123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-06-03 06:17:54 PM cchase make sense?
2020-06-03 06:17:58 PM elaine good example
2020-06-03 06:18:00 PM cchase yes
2020-06-03 06:18:00 PM clarissam yes
2020-06-03 06:18:06 PM jjmiller227 yes
2020-06-03 06:18:10 PM diovanneb yes
2020-06-03 06:18:12 PM cchase so now what of memory
2020-06-03 06:18:34 PM cchase anyone know what long term memory is??
2020-06-03 06:19:13 PM cchase no guesses?
2020-06-03 06:19:20 PM mnissenbaum no
2020-06-03 06:19:21 PM clarissam memory process that deal with storage
2020-06-03 06:19:32 PM jjmiller227 memories held indefinitely
2020-06-03 06:19:47 PM cchase true but what specifically is LTM long term memory
2020-06-03 06:19:55 PM elaine things from farteher past memories
2020-06-03 06:20:00 PM mnissenbaum memory that stay for long term of period in the brain?
2020-06-03 06:20:03 PM diovanneb limitless store
2020-06-03 06:20:05 PM elaine farther
2020-06-03 06:20:24 PM cchase memories that were made a long time ago
2020-06-03 06:20:39 PM cchase it's like this /... ready?
2020-06-03 06:21:13 PM jjmiller227 yes
2020-06-03 06:21:17 PM cchase you create a word doc. on your laptop and give it a name to file it away for another day
2020-06-03 06:21:25 PM clarissam yes
2020-06-03 06:21:26 PM mnissenbaum the lasting retention of information and skills?
2020-06-03 06:21:46 PM cchase later - you want to retreive it so you type the name and the memory finds it for you
2020-06-03 06:22:14 PM cchase so what happens with memory in humans is much the same
2020-06-03 06:22:25 PM mnissenbaum excellent
2020-06-03 06:22:38 PM cchase something will trigger the memory and it all comes back
2020-06-03 06:22:40 PM diovanneb but there are different types of long term memory, right?
2020-06-03 06:23:03 PM mnissenbaum we are kind of like computers
2020-06-03 06:23:46 PM cchase when alz starts it demolition in the brain - the long term memories were stored before the plaques and tangles block the pathway to find them
2020-06-03 06:24:00 PM cchase yup or computers are kinda like us
2020-06-03 06:24:08 PM mnissenbaum lol
2020-06-03 06:24:29 PM cchase so we got those memories stored before the disease messed up the connection
2020-06-03 06:24:58 PM clarissam Thats why residents mostly remember long term memory its stored away most residents think they are young and dont know who they are in the mirror
2020-06-03 06:24:59 PM cchase do you ever hear an elder recall childhood memories like they were yesterday?
2020-06-03 06:25:13 PM cchase yup - you got it!!
2020-06-03 06:25:26 PM jjmiller227 sure,like they sing the hymns without the hymals
2020-06-03 06:25:32 PM elaine they remember mom and dad more than their children
2020-06-03 06:25:44 PM cchase yes ma'am
2020-06-03 06:25:46 PM clarissam yes they are always asking for their parents or they think they are late to pick up their kids from school
2020-06-03 06:25:55 PM cchase yup that too
2020-06-03 06:26:06 PM cchase now back to that laptop - ready?
2020-06-03 06:26:11 PM clarissam yes
2020-06-03 06:26:17 PM mnissenbaum ok
2020-06-03 06:26:41 PM jjmiller227 yes
2020-06-03 06:26:47 PM cchase somehow a virus came sneaking in and blocked you from finding that word doc.
2020-06-03 06:27:03 PM clarissam short term memory
2020-06-03 06:27:07 PM cchase even if you used the right name to retreive it...you cannot access it
2020-06-03 06:27:17 PM cchase yes - bingo - short term memory
2020-06-03 06:27:55 PM cchase when the disease cuts of the pathway to store memories.... no longer can you access long term memory nor create new memories
2020-06-03 06:28:03 PM mnissenbaum I notice that
2020-06-03 06:28:03 PM cchase hence - short term memory
2020-06-03 06:28:20 PM cchase literally - the brain cannot store the memory
2020-06-03 06:28:37 PM mnissenbaum only the present, right?
2020-06-03 06:28:49 PM cchase so you tell them three words then ask them to repeat them in about five mins. and they cannot recall those words
2020-06-03 06:29:04 PM cchase yes correct - no ability to retain memory
2020-06-03 06:29:09 PM clarissam no they cant
2020-06-03 06:29:31 PM cchase good so far???
