DateTimeFromToMessage
2020-09-22 07:36:31 PM ahicks No...but have you ever seen someone after an IM?? restraint for sure
2020-09-22 07:36:36 PM smithtammyl talk with social worker
2020-09-22 07:36:38 PM perrylori bed rails where i work are a restraint
2020-09-22 07:36:38 PM pjbell and nothing works then psych consult
2020-09-22 07:36:47 PM thomasodougherty Your facility has attempted to work with them, their family, but nothing seems to work.
2020-09-22 07:36:48 PM smithtammyl try and help that person out
2020-09-22 07:36:58 PM srolle talk with social services and idt team
2020-09-22 07:36:59 PM eckhartdanielle I've found that something as simple as locking their brakes when they don't need them to be locked for safety is a type of restraint
2020-09-22 07:37:13 PM davisr then maybe a behavioral hospital
2020-09-22 07:37:20 PM dana1 Doctors order
2020-09-22 07:37:21 PM pjbell out of my scope
2020-09-22 07:37:26 PM smithtammyl find them a safe place to go
2020-09-22 07:37:27 PM ahicks Thats usually when the dr sends them out for a physc eval
2020-09-22 07:37:35 PM thomasodougherty An extra layer, this isn't a dementia Resident, no history of brain injury, perhaps just a Resident who is bored or trying to regain control.
2020-09-22 07:37:36 PM kathrynlsvec we had a resident like that. we eventually had to send him to a facility that specialized in his type of psych issues. he was a danger to himself and others, including staff which he had punched on multiple occassions.
2020-09-22 07:37:50 PM susanpmazziotta A consistent problem with a resident and great documentaion may lead to determine resident may benefit from a differnt environment or location
2020-09-22 07:37:53 PM perrylori out of our scope is right all we can do is document and tell higher up and hope all ends well
2020-09-22 07:37:59 PM pjbell just angry at life
2020-09-22 07:38:11 PM thomasodougherty Yes, @susanpmazziotta.
2020-09-22 07:38:18 PM eckhartdanielle Gather info, observe and report and creat a plan of action to try and stop these behaviors
2020-09-22 07:38:20 PM davidsonc you can lock one wheel only if they can unlock it
2020-09-22 07:38:20 PM srolle try to do something the resident love
2020-09-22 07:38:29 PM pjbell needs some one professenal to talk to maybe
2020-09-22 07:38:38 PM aprilw i had that recently happen the combative, I was asked to see if I could give the resident a shower because we he likes me and is mad at the other staff
2020-09-22 07:38:40 PM perrylori try all interventions with them
2020-09-22 07:38:55 PM thomasodougherty Generally, Social Services will deal with this, but our documentation can be paramount when working with Social Services to consider possibly finding a new facility.
2020-09-22 07:39:05 PM thomasodougherty Have any of you worked with your Ombudsmand before?
2020-09-22 07:39:06 PM miguele right perrylory,, all interventions
2020-09-22 07:39:13 PM smithtammyl true
2020-09-22 07:39:13 PM perrylori yes i have
2020-09-22 07:39:13 PM jadehsmith yes
2020-09-22 07:39:14 PM dana1 no
2020-09-22 07:39:21 PM eckhartdanielle Not too much but I've seen them around
2020-09-22 07:39:22 PM srolle yes true
2020-09-22 07:39:27 PM aprilw yes
2020-09-22 07:39:33 PM pjbell no not so much
2020-09-22 07:39:34 PM miguele they visit us when states received a complaint-grievance
2020-09-22 07:39:46 PM davidsonc april that works giving showers it dose calm them
2020-09-22 07:39:57 PM aprilw interested in the resident councils
2020-09-22 07:40:14 PM thomasodougherty They are often great resources for Residents, but also can be wonderful mediaries for Staff.
