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Long Term Care Newsletter
by Alternative Solutions in Long Term Care

Fall 2006 Issue

Newsletter Topics:
- The Big Secret! “Why are you paying retail prices?
Ways to expand your budgets!
- “Theme or Not To Theme…That is the Question?”
- Toxic Plants
- Resources & Web Sites for Fall
- Aroma Therapy Precautions
- Men’s Plaid Flannel Shirt Society-Great Men’s Program


HOT PRODUCTS

NEW PRODUCT A MUST HAVE FOR EVERY DIRECTOR.!!!

Activity Department Survey Compliance Tools
The Comprehensive Activity Department Audit Tool provides the Director or consultant a valuable tool to identify area's within the Activity Department that are not compliant. The Comprehensive tool includes, Audit Tool (24 pages), Explanations and Objectives Form.

Along with the Survey Tools you should use...

Population and Calendar Analysis Tools

 

Nutritional Concerns and Recommendations for Alzheimer's and Dementia : A guide for long term care and Dementia Units

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.


Dietary 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

Grandfather's Memories To His Grandchild
Grandfather's Memories to His Grandchild is a beautiful record book that will be treasured for generations.

Validation Therapy Video -
Communicating with the Alzheimer's-type Population: The Validation® Method.

This practical documentary offers caregivers methods for communicating with disoriented very old people (probable Alzheimer's or related disorders).

Creating Successful Dementia Care Settings
Excellent set for long term care, assisted living, adult day care and home settings. Great practical advise.

See our site for F248 & 249 New Interpertive Guidelines

 

 






 

Great Men’s Program



Men’s Plaid Flannel Shirt Society
Idea from Louise P. Whitney
Director of The Jewish Home of Rochester

Goal:
*Establish a brotherhood patterned after the ladies of the Red Hat Society
*Foster Socialization and anticipation of fun
*Give male residents something positive to look forward to.
*Rediscover a sense of self worth and accomplishment.
*Generate opportunities for leadership.
*Empower residents to create innovative strategies for team
building.

Potential Barriers:
*Cost of a dozen plaid flannel shirts and accessories.
*Membership initially limited to the day service program.
*Membership limited to men only.
*Volunteers for in-house resident transportation.

Strategies Implemented:

*Created and decorated men’s paper ties.
*Ripped the ties to shreds to celebrate freedom from convention.
*Themes developed for the monthly lunches.
*Using silly songs, tambourines and maracas to provide
entertainment.

Results:
*Plaid flannel shirts are being purchased in anticipation of venture.
*A theme poem has been created by Louise Whitney, the society’s
founder.
*The Plaid Flannel Shirts will tour the boiler room after lunch next month.
*Plans are being made to carry out the theme in decorations and prizes.
*Staff and volunteers are assisting with implementation of program.
*Empowerment and team building.

Thank you Louise, for a fantastic idea as I think all Activity Director’s will agree that we are in constant search of ideas for the gentlemen living in our homes.


 

NJ MEPAP 2

NJ MEPAP Part 2
( 90 Hour Advance Management Course)

Begins Sept.
Location Cedar Crest Village Passiac County NJ.

Saturdays 9-5

Click HERE for NJ MEPAP 2

 





Special Links

 

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


 

"Live Internet Chat" Ask the Consultant
1st Friday of every month 4:30 to 5:00


Enjoy the rest of the summer.

Lisa Reidinger LNHA, CTRS, CDP, CSW
Executive Director

Sandra Stimson CALA, ADC, CDP
Executive Director




 

www.activitytherapy.com
www.activitytherapy.makesparties.com - 10% corporate discount
activitytherapy@aol.com
973 729 6601 Office 973 729 1560 Fax


The Big Secret! WHY ARE YOU PAYING RETAIL?


WAYS TO EXPAND YOUR BUDGETS.

Budgets are almost a dirty word in health care. We dread those budget reports and expense reports and every month we pray that we did not exceed our budget. Here are some tips to help you stay within your budget and a big industry secret!

Know your budget. Some of you work for companies with no cap on spending. Some of you are told monthly what you can spend based on PPD and others have a set amount per month. Regardless of your budget, here are some suggestions to help you manage the budget.

1. You should be keeping a daily expense log. This log, just like a check ledger begins with a total amount you can spend. Each time you spend, enter into your ledger exactly what the funds were spent for, date and the amount you spent.

2. Always turn in your receipts immediately. Otherwise the expense will show up on another month’s expense report thus putting you over budget for a past month.

3. At the end of the year, complete a spreadsheet by category of expenses to see what you spent your money on for the year. You may find that you need to expand your budget. You may find you have money left over.

