DateTimeFromToMessage
2014-02-26 07:26:29 PM bonnie1 talking
2014-02-26 07:26:31 PM cchase okay so listen
2014-02-26 07:26:38 PM nans sing with them\
2014-02-26 07:26:39 PM cchase here is an example
2014-02-26 07:26:42 PM sbond108 sublte communication and sitraction - when they are conversing try and turn the convo around , listen to what they are saying and be emathetic
2014-02-26 07:26:44 PM jackie3 turn their attention toward something going on in the room..like something on the TV or talk about what the other staff are doing
2014-02-26 07:26:48 PM cchase ready??
2014-02-26 07:26:51 PM janice13 yes
2014-02-26 07:26:53 PM lindayoung1964 yea
2014-02-26 07:26:54 PM annm211 :)
2014-02-26 07:26:55 PM olawaleajayi yes
2014-02-26 07:27:00 PM nans yes'
2014-02-26 07:27:01 PM bonnie1 yes
2014-02-26 07:27:04 PM dawn6895 k
2014-02-26 07:27:04 PM dbrewer yes
2014-02-26 07:27:12 PM ss1325 oh my goodness
2014-02-26 07:27:21 PM cchase a man tells you that he wants to go out
2014-02-26 07:27:23 PM ss1325 left the chat room
2014-02-26 07:27:27 PM cchase outside but
2014-02-26 07:27:44 PM cchase it is lightning and raining cats and dogs
2014-02-26 07:27:56 PM cchase and he insists
2014-02-26 07:28:04 PM cchase what do you do??
2014-02-26 07:28:28 PM nans ask him to go wiht you to have coffee
2014-02-26 07:28:43 PM olawaleajayi try and interest him in something else indoors, something he enjoys a lot
2014-02-26 07:28:46 PM cchase nice
2014-02-26 07:28:48 PM janice13 tell him that once the lighting stops and it is safe to go out you can, the rain wont hurt him, and ask him to go for a walk around the inside until then
2014-02-26 07:28:51 PM annm211 will he go with you to another area to "get your coat" or his and maybe a snack along the way
2014-02-26 07:28:53 PM elizabethwoosley ask him to tell you about a time he went out side
2014-02-26 07:28:56 PM bonnie1 explin tht the weather is bad and that we can do that later when its nice outside but lets go have a snack now
2014-02-26 07:29:10 PM cchase no janice - he doesn't care about the rain
2014-02-26 07:29:16 PM cchase still wants to go
2014-02-26 07:29:33 PM cchase dosen't care if the rain hurts
2014-02-26 07:29:34 PM jackie3 to go check the forcast to see when the weather will clear up in order for him to go out...offer a snack coke or cup of coffee
2014-02-26 07:29:41 PM lindayoung1964 tell him lets find something else to do until it quits storming then we can go for a walk outside for I would walk him through the facility
2014-02-26 07:29:47 PM dbrewer take hin out in the rain
2014-02-26 07:29:48 PM janice13 offer another activity of his choice, food, poker
2014-02-26 07:29:54 PM scalabrese redirect with something that you know he enjoys....cookies coffee
2014-02-26 07:29:57 PM cchase no no I want to go out NOW
2014-02-26 07:29:57 PM scalabrese etc
2014-02-26 07:30:01 PM annm211 go see someone he is friendly with to see if they want to come(not really) and get distracted along the way
2014-02-26 07:30:02 PM cchase this moment
2014-02-26 07:30:11 PM bonnie1 he will b disrtacted once we have our snack
2014-02-26 07:30:14 PM dawn6895 ask what he wants to do when he goes outside...what are we going to see, see if he can wait til later so you can go to...kinda humor him
2014-02-26 07:30:16 PM janice13 if there is a patio take him out
2014-02-26 07:30:17 PM cchase no talking me out of it!
