DateTimeFromToMessage
2019-10-22 05:31:50 PM lamearaj hello kathy!
2019-10-22 05:31:59 PM kathyhughes How are you doing?
2019-10-22 05:32:52 PM lamearaj doing better, trying to catch up on some of week 10 that i fell behind on
2019-10-22 05:33:12 PM kathyhughes thats good...I am sure that you will do well
2019-10-22 05:33:41 PM lamearaj i was so busy with fall festival new point care click that we just started . fell behind, im trying to catch up asap...sorry
2019-10-22 05:34:21 PM lamearaj thanks, i over think and loose time fast! i cant afford to fall behind, i have to meet my goal!
2019-10-22 05:34:35 PM kathyhughes Did you have to take classes to learn about hte Point N Click?
2019-10-22 05:35:07 PM regina1 enter the chat room
2019-10-22 05:35:26 PM kathyhughes Hello Regina
2019-10-22 05:35:29 PM lamearaj yes, it it totally different, we are one of the last ones to upgrade to it .. we were behind, all our sister facilities have been using point care click
2019-10-22 05:35:31 PM kathyhughes How are you doing
2019-10-22 05:36:02 PM regina1 Hello Kathy and everyone. Doing good thank you, how about you?
2019-10-22 05:36:04 PM kathyhughes then you can use the time for the class as continuing education..
2019-10-22 05:36:09 PM kathyhughes I am doing great
2019-10-22 05:37:26 PM kathyhughes I am here early to answer any questions you might have about the course
2019-10-22 05:38:26 PM ronda Kathy I received 5 emails from you. They were pertaining to 5 of the Final Practicum assignments, it looks like the same things
2019-10-22 05:38:39 PM kathyhughes Yes Ronda,
2019-10-22 05:39:18 PM kathyhughes I updated the Practicum Forum to meet the updates that we have done. And yes some of the assignments are the same and some are different
2019-10-22 05:39:35 PM kathyhughes If you have the "old" Practicum then you can use that
2019-10-22 05:39:42 PM kathyhughes It is only for the Pace course
2019-10-22 05:39:57 PM ronda I am in the Pace Course
2019-10-22 05:40:29 PM regina1 Kathy can the Mid term be submitted late, if we are not able to get everything completed? I too have fallen behind on that.
2019-10-22 05:41:04 PM kathyhughes Yes you can as long as I get both of them by the end of your class
2019-10-22 05:41:22 PM kathyhughes I know Ronda....that would be the Pace course that we are updating
2019-10-22 05:41:24 PM ronda Where acn we go to find out how many live chats we have received credit on?
2019-10-22 05:41:42 PM regina1 thank you, thank you! Will make sure on that.
2019-10-22 05:42:07 PM kathyhughes You can check your grades under your Profile there is a Help video that will show you.
2019-10-22 05:42:14 PM taylorasia1989 enter the chat room
2019-10-22 05:42:52 PM kathyhughes Hello Asia welcome to the chat
2019-10-22 05:43:24 PM taylorasia1989 left the chat room
2019-10-22 05:43:31 PM taylorasia1989 enter the chat room
2019-10-22 05:43:47 PM ronda I will have to look at the emails closer I only noticed 1 that was a little different where it asks for emails on a contact list
2019-10-22 05:44:42 PM kathyhughes Well you have the "old" Practicum Packet so just concentrate on that one
2019-10-22 05:45:09 PM taylorasia1989 Hello Kathy! Hi everyone!!
2019-10-22 05:45:23 PM regina1 Hi Taylor
2019-10-22 05:45:33 PM kathyhughes Hello Asia
2019-10-22 05:45:41 PM lamearaj ive got alot of people ready to participate for our halloween costume contest!!!!!
2019-10-22 05:46:22 PM lamearaj i cant wait to see our employe and resident teams !!