4. Plan in advance for those programs that are very expensive. Some of the items you might be able to purchase the month before. You may not need to put the entire event in one month’s expense. For example, you might plan an Elegant Dining event. Your decorations and invitations could be purchased several months in advance. No one says that you have to purchase the entire events items in the same month.

5. Always get it in writing. If you want to spend for something expensive, get it in approved and in writing from your administrator. Some times people forget.

6. Fund Raisers are another great way to get extra cash. There are many fund raising ideas and lots of web sites out there. Quick ways are bagel sales, jewelry (vendor) sales, traveling book shows and of course the good old one, Ottis Spunkmeyer Cookie Sales. Plan fundraiser events to be held immediately after payday for a better response from staff. Advertise so that everyone knows you have a fundraiser coming.

The Big Secret:

Secret # 1: Why are you paying retail full prices? All those catalogues you use, are marked up to full retail prices. Often times doubled the cost. Or, if you are purchasing at stores, you are paying even higher, as they purchased from whole sale suppliers. Now you can too! Often times you can negotiate a discount with catalogue companies. You may need to speak to the account representative or supervisor. If, you consistently order through them, they should meet your request for a discount. Some companies may not give you a discount but instead may offer you free shipping. You could negotiate both free shipping and a discount. They don’t want to loose your business to a competitor. But, you have to ask because they will not offer it out right. Just ask, all they can say is NO. If you are with a large company, they have a purchasing department and that department can negotiate a discount for you.

Secret # 2: Buy through catalogues that offer deep discounts. Purchase items when they are on sale. Shop around. Years ago we did not have the kind of choices we have today. Stretch your budgets and make your budget work for you.

Know where the job lots stores and the dollar stores are located in your community, as there are many items you purchase at inflated prices that you can get for only a dollar or very cheap at the job lot stores. (Did you know that many dollar stores will come to you?)

Secret # 3: Many directors and large companies are already purchasing from our party supply catalogue and are seeing huge savings. If, you set up an account with us, we can offer 10% off the catalogue price.

If, you are with a large company, we can offer even greater discounts. Cost compare. Look at some of the common things you order on a monthly basis, party kits, decorations, tambourines, streamers, maracas, Christmas and holiday supplies. We can offer these products at a cheaper price compared to a lot of other vendors. A great example is Maracas. You currently pay aprox 12.00 for two maracas. With our catalogue we can offer 24 maracas for under 12.00. That’s a huge savings.

We also accept purchase orders once you open an account with us.

We also have a wider selection instead of limited choices.

Visit our catalogue at www.activitytherapy.makesparties.com

Or Contact us at 973 729 6601 for information on discounts prices we can offer for large companies or long term care chains.



Toxic Plants and Poisonous Plants:

Many Activity Directors believe that Poinsettia Plants are poisonous, but they are NON TOXIC and have been removed from the toxic list. So this year, purchase Poinsettia’s for your facility. As always, anyone who needs supervision, you might have to monitor to ensure that the resident does not eat the plants.

It is easy to be deceived by plants. In my garden, I have many Elephant Ear Plants. Because I don’t have small children, I include them in my landscaping, but they are on the poisonous list. One part of a plant, may be edible while another is poisonous. The following lists are some of the more common poisonous plants and should not be included in the gardening / horticulture programs. If you do decide to use these plants, it is very important that precautions are taken and supervision provided. Recommend printing this article and placing in your policy and procedure manual. Your staff should be in-services on this toxic plant list.

Plant Toxic Part
Hyacinth Bulb
Narcissus Bulb
Daffodil Bulb
Dieffenbachia All Parts
Elephant Ear All Parts
Rosary Pea Seeds
Castor Seeds
Castor Bean Seeds
Larkspur Seeds
Monkshood Fleshy roots
Autumn Crocus Bulbs
Star of Bethlehem Bulbs
Lilly of the Valley Leaves / Flowers
Iris Underground stems
Foxglove Leaves
Bleeding Heart Foliage, Roots
Rhubarb Leaf Blade
Daphne Berries
Wisteria Seeds / Pods
Golden Chain Bean like
Laurels All parts
Rhododendrons All parts
Jasmine Berries
Red Sage Green Berries
Yew Berries Foliage
Jack in the Pulpit All parts
Moonseed Berries
Mayapple Apple, foliage, roots
Mistletoe Berries
Buttercups All parts
Nightshade All parts, especially berry
Poison Hemlock All parts
Thorn Apple All parts
Wild Cherry Trees Twigs / Foliage
Cultivated Cherry Trees Twigs / Foliage
Oaks Trees Acorns / Foliage
Elderberry Trees All parts/ Roots
Black Locust Trees Bark, Sprouts/ Foliage


Aroma Therapy

There are many types of products and essential oils that Activity Directors are including in their Aroma Therapy Programs. However, you need to be aware of side affects with some essential oils, which is the liquid kind that comes in small bottles. First important rule is to only purchase Essential Oils from vendors or catalogues that specialize in Aroma Therapy. The second rule is to understand the side affects with essential oils. There are many web sites with great information about the benefits and side effects as well as allergies associated when using the oils. Be sure to request an MSDS for the essential oils and to know exactly what products are in the bottles. Always make sure the label is clearly shown on the bottle.