2020-09-22 07:40:22 PM miguele yes, april, they always look for last 3 months meetings
2020-09-22 07:40:25 PM perrylori they come to the resident council meeting
2020-09-22 07:40:26 PM smithtammyl agree
2020-09-22 07:40:27 PM miguele and calendars
2020-09-22 07:40:33 PM srolle agree
2020-09-22 07:40:36 PM davidsonc i love resident council meeting
2020-09-22 07:40:45 PM smithtammyl me to
2020-09-22 07:41:20 PM aprilw funny how they open up to certain people, they spill out to me but some of my aides they won't
2020-09-22 07:41:23 PM thomasodougherty If such an incident occurred where a Resident may need to relocate to another facility, an Ombudsman would be a great assistant in either finding an alternative or coordinating such a change.Again, not our scope, but worth discussing.
2020-09-22 07:41:23 PM chanelrheubottom David I love them to. I like to get the feel and understand the ressident better
2020-09-22 07:41:43 PM perrylori im the advisor at our facility
2020-09-22 07:41:56 PM smithtammyl yes
2020-09-22 07:41:59 PM pjbell yes
2020-09-22 07:42:15 PM thomasodougherty In the last fifteen minutes I'd like to recap some things to consider and then open up for any additional questions/comments.
2020-09-22 07:42:21 PM ahicks Our social worker does that...I did not know Ombudsman did also.
2020-09-22 07:42:27 PM smithtammyl ok
2020-09-22 07:42:29 PM eckhartdanielle Yes we need to know the processes for these types of events
2020-09-22 07:42:31 PM aprilw ok
2020-09-22 07:42:35 PM srolle ok
2020-09-22 07:42:36 PM kathrynlsvec we have worked with ours for our selectivetly incontinent resident. our administrator and the ombudsman came up with the redirection that if she cannot let nursing staff know when she needs assistance to get to the restroom during an activity, then she cannot come to group activities for 30 days. it was becoming an every activitiy- multiple times a day occurrence. even when they would toilet her immediately before the group activitiy.
2020-09-22 07:42:36 PM pjbell ok
2020-09-22 07:43:00 PM davidsonc i get residents to talk to me about what needs to be changed or thing they like to do and change of food or snacks so much to talk about with them it there home they have the right
2020-09-22 07:43:05 PM thomasodougherty Behaviors can happen anytime, anywhere, by anyone, for a multitude of reasons.
2020-09-22 07:43:13 PM ahicks yes
2020-09-22 07:43:21 PM srolle so true
2020-09-22 07:43:24 PM pjbell yes
2020-09-22 07:43:26 PM smithtammyl yes
2020-09-22 07:43:31 PM dana1 yes
2020-09-22 07:43:33 PM aprilw yuppers
2020-09-22 07:43:33 PM thomasodougherty An importnat thing to consider is WHY?
2020-09-22 07:43:36 PM perrylori punishment i dont feel is the answer to incontinence
2020-09-22 07:43:51 PM perrylori they are not children
2020-09-22 07:43:52 PM srolle so true
2020-09-22 07:43:59 PM pjbell you cant denie a resident from activities
2020-09-22 07:44:04 PM perrylori 30 days is a long time
2020-09-22 07:44:05 PM smithtammyl true
2020-09-22 07:44:08 PM ahicks howd we get on incontinence
2020-09-22 07:44:32 PM thomasodougherty You've all mentioned many of the reasons why. Is it a physical need? (Ex: Are they thirsty, hungry, do they need to use the restroom, are they hot/cold, etc.)
2020-09-22 07:44:34 PM ahicks off track big time lol
2020-09-22 07:44:38 PM kathrynlsvec the ombudsman came up with this with my administrator before i started. i was just stating what we have worked with our ombudsman for.
2020-09-22 07:44:40 PM miguele all residents have the right to get a safe discharge, community and ombusdman should work together
2020-09-22 07:45:14 PM smithtammyl true
2020-09-22 07:45:29 PM pjbell yes
2020-09-22 07:45:37 PM ahicks why is very important
2020-09-22 07:45:37 PM perrylori someties behavior is cause they are overtired yes all of the above. i try to touch base on them first
2020-09-22 07:45:40 PM smithtammyl dont forget meds
2020-09-22 07:45:43 PM thomasodougherty Is there an Environmental Trigger? (ex: noise, light, temp., etc.)
