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2020-07-09 07:58:39 PM gailgilberto left the chat room
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2020-07-09 07:58:49 PM rsmale yea
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2020-07-09 07:59:02 PM rsmale just got here
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2020-07-09 07:59:13 PM sandishell19 I hope this was the chat I was supose to be in
2020-07-09 07:59:31 PM sandishell19 I had to download the flash player
2020-07-09 07:59:34 PM rsmale been such a long day. car broke down and blah blah blah]
2020-07-09 07:59:34 PM kurty1 enter the chat room
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2020-07-09 07:59:52 PM sandishell19 Wow, sorry to here
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2020-07-09 07:59:56 PM kurty1 oh how do we sumbit our chats
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2020-07-09 08:00:09 PM kurty1 for proof that we participated
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2020-07-09 08:00:25 PM sandishell19 I do not know
2020-07-09 08:00:33 PM rsmale it was automatically recorded last time
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2020-07-09 08:00:53 PM rsmale i was on week 16 when it was changed
2020-07-09 08:00:54 PM sandishell19 that is good to know
2020-07-09 08:01:18 PM sandishell19 I hope everyone has a good night
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2020-07-09 08:03:28 PM balvarez hello
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2020-07-09 08:05:07 PM rsmale i hope everyone does too...... Hello
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2020-07-09 08:06:48 PM rsmale how has everone been
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2020-07-09 08:33:14 PM balvarez is this chat already over
2020-07-09 08:33:26 PM balvarez i had trouble logging in
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2020-07-09 09:17:14 PM carilyngesicki enter the chat room
2020-07-09 09:20:19 PM carilyngesicki OK well it looks as though I missed the first cht along with a few other.
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2020-07-09 09:36:34 PM janinereyesad Hello
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2020-07-09 09:50:02 PM lynnh the chat is over
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2020-07-10 01:16:38 PM martinezbetty Hi ! just browsing and thought i'd check to see if anyone was in chat..
2020-07-10 01:17:25 PM martinezbetty Does anyone know how to select classmates to chat with for the extra credit chat?
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2020-07-10 04:26:21 PM stargie69 enter the chat room
2020-07-10 04:33:37 PM stargie69 I don't think we get the extra credit for private chat though , Im not sure but to select the classmate to chat with just clic on their user name.
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2020-07-10 06:57:12 PM clcroom I'm doing the 3.0 list of acitive diagnsis.
2020-07-10 06:58:14 PM clcroom Not sure how tihis is supposed to woirk.
2020-07-10 07:01:41 PM brandib enter the chat room
2020-07-10 07:02:13 PM clcroom Found the 3.0 list of diagnosis.
2020-07-10 07:02:19 PM mclaughlinjenny left the chat room
2020-07-10 07:02:25 PM mclaughlinjenny enter the chat room
2020-07-10 07:02:48 PM mclaughlinjenny hello
2020-07-10 07:02:56 PM clcroom hey, how are you?
2020-07-10 07:03:00 PM brandib hello
2020-07-10 07:03:13 PM mclaughlinjenny wheres the list... good
2020-07-10 07:03:41 PM clcroom On page 246 of the mds 3.0 care plan cookbook
2020-07-10 07:04:13 PM clcroom It's the only list of dagnosis that I could locate.
2020-07-10 07:04:44 PM mclaughlinjenny ok thanks
2020-07-10 07:05:24 PM clcroom I find it interesteing that 'coma' is on there.
2020-07-10 07:09:09 PM mclaughlinjenny sorry was looking for my book i left it at work i thought i grab it great this is a goodn start lol
2020-07-10 07:09:42 PM clcroom No worries. I misplaced mine at home and just found it not too long ago.
2020-07-10 07:09:51 PM brandib if we dont have one more person join the group we wont get credit for this... we have to have atleast 5 people
2020-07-10 07:10:27 PM clcroom It's got some great info, just wish I knew how to utilize more efficiently.
2020-07-10 07:10:42 PM clcroom Are you familiar with the list of diagnosis?
2020-07-10 07:12:17 PM brandib no I'm not and I dont have good resources thats why I have choosen to join several chats before I lead my own. The MDS is very complicated
2020-07-10 07:13:22 PM clcroom It is. I've been AD for over a year now and still can't figure it out at times.