2014-02-26 07:30:23 PM annm211 can he help me go find my umbrella
2014-02-26 07:30:24 PM cchase yes
2014-02-26 07:30:28 PM cchase nice
2014-02-26 07:30:37 PM annm211 i need my galoshes
2014-02-26 07:30:41 PM cchase like that I can help find the umbrella
2014-02-26 07:30:47 PM lindayoung1964 I guess he has the right get an umbrellla and go
2014-02-26 07:30:56 PM cchase but it takes a really long time to find it :)
2014-02-26 07:30:58 PM jackie3 tell him to at least get a coat so he doesnt end up in hosp with pneumonia
2014-02-26 07:30:59 PM scalabrese rain coat, boots, umbrella
2014-02-26 07:31:00 PM scalabrese lol
2014-02-26 07:31:05 PM annm211 not going out with an umbrella in the lightning
2014-02-26 07:31:07 PM bonnie1 yep!
2014-02-26 07:31:17 PM annm211 it's a distraction
2014-02-26 07:31:20 PM cchase no no not going out with umbreally
2014-02-26 07:31:20 PM annm211 :)
2014-02-26 07:31:21 PM olawaleajayi left the chat room
2014-02-26 07:31:24 PM lindayoung1964 I am not going out without one
2014-02-26 07:31:29 PM olawaleajayi enter the chat room
2014-02-26 07:31:34 PM sbond108 ask him i he can help you find the things you need to go out ... coat. umbrella, ect. - once you get mvoing you may be able to redirect him to another activity
2014-02-26 07:31:35 PM cchase just want him to think about finding it
2014-02-26 07:31:40 PM annm211 yes
2014-02-26 07:31:42 PM cchase more than wanting to go out
2014-02-26 07:31:42 PM janice13 yes
2014-02-26 07:31:52 PM jackie3 great example thanks
2014-02-26 07:31:53 PM bonnie1 right!
2014-02-26 07:31:58 PM cchase okay?
2014-02-26 07:32:04 PM bonnie1 yes
2014-02-26 07:32:07 PM scalabrese they dont know that. and it depends on the resident, and how easily redirected they can be
2014-02-26 07:32:19 PM jackie3 yes
2014-02-26 07:32:23 PM janice13 true
2014-02-26 07:32:29 PM bonnie1 I have kids so I get it,lol
2014-02-26 07:32:30 PM cchase indeed some need more to redirect
2014-02-26 07:32:38 PM elizabethwoosley that was a very helpful example!
2014-02-26 07:32:40 PM annm211 and calmness
2014-02-26 07:32:42 PM cchase good
2014-02-26 07:32:43 PM bonnie1 kids are like that too
2014-02-26 07:32:55 PM cchase yes just like the little ones
2014-02-26 07:32:55 PM annm211 they can be VERY agitated, quick
2014-02-26 07:33:00 PM sbond108 su have woman in my building who is very easy to redirect of she is doing something she isn'ppose to she will follow me any where lol
2014-02-26 07:33:00 PM sgentry wouldn't it frustrate him if he can't find it?
2014-02-26 07:33:09 PM jackie3 yeah...they feed off of your reactions...be calm when redirecting
2014-02-26 07:33:12 PM lindayoung1964 totally agree stay callm if you are excited they are too
2014-02-26 07:33:19 PM jackie3 so ive experienced
2014-02-26 07:33:25 PM cchase no once you got him following you - you never know
2014-02-26 07:33:27 PM olawaleajayi very true
2014-02-26 07:33:31 PM sbond108 I've seen that too Jackie
2014-02-26 07:33:32 PM kdillon enter the chat room
2014-02-26 07:33:36 PM cchase what else you can redirect him with
2014-02-26 07:33:41 PM cchase along the way
2014-02-26 07:33:45 PM sbond108 residents really feed of the emotions around them
2014-02-26 07:33:45 PM janice13 other residents or a job to do
2014-02-26 07:33:55 PM lindayoung1964 pictures
2014-02-26 07:33:58 PM annm211 people, food, actions...small chores
2014-02-26 07:34:00 PM lindayoung1964 other activites
2014-02-26 07:34:02 PM janice13 help set up for lunch/dinner and old movie
2014-02-26 07:34:06 PM patty what if you offer a drink of choice and sit next to a window where conversation can be done regarding what is happening in the outside and why it is not safe to go
2014-02-26 07:34:10 PM lindayoung1964 other residents
2014-02-26 07:34:10 PM dawn6895 go to the theater to see a movie
2014-02-26 07:34:11 PM annm211 oh look, someone left this behind, let's return it
2014-02-26 07:34:15 PM olawaleajayi something he enjoys a lot
2014-02-26 07:34:19 PM cchase no patty
2014-02-26 07:34:28 PM cchase he wants to go out there
2014-02-26 07:34:44 PM janice13 take him away from the window area and provide something different
2014-02-26 07:34:45 PM jackie3 well lets say he likes to tinker with things...we could redirect him to building a toy car..etc...