2020-09-22 07:45:49 PM dana1 yes
2020-09-22 07:45:52 PM seanj Our Ombudsman Rep is very integrated into our lives. We have weekly calls with her.
2020-09-22 07:45:53 PM aprilw yes
2020-09-22 07:45:58 PM pjbell ok
2020-09-22 07:46:03 PM srolle ok
2020-09-22 07:46:06 PM seanj An emotional trigger.
2020-09-22 07:46:20 PM susanpmazziotta yes emotional trigger
2020-09-22 07:46:24 PM miguele yes, environment influence a lot
2020-09-22 07:46:25 PM perrylori yes environment i change up where they are and take them to a different location
2020-09-22 07:46:37 PM jadehsmith or emotional, some times residents just get lonley its difficult to always be around people but to have a deep meaningful connection with someone is difficult.
2020-09-22 07:47:12 PM thomasodougherty Is there a Medical Problem? (ex: UTI, COPD exacerbation, Pain, Medication Change, etc.)
2020-09-22 07:47:13 PM miguele walking around the community, arounbd teh lake might help to cool down feelings, frustrations and anger
2020-09-22 07:47:17 PM seanj Yes Jade!
2020-09-22 07:47:22 PM thomasodougherty Is it a psych issue?
2020-09-22 07:47:36 PM aprilw yes
2020-09-22 07:47:49 PM srolle ok
2020-09-22 07:47:49 PM pjbell all true
2020-09-22 07:47:55 PM thomasodougherty Many of the reasons WHY may be out of our scope, but as you all have mentioned, documentation is key.
2020-09-22 07:47:59 PM perrylori again if you know the resident you can most of the time know what is making them act differently
2020-09-22 07:48:01 PM seanj And it's hard if the behaviors are triggered by that need for a bond but also are the hindrance between yourself and other residents. It's a Catch 22
2020-09-22 07:48:07 PM ahicks so physical need, environment, medical problem...all could be the WHY to a beahvior
2020-09-22 07:48:17 PM perrylori yes
2020-09-22 07:48:18 PM srolle yes docmention is the key
2020-09-22 07:48:28 PM perrylori document document
2020-09-22 07:48:34 PM davisr yes
2020-09-22 07:48:37 PM smithtammyl yes
2020-09-22 07:48:37 PM thomasodougherty We may not be able to fix the problem, but we can observe behaviors, document them, and report them as needed. It is hard to give our Residents the help/support they need when no one knows there is a problem.
2020-09-22 07:48:43 PM aprilw it would be nice to know somehow if there is a med change to be on the look out
2020-09-22 07:48:51 PM perrylori correct
2020-09-22 07:48:54 PM dana1 true
2020-09-22 07:48:54 PM smithtammyl true
2020-09-22 07:49:10 PM eckhartdanielle We are all a team and need to work together in some ways if it's in the residents best interest
2020-09-22 07:49:19 PM perrylori so true
2020-09-22 07:49:32 PM davidsonc is there any kinda of medication she is on that makes go to the bathroom i know lasix makes you go to the bathroom alot
2020-09-22 07:49:36 PM jadehsmith Residents first always we advocate for them
2020-09-22 07:49:44 PM thomasodougherty That can be a pitfall for our department, but communcation is paramount. If you notice a behavior, bring it to the attention of the Nurse, Social Services, etc. and hopefully the med change will be caught as the trigger.
2020-09-22 07:49:50 PM perrylori we do advocate your right
2020-09-22 07:50:00 PM kathrynlsvec when my team comes to me with anything about a resident "they looked unsteady, they weren't talkative like usual, etc" the first thing i always ask is if they have talked to that resident's nurse and then we make sure it is documented. i want them to be in the habit of noticing even small changes.
2020-09-22 07:50:13 PM pjbell we are their voice when they cant
2020-09-22 07:50:29 PM susanpmazziotta Having a strong team that work together to acheive greatness with the residents is the key
2020-09-22 07:50:31 PM smithtammyl true
2020-09-22 07:50:44 PM smithtammyl yes
2020-09-22 07:50:45 PM jadehsmith activity aides are great they spend alot of time with our residents and really get to know them in a more personal way.