2020-07-10 07:14:38 PM mclaughlinjenny yes I was very confused when i was going threw it
2020-07-10 07:15:14 PM brandib I have never worked in activities before and our AD was going to retire and as the bus driver for our facility I am very good with our clients and have a very good personality and they were like we want you to be the AD, so here I am. So this is very overwhelming at times
2020-07-10 07:16:56 PM brandib ok I found something, my boss bought me a book, called Long Term Care and it has a whole list of MDS list of Active Diagnosis
2020-07-10 07:16:58 PM mclaughlinjenny oh wow... i was a cna for 14 years at my facility and are AD just quit and I was asked to help out because the don liked how well i did with are memory residents so here I am
2020-07-10 07:17:00 PM clcroom I was kind of thrown into in=t myself when I first started. I was a CNA and was told to hellp in activities bc they were short.
2020-07-10 07:17:23 PM clcroom that should work.
2020-07-10 07:17:40 PM clcroom 2 months later, the AD got fired and i was it.
2020-07-10 07:18:05 PM brandib Well I have previous experience I was an AIDE for 8 years mostly in nursing facilities
2020-07-10 07:18:16 PM clcroom That's what we're supposed to be discussing.
2020-07-10 07:18:35 PM brandib yes well we can get back on topic
2020-07-10 07:18:39 PM clcroom Not sure how to facilitate it, though. I'm used to talking with my staff in person.
2020-07-10 07:19:09 PM brandib yes it is very hard to do this through a chat room not being able to see faces
2020-07-10 07:19:49 PM mclaughlinjenny yes so whats on the list and what do we talk about
2020-07-10 07:19:49 PM clcroom Yep. Do you think that some of these diagnosis aren't relevant to what we do? I find 'coma' interestng.
2020-07-10 07:20:35 PM mclaughlinjenny wouldnt PT have more to do with a patient in a coma
2020-07-10 07:20:51 PM janinereyesad enter the chat room
2020-07-10 07:21:39 PM brandib and a hip fracture
2020-07-10 07:21:44 PM clcroom You would think. but it' on the list. and it's not something that i've ever dealt with. How would we?
2020-07-10 07:22:03 PM clcroom Sensory? Audio? Olifactory stimulation?
2020-07-10 07:22:23 PM mclaughlinjenny I feel we wouldnt have anything to do with the patient
2020-07-10 07:22:59 PM mclaughlinjenny oh we could play music and talk to the patient right
2020-07-10 07:23:35 PM clcroom Yeah. Non responsive doesmn't mean he/she can't hear of feel.
2020-07-10 07:23:46 PM janinereyesad Im going with sensory and audio if a pt is in a coma
2020-07-10 07:23:50 PM clcroom May be hand massage with lotion?
2020-07-10 07:25:00 PM clcroom It seems that some diagnosis on this list wouldn't pertain to what we do. But we can all do somethng.
2020-07-10 07:25:14 PM brandib yes they say you may still have your other senses when in a coma
2020-07-10 07:25:22 PM mclaughlinjenny so yes their are things we can do for a coma pt
2020-07-10 07:25:59 PM clcroom What about an epileptic?
2020-07-10 07:26:41 PM brandib its really hard for me because alot of these diagnosis doesnt apply to me because I work in an adult day facilty
2020-07-10 07:27:46 PM clcroom that's got to have it's own challenges.
2020-07-10 07:27:58 PM brandib it does
2020-07-10 07:28:27 PM mclaughlinjenny an epileptic maybe sensory stimulation or memory games
2020-07-10 07:28:39 PM clcroom What about lighting?
2020-07-10 07:29:02 PM brandib i was just getting ready to say, have to watch over stimulating
2020-07-10 07:29:34 PM mclaughlinjenny got it
2020-07-10 07:29:37 PM clcroom strobes are definatly out!
2020-07-10 07:29:46 PM brandib yes absolutly
2020-07-10 07:29:54 PM clcroom What other triggers could there be?
2020-07-10 07:30:25 PM clcroom Or PTSD? Kinda tricky, i think.
2020-07-10 07:30:52 PM mclaughlinjenny loud noises
2020-07-10 07:31:28 PM brandib yes PTSD is a tricky one
2020-07-10 07:31:43 PM janinereyesad they are all tricky arent they
2020-07-10 07:31:54 PM brandib it could be a touch as well
2020-07-10 07:32:14 PM clcroom One of nmy residents dreamt he was back in Nam and we found him in the middle of his room on the floor bc he was crawling through the jungle dodging bullets.
2020-07-10 07:32:15 PM mclaughlinjenny PTSD would depend on what the trama was
2020-07-10 07:32:33 PM brandib they really are.... they all have their own little things that you have to watch
2020-07-10 07:32:42 PM clcroom I find it's usually war related where I work. I've got a lot of Vets.
2020-07-10 07:32:44 PM mclaughlinjenny yes my husband has PTSD from the military
2020-07-10 07:33:14 PM clcroom War movies are out.
