123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-11-05 07:59:31 PM julienorrisspeck Ihalfacre: agreed! it is very hard for our resident's to express their feelings and they isolate, which is unfortunate
2020-11-05 07:59:45 PM thomasodougherty I like that you've brought them up, because they are important and ought to be identified and documented.
2020-11-05 08:00:15 PM thomasodougherty How can we address negative moods r/t culture change?
2020-11-05 08:00:16 PM lboffeli emotions play a large role into activity programming
2020-11-05 08:00:26 PM debrabryan THE EMOTIONS ARE A REACTION TO THE CULTURAL CHANGE
2020-11-05 08:00:58 PM jford124 communicate with the resident. sometimes they are just homesick and want to talk
2020-11-05 08:01:11 PM byefelicia very true, but there is always something that each and every person enjoys doing regardless of the living arrangement
2020-11-05 08:01:16 PM julienorrisspeck Thomas, how do you suggest they are documented? like a general note, or a behavior? I am just curious
2020-11-05 08:01:17 PM yvettemlopez as much 1:1 as you can with them all
2020-11-05 08:01:19 PM thomasodougherty Communication! My favorite tool!
2020-11-05 08:01:29 PM lboffeli YES COMMUNICATION
2020-11-05 08:01:33 PM byefelicia Great point
2020-11-05 08:01:37 PM debrabryan YES
2020-11-05 08:01:39 PM thomasodougherty Definitely a general progress note.
2020-11-05 08:01:42 PM julienorrisspeck Communicating with our residents, showing empathy for their emotions, letting them talk
2020-11-05 08:01:56 PM lboffeli Also communicaiton with families! Zoom, Face Time etc....
2020-11-05 08:02:02 PM byefelicia Yes, Julie, many times they just need for someone to listen.
2020-11-05 08:02:10 PM thomasodougherty It may be necessary to document a behavior note as well, especially if violence is involved.Care Planning comes in here.
2020-11-05 08:02:24 PM rdonatien it helps to know the who the person is. Use the knowledge we have about the resident's culture, their history to plan activitiies they would enjoy 1:1
2020-11-05 08:02:31 PM jmeza75 learn about them
2020-11-05 08:02:50 PM lboffeli Yes in our AOD Matrix system for charting behaviors go in psychosocial care planning and a progress note
2020-11-05 08:03:02 PM lhalfacre I have spent my hours 1:1 with a resident. Eventually bargaining with them to join an activity that was put on the calender just to get them to participate with others.
2020-11-05 08:03:10 PM byefelicia is this info documented by the medical professional of the AD?
2020-11-05 08:03:17 PM thomasodougherty During the communication we're all going to implement, we will learn things that help our Residents cope. That ought to be added to a Care Plan, so if/when someone else identifies an issue with the Resident, they can refer to the Care Plan to see if there are any tools they can utilize.
2020-11-05 08:03:20 PM byefelicia sorry "OR" the AD?
2020-11-05 08:03:21 PM rdonatien Find or create opportunities for them express what they are feeling. Exercise patience
2020-11-05 08:03:39 PM thomasodougherty Information is documented by whomever observes the behavior.
2020-11-05 08:03:42 PM debrabryan RIGHT
2020-11-05 08:03:45 PM rdonatien right
2020-11-05 08:03:48 PM lboffeli right
2020-11-05 08:03:52 PM byefelicia Good to know!
2020-11-05 08:03:54 PM melveniag right
2020-11-05 08:03:59 PM yvettemlopez yes
2020-11-05 08:04:25 PM thomasodougherty Emphasis on "WHOMEVER OBSERVED IT", do not document for someone else.
2020-11-05 08:04:37 PM debrabryan ALL BEHAVIOR CHANGES SHOULD BE DOCUMENTED, IT COULD BE THEIR MEDICATIONS
2020-11-05 08:04:40 PM thomasodougherty Some of you mentioned 1:1s! Beautiful!
2020-11-05 08:04:55 PM lboffeli 1:1's are VERY IMPORTANT
2020-11-05 08:04:58 PM lhalfacre Some behaviors that are charted will flag for the social worker to get involved.
2020-11-05 08:05:02 PM thomasodougherty 1:1s can be a good gateway to building a relationship between you and your Resident.
2020-11-05 08:05:19 PM rdonatien indeed,
2020-11-05 08:05:30 PM lboffeli Thats where the MDS comes in. Social Work and Activties trigger each other for a CAA
2020-11-05 08:05:30 PM melveniag yes
2020-11-05 08:05:40 PM greenmj86 i think 1:1s are the heart and soul of a facility
2020-11-05 08:05:50 PM tamirudd Hi
2020-11-05 08:06:11 PM greenmj86 when in care conference i realize i have way more information about a resident then the whole team
2020-11-05 08:06:23 PM julienorrisspeck Greenmj86 AGREED!
2020-11-05 08:06:26 PM thomasodougherty As that relationship grows so too, hopefully will trust, and subsequently hopefully those individuals will become more comfortable to join groups.Additionally, you will learn more about these individuals and hopefully discover new activities that could be introduced.