2014-02-26 07:34:47 PM cchase you CANNOT reason with him or anyone else with Alz
2014-02-26 07:34:49 PM sbond108 you would be able to reason with him d/t the disease process
2014-02-26 07:35:04 PM janice13 they have lost their reason
2014-02-26 07:35:09 PM cchase yes
2014-02-26 07:35:10 PM annm211 distraction is the key
2014-02-26 07:35:15 PM bonnie1 That's what happened when the lady was chomping on the puzzle piees. I wa very calm used a soft voice and asked her to plz spit out the puzzle pieces and I would get her something that tasted yummy. I gave her a choice and she totalty went for it .Yea!
2014-02-26 07:35:24 PM lindayoung1964 play games if he will
2014-02-26 07:35:26 PM cchase DO NOT - NEVER NEVER ARGUE
2014-02-26 07:35:33 PM lindayoung1964 never
2014-02-26 07:35:40 PM jackie3 thats right
2014-02-26 07:35:43 PM janice13 had a resident try to eat marbles from a flower jar i traded her for chocolate
2014-02-26 07:35:47 PM cchase never
2014-02-26 07:35:48 PM bonnie1 right!
2014-02-26 07:35:53 PM sbond108 never ever ... they are always right .. even if they say the sky is purple!
2014-02-26 07:35:55 PM cchase you will lose
2014-02-26 07:35:56 PM annm211 right, losing battle..leads to escalation
2014-02-26 07:35:57 PM bonnie1 Choices do work
2014-02-26 07:36:08 PM jackie3 lol...
2014-02-26 07:36:13 PM kdillon we have had several residents ask when their parents are coming to get them, or if we have seen them
2014-02-26 07:36:25 PM lindayoung1964 we do too
2014-02-26 07:36:26 PM janice13 we do to,
2014-02-26 07:36:28 PM cchase choices of two may be suitable
2014-02-26 07:36:29 PM elizabethwoosley we do too
2014-02-26 07:36:35 PM bonnie1 who doesn't like chocolate,lol
2014-02-26 07:36:40 PM kdillon we always say we'll keep a look out for them, but try to redirect them to another activity
2014-02-26 07:36:47 PM cchase but at some point it is too confusing
2014-02-26 07:36:48 PM jackie3 i usually offer two to three
2014-02-26 07:36:54 PM olawaleajayi or they sit at the door insisting they won't budge till their parents come for them
2014-02-26 07:36:56 PM cchase not three
2014-02-26 07:36:58 PM bonnie1 yes
2014-02-26 07:36:58 PM janice13 true
2014-02-26 07:36:59 PM jackie3 choices
2014-02-26 07:37:00 PM cchase too much
2014-02-26 07:37:06 PM sbond108 ithree migh tbe confusing
2014-02-26 07:37:08 PM jackie3 three too much?
2014-02-26 07:37:13 PM annm211 yup
2014-02-26 07:37:15 PM janice13 yes only two
2014-02-26 07:37:20 PM bonnie1 just cookies nothing else : )
2014-02-26 07:37:23 PM jackie3 ok thanks
2014-02-26 07:37:24 PM sbond108 two if you are lucky lol
2014-02-26 07:37:26 PM cchase okay so here is another example - ready?
2014-02-26 07:37:30 PM kdillon sometimes just walking around with them and talking about other things is enough to distract them
2014-02-26 07:37:30 PM janice13 it is like a child the more you give them the more the can't decide
2014-02-26 07:37:31 PM olawaleajayi Yes
2014-02-26 07:37:31 PM jackie3 yes
2014-02-26 07:37:31 PM sbond108 ready!
2014-02-26 07:37:38 PM patty yes
2014-02-26 07:37:45 PM bonnie1 yes
2014-02-26 07:37:46 PM annm211 k
2014-02-26 07:37:47 PM nans yes
2014-02-26 07:37:54 PM dawn6895 k
2014-02-26 07:37:54 PM cchase okay
2014-02-26 07:38:16 PM cchase a woman comes up to you and demands that you give her
2014-02-26 07:38:22 PM cchase pocketbook back
2014-02-26 07:38:27 PM cchase you stole it!!