2020-06-03 06:29:36 PM jjmiller227 yes
2020-06-03 06:29:36 PM mnissenbaum yes
2020-06-03 06:29:55 PM elaine are feelings stored differently than words & is that why they still pick up on emotions even if they don't get the words?
2020-06-03 06:30:16 PM cchase ok so now - what do you imagine is the last part of the brain to get beat up by this disease??
2020-06-03 06:30:41 PM cchase we are getting to that elaine
2020-06-03 06:31:34 PM cchase anyone know?
2020-06-03 06:31:44 PM clarissam Amyloid
2020-06-03 06:32:08 PM cchase Amygdala: Limbic structure involved in many brain functions, including emotion, learning and memory. It is part of a system that processes "reflexive" emotions like fear and anxiety
2020-06-03 06:32:33 PM mnissenbaum swallowing?
2020-06-03 06:32:43 PM cchase which means that emotions remain intact for a long long time
2020-06-03 06:33:16 PM jjmiller227 yes they remember if a staff member doesn't respond to them in a favorable manner
2020-06-03 06:33:22 PM cchase swallowing issues usually present much further in the disease process.
2020-06-03 06:33:48 PM cchase this also means that it is a tool for you
2020-06-03 06:33:59 PM cchase can you think of why?
2020-06-03 06:34:24 PM elaine You relate to residents
2020-06-03 06:34:25 PM jjmiller227 Engage them in positive and fun ways
2020-06-03 06:34:37 PM elaine emotions
2020-06-03 06:35:18 PM elaine They may not remember me, but the recall how they feel/ felt that youy care
2020-06-03 06:35:28 PM cchase bingo - yes
2020-06-03 06:35:44 PM cchase use that tool - work and focus on emotions
2020-06-03 06:35:53 PM cchase they are angry but do not know why
2020-06-03 06:36:03 PM cchase they are sad and do not know why
2020-06-03 06:36:10 PM cchase but they FEEL it
2020-06-03 06:36:25 PM clarissam They cant control their emotions
2020-06-03 06:36:37 PM jjmiller227 no they can not
2020-06-03 06:36:38 PM elaine One resident often tells me "I trust you"
2020-06-03 06:36:41 PM diovanneb they esp. don't like it when you talk too loud to them
2020-06-03 06:36:43 PM mnissenbaum that's why sometimes they are angry
2020-06-03 06:37:05 PM jjmiller227 angry and frustrated
2020-06-03 06:37:10 PM cchase they can ONLY feel them but cannot raltionalize why they feel them or what caused them to feel a certain way
2020-06-03 06:37:34 PM cchase yup- they get frustrated because they are upset and do not know why
2020-06-03 06:37:53 PM diovanneb yes
2020-06-03 06:38:08 PM cchase so you never, never, never try to reason or argue with them - cause you will loose
2020-06-03 06:38:20 PM mnissenbaum the mood swings
2020-06-03 06:38:29 PM cchase yup - mood swings
2020-06-03 06:38:38 PM cchase again it's a tool
2020-06-03 06:39:01 PM cchase here is a quick case study - ready?
2020-06-03 06:39:08 PM jjmiller227 yes
2020-06-03 06:39:13 PM mnissenbaum yes
2020-06-03 06:39:14 PM diovanneb yes
2020-06-03 06:39:20 PM clarissam Thats why some get depression and anxiety
2020-06-03 06:39:29 PM cchase Mary always picks mom up on wed. to go to the restaurant to eat
2020-06-03 06:39:50 PM cchase Mary got to her mother's house to find her mom already with her coat on
2020-06-03 06:39:58 PM cchase they left and went to eat
2020-06-03 06:40:15 PM cchase when they got there - it was hot
2020-06-03 06:40:34 PM cchase so Mary took her coat off & asked mom to take hers off too
2020-06-03 06:41:03 PM cchase but when Mary's mom took off her coat - she only had undies and a bra
2020-06-03 06:41:25 PM cchase what do you do?
2020-06-03 06:42:03 PM clarissam you put her coat back on
2020-06-03 06:42:07 PM diovanneb re-direct her so she can keep her coat on?
2020-06-03 06:42:19 PM cchase how do you re-direct her?
2020-06-03 06:42:39 PM diovanneb say something like...it feels better if we keep our coat on?