2020-11-05 08:06:31 PM byefelicia residents can have a different relationship with each staff member
2020-11-05 08:06:33 PM lboffeli GREENMJ86 THAT IS THE BEAUTY OF ACTIVTIES
2020-11-05 08:06:34 PM lhalfacre Yes Greenmj
2020-11-05 08:06:41 PM rdonatien that is our no 1 tool in our tool kit. it is personal, it builds relationship, redirects behaviours. Our care plans begin w/1:1 assessments
2020-11-05 08:06:51 PM lboffeli We get the ability to get to know each resident on a whole different level other than nursing
2020-11-05 08:06:52 PM thomasodougherty Perhaps! You could even partner with the Resident to develop a culturally specific activity that they could lead!
2020-11-05 08:06:58 PM debrabryan EXACTLY
2020-11-05 08:07:07 PM lboffeli EXACTLY
2020-11-05 08:07:13 PM byefelicia great way to engage the residents
2020-11-05 08:07:14 PM julienorrisspeck byefelicia: I agree and i think it is especially important to respect those relationships
2020-11-05 08:07:27 PM tamirudd I enjoy listening to the stories from their youth
2020-11-05 08:07:36 PM byefelicia So do I, tamirudd
2020-11-05 08:07:38 PM rdonatien The resident tell us what activities to plan for them. they in effect complete the care plan
2020-11-05 08:08:02 PM lboffeli I really enjoy listening to military stories as well. We have several Vets and the amount of Culture Change they face is unbelievable
2020-11-05 08:08:24 PM byefelicia when they participate in programs that they enjoy, that releases endorphins and opens the gateway to friendships with other residents and staff members.
2020-11-05 08:08:27 PM tamirudd they will definetly participate more if they tell us what activities they enhoy
2020-11-05 08:08:30 PM tamirudd enjoy
2020-11-05 08:08:52 PM julienorrisspeck culturally specific activities are so important!
2020-11-05 08:08:53 PM thomasodougherty It is definitely ideal if the Residents you work with are willing/able to contribute so effectively that they can effectively structure their own Care Plan.
2020-11-05 08:09:18 PM debrabryan THEY COULD SHARE A STYLE OF DANCE FROM THEIR CULTURE OR FOOD , RECIPES
2020-11-05 08:09:22 PM lhalfacre We discuss what kind of activities they would like to see on the calender every month. We do this during resident council
2020-11-05 08:09:25 PM lboffeli The more personal care plan the better quality of life
2020-11-05 08:09:33 PM thomasodougherty However, that isn't always the case and we should be on the look out for clues from the Residents, but also communication with their families/friends/loved ones is very valuable.
2020-11-05 08:09:42 PM byefelicia Exactly, dancing is a great form of physical activity
2020-11-05 08:09:42 PM yvettemlopez talking to the family about the things they liked has helped for the ones who can tell us what they like
2020-11-05 08:09:49 PM jmeza75 yes
2020-11-05 08:10:13 PM lboffeli We do a chair fitness class and we change our music monthly to different culture music
2020-11-05 08:10:13 PM thomasodougherty In some instance we may find that there are culturally specific traditions that our Residents really enjoy, but aren't able to convey. Their families may be able to share that with us.
2020-11-05 08:10:29 PM rdonatien Families also assist when the residents are not able to be assessed, which works well, since they know their loved ones best.
2020-11-05 08:10:41 PM thomasodougherty In a pre/post covid World, it would be nice to get the families intimately involved with the activity.
2020-11-05 08:10:44 PM rdonatien Exactly
2020-11-05 08:10:45 PM tamirudd we are starting a small indoor garden since we live in a rural area, and our residents enjoy gardening.
2020-11-05 08:10:49 PM debrabryan YES, LIKE HOLIDAY TRADITIONS THAT CAN SHARE
2020-11-05 08:11:04 PM byefelicia some residents enjoy having a pet
2020-11-05 08:11:20 PM thomasodougherty Pets can be a cultural change!
2020-11-05 08:11:22 PM rdonatien indeed thomas
2020-11-05 08:11:28 PM greenmj86 pre covid i had a lot of family members helping me with activities
2020-11-05 08:11:30 PM yvettemlopez i love when they are its harder for the ones who have gardians
2020-11-05 08:11:42 PM lboffeli We did a family Halloween Parade outside residents windows to include both famliies and residents
2020-11-05 08:11:56 PM byefelicia sounds like fun
2020-11-05 08:12:15 PM jford124 yes pets are great. my residents love pet therapy
2020-11-05 08:12:20 PM julienorrisspeck pre-covid i had the best, most supportive families who loved on all the residents and were such a huge help to the activity department especially around holidays
2020-11-05 08:12:21 PM byefelicia Have anyone experienced a situation when the resident and the family members do not get along with each other?
2020-11-05 08:12:36 PM lboffeli byefelicia yes
2020-11-05 08:12:38 PM jford124 many times
2020-11-05 08:12:40 PM rdonatien we had a puppy parade in our courtyard for our residents for one of our Halloween social. it almost got our of control for social distancing.
