about what you provide.  Instead of using Christmas decorations you could have snowman or skiers on the trees holding signs with descriptive words that describe events and activities. Use white lights. You could place deer around the trees, snowman, red cardinals on the trees, fake snow around the trees.
  6. Issue a press release about what your department provides to the residents with a picture of the residents in a program.  Remember to get permission from the residents for the photograph and to submit to the papers.
  7. The administrator should take all of the staff out to lunch or have a formal luncheon at the facility.
  8. The activity director could hold a private lunch either in the building but better yet, why not take them to lunch.
  9. Have a party with the residents and the activity staff to honor your week?
  10. Have balloons for all the activity staff in their office.
  11. Each morning, honor your staff with coffee, juice and donuts / pastries.  The activity director can really make their staff feel appreciated during this week.
  12. Provide promotional materials such as Activity Professional Pins.
  13. At the formal luncheon read a Tribute to Activity Professionals found on activitytherapy.com web site.
  14. Put up the pictures of your staff on a bulletin board with a short bio about them and how long they have been at the facility.
  15. Place an article in the facility newsletter about activity professionals week and the history of the profession.
  16. Give the staff flowers.  Who doesn't like to get flowers.
  17. Have the mayor issue a proclamation proclaiming activity professional week?
  18. Invite other activity professionals from other buildings to go out to dinner to honor this week.
  19. Activity Staff should honor their director.  You can purchase a plant or a small gift.  Purchase a card.   Many activity staff like to think the department can function without the director and maybe its true.  But just maybe you can function without her because your director has done such a great job of training the staff.  Everyone needs a leader and if you have a great leader, let him or her know.  
You should meet with your administrator and have a document that clearly states what your plans are for this weeks.  Some of the things on your list might need approval.  This is our most important week and a time to show appreciation for all that your staff does for the residents.  If you work in a toxic work environment and feel your not appreciated, don't let that stop you from throwing a huge party for your department.  It will be appreciated and will send the message loud and clear that you're an activity director that values her staff. This will boost morale and energize your entire department for the coming year. And that matters!  

A Tribute to Activity Professionals!

Thank You!

Thank you for all that you do to improve the quality of life for those who matter the most, your residents! They appreciate it!

Thank you for all your creativity. The residents are thankful.

Thank you for the extra effort you put in to each day.

Thank you for helping out in the dining rooms for meal programs. They need you! The nursing staff does appreciate it!

Thank you for all the special trips and community events. They love being a part of the community.

Thank you for all the effort you put into your volunteer program, it definitely does not happen with out you!

Thank you for smiling even when you don't feel like it.

Thank you for spending time with those residents who can not come out of their rooms. They especially appreciate the pet visits.

Thank you for a great survey. It takes your entire team and a dynamic program.

Thank you for giving all of your self.

Thank you for filling the resident's days with meaningful activities.

Thank you for pushing so hard to get extra special programs approved. The extra effort paid off!

Thank you for all the extra hours you put into planning and implementing elaborate events. It was appreciated!

Thank you for attending seminars and association meetings, even when sometimes you have to use vacation days.

Thank you for supporting other activity professionals.

Thank you for taking a chance and trying something new.

Thank you for dressing up for all those holidays.

Thank you for all the hugs and love you give to them.

Thank you for developing all the children's programs.

Thank you for all the spiritual programs, because it means more to them at this point in their life.

But most of all Thank You for dedicating your life to this very special profession, Activity Professionals! We can't imagine any facility with out you!

by: Sandra Stimson, Executive Director
Alternative Solutions in Long Term Care


TWO NEW BOOKS!!!!

The following two resources are fantastic books that can be used as a group activity or completed individually by your residents.

Grandfather's Memories To His Grandchild
Featuring the art of Thomas Kinkade, Grandfather's Memories to His Grandchild is a beautiful record book that will be treasured for generations. Helpful prompts and questions enable grandfathers to pass wisdom and family heritage on to their grandchildren. Themes range from childhood stories to advice on living a life with God. Photo journal pages allow the inclusion of special photographs or momentos. Scripture verses highlight the pages, helping create this personal way for families to pass the legacy of faith from generation to generation.

Grandmother's Journal

No matter what age of grandmother or the level of time invested in capturing those memorable and reminiscence times, this journal will open a richer, fuller understanding of your . Let this memory journal be a starting point--a door into discussing and sharing the unique qualities of a person's well-lived life.