Generally the following essential oils are ok to use with most people. However, when ever trying essential oils for the first time, you should observe residents for allergic reactions or changes in behavior. Also be aware of anyone with a history of severe allergies, COPD or Asthma.

Eucalyptus, Jasmine, Lemon Balm, Lavender, Geranium Oil, Grapefruit, Peppermint, Rosemary, Chamomile, Lemon Balm, or Rose

The following precautions should be observed when working with essential oils.

Essential oils should never be used undiluted and directly on the skin because of severe sensitivity in some individuals. Essential oils should not be used topically unless the label states it can be used for massages. Many oils are too strong for the skin. As a general rule, don’t use at all on the skin.

Be aware of allergies. Some oils can cause allergic reactions so residents need to be observed at all times. Watch for reactions both physical and mental such as agitation, wandering, crying. Breathing problems, tearing of the eyes, etc. Again, anyone with a history of Asthma, severe allergies, COPD and Epilepsy should be closely monitored and the aroma therapy scent should be checked for precautions. For residents with seizure disorder, avoid, basil, fennel, hyssop, rosemary and sage. For residents with Hypoglycemia avoid geranium.

Watch the amount of essential oil you are using as only one drop is recommended. The scent should never be over powering or noxious. Remember, what smells great to one person may smell awful to another. For some dementia residents, smells may be confused with something else or cause agitation.

Essential oils should never be given orally. Never leave an open bottle and place the bottle immediately back in a locked cabinet as soon as you have used it. If any one should swallow the oil, contact poison control immediately and refer to your MSDS.

It should also be noted that essential oils are flammable and should be kept away from all flames.

Unless you are trained and certified in Aroma Therapy, Never use Birch, Sage, Thuja, and Wintergreen, Bitter Almond, Calamus, Camphor, Horseradish, Mugwort, Mustard, Rue, Sassafras, Southernwood, Tansy and Wormwood, Ajowan, Almond, Arnica, Sweet Birch, Boldo Leaf, Broom Spanish, Melilotus, Onion, Pennyroyal essential oils.

All of the essential oils mentioned in the previous paragraph, if not used correctly can cause severe reactions and even in some cases death.

We recommend printing this article out and placing in your policy manual under Aroma Therapy. Activity Directors should in-service your staff as well.


“Theme or Not To Theme…That is the question”

Many Activity Directors have written to us over the years asking, “Why is it important to have a Themed Calendar?” My answer is why are you not theming your calendars? We have been teaching the 90 hour activity courses for many years and one of the expectations of our student’s, is to develop calendars. The expectation of the students is to provide a themed calendar that is seasonal.

For many, it’s the first time they have ever approached calendar planning in this fashion. After completing the calendar, the students tell us, they will never go back to completing a calendar the “old way”. With that said, we want to make sure that everyone understands that with the new regulatory imperative guideline changes, a Population and Calendar Analysis should be completed and incorporate the findings into your calendar planning. The Analysis tools are available on www.activitytherapy.com. In the new guidelines, the analysis tools are referred to as an audit tool. You can visit the CMS wed site and watch the CMS Activity Guidelines presentation at http://cms.internetstreaming.com as the presentation discusses the analysis tools.

One recommendation is to go on the Internet and search for a theme that is seasonal. You could enter as a search term, “Ideas for Autumn.” Look at some of the names and programs others have developed. You could enter search terms such as; cooking ideas for autumn, craft ideas for autumn, trivia ideas for autumn, etc. As the Internet is an ocean of ideas and everything is available at a touch of a key.

Once you come up with the theme, you need to than come up with a creative name for your calendar that clearly denotes what your theme will be about. For example, the September theme might be about memories associated with school and a creative name might be “Memories of Fall.”

Once you come up with a creative name and a theme, it’s easy to now plan your calendar around that theme. Every event, trivia, special event, cooking, crafts, etc, should be around the theme. Any one, who has ever had a theme day, knows the excitement and anticipation your residents and staff have. So it only makes sense to have a theme month. You should include your resident activity planning committee in developing the ideas for your theme.