2014-02-26 07:38:40 PM cchase what to say
2014-02-26 07:38:41 PM janice13 give it to her and take her to get hers as well
2014-02-26 07:38:51 PM scalabrese i will help you look for it?
2014-02-26 07:38:53 PM janice13 we played this game before in trainging
2014-02-26 07:38:55 PM nans tell her to come with you you know where it is
2014-02-26 07:39:08 PM bonnie1 I didnt steal it , maybe she misplaced it. Lets go look for it.
2014-02-26 07:39:09 PM scalabrese or lets go get it
2014-02-26 07:39:10 PM jackie3 show her you dont have it and ask her details of what it looks like
2014-02-26 07:39:14 PM janice13 we keep a few extras around just in case
2014-02-26 07:39:21 PM cchase no bonnie - you took it!
2014-02-26 07:39:23 PM annm211 i put it back for you, I knew you would be missing it
2014-02-26 07:39:25 PM janice13 they all belong to her
2014-02-26 07:39:34 PM cchase I want to see it
2014-02-26 07:39:34 PM dawn6895 we have matching purses, lets go find yours
2014-02-26 07:39:40 PM cchase give it back! now
2014-02-26 07:39:45 PM annm211 let's go get it
2014-02-26 07:39:49 PM olawaleajayi show your pocket and offer to help find hers
2014-02-26 07:39:54 PM janice13 ok lets get it for you,
2014-02-26 07:40:00 PM annm211 you may never get your back again
2014-02-26 07:40:00 PM cchase okay
2014-02-26 07:40:00 PM lindayoung1964 explain that it is mine show her pictures and ask if she know these people and help her lool for hers..
2014-02-26 07:40:04 PM cchase first
2014-02-26 07:40:07 PM jackie3 justb ok lets go find it
2014-02-26 07:40:07 PM bonnie1 ok .... so lets go get it ??
2014-02-26 07:40:14 PM cchase ready?
2014-02-26 07:40:16 PM olawaleajayi yes
2014-02-26 07:40:18 PM elizabethwoosley yes
2014-02-26 07:40:18 PM bonnie1 yep
2014-02-26 07:40:18 PM annm211 yes
2014-02-26 07:40:20 PM janice13 yes
2014-02-26 07:40:21 PM dbrewer yes
2014-02-26 07:40:22 PM nans yes
2014-02-26 07:40:36 PM cchase you want to validate her feelings first
2014-02-26 07:40:41 PM cchase you will say
2014-02-26 07:40:58 PM cchase geesh it must be pretty scary and hard to lose
2014-02-26 07:41:05 PM cchase your pocket book
2014-02-26 07:41:09 PM janice13 i understand that you have lost your bag can I help you find it
2014-02-26 07:41:14 PM cchase I know how you feel
2014-02-26 07:41:34 PM jackie3 ok
2014-02-26 07:41:34 PM annm211 but if she thinks i stole it...
2014-02-26 07:41:38 PM sbond108 empathy is very important
2014-02-26 07:41:42 PM cchase we will look for it together
2014-02-26 07:41:47 PM annm211 exactly
2014-02-26 07:42:02 PM cchase she is happy state now
2014-02-26 07:42:06 PM cchase run with it
2014-02-26 07:42:30 PM olawaleajayi Ok
2014-02-26 07:42:35 PM nans go get a snack
2014-02-26 07:42:43 PM jackie3 im enjoying this chat..very helpful
2014-02-26 07:42:50 PM nans me also
2014-02-26 07:42:52 PM bonnie1 yes very
2014-02-26 07:42:55 PM janice13 ok take her to her room and look there first, them to the dining room and get a snack or coffee after tyou find the bag
2014-02-26 07:42:58 PM cchase great!
2014-02-26 07:43:01 PM elizabethwoosley yes. practical, applicable
2014-02-26 07:43:12 PM cchase yes now you got it! good
2014-02-26 07:43:13 PM annm211 i had a woman at resident council report missing shoes and glasses that I understand she reports every now & then.. ss was on that one
2014-02-26 07:43:37 PM ljeglum question.. what if you say something like I know how you feel and she reacts with YOU DON'T KNOW HOW I FEEL! would someone get defensive?