2019-10-22 05:46:28 PM hryniefm enter the chat room
2019-10-22 05:46:33 PM kathyhughes Sounds like fun
2019-10-22 05:46:34 PM ronda I hae lloked at my grades but I do not see one for the chats.
2019-10-22 05:46:45 PM kathyhughes Hello Fawn
2019-10-22 05:46:57 PM darkeisha enter the chat room
2019-10-22 05:47:05 PM hryniefm Hello Kathy!
2019-10-22 05:47:09 PM kathyhughes Well Ronda I will need to check tomorrow you should be getting 100 for the chats
2019-10-22 05:47:16 PM kathyhughes Hello Brittany
2019-10-22 05:47:16 PM regina1 yes, I think thats a great way to do it, teaming up the resident/employee. I hope to do that next year in our area
2019-10-22 05:47:21 PM taylorasia1989 I am so glad we have a little more tie with the practicum. Meeting with the right people has definitely taken more time then expected. I have done my quality of life events and starting swimming since I am now 17 weeks preggo, excited to post picks! lol
2019-10-22 05:47:39 PM regina1 that is my problem Asia as well
2019-10-22 05:48:05 PM deniseweiss enter the chat room
2019-10-22 05:48:52 PM darkeisha hello kathy i uploaded my midterm practicum assigments before you re started the midterm practicum and i no longer see everyones uploaded assigments, will i need to re upload them?
2019-10-22 05:48:58 PM kathyhughes Hello Denise
2019-10-22 05:49:12 PM taylorasia1989 I will be doing my enter facility event next, helping another facility with their tick r treat trail, I'm excited!
2019-10-22 05:49:34 PM kathyhughes Brittani ....no you will get all the credit...you do not have to upload your assignments if you already have
2019-10-22 05:49:36 PM ronda Thank you. I mst just be overlooking it. :(
2019-10-22 05:49:39 PM yvetter enter the chat room
2019-10-22 05:50:12 PM deniseweiss Hello Kathy and all!
2019-10-22 05:50:30 PM kathyhughes Welcome to the MEPAP1 chat
2019-10-22 05:51:31 PM darkeisha ok thanks
2019-10-22 05:52:07 PM bnash enter the chat room
2019-10-22 05:52:22 PM yvetter Hello!
2019-10-22 05:52:24 PM bnash hey
2019-10-22 05:52:30 PM aehutchins enter the chat room
2019-10-22 05:52:32 PM ronda Kathy, on the chat the week that you were gone to a conference, am I right that you said we could count that as our chat for the agism and future events?
2019-10-22 05:52:51 PM taylorasia1989 Thank you! The midterm this week allows 2 hours but do you really think it takes that much time for 50 questions?
2019-10-22 05:52:59 PM kathyhughes Yes Ronda that chat would count as your Practicum Chat
2019-10-22 05:53:03 PM erittenhouse1683 enter the chat room
2019-10-22 05:53:49 PM erittenhouse1683 Good Evening everyone
2019-10-22 05:53:50 PM darkeisha also i have faxed in my mid term and find advisor practicum packet will i need to wait for approval before i can ask that my midterm exam to be open ?
2019-10-22 05:54:11 PM kathyhughes You would be surprised at the folks that go over the 2 hours....and then have a score of 0
2019-10-22 05:54:36 PM kathyhughes No if you want to take the Mid Term Brittani it is open now for your class
2019-10-22 05:54:43 PM kathyhughes You do not have to wait
2019-10-22 05:55:00 PM tamracreighton enter the chat room
2019-10-22 05:55:02 PM darkeisha ok thanks
2019-10-22 05:55:15 PM shelbydonahue enter the chat room
2019-10-22 05:55:23 PM darkeisha for how long will it be open?
2019-10-22 05:55:30 PM adyson87 enter the chat room
2019-10-22 05:55:41 PM kathyhughes It states it on your assignment page when you login
2019-10-22 05:55:42 PM darkeisha sorry im asking a lot of questions
2019-10-22 05:55:44 PM shelbydonahue Hello, all!