2020-09-22 07:50:49 PM davidsonc yes we are
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2020-09-22 07:50:58 PM kathrynlsvec for sure, jade!
2020-09-22 07:50:59 PM perrylori yes wwe do
2020-09-22 07:51:05 PM dana1 it takes a village
2020-09-22 07:51:08 PM smithtammyl always
2020-09-22 07:51:09 PM perrylori i love my ob
2020-09-22 07:51:10 PM thomasodougherty You all have been on top of this. Some of you are probably thinking that this being such common sense, it hardly should be necessary. However, some of you have also mentioned you witness poor practices from your peers. In addition to advocation, our role is education. If you see something wrong, address it.
2020-09-22 07:51:10 PM susanpmazziotta The professionals and the entire team of care givers can accomplish amazing things
2020-09-22 07:51:32 PM perrylori ohi do
2020-09-22 07:51:36 PM vzamora7871 Valerie Z- well said
2020-09-22 07:51:40 PM smithtammyl yes always
2020-09-22 07:51:43 PM seanj Yes. I used to think the village principle was more in raising kids, but it extends throughout the course of our lives. Full Circle.
2020-09-22 07:51:50 PM thomasodougherty Thank you so much to all of you for your contributions. Does any one have any questions or comments they would like to put out there before we close?
2020-09-22 07:51:55 PM susanpmazziotta advocating for the residents and working together for the community
2020-09-22 07:52:11 PM susanpmazziotta No thank you for your direction!
2020-09-22 07:52:16 PM seanj As always, I enjoyed your input everyone.
2020-09-22 07:52:16 PM perrylori thomas you did awwesome and no i have no questions
2020-09-22 07:52:18 PM smithtammyl thank you
2020-09-22 07:52:20 PM eckhartdanielle Thanks for being here
2020-09-22 07:52:22 PM davisr thank you!
2020-09-22 07:52:25 PM ashanter435 Yes documentation can save you most of the time but also have to make sure you follow up on things you document. I notice that in meetings people chart on things but forget to follow up
2020-09-22 07:52:29 PM sarahwms thanks
2020-09-22 07:52:29 PM susanpmazziotta left the chat room
2020-09-22 07:52:33 PM krystalthompson Thank you!!
2020-09-22 07:52:33 PM jadehsmith Thank you! hope everyone has a nice night and stay safe!
2020-09-22 07:52:36 PM aprilw thank you Thomas
2020-09-22 07:52:38 PM pjbell Thank you Thomas
2020-09-22 07:52:38 PM sarahwms enjoyed the info
2020-09-22 07:52:40 PM srolle thank you thomas
2020-09-22 07:52:42 PM kathrynlsvec (v)
2020-09-22 07:52:43 PM ahicks No questions...thanks for the information
2020-09-22 07:52:46 PM smithtammyl have a nice night
2020-09-22 07:52:46 PM davidsonc Thank you very much
2020-09-22 07:52:53 PM vzamora7871 thank you
2020-09-22 07:52:56 PM kreese828 thank you. goodnight
2020-09-22 07:53:09 PM perrylori i go to morning report every morning as well and there i can address issues as well which is real nice
2020-09-22 07:53:15 PM davidsonc have a greatnight every one
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2020-09-22 07:53:16 PM dana1 Thanks and Good Chat
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2020-09-22 07:53:28 PM thomasodougherty Thank you all!I'll stick around for a little while, but if there are no questions, I'll see you all next time.
2020-09-22 07:53:31 PM perrylori thanks everyone nice chat
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2020-09-22 07:53:43 PM perrylori bye thomas
2020-09-22 07:53:43 PM nicholashuffman Have a good night folks.
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2020-09-22 07:54:35 PM ahicks off subject...do you feel that they will do away with activities directors and replace them with recreational therapists?
