123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-09-24 07:12:51 PM williamsmary22 only at a hospital
2020-09-24 07:12:51 PM angeldewitt If they are going to harm someone
2020-09-24 07:12:54 PM laurieh when they will hurt themselves
2020-09-24 07:12:58 PM sjackson after all measures have been taken
2020-09-24 07:13:01 PM dholmes86 enter the chat room
2020-09-24 07:13:12 PM santonya does the dr has to put an order for that?
2020-09-24 07:13:13 PM thomasodougherty Unless you are working in a hopsital or a mental health facility, the answer is never.
2020-09-24 07:13:20 PM santonya oh
2020-09-24 07:13:53 PM angeldewitt too much meds can restrain
2020-09-24 07:13:53 PM thomasodougherty SNFs, NFs, ALFs, and ILFs are not permitted to use restraints for any means.
2020-09-24 07:13:57 PM diannareich What do you suggest when they are a risk to themselves or others
2020-09-24 07:14:00 PM rachelordille left the chat room
2020-09-24 07:14:02 PM dholmes86 can someone update me i was Im running behind
2020-09-24 07:14:04 PM sjackson that is true
2020-09-24 07:14:06 PM williamsmary22 send out
2020-09-24 07:14:09 PM rachelordille enter the chat room
2020-09-24 07:14:26 PM thomasodougherty If there is an issue with self harm, harm of a peer, etc. the police need to be called.
2020-09-24 07:14:27 PM sjackson talking about behaiors, medications ect
2020-09-24 07:14:31 PM sbowles What if they headed out the door and you cannot get them to come back in? How do you handle that situation?
2020-09-24 07:14:43 PM williamsmary22 Call 911
2020-09-24 07:14:46 PM angeldewitt call the police
2020-09-24 07:14:50 PM dholmes86 thank you sjackson
2020-09-24 07:15:00 PM laurieh They need to be checked at hospital
2020-09-24 07:15:02 PM sjackson stay with them until someone arrives like police
2020-09-24 07:15:34 PM sbowles Good idea.
2020-09-24 07:15:35 PM thomasodougherty As we're surely all well aware, not every situation is going to be the same and interventions will vary from incident to incident. However, er on the side of caution when in doubt.
2020-09-24 07:15:43 PM lisacomstock yes. and remove from area or room separate
2020-09-24 07:15:55 PM rachelordille right
2020-09-24 07:16:14 PM thomasodougherty If a Resident is eloping and you can't coax them back inside, stay with them and call 911.
2020-09-24 07:16:32 PM nealeyjones okay
2020-09-24 07:16:38 PM angeldewitt had to do that before
2020-09-24 07:16:38 PM thomasodougherty If a Resident is becoming physicall aggressive, remove everyone to a safe environment and call 911.
2020-09-24 07:16:38 PM rachelordille yes
2020-09-24 07:16:46 PM williamsmary22 yes
2020-09-24 07:16:47 PM sbowles Thanks.
2020-09-24 07:16:50 PM santonya yes
2020-09-24 07:17:33 PM thomasodougherty We mentioned getting to know our Residents. In doing so, we can get a pretty good idea of what their triggers might be.
2020-09-24 07:17:42 PM williamsmary22 yes
2020-09-24 07:17:47 PM sbowles That is true.
2020-09-24 07:17:48 PM lisacomstock have psych eval done
2020-09-24 07:17:50 PM thomasodougherty Does anyone know a good opportunity for when we can gather some information on possible triggers?
2020-09-24 07:17:51 PM nealeyjones yes
2020-09-24 07:17:52 PM karenb yes
2020-09-24 07:18:04 PM williamsmary22 while observing
2020-09-24 07:18:07 PM sjackson during activities
2020-09-24 07:18:08 PM karenb initial acessment
2020-09-24 07:18:11 PM laurieh when its happenning
2020-09-24 07:18:12 PM sbowles During care conferences with family members.