Developing a theme also helps decide what type of decorations you may want to plan for these events. A great web site for decorations is www.activitytherpy.makesparties.com

There are many resources available to help you plan your theme, such as the internet, activity and recreation web sites, books, magazines, Creative Forecasting and staff / volunteer input.

The calendar should include a large special event related to the theme as well.

For September we have included many ideas to help you in developing your theme.

Order your copy of Grandfathers Memories and Grandmothers Journal while supplies last at www.activitytherapy.com.

September Flower: Forget Me Not
Grand Parents Day September
National Assisted Living Week Sept 10-16
Hispanic Heritage Month Sept 15-Oct 15
Apple Month www.usaapple.org
Healthy Aging Month-Invite a speaker
Women of Achievement Month-Invite a speaker


Web sites of interest:

www.eduplace.com/monthlytheme/september
Autumnal Equinox Day
Sept 23-24
After this date, days become shorter. See great story

Introduce residents to the game Sudoku- http://abcteach.com/directory/fun_activities

AARP Site - www.aarp.org/families/grandparents
National Grandparents Day www.grandparents-day.com

Carnival Planning www.carnivalplan.com
Holidays by states www.shagtown.com

Bizarre Sept Holidays- http://library.thinkquest.org/2886/sep.htm

General Pencil Company- How Pencils are made kit 11.00 www.GeneralPencil.com. If you wanted to invite the local school, it’s only a few cents per pencil. They can even put the name of your facility on the pencil. Order kits early.

Visit Apple Orchards. In NJ or NY there are great
Apple Orchards in Warwick NY. If, you go there, great little rustic restaurant called County Dreams.

Attend Harvest Fairs.

Minty Mug-Hot chocolate with peppermint sticks.

Scents of fall season-cloves, cinnamon and nutmeg.

Host a Rustic Weekend and Serve Hot Apple cider with cinnamon sticks

Road trip to Base Ball Stadiums or Little League Game

Grandparents are special certificates free at www.billybear4kids.com/holidays/grandparents/certificates.html

Free Grandparents Cards at http://www.all-yours.net/c/xgallery/gp_day1html

The Best of Times- Residents list 5 memories of times with grand children when they were small. Place their comments on bulletin board.

Ask families to share special memories about grandparents and post on bulletin board.

See the questions posted on Ellis Island that many great grand parents had to answer.
www.historychannel.com/ellisisland/whoare/index.html

Invite an American Indian to speak about culture.

Noah’s Ark Party

Potpourri Patch

Hosts a Craft Show

Crafts Idea:
Apple Star Prints: Cut applies in half and dips in paint and presses into paper.
Fall Mural- “Leaves are falling down” see idea at www.kinderkorner.com/scarecrow.html
Apple dolls-
http://jas.familyfun.go.com/arts-and-crafts?page=craftdisplay&craftid-=10843
Leaf Rubbing
God’s Eyes Craft http://avalon-arts.com/studio/fall.html

Cooking Idea:
Stone Soup www.thefunplace.com/recipes/00341.html
Honey Cake Recipe www.butlerwebs.com/holidays/september.htm#septemberrecipes
Full Moon Cakes www.familyfun.com
Caramel Apples-kits in stores

Horticulture:
Dried Flowers- Take flowers and glue on to blank greeting cards.

Drying Flowers: Begin picking flowers in August and putting flowers between pages of a book and bind with a rubber band. Flowers will dry in time for use for September for craft projects. Or hang in flower bunches upside down in cool dark area.

Trivia:
Johnny Appleseed-see many web sites.
Leaf Maze www.grandloving.com/backtoschoolindex.html

Discussion:
Flight of the Butterfly- migrates to south.-see many web sites.
Tales of changing seasons http://www.eduplace.com/activity/changing_seasons.html
What’s Missing-Fill a tray with gourds, leaves, acorns, corn husks, etc and take something away and have them figure it out.

Intergenerational Program:
“ How Old is Old Walking in my shoes”
A 4H Awareness Project www.urbanext.uiuc.edu/wins/wimsproject.html

Build a display of bales of hay, pumpkins, gourds, corn stalks, etc
Have residents make scare crows. Use panty hose for head and stick legs of hose through shirts. Stuff with newspaper or straw.

Visit the RAG Shop or Fabric Shops for great fall decorations.

 

 




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

Gordon Social Work

Galleria del Lago

Families of Loved Ones

Mothballs In My Attic

Right At Home of Central New Jersey

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

 

     

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