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2020-09-22 07:55:18 PM stepha630 i hope not lol
2020-09-22 07:55:45 PM stepha630 thank you thomas for a great informative chat
2020-09-22 07:55:47 PM thomasodougherty I don't know that it is something that would happen anytime in the near future. I do know that RTs can make great ADs, but it isn't always the letters after someone's name that makes them good at what they do.
2020-09-22 07:55:55 PM ahicks I see it more and more in LTC...wanting the Bachelor's degree in rec therapy...
2020-09-22 07:55:57 PM miguele Tahnaks Thomas and Celeste,, have a restful night.. stay safe!
2020-09-22 07:55:59 PM sarahwms left the chat room
2020-09-22 07:56:09 PM thomasodougherty You're welcome @stepha630. Thank you for joining.
2020-09-22 07:56:29 PM miguele Thanks
2020-09-22 07:56:31 PM thomasodougherty Thank you @miguele
2020-09-22 07:56:56 PM thomasodougherty Staffing in LTC can also be a challenge.
2020-09-22 07:57:13 PM ahicks thomas so true...i have been in my role as an activity director since December...I love what I do.
2020-09-22 07:57:40 PM thomasodougherty I'm sure most organizations would like to have all of their staff with as many credentials as possible, but that isn't always possible.
2020-09-22 07:58:18 PM ahicks I talked them into letting me take this course and getting certified. They wanted rec therapist...their star rating plays a role by degrees in the facility....that is concerning
2020-09-22 07:59:11 PM dana1 left the chat room
2020-09-22 08:00:27 PM ahicks Thank you for your input....have a great night.
2020-09-22 08:00:35 PM thomasodougherty Continue to make yourself invalubale. If a degree is a possibilty for you, go after one. Other certifications in the field are also beneficial. Hopefully your company values the work you provide over their star rating.
2020-09-22 08:00:39 PM thomasodougherty Take care.
2020-09-22 08:00:57 PM ahicks (L)
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2020-09-23 06:01:30 PM kreese828 Is this the cht for tonight's 7pm group chat with Lori Perry?
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2020-09-23 08:07:59 PM paulapoole I hope so
2020-09-23 08:10:15 PM paulapoole what time did this chat start? I thought it was changed to 9:00 pm EST?
2020-09-23 08:14:20 PM paulapoole left the chat room
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2020-09-23 08:27:10 PM paulapoole it's now 9:26 p.m. EST
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2020-09-24 06:17:46 PM williamsmary22 enter the chat room
2020-09-24 06:18:04 PM williamsmary22 Live CE Chat Assignment - Tuesday / Thursday - 9/22 & 9/24 @ 6:30-8:00 PM CST - Behaviors. Is this the right spot?
2020-09-24 06:19:39 PM sbowles enter the chat room
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2020-09-24 06:20:48 PM sbowles This is the right spot.
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2020-09-24 06:21:06 PM williamsmary22 great,Thank you.
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2020-09-24 06:22:14 PM sbowles What week is everyone in? I am in Week 8 and almost done.
2020-09-24 06:22:25 PM williamsmary22 4
2020-09-24 06:22:39 PM kaylazoccole enter the chat room
2020-09-24 06:23:02 PM kaylazoccole 8!
2020-09-24 06:23:17 PM angeldewitt does this chat start at 7:30 est? behaviors?
2020-09-24 06:23:26 PM sbowles Yes
2020-09-24 06:23:30 PM karenb yes
2020-09-24 06:23:36 PM angeldewitt thank you!!!
2020-09-24 06:24:12 PM jadehsmith left the chat room
2020-09-24 06:24:13 PM williamsmary22 Over at 9?
2020-09-24 06:24:20 PM karenb yes
2020-09-24 06:24:29 PM williamsmary22 Thank you!
2020-09-24 06:24:56 PM angeldewitt we have a guest speaker tonight???
2020-09-24 06:25:09 PM karenb oh?
2020-09-24 06:25:30 PM nealeyjones yes
2020-09-24 06:25:42 PM angeldewitt Thomas I belive his name is.
2020-09-24 06:26:01 PM karenb I missed that email.