2020-09-24 07:18:15 PM lisacomstock family knows them best
2020-09-24 07:18:27 PM angeldewitt history
2020-09-24 07:18:30 PM nealeyjones talk to them and family
2020-09-24 07:18:35 PM thomasodougherty Again, great answers.
2020-09-24 07:18:38 PM rachelordille care confrences, evaluations
2020-09-24 07:18:59 PM lisacomstock day to day interaction
2020-09-24 07:19:01 PM thomasodougherty Our first opportunity is likely the Initial Assessment. We have the opportunity ask about past trauma, drug abuse, etc.
2020-09-24 07:19:09 PM williamsmary22 yes
2020-09-24 07:19:26 PM nealeyjones ok
2020-09-24 07:19:26 PM dholmes86 left the chat room
2020-09-24 07:19:33 PM thomasodougherty If we aren't able to gather that information directly from our Resident, we can have a conversation with their Family or representative.
2020-09-24 07:19:40 PM williamsmary22 yes
2020-09-24 07:19:50 PM thomasodougherty Hopefully, the representative knows them well and isn't just a court appointed representative.
2020-09-24 07:19:57 PM lisacomstock trust goes a long way in acquiring knowledge
2020-09-24 07:19:58 PM williamsmary22 true
2020-09-24 07:20:00 PM sjackson yes
2020-09-24 07:20:12 PM pjbell enter the chat room
2020-09-24 07:20:16 PM thomasodougherty Where do we put the information we obtain?
2020-09-24 07:20:24 PM williamsmary22 in chart
2020-09-24 07:20:28 PM angeldewitt In their charts
2020-09-24 07:20:28 PM williamsmary22 pcc
2020-09-24 07:20:30 PM karenb care plan
2020-09-24 07:20:34 PM sjackson chart, lifes journey we have
2020-09-24 07:20:45 PM lisacomstock computer! lol
2020-09-24 07:20:45 PM nealeyjones care plan and charts
2020-09-24 07:20:53 PM sbowles Care plans.
2020-09-24 07:21:01 PM rachelordille care plan
2020-09-24 07:21:02 PM thomasodougherty And... Progress Notes!
2020-09-24 07:21:06 PM williamsmary22 yes
2020-09-24 07:21:08 PM lisacomstock progress notes
2020-09-24 07:21:10 PM rachelordille yes
2020-09-24 07:21:19 PM thomasodougherty Progress Notes are our best friends.
2020-09-24 07:21:22 PM sjackson if you dont chart it didnt happen
2020-09-24 07:21:23 PM laurieh progress notes, care plan, chart, on attendance forms
2020-09-24 07:21:25 PM williamsmary22 sure are
2020-09-24 07:21:36 PM pjbell left the chat room
2020-09-24 07:21:54 PM lisacomstock my waving turtle is annoying
2020-09-24 07:21:59 PM thomasodougherty We mentioned earlier that some things are out of our scope of practice, but that doesn't mean our observations are any less important.
2020-09-24 07:22:07 PM williamsmary22 yes
2020-09-24 07:22:09 PM sjackson true
2020-09-24 07:22:12 PM sbowles Can you tell me, Thomas, when we do Progress notes other than quarterly?
2020-09-24 07:22:13 PM nealeyjones true
2020-09-24 07:22:16 PM sjackson we see alot
2020-09-24 07:22:35 PM angeldewitt progress notes cover you and the resident
2020-09-24 07:22:36 PM thomasodougherty @sbowles, we do a progress note whenever it is pertinent.
2020-09-24 07:22:38 PM lisacomstock our observations when charted properly can go a long way
2020-09-24 07:22:39 PM diannareich observe,observe,observe
2020-09-24 07:22:56 PM laurieh you can do progress notes any time
2020-09-24 07:22:57 PM thomasodougherty If you had an interaction with a Resident who has a behavior, document it.
2020-09-24 07:23:18 PM thomasodougherty If you learn something new and update their Care Plan, document it.
2020-09-24 07:23:23 PM lisacomstock and communicate with other staff their nurse their aid their therapist etc.