2019-10-22 05:55:46 PM kathyhughes I would have to ask
2019-10-22 05:55:50 PM taylorasia1989 Wow.. ok. I have printed out all pages that we needed to download so that and prior assignments are what we are using for the open notes?
2019-10-22 05:55:52 PM adyson87 hello everyone
2019-10-22 05:56:28 PM taylorasia1989 darkeisha: that's what this is for lol
2019-10-22 05:56:33 PM crystalandino enter the chat room
2019-10-22 05:56:39 PM kathyhughes All of the reading assignments can be used for your notes
2019-10-22 05:57:10 PM kathyhughes Welcome to the MEPAP1 Chat all
2019-10-22 05:57:12 PM taylorasia1989 ok
2019-10-22 05:58:00 PM bnash hi
2019-10-22 05:58:09 PM ronda DO we need to let you know what Research Paper topic we chose prior to writting the paper?
2019-10-22 05:58:19 PM kathyhughes Yes Ronda
2019-10-22 05:58:42 PM ronda Can I tell you here or do I need to email it to you?
2019-10-22 05:58:45 PM crystalandino did i miss he chat i thought it started at 8?
2019-10-22 05:58:46 PM kathyhughes This week we are to cover the Behavioral Health Iss
2019-10-22 05:58:56 PM kathyhughes You can email me the topic Ronda
2019-10-22 05:59:02 PM kathyhughes and the chat starts now
2019-10-22 05:59:09 PM ronda Ok. THank you.
2019-10-22 05:59:25 PM kathyhughes I was going to ask about Behavioral Health Issues in your faciity
2019-10-22 05:59:31 PM splush2402 enter the chat room
2019-10-22 05:59:44 PM kathyhughes Keep in mind that there is no magic wand! Each person is unique
2019-10-22 05:59:50 PM ronda I chose one on the list, do you have to approve it or can I start writing it now?
2019-10-22 06:00:01 PM angelalgreathouse enter the chat room
2019-10-22 06:00:06 PM kathyhughes You can start writing now Ronda....
2019-10-22 06:00:06 PM aehutchins Oh man, we have about 5 that have behavioral issues. One so bad she spits and trys to choke other residents
2019-10-22 06:00:12 PM crystalandino left the chat room
2019-10-22 06:00:14 PM ronda sorry slow typer...
2019-10-22 06:00:23 PM crystalandino enter the chat room
2019-10-22 06:00:27 PM shelbydonahue In a previous facility, we had SO many active behavioral issues with little to none services. The county would say they need additional services, but they couldn't provide us with any...
2019-10-22 06:00:34 PM marymable1 enter the chat room
2019-10-22 06:01:13 PM deniseweiss We are admitting more and more residents with behavioral health issues. There are diagnoses today that didn't exist even 10 years ago.
2019-10-22 06:01:22 PM bnash all my residents are behavioral with verbal aggression pysical agression socially inappopriate etc etc
2019-10-22 06:01:26 PM marymable1 hello
2019-10-22 06:01:26 PM kathyhughes Well we can take one person at a time...the person who chokes other residents and spits...what causes the behavior?
2019-10-22 06:01:29 PM angelalgreathouse hello everyone. I hope all are good this evening
2019-10-22 06:01:39 PM splush2402 Hello Everyone!
2019-10-22 06:01:43 PM erittenhouse1683 We have quite a few residents that are coming to us with behavioral issues
2019-10-22 06:01:43 PM emilynb1 enter the chat room
2019-10-22 06:01:49 PM rhondakapcsos enter the chat room
2019-10-22 06:02:29 PM rhondakapcsos Hello everyone
2019-10-22 06:02:33 PM aehutchins Some times its a TV show, a certain employee or resident, somethimes its her not getting attention or she thinks we are doing an activity wrong and won't do it her way
2019-10-22 06:02:38 PM tamracreighton left the chat room
2019-10-22 06:02:40 PM splush2402 I have not experienced the choking.