Whether you choose to complete the journal in a few days, weeks, or over the course of a year, the questions will take a grandmother on a journey through the times and seasons of their life.



Join your local, state and national associations

We encourage all Activity and Recreation Professionals to join their local, state and national organizations. You can contact your national organizations to find the name and location of your local meetings. You do not have to be a manager or hold certifications to attend the meetings. Additionally, almost all state organizations hold a yearly convention that is open to all staff. If you have not attended the conventions and would like to go in 2006, be sure to let your supervisor know of your interest. Most Directors will encourage their staff to attend if they express a desire to do so.

Links to national associations of interest to Activity Directors
ATRA - www.atra-tr.org
NTRS - http://nrpa.org/content/default.aspx?documentId=530
NAAP - http://www.thenaap.com/
NCCAP - http://www.nccap.org/

 

Sensory Rooms and FTAG 248


On a daily basis we receive e-mails from activity professionals around the country asking if they have to have Sensory Rooms? Is it Federal or State regulation?  The answer we give is that it is not mandated by the federal government or state regulations that you have sensory rooms.  But what is required is that you provide " Quality of Life" for all residents.  Remember, that FTAG 248 is not the only federal guideline for nursing homes that apply to recreation.  There are many others.

Sensory rooms are really for any population.  But generally in long term care it is used for the very low functioning resident's.  Sensory rooms provide a group activity in an environment that is success oriented, failure free, purposeful and meaningful.  If you don't have programs to fit the needs of this very special population than the question would be, "how are you impacting their quality of life on a daily basis?"

As a consultant to many facilities across the country we do not see enough low functioning programs offered on a daily basis. Either it's not offered enough or not at all.  We also see many residents in day rooms unable to participate in the scheduled event, left in their rooms, placed at nurses stations or left in the hallway.  If you have a sensory room that is well staffed, it offers a place for the resident's to go that is stress free and stimulating.  The sensory rooms can also be used for your NPO programs.  As activity professionals you are required to have NPO programs for those individuals who are left in their rooms when meals are being served.  During meal times the NPO residents can come to the sensory rooms.  Think how hard it must be to smell the food when you cannot have it!  In the sensory rooms the stress and anxiety over meal times is alleviated.  

For the residents who are bed bound due to illness, a great program is a Sensory Cart.  The sensory cart could be brought to the residents room on a daily basis.  You could place fiber optics such as butterfly's above their bed.  Sensory carts generally have but not limited to CD players, aroma therapy and fiber optics.  Make sure you place the carts where the resident can see them. Otherwise what would be the benefit to the patient?

Anyone who is attending the sensory rooms should have care plans.  The Activity Professional should be documenting how often they attend and what they do while in the sensory rooms.  You should have simple attainable goals and approaches for each resident. You should have some kind of formal document that nursing would receive that states; which residents are attending the sensory room, time and days of the week.

For infection control, the activity professional should be washing each resident's hand as they are brought into the sensory room.  At the end of the day, all of the sensory equipment should be disinfected.

We have implemented sensory rooms in many facilities in New Jersey.  What a difference it made!  One facility that had over 200 residents identified 43 residents who could not participate in scheduled activities and many of these residents were also on the quality indicator report.  Before the sensory rooms opened on each floor, these residents could be found sitting idle with no stimulation.  Now all 43 residents attend the sensory room in the morning or afternoon and of course as tolerated. There is a huge difference in a facility with a sensory room compared to those without one.  

The sensory rooms also improves customer satisfaction among family members who feel their family member has no activity options due to their function level.  With a sensory room you can offer a wonderful activity on a daily basis. When families visit they can also spend time with their loved one in the sensory room.  When families visit with their children, the room provides a place for children to also engage in the sensory products.  A sensory room is a fun and interactive place for a child.

Sensory rooms should be equipped with rocking chairs.  High functioning residents should be encouraged to use the room and the rocking chairs.  The rocking chairs are soothing and all of us who have ever sat in a rocking chair can agree how calming an activity the rocking chairs are.

The sensory rooms should also have things to do on each table. Tactile items, pat mats, activity mats, squeeze balls, etc.  Also place flash lights on each table. Some residents enjoy turning on the flash light and pointing the light at the wall.