2020-09-24 07:23:27 PM laurieh Remember writing in the carts?
2020-09-24 07:23:35 PM thomasodougherty Communication is paramount.
2020-09-24 07:23:40 PM sjackson yes
2020-09-24 07:23:43 PM thomasodougherty That's why we document.
2020-09-24 07:23:44 PM williamsmary22 yes
2020-09-24 07:24:03 PM santonya yes
2020-09-24 07:24:16 PM nealeyjones yes true
2020-09-24 07:24:22 PM angeldewitt reading others notes helps as well
2020-09-24 07:24:35 PM thomasodougherty Documenting that Resident X acts delirious during all of the scheduled activities and that is not their normal behavior can help nursing identify an UTI.
2020-09-24 07:24:41 PM lisacomstock angel yes it does
2020-09-24 07:24:56 PM thomasodougherty Yes, it helps us too.
2020-09-24 07:24:58 PM santonya thats true
2020-09-24 07:25:05 PM sbowles THanks for that. I did not know we could document that.
2020-09-24 07:25:10 PM williamsmary22 yes
2020-09-24 07:25:15 PM lisacomstock or if their sluggish and thats not their norm
2020-09-24 07:25:23 PM lisacomstock for example
2020-09-24 07:25:47 PM angeldewitt documentation tells quite a story
2020-09-24 07:25:50 PM thomasodougherty Learning that one of your Residents has recently had their psych meds reduced may caution you to not over stimulate them during activities.
2020-09-24 07:25:59 PM williamsmary22 yes
2020-09-24 07:26:09 PM angeldewitt very true
2020-09-24 07:26:13 PM sjackson this is where communiction comes in to play with all staff
2020-09-24 07:26:22 PM williamsmary22 or do 1 on 1 for a bit
2020-09-24 07:26:35 PM lisacomstock resident x usually enjoys trivia today they di not participate but had a hard time holding head up nsg notified
2020-09-24 07:26:39 PM angeldewitt I start my day by reading notes from the day before
2020-09-24 07:26:50 PM thomasodougherty Can we evict Residents for behaviors?
2020-09-24 07:26:58 PM karenb no
2020-09-24 07:27:01 PM williamsmary22 no
2020-09-24 07:27:05 PM angeldewitt depends
2020-09-24 07:27:08 PM sbowles I don't think we can evict.
2020-09-24 07:27:12 PM thomasodougherty Why does it depend?
2020-09-24 07:27:15 PM nealeyjones no
2020-09-24 07:27:20 PM sjackson i dont think so unless the behaior is putting others at harm?
2020-09-24 07:27:23 PM rachelordille no
2020-09-24 07:27:34 PM williamsmary22 if they are harming others we can remove
2020-09-24 07:27:47 PM laurieh you can separate them to another area
2020-09-24 07:27:51 PM diannareich If it is a saferry issue
2020-09-24 07:27:53 PM angeldewitt we had a resident stab one of our staff they left by ambulance police escorted and never came back
2020-09-24 07:28:02 PM karenb some times, we have to send a resident to a locked unit, for memory care patients
2020-09-24 07:28:21 PM lisacomstock what. it has to be very bad. where another resident has been harmed or feels fear and cops have to be called hospital visit but they will send them back if they show no behavior while there
2020-09-24 07:28:33 PM sbowles I think they want us to find a solution instead of evicting them.
2020-09-24 07:28:37 PM lisacomstock and has hx
2020-09-24 07:28:40 PM thomasodougherty That's an example on the extreme end of things, but Angel is correct.
2020-09-24 07:28:49 PM thomasodougherty Residents can be evicted for behavior.
2020-09-24 07:29:00 PM karenb Baker Act
2020-09-24 07:29:16 PM nealeyjones sometimes they send the resident to oceans behavior hosp.
2020-09-24 07:29:17 PM thomasodougherty Some of you have mentioned safety, that is definitely important, but other factors can be taken into consideration.