2020-06-03 06:42:42 PM jjmiller227 if you ask her to put the coat on, you would have to do it as well.
2020-06-03 06:43:11 PM clarissam talk to her and tell her that we should keep our coats back on and if it makes her feel better than you put your coat back on too
2020-06-03 06:43:17 PM mnissenbaum I will, tell my Mom to put her clothes back and understand her. also I will change conversation invite her after dinner to go shopping for clothes
2020-06-03 06:43:46 PM cchase perhaps you can save face and say something like ..
2020-06-03 06:44:17 PM clarissam it really depends what stage of alzeimer she has
2020-06-03 06:44:25 PM cchase gee wiz - I feel awful cold in this restaurant. ..do you think we should put our coats back on??
2020-06-03 06:44:43 PM cchase and before she answers - get your coat on quick
2020-06-03 06:45:03 PM cchase she will instinctively put her coat back on
2020-06-03 06:45:10 PM diovanneb got it
2020-06-03 06:45:13 PM cchase it's use of mirroring
2020-06-03 06:45:27 PM mnissenbaum excellent
2020-06-03 06:45:36 PM cchase you save her dignity and save face in a messy deal
2020-06-03 06:46:04 PM diovanneb you"re right
2020-06-03 06:46:06 PM cchase this is classic re-directing - lear this...and learn to do it well if you will work with this population
2020-06-03 06:46:20 PM elaine Thank you
2020-06-03 06:46:25 PM cchase learn*
2020-06-03 06:46:48 PM elaine concrete examples help me
2020-06-03 06:46:50 PM cchase as the disease continues to decline
2020-06-03 06:47:07 PM cchase elders have perceptual issues, balance issues
2020-06-03 06:47:15 PM clarissam now you cant always redirect depending on the stage
2020-06-03 06:47:36 PM cchase they are afraid of cracks in the floor and pattern type floors that appear to be cracks
2020-06-03 06:47:43 PM diovanneb mirroring would be a good tool
2020-06-03 06:48:13 PM clarissam because they feel like its a big black hole
2020-06-03 06:48:17 PM cchase if you know how to re-direct - you can use that tool well into the disease process
2020-06-03 06:48:29 PM cchase yup - right same with rugs on the floor
2020-06-03 06:48:40 PM elaine Is that why people try to pick things off the floor that aren't there?
2020-06-03 06:48:48 PM cchase a rug near a bed is just a deep hole that should be avoided
2020-06-03 06:48:53 PM clarissam it happends alot with showers they see a big black hole
2020-06-03 06:48:56 PM cchase yup elaine
2020-06-03 06:49:12 PM diovanneb I had a resident who resisted to continue to walk with me because of the crack on the floor
2020-06-03 06:49:25 PM cchase yup that happens too
2020-06-03 06:49:33 PM cchase now you can use food to re-direct
2020-06-03 06:49:43 PM clarissam yes or a different face
2020-06-03 06:49:53 PM cchase had a resident that wanted to go outdoors in a hard down pour of rain
2020-06-03 06:50:20 PM cchase so I piped up and said I think I smell peanut butter sandwiches.... lets go make some
2020-06-03 06:50:37 PM cchase I knew he loved peanut butter sand.
2020-06-03 06:50:50 PM cchase he quickly came with me to the kitchen
2020-06-03 06:50:58 PM jjmiller227 good example!
2020-06-03 06:51:11 PM mnissenbaum yes, change their mind for something else. a distraction for few seconds
2020-06-03 06:51:12 PM cchase you cannot order them around
2020-06-03 06:51:19 PM cchase they know they are your senior
2020-06-03 06:51:29 PM cchase and resent being ordered around
2020-06-03 06:51:37 PM mnissenbaum you right cchase
2020-06-03 06:51:48 PM diovanneb yes, that's true.
2020-06-03 06:52:02 PM jjmiller227 no one likes to be bossed
2020-06-03 06:52:03 PM cchase had a woman screaming that I stole her pocketbook
2020-06-03 06:52:12 PM cchase what do you do folks??
2020-06-03 06:53:13 PM jjmiller227 If it's directed at you, you are going to step out of the picture and another team member come in to engage with her and eventually redirect
2020-06-03 06:53:13 PM diovanneb i would say that I didn't and invite her that we can go and look for it?