2019-10-22 06:02:41 PM emilynb1 hello :)
2019-10-22 06:02:49 PM yvetter We currently have one resident who has behavioral issues that tend to arise after lunch.
2019-10-22 06:03:06 PM taylorasia1989 Yes when interviewing one of our health professionals that is ne thing she stated for the change in longterm care. Issues of today are very differnet and more severe than 10 years ago..
2019-10-22 06:03:08 PM chiquitacdelaney enter the chat room
2019-10-22 06:03:10 PM kathyhughes We are taking one person at a time so Amanda went first with a resident who chokes other residents
2019-10-22 06:03:31 PM kathyhughes So we as a group can offer suggestions to help Amanda with this residents
2019-10-22 06:03:38 PM aehutchins But then the other day she was all smiles and loving everyone
2019-10-22 06:03:45 PM kathyhughes Usually something triggers the behavior
2019-10-22 06:03:52 PM chiquitacdelaney hello(F)
2019-10-22 06:04:01 PM aehutchins If its one thing I havent found it yet
2019-10-22 06:04:10 PM regina1 I worked with a few that had servere behavior issues, when I was working as a CNA. Some would lash out at other residents or some spit, it was a daily issue- this was in an assisted living setting, all private
2019-10-22 06:04:10 PM hryniefm Does it usually happen around a certain time of the day?
2019-10-22 06:04:10 PM crystalandino i have only one resident at the moment that is a bit verbal to everyone and has started sundowing we see her behavior increase during the beinging secound shift
2019-10-22 06:04:11 PM kathyhughes So what would her diagnosis be?
2019-10-22 06:04:16 PM ronda what type of tv show triggered it
2019-10-22 06:04:22 PM taylorasia1989 Yes what do you notice are her triggers? what happens before she changes moods?
2019-10-22 06:04:29 PM bnash is it around a certain time, is it specific to choking males or females or both
2019-10-22 06:04:31 PM erittenhouse1683 Could you have her help lead the activity? That might help her in wanting things her way
2019-10-22 06:04:39 PM deniseweiss I always like to find out what the resident did for a living and oftentimes involving the resident in an activity that mimics that will really calm them and bring familiarity.
2019-10-22 06:04:46 PM rhondakapcsos I have not experienced that ,but you would have to find out what is triggering that behavior
2019-10-22 06:04:58 PM aehutchins It happens a different times in the day
2019-10-22 06:05:04 PM kathyhughes Let Amanda answer
2019-10-22 06:05:39 PM tamracreighton enter the chat room
2019-10-22 06:05:40 PM kathyhughes OK...so nobody on the team has observed what triggers the behavior...and we do not know the diagnosis
2019-10-22 06:05:42 PM taylorasia1989 Could it be something visual or sound related?
2019-10-22 06:05:49 PM aehutchins Usually musical shows, she was a music teacher and taught piano. So when we do sing alongs or church programs she gets irritated becuase they arent doing it correctly
2019-10-22 06:05:57 PM shelbydonahue Is the resident younger?
2019-10-22 06:06:02 PM aehutchins She has demintia
2019-10-22 06:06:10 PM chiquitacdelaney just coming in
2019-10-22 06:06:29 PM adyson87 We have one here in our community. She spits, and picks fights, and ends up losing...I did a little hisrory on here, i found out that she use to work in a front office fileing papers. so i made several folders with differet instructions to help occupy her. It worked...everytime she starts getting into stuff...we hand her papers to file..