2020-09-24 07:29:43 PM thomasodougherty This is another example of something that is out of our scope in Activities, but is another reason why documentation is important.
2020-09-24 07:30:00 PM lisacomstock ok
2020-09-24 07:30:06 PM thomasodougherty Eviction involves Social Services, the Administrator, DON, and generally the Ombudsman.
2020-09-24 07:30:09 PM karenb If it's not written down, it didn't happen.
2020-09-24 07:30:16 PM nealeyjones ok
2020-09-24 07:30:36 PM thomasodougherty Have any of you had the opportunity to meet/work with your local Ombudsman?
2020-09-24 07:30:43 PM williamsmary22 yes
2020-09-24 07:30:44 PM diannareich no
2020-09-24 07:30:44 PM angeldewitt yes
2020-09-24 07:30:45 PM lisacomstock yes
2020-09-24 07:30:48 PM karenb no
2020-09-24 07:30:52 PM nealeyjones no
2020-09-24 07:30:52 PM sjackson no
2020-09-24 07:30:56 PM angeldewitt we love ombudsman
2020-09-24 07:31:00 PM sbowles No. Not yet. She is virtual right now.
2020-09-24 07:31:12 PM santonya yes
2020-09-24 07:31:35 PM angeldewitt they are very knowledgeable
2020-09-24 07:31:44 PM lisacomstock one of ours is not nice but we do what ever he wants
2020-09-24 07:31:55 PM thomasodougherty In my experience, the Ombudsman can be one of our greatest allies.They can develop relationships with Residents that sometimes we cannot.
2020-09-24 07:32:04 PM williamsmary22 yes
2020-09-24 07:32:05 PM thomasodougherty Often times they can be a voice of reason.
2020-09-24 07:32:17 PM angeldewitt yes
2020-09-24 07:32:27 PM lisacomstock they do have the answers it seems
2020-09-24 07:32:33 PM thomasodougherty Alright!Let's talk about dementia.
2020-09-24 07:32:41 PM sbowles Okay
2020-09-24 07:32:41 PM lisacomstock ok
2020-09-24 07:32:47 PM sjackson ok
2020-09-24 07:32:51 PM angeldewitt ok
2020-09-24 07:32:51 PM lisacomstock about what!
2020-09-24 07:32:52 PM nealeyjones ok
2020-09-24 07:32:56 PM thomasodougherty What are some considerations we need to make when dealing with dementia related behaviors.
2020-09-24 07:33:18 PM sbowles They do not know what they are doing.
2020-09-24 07:33:19 PM karenb Not everything they say is true
2020-09-24 07:33:20 PM diannareich They don't know what they are doing
2020-09-24 07:33:28 PM williamsmary22 they need alot of extra TLC at times
2020-09-24 07:33:28 PM angeldewitt they don't always know what the problem is themselves
2020-09-24 07:33:36 PM sjackson time, noise, envitoment
2020-09-24 07:33:43 PM nealeyjones they do not always mean what they say
2020-09-24 07:33:44 PM laurieh their mind isnt connnecting right
2020-09-24 07:33:51 PM williamsmary22 Alot of things can affect them
2020-09-24 07:34:03 PM lisacomstock like habits routines likes daily rituals sun downing
2020-09-24 07:34:22 PM angeldewitt staff not understanding what the problem is can cause behavior
2020-09-24 07:34:25 PM lisacomstock stages?
2020-09-24 07:34:36 PM karenb we talked about this at another chat, their minds receive the signal but cant retreive the information when needed.
2020-09-24 07:34:39 PM laurieh some can't remember so they act out
2020-09-24 07:34:39 PM lisacomstock smile
2020-09-24 07:34:42 PM sbowles They will sometimes say things off the wall that do not make sense.
2020-09-24 07:34:53 PM santonya sometimes they want someone to listen to them
2020-09-24 07:34:56 PM lisacomstock trust
2020-09-24 07:34:56 PM thomasodougherty Definitely great points you're all making.