2020-07-10 07:33:32 PM mclaughlinjenny yes for older vets no war movies
2020-07-10 07:34:09 PM clcroom You have to make your presence known so that they aren't startled.
2020-07-10 07:34:18 PM mclaughlinjenny we do a vet to vet cafe every week well before covid
2020-07-10 07:34:34 PM clcroom My youngest vet dates back to Viet Nam. He's almost 70.
2020-07-10 07:36:06 PM mclaughlinjenny what elese is on the list
2020-07-10 07:36:34 PM clcroom Delusions
2020-07-10 07:37:33 PM clcroom What can we do about those? Try to diffuse or ignore?
2020-07-10 07:37:55 PM clcroom There's 6 pages of diagnosis.
2020-07-10 07:37:59 PM mclaughlinjenny a lot of the memory care patients have delusions i tend to try and distract them
2020-07-10 07:38:15 PM mclaughlinjenny or talk ab
2020-07-10 07:38:22 PM clcroom What if redirection doesn't work?
2020-07-10 07:38:29 PM mclaughlinjenny by talking about something elese
2020-07-10 07:38:43 PM janinereyesad activities would lisen to there perceptions of reality and go with the flow if its safe.
2020-07-10 07:38:54 PM mclaughlinjenny if its not bad go along
2020-07-10 07:39:48 PM clcroom Especially with memory care. If they're happy.....if not, i get the nurse.
2020-07-10 07:40:12 PM mclaughlinjenny yes
2020-07-10 07:40:15 PM brandib yeah, sometimes you just cant talk them down
2020-07-10 07:40:20 PM clcroom What can we do about depression?
2020-07-10 07:41:21 PM mclaughlinjenny i think keeping them busy
2020-07-10 07:41:37 PM janinereyesad take them out side and a therapy and up lefting music
2020-07-10 07:42:00 PM janinereyesad one to one visits
2020-07-10 07:42:03 PM brandib definitely keep them talk, keep them busy
2020-07-10 07:42:46 PM clcroom Maybe pair them up with someone who can keep them occupied more than we can?
2020-07-10 07:43:03 PM mclaughlinjenny yes we have moved patients room for this
2020-07-10 07:43:26 PM clcroom So have we. Mental health is so important.
2020-07-10 07:43:29 PM brandib yes keeping them busy is always the best, the less time that they have to think the better
2020-07-10 07:44:38 PM brandib left the chat room
2020-07-10 07:44:39 PM brandib enter the chat room
2020-07-10 07:44:58 PM clcroom Or finding what they enjoyed doing and encouragig them to do it?
2020-07-10 07:45:57 PM mclaughlinjenny small group activities work sometimes crafts or having them help out with running the activity
2020-07-10 07:46:58 PM clcroom One resident helps me pass mail. Every. Day.
2020-07-10 07:47:53 PM mclaughlinjenny yes we a pt who was a secratery i give her envelops and office supplies she loves it
2020-07-10 07:47:59 PM mclaughlinjenny have
2020-07-10 07:48:01 PM janinereyesad has that ever been an issue in regards to infection control?
2020-07-10 07:48:21 PM janinereyesad the passing out mail
2020-07-10 07:48:31 PM clcroom No one has said anythng to me about it.
2020-07-10 07:49:08 PM janinereyesad what setting do you work in?
2020-07-10 07:49:16 PM clcroom I go in the rooms, my resident stays in the hallway. I'm with her. She tells me where to go and hands me the mail.
2020-07-10 07:49:19 PM clcroom SNF
2020-07-10 07:49:45 PM mclaughlinjenny love that
2020-07-10 07:50:31 PM janinereyesad Oh I see, I dont think I could get away with that in my SNF, but I bet the pt has lots of fun
2020-07-10 07:51:06 PM clcroom So does she. She's being helpful. We have no group activities, so if she's in her room by herself it's not good. She's very soccial.
2020-07-10 07:51:27 PM clcroom She says "I'm the Mail lady!!' going down our hallways.
2020-07-10 07:51:31 PM brandib its great to get clients involved we do it as much as we can. It helps to make the client feel accomplished especially our DODD clients
2020-07-10 07:51:46 PM clcroom dodd?
2020-07-10 07:52:05 PM clcroom Mine have calle bingo when we could have it.
2020-07-10 07:52:53 PM clcroom Asthma?
2020-07-10 07:53:05 PM janinereyesad have u tried intercome bingo?
2020-07-10 07:53:36 PM mclaughlinjenny we are doing just hallway bingo
2020-07-10 07:54:16 PM brandib department of developmental disabled mentally challenged
2020-07-10 07:54:20 PM clcroom No, not allowed and our intercom sounds like a bad drive thru. Hallway bingo didn't work, either. We do 'Getting to Know You" bingo. It also gets the nursing staff invovled.