2019-10-22 06:06:36 PM aehutchins There are a couple of residents that she really doesn't like, yes
2019-10-22 06:06:40 PM kathyhughes OK now we have something to work with...just because she was a music teacher does not mean that she likes music
2019-10-22 06:06:46 PM taylorasia1989 Ok so she's a perfectionist, that makes since
2019-10-22 06:07:04 PM ronda IS she still able to play the piano? Could she possibly play for a sing-a-long
2019-10-22 06:07:10 PM kathyhughes I would have her teach the residents in a Choir for the Holidays
2019-10-22 06:07:21 PM rhondakapcsos like thatidea
2019-10-22 06:07:28 PM angelalgreathouse We have a risdient that was a college proffessor. she would beome aggitated in the evening when we are charting. so we made her up a binder with paper work she could work she could grade while we work on our charting. it really helps
2019-10-22 06:07:32 PM kathyhughes She can cinduct the choir
2019-10-22 06:07:33 PM splush2402 Great idea!
2019-10-22 06:07:42 PM marymable1 music will help with the behavior if you know what they like
2019-10-22 06:07:43 PM kathyhughes conduct
2019-10-22 06:07:45 PM splush2402 That would be so cute. omg
2019-10-22 06:07:54 PM yvetter I would have her maybe choose the songs for the next group and maybe teach them how to or what to play
2019-10-22 06:08:14 PM kathyhughes Music helps folks who like music...sometimes music triggers behaviors
2019-10-22 06:08:22 PM shelbydonahue Yes, definitely give her control. She may just not agree with the way things are going, as she knows it so well!
2019-10-22 06:08:31 PM regina1 that is a great idea, I like that. We had a teacher who would take this co workers home work if she left it out, and she would find it in the residents room later. It was like she took papers home to grade
2019-10-22 06:08:43 PM bnash what stage is she in is she capable of conducting a program and is she capable of telling you what frustrates her
2019-10-22 06:08:43 PM taylorasia1989 At ur facility we ordered a video exercise for conductercise with a guy named David Dworkin
2019-10-22 06:08:47 PM aehutchins I have had her try to conduct a sing along but she stumbles on her words and gets frustrated then the other residents get frustrated
2019-10-22 06:08:56 PM taylorasia1989 *our
2019-10-22 06:08:56 PM angelalgreathouse Do you have a binder with sing along songs or disks for the elderly that she could use
2019-10-22 06:09:09 PM aehutchins She does like to excersise
2019-10-22 06:09:15 PM tamracreighton left the chat room
2019-10-22 06:09:18 PM deniseweiss In my experience the residents' quality of life improves when they feel they have a purpose and are contributing. No matter the behavior diagnosis, everyone wants to feel valued
2019-10-22 06:09:28 PM kathyhughes I guess that she might be able to suggest songs for your activities
2019-10-22 06:09:29 PM regina1 agreed
2019-10-22 06:09:34 PM kathyhughes She could search them out
2019-10-22 06:09:43 PM crystalandino you tube has a great stream for sing a long. we use it allot when our pianio player isnt feeling well
2019-10-22 06:09:47 PM aehutchins True , Kathy and I agress deniseseiss
2019-10-22 06:10:01 PM yvetter Maybe have her choose the songs and inorporate certaing exewrcises to that?
2019-10-22 06:10:05 PM tamracreighton enter the chat room
2019-10-22 06:10:25 PM shelbydonahue I let one of our residents lead our hymnal before every meal
2019-10-22 06:10:43 PM aehutchins Her attention span is also only about 10mins , then she resets and forgets what she was doing
2019-10-22 06:11:39 PM monoliver enter the chat room
2019-10-22 06:11:56 PM angelalgreathouse Wehave incorparted music in with our excerise group. we sing songs as we excerise. the resident really enjoy that. we have a different person lead one excerise and move around the circle with it.
2019-10-22 06:12:01 PM kathyhughes So you know what she likes to do and we have offered some suggestions. The hard part is to as a team figure out what triggers her behavior....that is all the staff including Housekeeping and dietary
2019-10-22 06:12:16 PM emilynb1 very true kathy
2019-10-22 06:12:25 PM kathyhughes That is also for all residents who have behavior issues
2019-10-22 06:12:25 PM monoliver Sorry I'm late, I have been playing games with the residents.