2020-09-24 07:34:57 PM sjackson we have to slow down and really be patient
2020-09-24 07:35:16 PM lisacomstock agree with them
2020-09-24 07:35:28 PM thomasodougherty Most of you have mentioned in some capacity that they aren't always in touch with reality.
2020-09-24 07:35:29 PM sbowles Talk to them
2020-09-24 07:35:32 PM diannareich Act interested and let them talk
2020-09-24 07:35:41 PM thomasodougherty Lisa, can you expand on "agree with them", please?
2020-09-24 07:35:47 PM sjackson not by choice
2020-09-24 07:35:52 PM lisacomstock oh ok
2020-09-24 07:36:14 PM sbowles Even if you don't understand what they are talking about still pretend you do.
2020-09-24 07:36:26 PM williamsmary22 yes we have to go to the place they are at in there minds and just go with the flow
2020-09-24 07:37:05 PM diannareich We have two that the weekend staff say they are awful to them cussing them out ext, but the monday thru friday crew has no issues out of them.
2020-09-24 07:37:11 PM lisacomstock um like when they want to get arguementative it easier to agree live in their reality for a minute i dont think there is any harm in that
2020-09-24 07:37:14 PM thomasodougherty I wouldn't say necessarily "pretend" you do. Perhaps, you could engage with them. Ask them to explain where they're coming from.
2020-09-24 07:37:22 PM lisacomstock then you win their trust
2020-09-24 07:37:40 PM thomasodougherty Precisely, Lisa. They aren't always in our reality, but they are in theirs.
2020-09-24 07:37:51 PM lisacomstock and they will go with whats next sometimes
2020-09-24 07:37:54 PM sjackson dont ask to many questions at one time so you dont overwhelm them
2020-09-24 07:38:06 PM sjackson start with one question let them answer and so on
2020-09-24 07:38:36 PM sjackson encourage them
2020-09-24 07:38:43 PM lisacomstock the words ok and yes are very reassuring to them
2020-09-24 07:38:50 PM thomasodougherty If we have a 90 year old Resident who is certain their grandmother is picking them up for an ice cream at a shop you know has long since shut down, how do you approach?
2020-09-24 07:39:19 PM nealeyjones say ok what time
2020-09-24 07:39:25 PM angeldewitt I usually go along with it
2020-09-24 07:39:29 PM lisacomstock Oh how fabulous can I come?
2020-09-24 07:39:35 PM santonya I would come to their realty
2020-09-24 07:39:37 PM williamsmary22 say that maybe she is held up in traffic and you will check on it
2020-09-24 07:39:38 PM sjackson tell them it is not time for her to show up yet but as soon as she arrives you will let her know
2020-09-24 07:39:38 PM sbowles I would break the news to them that I am sorry it has shut down. They would appreciate your honesty.
2020-09-24 07:39:48 PM santonya agree with them
2020-09-24 07:39:51 PM sjackson or try and redirect them
2020-09-24 07:39:54 PM thomasodougherty Honesty is not always the best policy here.
2020-09-24 07:40:00 PM williamsmary22 nope
2020-09-24 07:40:07 PM karenb poor dear
2020-09-24 07:40:08 PM angeldewitt I have a question???
2020-09-24 07:40:23 PM thomasodougherty Remember, they are in their reality. In their reality they are likely a child and their grandmother is 100% going to be there.
2020-09-24 07:40:29 PM thomasodougherty Yes, question?
2020-09-24 07:40:56 PM sbowles Ask her if it would be okay that you and her go get some ice cream instead.
2020-09-24 07:41:14 PM angeldewitt We have an 89 year old woman that wants to know where her husband is. He has passed a couple months ago. HONESTY????
2020-09-24 07:41:14 PM williamsmary22 you could wait with them for a bit and they may forget in a few mins
2020-09-24 07:41:30 PM sjackson agree but sometimes is it worth them to endure the pain of loosing a loved one in their mind?