Watch the type of music and sensory stimulation you provide.  Smells should not be overpowering.  We recommend anything that is recommended for stress relief like lavender.  Strong smells such as lemon should not be used.  The type of music can also impact the mood.  Use music that is soothing such as angel music. It is recommended that you not use music with nature sounds, as dementia clients may misunderstand the sounds of chirping birds or crickets. They misunderstand the sounds of crashing waves as water running and want you to turn it off.  For the best outcomes, use soothing angel type music and stress relief scents.

Sensory rooms should have policy and procedures and these should be placed in the administrators facility manual as well as the Activity Departments manual.  These should be reviewed on a yearly basis.  

If you have been asking your administrator for sensory equipment and feel your not getting anywhere, you might consider finding a facility in your area with a sensory room and bringing not only your administrator but your Director of Nursing.  Every facility has resident's who become agitated due the stress of the unit, lights, noise, crowded conditions and temperature.  Appeal to the Director of Nursing how much calmer the floor would be not only for a specific resident but for other residents who are upset by verbal outbursts if you had a sensory room.  Also, if you have a sensory room, nursing would not have to watch a confused resident which would free up more of their time for nursing duties.  That example is sure to make a difference with a DON.    

And if that does not work, try the "survey approach."  Surveyors like to see sensory rooms because it means you have great programs for the low functioning residents and having a sensory room might possibly mean the difference between passing survey and not passing survey.  Because again, you are required to have programs to fit all residents needs living in your facility.  Sensory rooms can definitely help you with appropriate programming and survey outcomes.

So in answer to the question, is it required. No, Can you do without one with the changes to come next year and the answer is also No.  Take the time to visit a facility with a sensory room and you will know how important a sensory room is to quality of life for the low functioning resident.  And if your administrator still won't allot the money, than begin fund raising because in the end, you will be proud you raised the money.    
  
Alternative Solutions in Long Term Care www.activitytherapy.com carries a full line of sensory items, sensory room care plans, Sensory Room In-services and Sensory Room policy and procedures.        

Happy Activity Professionals Week!
____________________________

Alternative Solutions in Long Term Care
Lisa Reidinger LCSW, CTRS, CSW, CDP
Executive Director

Sandra Stimson CALA, ADC, CDP
Executive Director

 

National Council of Certified Dementia Practitioners


Train the Trainer: Please visit www.nccdp.org for dates and locations for the Alzheimer's and Dementia Train the Trainer course. This course is recommended for In-service Directors, Corporate Trainers and Consultants. The course will include all your overheads, Powerpoint disk, student hand outs and tests, text books and video. The modules are: Overview (Diagnosis, Prognosis, Treatment) Communication, Feelings, Depression, Repetitive Behaviors, Aggressive Behaviors, Catastrophic Reactions, Paranoia, Hallucinations, Wandering, Hoarding, Intimacy & Sexuality, Cultural Diversity, Activities, End of Life Issues, ADL's, Nutrition, Spirituality, Environment, Staff and Family Support.

Seminar Dates and Locations:
January 28th 2006 Saturday Las Vegas Nevada
April 22nd 2006 Saturday Washington DC
June 24th 2006 Saturday St. Louis MO
October 7th 2006 Saturday Orlando FL

For information and registration form please see www.nccdp.org or contact 1 877 729 5191

 



Our Corporate Sponsors!

Canadian Nursing Home Magazine

Ageless Design Inc The Alzheimer's Store

OMNI Health Systems of NY

Encore Senior Living

iCare Health Services

Robinson Adams Risk Management

Kaleidoscope Company

AgeCare, LLC.

Cambridge Health Care

Alzheimer's Project of Tallahassee, Inc

Hodes, Ulman, Pessin & Katz, P.A.

Bergen Regional Medical Center

Dorson Home Care, Inc

Bettye Williams Prints

Resident Councils of Washington

Certified Nursing Assistants

Brentwood Manor

The Canterbury at Cedargrove

The Buckingham at Norwood

Stratfod Manor

Windor Gardens

The Fein Group

Creating Moments of Joy

Dementia Relaxation Videos

Ethics Resource Company

GoodLife Adult Daycare

Parkway Manor Health Center

iconlogic

Memory Lane

 

Galleria del Lago

Families of Loved Ones

Mothballs In My Attic

The Activity Director's Office

Elder Rage

Quality Care Consulting Company

Idyll Arbor Long Term Care Resources

Accu-Trace, LLC
Employment Screening Services

New Lifestyles
The Source for Seniors
Area Guides to Senior Residences and Care Options
www.newlifestyles.com

Right At Home of Central New Jersey

     

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