2019-10-22 06:12:28 PM rhondakapcsos make a small booklet of a few songs that she picked out and pass them out to everyone in that group to sing together
2019-10-22 06:12:48 PM kathyhughes Did we help Amanda?
2019-10-22 06:12:51 PM chiquitacdelaney yeah i do agree
2019-10-22 06:12:52 PM aehutchins Yes! all I get from them is "oh shes in a bad mood today"
2019-10-22 06:12:54 PM kathyhughes A little bit???
2019-10-22 06:13:08 PM aehutchins Yes, given me lots to think about ! Thanks everyone
2019-10-22 06:13:09 PM splush2402 Maybe why progress notes are so important?
2019-10-22 06:13:09 PM bnash theres always a cause to a behavior
2019-10-22 06:13:10 PM taylorasia1989 Karoke is also a great musical program to try
2019-10-22 06:13:11 PM kathyhughes Then you need to bring it up at care plan meeting
2019-10-22 06:13:20 PM bnash we cause behaviors more than we think
2019-10-22 06:13:40 PM kathyhughes As for sundowing behavior...you know the staff causes it when they leave their shift
2019-10-22 06:13:45 PM aehutchins Care plan meeting ... Yes!
2019-10-22 06:13:45 PM chiquitacdelaney yes i think its all about the approach
2019-10-22 06:14:03 PM chiquitacdelaney care plan meeting
2019-10-22 06:14:04 PM kathyhughes They are ending their day....say good bye to everyone and make a comontion when they leave
2019-10-22 06:14:05 PM angelalgreathouse i agree with that. sometimes it is just something small we do unintentionally
2019-10-22 06:14:08 PM ronda So very true
2019-10-22 06:14:24 PM yvetter Yes, I agree! I have noticed that in our memory care unit.
2019-10-22 06:14:29 PM crystalandino never thought of it that way
2019-10-22 06:14:30 PM kathyhughes and then we have behavior problems with sundowning and falls
2019-10-22 06:14:37 PM emilynb1 at my facility they dont make it a commotion
2019-10-22 06:14:42 PM splush2402 I did not realize the relationship between sundowners and shift change. Interesting.
2019-10-22 06:14:56 PM rhondakapcsos Also the wording you use can be taken the wrong way
2019-10-22 06:14:57 PM emilynb1 they slip out quietly and if they have to chat with new staff they do that in the nurses station
2019-10-22 06:14:58 PM regina1 my last two jobs said for us not to tell the residents your leaving for the day or night. Very true statement Kathy
2019-10-22 06:15:05 PM kathyhughes There was a study done that if staff left quietly then the residents showed less behavior issues
2019-10-22 06:15:06 PM juliecormier enter the chat room
2019-10-22 06:15:14 PM splush2402 How can we NOT make it a commotion?
2019-10-22 06:15:23 PM taylorasia1989 Yes in our resident council meeting they said its always very noisy during shift change
2019-10-22 06:15:32 PM erittenhouse1683 That'd be interesting to read
2019-10-22 06:15:36 PM splush2402 We have lotsss of sundowning going on in our Memory Care.
2019-10-22 06:15:42 PM taylorasia1989 even during midnight shift
2019-10-22 06:15:48 PM kathyhughes each staff person leaves individually and quietly
2019-10-22 06:15:53 PM monoliver Shift change causes problems at our facility getting residents to transition to activities.
2019-10-22 06:15:54 PM juliecormier Hello
2019-10-22 06:15:59 PM kathyhughes not the whole crowd all at once
2019-10-22 06:16:00 PM emilynb1 do report in a private place/meeting room. the new staff should destract the residents from noticing a crowd leaving the unit or have them leave one at a time
2019-10-22 06:16:04 PM rhondakapcsos I agree with Kathy
2019-10-22 06:16:05 PM chiquitacdelaney yes i can have some residnent that are early sundowner then others
2019-10-22 06:16:20 PM splush2402 Ok. Thank you.