2020-06-03 06:53:23 PM clarissam a new face needs to redirect her and find out what going on and tell her lets go see if its in your room
2020-06-03 06:53:29 PM cchase good - that is correct
2020-06-03 06:53:45 PM cchase you allie with them and go search for it
2020-06-03 06:53:50 PM mnissenbaum I will call someone else (female-if is possible) to come with me and talk to her. I had someone to screaming something else. you guys imaging what. that was out of this world
2020-06-03 06:54:17 PM diovanneb that would be a good activity too...
2020-06-03 06:54:28 PM jjmiller227 yes it's like when they tell you the aides beat them up (during care)
2020-06-03 06:54:31 PM cchase ofcourse - I purchased her pocketbook and actually bought more than one
2020-06-03 06:54:42 PM cchase cause I knew she would misplace it
2020-06-03 06:54:50 PM elaine that's what I was thinking
2020-06-03 06:55:06 PM cchase I simply pulled the second one when she did not see me..... and voila!!!
2020-06-03 06:55:22 PM cchase saved face and mission accomplished
2020-06-03 06:55:31 PM clarissam you never argye back you will not win
2020-06-03 06:55:33 PM mnissenbaum excellent idea about the activity "let's search for your purse"
2020-06-03 06:55:49 PM elaine I have a resident thay would work for
2020-06-03 06:55:54 PM cchase you got the idea now folks
2020-06-03 06:56:02 PM clarissam yes
2020-06-03 06:56:06 PM cchase use it to your advantage - save face always
2020-06-03 06:56:09 PM mnissenbaum yes
2020-06-03 06:56:34 PM cchase they will love you and likely want to please you by doing what needs to get done
2020-06-03 06:56:47 PM cchase you awe them that dignity and respect
2020-06-03 06:56:58 PM mnissenbaum that's true
2020-06-03 06:57:27 PM cchase make sense??
2020-06-03 06:57:32 PM clarissam yes
2020-06-03 06:57:36 PM jjmiller227 yes
2020-06-03 06:57:47 PM elaine great input
2020-06-03 06:58:03 PM cchase you got this!!(y)
2020-06-03 06:58:27 PM mnissenbaum yes, got it
2020-06-03 06:58:28 PM jjmiller227 thanks
2020-06-03 06:58:36 PM cchase if you'all have any questions with class work pls. do not hesitate to ask for help.
2020-06-03 06:58:42 PM mnissenbaum thanks for everything cchace
2020-06-03 06:58:50 PM clarissam Thanks
2020-06-03 06:58:53 PM diovanneb thank you
2020-06-03 06:58:56 PM cchase stay safe out there folks. stay healthy
2020-06-03 06:58:59 PM cchase your welcome
2020-06-03 06:59:03 PM jjmiller227 Thank you very much!
2020-06-03 06:59:10 PM cchase good chat tonight - good work folks
2020-06-03 06:59:13 PM diovanneb you too! stay safe everyone!
2020-06-03 06:59:19 PM elaine You too. Thanks again for the practical tips
2020-06-03 06:59:20 PM cchase (})
2020-06-03 06:59:25 PM jjmiller227 good night. Be careful out there!
2020-06-03 06:59:39 PM diovanneb left the chat room
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2020-06-03 06:59:47 PM elaine good night
2020-06-03 06:59:52 PM jjmiller227 left the chat room
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2020-06-03 07:00:05 PM cchase left the chat room
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2020-06-09 05:36:12 PM lavelar13 enter the chat room
2020-06-09 05:43:14 PM lavelar13 hello
2020-06-09 05:55:15 PM cchase enter the chat room
2020-06-09 05:55:42 PM cchase hey lavelar - there is no specialty chat tonight
2020-06-09 05:55:55 PM cchase we are meeting in open discussion rm
2020-06-09 05:56:05 PM cchase left the chat room
2020-06-09 06:04:19 PM kurty1 enter the chat room
2020-06-09 06:05:44 PM kurty1 hello this is my first time on here for the activities director course this is week 1 for me how exactly r the chat live chat is suppose to go
2020-06-09 06:21:16 PM kurty1 left the chat room
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2020-06-09 07:09:19 PM lavelar13 enter the chat room
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2020-06-11 05:05:44 PM diovanneb enter the chat room