2020-09-24 06:26:07 PM sjackson enter the chat room
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2020-09-24 06:27:01 PM thomasodougherty Hello, All.I'm Thomas, I'll be filling in for Celeste tonight and on alternating weeks.We'll get started in another four minutes.
2020-09-24 06:27:17 PM karenb Hello Thomas
2020-09-24 06:27:28 PM angeldewitt Welcome Thomas!!!
2020-09-24 06:27:28 PM williamsmary22 Hi Thomas
2020-09-24 06:27:33 PM kaylazoccole hi thomas
2020-09-24 06:27:36 PM sjackson is this the 730 live chat room for today
2020-09-24 06:27:39 PM nealeyjones hello
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2020-09-24 06:28:02 PM thomasodougherty Yes; @sjackson, it is.
2020-09-24 06:28:03 PM sbowles Hi, Thomas. My name is Sue.
2020-09-24 06:28:13 PM kaylazoccole enter the chat room
2020-09-24 06:28:44 PM sjackson thank you thomasodougherty
2020-09-24 06:28:59 PM thomasodougherty Hello, Sue. Hello, everyone. This will be my second time leading a "Speacilaty Live Chat". Tuesday was a lot of fun and informative, hopefully the same will be true of tonight.
2020-09-24 06:29:21 PM sbowles I am sure it will be fun.
2020-09-24 06:29:28 PM angeldewitt we usually do have fun
2020-09-24 06:30:07 PM thomasodougherty We'll get started in just another minute. I'm not sure if Celeste is going to pop in quickly to get us started or not.
2020-09-24 06:30:09 PM sjackson excited
2020-09-24 06:30:25 PM diannareich enter the chat room
2020-09-24 06:32:13 PM thomasodougherty Alright!
2020-09-24 06:32:27 PM diannareich Hello
2020-09-24 06:32:33 PM laurieh Thomas. Can you make your print bigso it is easy to spot
2020-09-24 06:32:54 PM thomasodougherty As is undoubtedly apparent by now, my name is Thomas.
2020-09-24 06:32:59 PM laurieh Lauurie Harissiadis
2020-09-24 06:33:07 PM sbowles Sue Bowles
2020-09-24 06:33:14 PM karenb Karen Bovaird
2020-09-24 06:33:17 PM angeldewitt Angel DeWitt
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2020-09-24 06:33:21 PM kaylazoccole kayla zoccole
2020-09-24 06:33:23 PM diannareich Dianna Reich
2020-09-24 06:33:23 PM williamsmary22 Mary Williams
2020-09-24 06:33:26 PM nealeyjones nealey jones
2020-09-24 06:33:26 PM thomasodougherty I started in Social Services in a Long Term Care Facility and decided not too long ago to take on the challenge of Activities.
2020-09-24 06:33:38 PM williamsmary22 Me too
2020-09-24 06:33:46 PM sbowles Glad to have you.
2020-09-24 06:34:04 PM lisacomstock Lisa Comstock Gosh I was thrown for a minute. I couldnt seem to get on. Hello!
2020-09-24 06:34:18 PM thomasodougherty Given my background Celeste thought it might be beneficial to use what I learned in Social Services to hwlp us all.
2020-09-24 06:34:25 PM diannareich I came from 13 years in law enforcement to activities 3 weeks ago.
2020-09-24 06:34:51 PM laurieh left the chat room
2020-09-24 06:34:53 PM williamsmary22 Wow what a change.
2020-09-24 06:34:54 PM sbowles I came from being a housekeeper to activities 6 months ago
2020-09-24 06:34:59 PM thomasodougherty A majority of the things we'll go over don't necessarily pertain to us, but is useful information to have as a part of the over all team effort.
2020-09-24 06:35:31 PM thomasodougherty With that out of the way; tonight we'll be disucssing behaviors and how we can best address them.
2020-09-24 06:35:32 PM laurieh enter the chat room
2020-09-24 06:35:50 PM rachelordille enter the chat room
2020-09-24 06:35:54 PM thomasodougherty Can you all throw out some behaviors one might expect to witness in a Nursing Facility?
2020-09-24 06:36:08 PM williamsmary22 wandering