2019-10-22 06:16:26 PM erittenhouse1683 We try to have an activity in a different room during shift change to help curb some of this
2019-10-22 06:16:29 PM juliecormier We have about 1/2 our AL residents with sun downning also
2019-10-22 06:16:38 PM kathyhughes there is no need to distract the residents if the staff leaves quietly
2019-10-22 06:16:39 PM angelalgreathouse we dont allow any overhead paging unless an emergency do to behaviors it was causing in our dementia unit
2019-10-22 06:16:40 PM regina1 sometimes even in private the team gets too loud, and residents can walk freely they would come to where the chaios was
2019-10-22 06:16:59 PM chiquitacdelaney i agreee
2019-10-22 06:17:01 PM crystalandino i never felt it was a commotion as they left but it does give me some thing to take notice of from now on i ussally see the behavior in one of my resident like clock work evryday
2019-10-22 06:17:12 PM juliecormier I agree also
2019-10-22 06:17:13 PM kathyhughes Also I saw a facility in England where the night shift dressed in PJ's to cue residents that it was nighttime
2019-10-22 06:17:15 PM shelbydonahue In our memory care, we have learned to not say goodbye and like Kathy said, leave quietly
2019-10-22 06:17:15 PM buddyrmorvent enter the chat room
2019-10-22 06:17:19 PM aehutchins We use more than one exit too, even if it means walking around the outside of the building . What ever it takes not to upset someone
2019-10-22 06:17:37 PM yvetter That would be an interesting thing to try at our memory care unit.
2019-10-22 06:17:46 PM emilynb1 i love the PJ's idea1
2019-10-22 06:17:55 PM splush2402 I just thought about the PJ's as we were discussing this. I love the idea. Don't think our admin would go for it.
2019-10-22 06:17:58 PM chiquitacdelaney i have had some resident try to follower me and look at the code they are very smart
2019-10-22 06:18:04 PM rhondakapcsos It's talking loud, laughing and being in a hurry to leave and not listening that upsets the residents too
2019-10-22 06:18:05 PM juliecormier I think that is a cool idea. The residents generally follow what staff does.
2019-10-22 06:18:06 PM kathyhughes You never know
2019-10-22 06:18:09 PM splush2402 She would be afraid of what staff might wear as PJs
2019-10-22 06:18:14 PM regina1 thats all I know is memory care- my current job i was hired in as a CNA for the assisted living side, and i thought, how is that going to be lol
2019-10-22 06:18:15 PM kathyhughes there are articles out there about it
2019-10-22 06:18:15 PM angelalgreathouse That is a very interesting thought. PJs. i think that would be great in the evenings on our dementia unit
2019-10-22 06:18:49 PM kathyhughes Look at the environment in the evening as well
2019-10-22 06:18:55 PM juliecormier Going to tell my Ed about this one
2019-10-22 06:19:00 PM deniseweiss Yes, I can see how even residents who don't have behavior problems would be saddened by staff leaving, especially those who want to leave themselves or miss their family and want to be with them.
2019-10-22 06:19:15 PM splush2402 Environment?
2019-10-22 06:19:17 PM monoliver We have a resident that stands at the door and greets people and lets them in and out and he gets tips.
2019-10-22 06:19:27 PM kathyhughes We had an increase in fall in the evening and once we actually observed what was going on the 2nd shift turned off 1/2 the lights in the hallways...
2019-10-22 06:19:28 PM splush2402 As in dimmer lights? quieter?
2019-10-22 06:19:29 PM regina1 I love the PJ idea, but I dont think they would let the staff at our place. But we can always ask for them, all they can do is say no, right?
2019-10-22 06:19:37 PM hryniefm What time do you usually have shift change? At my facility it is at 2 and 10. Usually by 10 most of the residents are in bed
2019-10-22 06:19:44 PM aehutchins I suggested that we dim lights too in the evening but nothing changes and most residents don't go outside to see a difference so they don't know what time of day it is most days
2019-10-22 06:20:09 PM yvetter Did you see an improvement once they left the lights on?