2020-09-24 07:41:40 PM laurieh We have one that asks 200 times a day if her family called and what time they will get her. We say at 6:30. After that we say they called and are coming in the morning. Shes ok with that
2020-09-24 07:41:41 PM thomasodougherty Can anyone help Angel?
2020-09-24 07:41:51 PM lisacomstock sometimes you can confuse them into a time you need them. ex 2 oclock right? in the dining room right? you want me to come get you then? are you going to rest and Ill come get you when its time?
2020-09-24 07:42:01 PM angeldewitt it hurts her then she do
2020-09-24 07:42:06 PM nealeyjones i woiuld say at work
2020-09-24 07:42:27 PM angeldewitt she don
2020-09-24 07:42:32 PM karenb I say, it's early, maybe later?
2020-09-24 07:42:34 PM lisacomstock that is a tough one.
2020-09-24 07:42:42 PM lisacomstock and always sad
2020-09-24 07:42:46 PM angeldewitt she goes into depression crys so on
2020-09-24 07:42:53 PM lisacomstock maybe try a diversion
2020-09-24 07:43:03 PM williamsmary22 yes if she does not know say they are at work or somewhere else at the time
2020-09-24 07:43:04 PM thomasodougherty What sort of diversion?
2020-09-24 07:43:11 PM lisacomstock you want to join us until he gets here?
2020-09-24 07:43:20 PM thomasodougherty Could work.
2020-09-24 07:43:23 PM santonya i would stay he is working and most of time they forget. and if that dont work redirect somethin else
2020-09-24 07:43:35 PM angeldewitt thank you all
2020-09-24 07:43:44 PM angeldewitt I;ve been avoiding
2020-09-24 07:43:47 PM karenb I have a lady that wants to go see her lawyer everyday. I tell her the lawyer has the day off, maybe tomorrow?
2020-09-24 07:43:54 PM thomasodougherty Angel, in the past I have seen success with engaging with them. Ask questions about her husband. Help her remember him.
2020-09-24 07:44:04 PM williamsmary22 yes
2020-09-24 07:44:09 PM thomasodougherty Get her talking and if you're able, take it off the topic of her husband.
2020-09-24 07:44:14 PM lisacomstock sit with her have pics to reminisce let her tell you stories or ask short comprehendable questions
2020-09-24 07:44:15 PM laurieh Agreed
2020-09-24 07:44:33 PM angeldewitt She does forget, but when your honest she crys and its awful
2020-09-24 07:44:41 PM sbowles Good idea about the pictures.
2020-09-24 07:44:52 PM thomasodougherty This is an instance where honesty may not be the best approach.
2020-09-24 07:44:53 PM angeldewitt thanks Thomas
2020-09-24 07:45:00 PM lisacomstock music
2020-09-24 07:45:06 PM thomasodougherty You don't need to lie, but you also don't need to break the news to her.
2020-09-24 07:45:09 PM lisacomstock does she like music
2020-09-24 07:45:11 PM williamsmary22 as long as she forgets then its ok to say he working
2020-09-24 07:45:15 PM laurieh Help her remember himfondly
2020-09-24 07:45:32 PM rachelordille left the chat room
2020-09-24 07:45:33 PM thomasodougherty This is a great point to make. These individuals live in their reality and sometimes we need to step into it with them.
2020-09-24 07:45:34 PM angeldewitt thank you thank you everyone
2020-09-24 07:45:42 PM lisacomstock I bet she doesnt have a picture of him?
2020-09-24 07:45:52 PM nealeyjones yes we do
2020-09-24 07:45:59 PM angeldewitt She does
2020-09-24 07:46:21 PM lisacomstock yes! go there with them and youll want to ask more questions
2020-09-24 07:46:24 PM angeldewitt the last few days I've been telling her he is sleeping
2020-09-24 07:46:36 PM thomasodougherty In the example with the individual waiting to go get ice cream with their grandmother... Ask them about their grandmother. Ask about the ice cream shop. Someone said ask if they would like to get ice cream with you. Chances are your dietary team has some ice cream to spare.
