Why do residents report being bored even though facilities
have activity calendars that are full of events?
Are reasonable periods of boredom healthy for the average
nursing home resident?
Understanding boredom is an essential first step to coming
to terms with reports of boredom. We assume that the brain is not active during
states of boredom; however, according to research, the brain is very active
during times of disengagement with the external world. During episodes of boredom,
the healthy brain connects to its inner database and reminisces, creates, engages
in fantasy, daydreams, and problem solves in a more relaxed manner. Inventors, writers, and artists look at this mental
phase as a window of opportunity for greatness.
How can we help our residents experience greatness from their alone
CMS is concerned with reducing the use of antipsychotic medications in nursing homes. What are your initiatives regarding this issue and do you use a multidimensional approach? Do you also measure your success and report accordingly so that the team may learn from your methods?
The elderly often feel a loss of control when moving into a retirement community because of downsizing and moving to a new and sometimes unpredictable environment. How can Activity Directors ease the stress of
Ideas from previous directors:
Connect residents to their current and preferred groups, clubs, and committees
Invite the resident's network of groups, clubs, and committees to volunteer to increase contact time.
Help the resident with change of address notices for friends, family, and important associations or companies.
Take pictures of items that are too large to bring into the resident's new home or take pictures of special areas of the resident's home or yard, and help the resident create a scrapbook of their home before moving.
When possible, create similar designs or grouping of items in their new home.
Robert Greenleaf, in his work titled Servant Leadership,
calls us to create a council of equals where we nuture and train our staff to
serve and become leaders within the organization, community, and the industry.
How important is it to encourgage your staff to become Certifed Activity
What are the resources in your community that may help your independent residents continue their driving privileges? For example, do you have a driving school nearby that could offer refresher classes for skills and current regulations? Perhaps, your community offers driving evaluations and screenings from reputable occupational and physical therapy organizations. What other ideas do you have to help senior citizens become proactive about their future transportation needs? Do you offer public transportation awareness events?
We have spent some time in this
course identifying aging stereotypes so that we may offer a more holistic and
empowering program for our residents. However, the elderly are also victims of
aging stereotypes, and residents may believe these myths and stereotypes about
growing older. How do we help our residents see aging as a valued process and
not a handicap in a society that focuses on glamour and youth?
There is a fundamental ethical obligation to provide care for all, particularly the weak and vulnerable; however, with younger residents entering with chronic long-term issues related to risky lifestyle choices, how do we identify the weak and vulnerable? Do we use cognitive decline as a measure, age and frailty, mental disability, or social dis-ease as a measure?
Discuss briefly a few of the most important concepts and best practices that
you have learned in this class. Looking ahead, what degrees, certifications, or
workshops would you like to add to your current skills and competencies as a
manager and a leader in long-term care?
you knowledgeable and current about lawful interviewing? Without violating civil rights, provide an example of selecting a candidate based on their fitness for the open position and their ability to complete related tasks within the scope of the job description.
Behaviors such as exit seeking and behavior outbursts may all be signs of a resident becoming overwhelmed by possible poor task segmentation of an activity program. Explain how this occurs, and please add any other behaviors that you have witnessed that may have occured when we ask too much of a resident, too soon, and without time for processing
It is important to link your activity calendar to the care plan, and it is also important to design the calendar based around the dimensions of wellness. In addition, your calendar should reflect your facility's group dynamics, while staying within your department's resources, and skills and competencies. Please describe why these statements are true.
Sometimes major life course events influence resident decision-making throughout every level of care. For example, some life course events foster behaviors that are filled with fear, hoarding, restlessness, and self-imposed restriction or isolation. What are some of the major historical events in your life or your parents' life course?
Activity Professionals often face budget restrictions and limited resources. Brainstorm with other professionals in this forum and consider posting some of the many ways to advocate for funding or resources for long-term care facilities.
How do you know if an activity is relevant and if it supports the care plan and personal interests of the resident, and how can you evaluate the therapeutic value, and adaptability of the activity for changing levels of care?