2019-10-22 06:20:22 PM kathyhughes The dimmer lights makes it harder for residents to see where they are going
2019-10-22 06:20:24 PM angelalgreathouse We actuallly had more falls when we didnt dim the lights.
2019-10-22 06:20:28 PM regina1 Kathy our lights automatically dimm at a certain time in the evening. I witnessed it last week, when I worked OT, about frigtened me lol
2019-10-22 06:20:31 PM emilynb1 we had a staff member that invented "sleep kits" for dementia patients
2019-10-22 06:20:33 PM kathyhughes Yes falls when down
2019-10-22 06:20:37 PM shelbydonahue yes, always dim the lights! We also thought initially to close the blinds, but found it made it worse. So instead we opened them and assured them it was dark
2019-10-22 06:20:43 PM angelalgreathouse i mean when we did dim the lights.
2019-10-22 06:20:44 PM yvetter That is wonderful.
2019-10-22 06:20:45 PM bnash thats soo intresting something we can look into at my facility
2019-10-22 06:20:55 PM erittenhouse1683 what was in the sleep kit?
2019-10-22 06:20:57 PM juliecormier I notice that most of our residents fall at night....
2019-10-22 06:20:58 PM rhondakapcsos we do not have dimmer switches in our facility
2019-10-22 06:20:58 PM aehutchins Whats a sleep kit
2019-10-22 06:21:03 PM chiquitacdelaney yes dimmer do make the residnet more at risk to falls
2019-10-22 06:21:20 PM kathyhughes Also you have to look at the residents...those with glasses may need new ones
2019-10-22 06:21:22 PM ronda Sleep kits??
2019-10-22 06:21:30 PM shelbydonahue We could only switch off every other row of lights instead of dim
2019-10-22 06:21:37 PM emilynb1 she just launched the product. its a box filled with things for bedtime - herbal tea, a hair brush, relaxing music, colouring book, reading book, etc
2019-10-22 06:21:49 PM kathyhughes I have to get new ones as my 1 year old keeps bending them....so my sight is off
2019-10-22 06:21:52 PM aehutchins I like it
2019-10-22 06:22:16 PM aehutchins The sleepkit not the sleep loss
2019-10-22 06:22:18 PM juliecormier sleep kits good idea
2019-10-22 06:22:22 PM splush2402 (L) You have a 1 year old
2019-10-22 06:22:24 PM angelalgreathouse We use a difusser in the evening around 7pm in our sensory or with calming essential oils and use soothing music to relax them before bed. work great
2019-10-22 06:22:28 PM bnash thats tricky especially if some residents can't tell you they need new glasses
2019-10-22 06:22:31 PM splush2402 How do you get any work done. lol
2019-10-22 06:22:32 PM emilynb1 https://www.thesleepkit.org/
2019-10-22 06:22:36 PM rhondakapcsos like the sleep kit idea
2019-10-22 06:22:46 PM chiquitacdelaney my two year old does damange
2019-10-22 06:23:38 PM juliecormier Difusser is a great idea with the music
2019-10-22 06:23:43 PM ronda I don't need a child to mess up my glasses I do a "smash up" job on my own...
2019-10-22 06:23:55 PM bnash lol
2019-10-22 06:23:56 PM kathyhughes We also had a Sweet Dreams Cart that we took around in the evening....we would offer warm milk, cookies and a mint for their pillow...we also would read stories and tuck people into bed
2019-10-22 06:23:57 PM yvetter I have noticed that doing breathing exercises especially after a workout really helps sooth the residents down.
2019-10-22 06:24:10 PM erittenhouse1683 That's a cool Idea
2019-10-22 06:24:13 PM crystalandino we love our defuser at home ive beg my director to get one she working on it
2019-10-22 06:24:13 PM angelalgreathouse left the chat room