2020-09-24 07:46:37 PM sjackson agree
2020-09-24 07:46:41 PM laurieh You have to affirm not face them with reality. Because they don't have it
2020-09-24 07:46:49 PM lisacomstock Angel does she have other family
2020-09-24 07:46:53 PM williamsmary22 yes
2020-09-24 07:46:59 PM sjackson good point
2020-09-24 07:47:04 PM angeldewitt yes lots
2020-09-24 07:47:11 PM nealeyjones yes
2020-09-24 07:47:26 PM angeldewitt she is getting to the point she dont remember them though
2020-09-24 07:47:31 PM lisacomstock does she have pictures of him Angel
2020-09-24 07:47:36 PM angeldewitt yes
2020-09-24 07:48:00 PM angeldewitt whole albums
2020-09-24 07:48:28 PM angeldewitt sorry taking you off topic Thomas
2020-09-24 07:48:31 PM thomasodougherty Great tools you could use to help her reminisce.
2020-09-24 07:48:41 PM thomasodougherty Not a problem. We're here to help one another.
2020-09-24 07:48:46 PM lisacomstock ok well have her hold a pic and ask her questions about him. did he always have a mustache. ever had a mustache? etc.
2020-09-24 07:49:00 PM karenb Maybe aske how they met, and other memories
2020-09-24 07:49:10 PM angeldewitt great ideas
2020-09-24 07:49:33 PM lisacomstock tell her what a catch he was. make her feel good
2020-09-24 07:49:38 PM sbowles I am going to try these ideas with one of our residents. Thanks for the insight.
2020-09-24 07:49:40 PM thomasodougherty The points I hope we took away from this talk on dementia are: their delusions are real, don't argue. Try to redirect, if possible. Finally, reminiscing can be a great tool.
2020-09-24 07:49:41 PM karenb My residents love to talk about their youth
2020-09-24 07:49:51 PM williamsmary22 yes
2020-09-24 07:50:07 PM laurieh awesome!
2020-09-24 07:50:17 PM angeldewitt love to talk about what they did for work in younger years
2020-09-24 07:50:19 PM sjackson this was a great topic. i learned alot
2020-09-24 07:50:21 PM thomasodougherty Does anyone have any questions or comments on the chat on the whole?
2020-09-24 07:50:34 PM sbowles No. Thank you.
2020-09-24 07:50:38 PM sjackson no
2020-09-24 07:50:41 PM santonya no thank you
2020-09-24 07:50:43 PM angeldewitt very informative!!! You are awesome
2020-09-24 07:50:50 PM karenb I have a resident, they were so poor, as a child, her grandmother made her a doll out of a cucumber. Imagine that?
2020-09-24 07:50:51 PM nealeyjones no it was great
2020-09-24 07:51:00 PM laurieh Great! Learned a lot thanks
2020-09-24 07:51:07 PM karenb Thank you Thomas.
2020-09-24 07:51:20 PM williamsmary22 Thank you all for the info!
2020-09-24 07:51:40 PM lisacomstock Ty Thomas it was a good chat!
2020-09-24 07:51:49 PM thomasodougherty Thank you all for joining me tonight. Hopefully you'll all have great papers to give to Celeste, which will put you well on your way to achieving your certifications.
2020-09-24 07:51:53 PM lisacomstock Good luck Angel!
2020-09-24 07:52:04 PM diannareich Thank you
2020-09-24 07:52:07 PM angeldewitt Thanks you lisa
2020-09-24 07:52:13 PM sbowles left the chat room
2020-09-24 07:52:23 PM karenb Good Night friends
2020-09-24 07:52:30 PM santonya good night
2020-09-24 07:52:35 PM thomasodougherty I appreciate your contributions and your questions.I'll stick around for a little while if any of you do think of any questions, but otherwise, I think we touched on everything I wanted to.Thank you all again.
2020-09-24 07:52:36 PM williamsmary22 Good night all!
2020-09-24 07:52:47 PM nealeyjones goodnight everyone stay safe

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