2014-02-26 07:43:44 PM kdillon sometimes
2014-02-26 07:43:45 PM cchase okay so does anyone know what chucking is??
2014-02-26 07:43:51 PM elizabethwoosley no
2014-02-26 07:43:53 PM jackie3 no
2014-02-26 07:43:54 PM annm211 ?
2014-02-26 07:43:54 PM olawaleajayi no
2014-02-26 07:43:55 PM cchase chuncking
2014-02-26 07:44:00 PM janice13 we have a lady who says a small man steals her paper every day and we should look for the small man with a broken hand because she hit him with her umbrella
2014-02-26 07:44:01 PM annm211 lol
2014-02-26 07:44:02 PM olawaleajayi no
2014-02-26 07:44:06 PM nans no
2014-02-26 07:44:07 PM cchase I think??? sp lol
2014-02-26 07:44:12 PM jackie3 lol
2014-02-26 07:44:14 PM jackie3 no
2014-02-26 07:44:21 PM sbond108 chuncking - like group things together?
2014-02-26 07:44:23 PM janice13 throwing stuff
2014-02-26 07:44:35 PM sbond108 or throwing lol
2014-02-26 07:44:35 PM annm211 chunking info?
2014-02-26 07:44:36 PM cchase the opposite in this case
2014-02-26 07:44:36 PM janice13 like the pumpkin chucking
2014-02-26 07:44:42 PM janice13 chuncking
2014-02-26 07:44:55 PM bonnie1 I give!
2014-02-26 07:45:00 PM cchase sequential tasks are not possible
2014-02-26 07:45:03 PM bonnie1 what is it ?
2014-02-26 07:45:12 PM cchase so you need to break down the steps
2014-02-26 07:45:20 PM cchase those with alz
2014-02-26 07:45:24 PM annm211 little bits at a time
2014-02-26 07:45:29 PM sbond108 task analysis! break it down into chuncks so it s not oo much information - not over stimulating
2014-02-26 07:45:37 PM annm211 yes
2014-02-26 07:45:37 PM cchase cannot follow one after the other
2014-02-26 07:45:43 PM janice13 ok cards for visual cues and directions
2014-02-26 07:45:43 PM cchase yes little bits
2014-02-26 07:45:47 PM jackie3 got cha
2014-02-26 07:45:53 PM olawaleajayi oh ok
2014-02-26 07:45:59 PM cchase we are in the kitchen
2014-02-26 07:46:23 PM cchase and I say lets get some coffee
2014-02-26 07:46:25 PM janice13 what a re we cooking
2014-02-26 07:46:42 PM cchase so someone looks at you and says
2014-02-26 07:47:05 PM cchase cups in the cabinet please pour me one cup
2014-02-26 07:47:13 PM cchase will that work??
2014-02-26 07:47:14 PM dawn6895 open the cupboard, get out the cup, pour the coffee, add the sugar
2014-02-26 07:47:24 PM cchase right - good
2014-02-26 07:47:26 PM janice13 no tell them what cupboard
2014-02-26 07:47:28 PM dawn6895 one thing at a time
2014-02-26 07:47:32 PM ljeglum no needs to be broken down into many steps
2014-02-26 07:47:38 PM janice13 then get the coffee
2014-02-26 07:47:40 PM annm211 one step
2014-02-26 07:47:42 PM janice13 then the sugar and cream
2014-02-26 07:47:43 PM cchase once they do one thing give them the next step
2014-02-26 07:47:44 PM nans left the chat room
2014-02-26 07:47:54 PM olawaleajayi Not sure that will work right away
2014-02-26 07:47:57 PM jackie3 one step at a time
2014-02-26 07:47:57 PM janice13 you could also have picture cards for them to use as steps
2014-02-26 07:48:02 PM cchase one step
2014-02-26 07:48:02 PM olawaleajayi ok
2014-02-26 07:48:09 PM nans enter the chat room
2014-02-26 07:48:14 PM cchase open the cabinet door
2014-02-26 07:48:15 PM sbond108 we call it task analysis in MTx
2014-02-26 07:48:23 PM cchase wait till it happens
2014-02-26 07:48:23 PM sbond108 same thing
2014-02-26 07:48:31 PM janice13 yes the cards can be given to the as you tell them so they can also see
2014-02-26 07:48:31 PM cchase take the cup
2014-02-26 07:48:37 PM janice13 it
2014-02-26 07:48:37 PM elizabethwoosley left the chat room
2014-02-26 07:48:51 PM cchase wait till he has the cup
2014-02-26 07:48:59 PM cchase put the cup on the counter
2014-02-26 07:49:06 PM cchase wait etc. etc.