2020-06-11 05:52:17 PM tiffanybrown enter the chat room
2020-06-11 05:52:27 PM cchase enter the chat room
2020-06-11 05:53:13 PM cchase hello folks - there is no specialty chat tonight - we are meeting in the open discussion rm
2020-06-11 05:53:40 PM cchase I will meet you there
2020-06-11 05:54:06 PM cchase left the chat room
2020-06-11 05:55:26 PM yadi1 enter the chat room
2020-06-11 06:33:14 PM yadi1 left the chat room
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2020-06-11 06:59:25 PM allison1 enter the chat room
2020-06-11 07:01:45 PM allison1 left the chat room
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2020-06-16 06:32:50 PM bduncan enter the chat room
2020-06-16 06:33:46 PM bduncan im in week 3 but its good to know that i can come here and ask for help
2020-06-16 06:55:33 PM bduncan left the chat room
2020-06-17 05:51:50 PM ruthiesister enter the chat room
2020-06-17 05:53:29 PM careyjeff enter the chat room
2020-06-17 05:55:10 PM careyjeff well theres 2 of us. Im Jeff
2020-06-17 05:56:14 PM ruthiesister it's early . and welcome
2020-06-17 05:56:39 PM mclaughlinjenny enter the chat room
2020-06-17 05:57:02 PM ruthiesister welcome
2020-06-17 05:57:07 PM mclaughlinjenny hello
2020-06-17 05:57:41 PM ruthiesister how are you this evening
2020-06-17 05:57:45 PM careyjeff Hi Jenny hows practicums coming
2020-06-17 05:58:10 PM careyjeff Good, beautiful in So Fla
2020-06-17 05:58:10 PM mclaughlinjenny good, im doing good a few left how aboutn you
2020-06-17 05:58:31 PM careyjeff Need to try to do all this week
2020-06-17 05:58:40 PM mclaughlinjenny im in mass
2020-06-17 05:58:43 PM mclaughlinjenny oh boy
2020-06-17 05:59:03 PM careyjeff We have extra time
2020-06-17 05:59:20 PM ruthiesister it was a beautiful day in up state ny today
2020-06-17 05:59:22 PM mclaughlinjenny we have how much extra time
2020-06-17 06:00:22 PM mclaughlinjenny i found a notary that is going to come to my job!
2020-06-17 06:01:05 PM ruthiesister you don't have one at your work , mm that unusual ,
2020-06-17 06:01:29 PM mclaughlinjenny we dont
2020-06-17 06:01:56 PM ruthiesister what kind of facility do you work at
2020-06-17 06:02:07 PM careyjeff SNF
2020-06-17 06:02:16 PM mclaughlinjenny snf
2020-06-17 06:03:44 PM careyjeff Descibe swing bed . We dont have here
2020-06-17 06:05:27 PM ruthiesister there are a few different kinds of swingbed swb ,, i work in a hospital setting with one . they are set up for short temr rehab . for rural area
2020-06-17 06:05:47 PM ruthiesister term
2020-06-17 06:06:01 PM careyjeff Hpw many beds
2020-06-17 06:06:26 PM ruthiesister i work in a very small hospital in the catskills ,, we have a total of 16 bed in the whole hospital
2020-06-17 06:06:39 PM careyjeff WPW
2020-06-17 06:06:45 PM careyjeff wow
2020-06-17 06:07:01 PM ruthiesister and we get many different kinds of pts
2020-06-17 06:07:08 PM ruthiesister from hips and knees
2020-06-17 06:07:08 PM careyjeff are you fuulltime'
2020-06-17 06:07:14 PM mclaughlinjenny are swing beds only in hospitals
2020-06-17 06:07:28 PM ruthiesister no they can be in ltc also
2020-06-17 06:07:39 PM careyjeff do they participate in activities. lots of mine dont
2020-06-17 06:08:01 PM ruthiesister my activities are a lot different then when i worked in ltc
2020-06-17 06:08:13 PM careyjeff Examples
2020-06-17 06:08:30 PM ruthiesister much smaller groups and my activities are geared for what kinds of pts i have at the time
2020-06-17 06:08:31 PM mclaughlinjenny most of my rehab patients dont do any activities
2020-06-17 06:09:24 PM ruthiesister 2 weeks ao i did a drive throw car show for my pt , and had over a 100 car and 50 motorcycles
2020-06-17 06:09:36 PM mclaughlinjenny pt tries to get them to participate but they dont
2020-06-17 06:09:41 PM ruthiesister and i only had 4 pt but 3 of the guys where gearheads
2020-06-17 06:10:05 PM careyjeff do they all have window beds.