2020-07-10 07:55:07 PM mclaughlinjenny never heard of that bingo
2020-07-10 07:55:36 PM brandib DODD is who we get our funding through its just what we call them sorry habit, just used to talking to people I work with
2020-07-10 07:57:15 PM clcroom It's on paper and it has things like "afraid of spiders',' i have blue eyes', etc. The residents ask the staff who's caring for him/her that day two of the questions and if the staff says yes, or agrees, they initial the square. This goes on with various staff members until someon gets bingo. then they win a prize. But only two squares per staff member.
2020-07-10 07:58:13 PM clcroom I think it helps the interaction, especially now.
2020-07-10 07:58:13 PM mclaughlinjenny i like it
2020-07-10 07:58:27 PM mclaughlinjenny most definitly
2020-07-10 07:58:56 PM clcroom If you like, I can email you my template of it when I'm at work tomorrow. Just private chat me your email.
2020-07-10 07:59:20 PM clcroom Also keeps the residents occupied.
2020-07-10 07:59:57 PM janinereyesad oh that sounds like fun!
2020-07-10 08:00:11 PM mclaughlinjenny ok sounds good
2020-07-10 08:01:22 PM stargie69 enter the chat room
2020-07-10 08:01:23 PM clcroom I'll get it to you tomorrow. Janine, I can send you it , too , if you want.
2020-07-10 08:01:50 PM mclaughlinjenny great thank you....
2020-07-10 08:01:54 PM janinereyesad thanks!!
2020-07-10 08:01:57 PM clcroom Any quetions on diagnosis?
2020-07-10 08:02:14 PM clcroom I just need your email. Private chat me with it.
2020-07-10 08:02:35 PM clcroom Once you have the PDF, you can change what you like.
2020-07-10 08:03:07 PM mclaughlinjenny no questions here
2020-07-10 08:03:29 PM stargie69 left the chat room
2020-07-10 08:03:36 PM brandib I dont have questions
2020-07-10 08:03:54 PM clcroom Thanks, Janine. I'll have it to you tomorrow.
2020-07-10 08:04:42 PM mclaughlinjenny thank you everyone have a good night
2020-07-10 08:05:06 PM clcroom You, too. Good night.
2020-07-10 08:05:10 PM brandib who will post our names in the forum
2020-07-10 08:05:19 PM clcroom I will.
2020-07-10 08:05:40 PM brandib ok sounds good thank you so much have a great evening
2020-07-10 08:05:50 PM mclaughlinjenny ok TY
2020-07-10 08:05:56 PM clcroom You, too. Good night.
2020-07-10 08:06:03 PM mclaughlinjenny you too...
2020-07-10 08:06:07 PM clcroom left the chat room
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2020-07-10 08:06:56 PM janinereyesad ok thanks good night!
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2020-07-11 01:19:44 PM lauralehmann enter the chat room
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2020-07-11 01:37:48 PM brittanyanne24 enter the chat room
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2020-07-11 01:45:35 PM lbaker1989 enter the chat room
2020-07-11 01:46:56 PM atirado enter the chat room
2020-07-11 01:49:16 PM lauralehmann enter the chat room
2020-07-11 01:50:41 PM lbaker1989 hi!
2020-07-11 01:50:46 PM susandziegenbein enter the chat room
2020-07-11 01:50:48 PM turnerjennifer hi
2020-07-11 01:50:53 PM barbaramclaurin1 hi
2020-07-11 01:50:59 PM atirado hello everyone!
2020-07-11 01:51:10 PM lbaker1989 is this where we have the 3pm chat today?
2020-07-11 01:51:18 PM barbaramclaurin1 yes
2020-07-11 01:51:19 PM turnerjennifer i believe so
2020-07-11 01:51:20 PM atirado I hope so!
2020-07-11 01:51:25 PM susandziegenbein Hi everyone! Is the the 3pm chat today?
2020-07-11 01:51:29 PM lbaker1989 ok!! i hope so too!
2020-07-11 01:51:31 PM lauralehmann hello :)
2020-07-11 01:51:38 PM victoriasmith81 enter the chat room
2020-07-11 01:52:08 PM lbaker1989 we believe this is the right place!
2020-07-11 01:52:16 PM victoriasmith81 hello :)
2020-07-11 01:52:39 PM susandziegenbein I'm a rookie at all of this so I'm excited to learn with y'all! I do activities at a YMCA.
2020-07-11 01:52:52 PM lbaker1989 :)
2020-07-11 01:52:57 PM turnerjennifer I've been an AD since 2016