2014-02-26 07:49:13 PM janice13 yes i get that
2014-02-26 07:49:23 PM jackie3 ok
2014-02-26 07:49:36 PM cchase like folding clothes
2014-02-26 07:49:43 PM lindayoung1964 recieve good infor tonight have togo good nite
2014-02-26 07:49:47 PM cchase bring in a hamper full of towels
2014-02-26 07:49:47 PM nans left the chat room
2014-02-26 07:50:00 PM cchase demonstrate or do hand over hand
2014-02-26 07:50:02 PM janice13 love folding clothes with them
2014-02-26 07:50:03 PM cchase fold them
2014-02-26 07:50:17 PM cchase then bring everything in the back room
2014-02-26 07:50:24 PM janice13 we wash the table linens in between meals and they fold and then set the table
2014-02-26 07:50:24 PM cchase and mess the up
2014-02-26 07:50:28 PM nans enter the chat room
2014-02-26 07:50:34 PM cchase ohh no more towels to fold
2014-02-26 07:50:41 PM annm211 lol
2014-02-26 07:50:47 PM cchase :D
2014-02-26 07:50:51 PM kdillon we had a woman who liked to match socks.
2014-02-26 07:50:52 PM jackie3 lol
2014-02-26 07:51:11 PM annm211 i was helping a resident turn down her bed the other afternoon.. we did it together
2014-02-26 07:51:14 PM scalabrese ok Celeste I have to get going, Thanks for the chat tonight. lots of useful information. I hope you and everyone else has a good night
2014-02-26 07:51:15 PM sbond108 haha I do that all the time ... i have an arabic lady that loves to fold ( work in laundry her whole life) , just take the done basket pop in the dryer and give it back to her lol
2014-02-26 07:51:17 PM cchase take colored construction paper
2014-02-26 07:51:17 PM nans we have baby clothes for them to fold
2014-02-26 07:51:24 PM annm211 she always did housework
2014-02-26 07:51:26 PM cchase bye for now be well
2014-02-26 07:51:35 PM scalabrese thanks!
2014-02-26 07:51:41 PM cchase one last one
2014-02-26 07:51:44 PM bonnie1 ok
2014-02-26 07:51:44 PM janice13 ok
2014-02-26 07:51:45 PM cchase for the night
2014-02-26 07:51:47 PM scalabrese left the chat room
2014-02-26 07:51:48 PM olawaleajayi ok
2014-02-26 07:51:51 PM jackie3 ok
2014-02-26 07:51:55 PM annm211 k
2014-02-26 07:52:00 PM nans ok
2014-02-26 07:52:08 PM kdillon goodnight all
2014-02-26 07:52:12 PM kdillon left the chat room
2014-02-26 07:52:16 PM sbond108 good night!
2014-02-26 07:52:20 PM annm211 night
2014-02-26 07:52:22 PM cchase good night
2014-02-26 07:52:33 PM nans thanks good night
2014-02-26 07:52:43 PM cchase mary got a cup of coffee
2014-02-26 07:52:44 PM dawn6895 its over already...good night!
2014-02-26 07:52:45 PM annm211 so what have you got for us?
2014-02-26 07:52:47 PM bonnie1 thank you cchase for the very interesting chat. gdnite!
2014-02-26 07:52:49 PM cchase she want a second
2014-02-26 07:52:56 PM cchase night bonnie
2014-02-26 07:53:10 PM cchase you give her a second cup
2014-02-26 07:53:10 PM jackie3 second cup?
2014-02-26 07:53:16 PM jackie3 ok
2014-02-26 07:53:19 PM janice13 ok
2014-02-26 07:53:32 PM cchase so now she wants another