2020-06-17 06:10:15 PM mclaughlinjenny wow that must of been interesting
2020-06-17 06:10:20 PM ruthiesister i find what interest them and figure out how to make a activitiies from that
2020-06-17 06:10:26 PM czuniga enter the chat room
2020-06-17 06:10:32 PM czuniga hello
2020-06-17 06:10:38 PM ruthiesister most of them do ,
2020-06-17 06:10:45 PM ruthiesister welcome
2020-06-17 06:11:12 PM careyjeff Was it part of a bigger show? I wonder if I could incorporatea n exisiting show and just have participants come by on their way home
2020-06-17 06:11:13 PM ruthiesister we have a garden on the lania
2020-06-17 06:11:25 PM mclaughlinjenny hi
2020-06-17 06:12:00 PM careyjeff IS your position fulltime?
2020-06-17 06:12:01 PM ruthiesister nope one of my pt wife was trying to get her husband car club to come down , but was having trouble because they live a hr or more away
2020-06-17 06:12:36 PM ruthiesister so i asked my community and posted in my motorcycle publis pg and got all of that in 4 days
2020-06-17 06:12:58 PM ruthiesister and yes i work full time i am the only activities person
2020-06-17 06:13:14 PM mclaughlinjenny i need to look in to that for my facility i have tons of car guys
2020-06-17 06:13:49 PM ruthiesister i use my community a lot for things people what to help ,but don't know how or what to do ,
2020-06-17 06:13:58 PM careyjeff That would be awesome to have a low ratio like that. Could really build bonds and get to know each resident and cater to their needs
2020-06-17 06:14:23 PM czuniga I love working in a small facility
2020-06-17 06:14:36 PM ruthiesister i had a mini golf tourament and when to the local golf course and they gave me all kinds of things for it
2020-06-17 06:14:49 PM careyjeff czuniga--- How big?
2020-06-17 06:15:07 PM czuniga 14 bed critical acces hospital
2020-06-17 06:15:20 PM mclaughlinjenny very small
2020-06-17 06:15:22 PM careyjeff Dang. I wanna sign up
2020-06-17 06:15:23 PM ruthiesister see smaller then mine ,, lol
2020-06-17 06:15:26 PM czuniga I do swing beds
2020-06-17 06:15:39 PM czuniga lol
2020-06-17 06:15:44 PM czuniga we are small
2020-06-17 06:15:50 PM careyjeff and in Rural. Im in a huge county. Palm Beach
2020-06-17 06:15:54 PM ruthiesister did you see about my car show i did 2 wks ago
2020-06-17 06:16:02 PM czuniga no ma'am
2020-06-17 06:16:27 PM ruthiesister yea 4 pts , and over a 100 cars and 50 bikes
2020-06-17 06:16:36 PM careyjeff just listing for swing bed activity Directors?
2020-06-17 06:17:10 PM czuniga wow thats a good turn out
2020-06-17 06:17:10 PM careyjeff How much paper work. Do you have state surveys?
2020-06-17 06:17:12 PM ruthiesister not sure what you mean
2020-06-17 06:17:44 PM czuniga we are working on a drive by parade for fathers day. Inviteda local Harley chaptter
2020-06-17 06:17:45 PM ruthiesister we are joint commission , and there is paper work there is always paper wk ,,
2020-06-17 06:17:49 PM careyjeff Where would I look for swing bed activity director openings?
2020-06-17 06:17:56 PM ruthiesister nice ,,
2020-06-17 06:18:32 PM mclaughlinjenny great idea for fathers day
2020-06-17 06:18:48 PM ruthiesister most of them are in rural setting , and if the bigger cities thet fall under activities in a bigger place
2020-06-17 06:19:14 PM careyjeff Id love Rural
2020-06-17 06:19:20 PM ruthiesister and most places don't have just one person doing act for swb pts ,
2020-06-17 06:19:25 PM czuniga I have been doing it for 7 years love it
2020-06-17 06:19:40 PM ruthiesister so look all over the counrty then ,
2020-06-17 06:19:49 PM careyjeff ReaLLy? They have an assistant?
2020-06-17 06:19:53 PM ruthiesister i have been at mine for 12 yrs now
2020-06-17 06:19:54 PM czuniga our cna's do most of the activities
2020-06-17 06:20:04 PM ruthiesister most don't
2020-06-17 06:20:19 PM mclaughlinjenny wish are cna's help with activities
2020-06-17 06:20:24 PM ruthiesister where i do all the activities
2020-06-17 06:20:30 PM careyjeff I have 84 by my self right now

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