2020-11-05 08:12:43 PM tamirudd We do Mardi Gras here, since we're so close to Louisiana.
2020-11-05 08:12:49 PM lhalfacre We have done Thanksgiving Family Dinner, also a Visit with Santa for the family.
2020-11-05 08:12:50 PM yvettemlopez i hate coming into this position and not being able to do everything
2020-11-05 08:12:51 PM melveniag yes
2020-11-05 08:13:19 PM debrabryan I DO NOT WORK IN THE FIELD YET SO I CAN NOT SHARE ANYTHING ONLY MY IDEAS
2020-11-05 08:13:48 PM lhalfacre We have also done a Valentine's day dance for the family.
2020-11-05 08:14:02 PM yvettemlopez thats a cute idea
2020-11-05 08:14:09 PM thomasodougherty Families can sometimes be problematic. It is best to be as diplomatic as possible. Don't side with one or the other, but always be sure to respect the Residents wishes over the family.
2020-11-05 08:14:19 PM rdonatien Seeing pets again at the community was a great change. The event is still being talked about.:)
2020-11-05 08:14:28 PM melveniag right
2020-11-05 08:14:32 PM yvettemlopez agree
2020-11-05 08:14:35 PM julienorrisspeck byefelicia: Many times!! it is a stressful situation but we try to remind our residents they do not have to participate in those negative visits
2020-11-05 08:14:36 PM byefelicia I haven't worked in the field fulltime but I was an Exercise Therapist that taught many fitness classes at various facilities in the Houston area. The residents always looked forward to my visit, it was not only fun for them but a social gathering as well (this was before covid)
2020-11-05 08:14:42 PM rdonatien respecting the resident
2020-11-05 08:14:47 PM thomasodougherty A phrase that was mentioned earlier that is valuable was "person centered".
2020-11-05 08:15:05 PM jford124 we use resident driven
2020-11-05 08:15:07 PM lboffeli Love that wording "person centered"
2020-11-05 08:15:13 PM thomasodougherty What does "person centered" mean?
2020-11-05 08:15:20 PM rdonatien respecting the residents rights is our responsibility.
2020-11-05 08:15:29 PM byefelicia respecting one's wishes
2020-11-05 08:15:42 PM greenmj86 individualized
2020-11-05 08:15:49 PM lboffeli focusing on residents needs and wishes
2020-11-05 08:15:52 PM debrabryan ACCORDING TO THAT SPECIFIC RESIDENT
2020-11-05 08:15:53 PM thomasodougherty Individualized!
2020-11-05 08:16:00 PM jmeza75 allowing the resident to have a voice and make decisions regarding their care
2020-11-05 08:16:05 PM jford124 everything designed for that individual resident
2020-11-05 08:16:18 PM byefelicia also using health and social services as equal partners in planning, developing and monitoring care of residents
2020-11-05 08:16:21 PM tamirudd Speaking of culture, we have residents of varing religious beliefs and backgrounds.
2020-11-05 08:16:43 PM julienorrisspeck person centered is care that is built especially for and centered around one individual, not a blanket plan that covers everyone
2020-11-05 08:16:46 PM thomasodougherty We're not all 30 something caucasian males with european heritage from New England, right?
2020-11-05 08:16:55 PM byefelicia Right
2020-11-05 08:16:56 PM lhalfacre Correct
2020-11-05 08:16:58 PM yvettemlopez no lol
2020-11-05 08:17:00 PM lboffeli exactly
2020-11-05 08:17:02 PM jford124 yup
2020-11-05 08:17:09 PM greenmj86 hummmm no
2020-11-05 08:17:15 PM thomasodougherty What works for me, might not work for you. It might! But it might not.
2020-11-05 08:17:26 PM thomasodougherty We need to be aware of those differences.
2020-11-05 08:17:29 PM byefelicia true statement
2020-11-05 08:17:40 PM rdonatien person-centered encompasses the whole person, their likes, dislikes, background, experiences, gender, lifestyle, choices, culture, belief, etc.
2020-11-05 08:17:41 PM thomasodougherty We also need to be aware of any offence that might occur due to those differences.
2020-11-05 08:17:44 PM debrabryan SO WE MUST BE WILLING TO ACCEPT AND LEARN THESE DIFFERENCE
2020-11-05 08:17:51 PM thomasodougherty Well said, rdonatien.
2020-11-05 08:18:30 PM byefelicia how do you handle various religious beliefs in a facility? for example when the holiday season approaches, some residents may celebrate Christmas and some do not/
2020-11-05 08:19:26 PM thomasodougherty Great question!Be diverse.
2020-11-05 08:19:34 PM lboffeli Diversity
2020-11-05 08:19:35 PM thomasodougherty Be prepared! You are going to get push back!
2020-11-05 08:19:37 PM tamirudd We are a small faclitiy in a retirement community. Sometimes their cultural differences can affect their activities and willingness to participate.
2020-11-05 08:19:37 PM julienorrisspeck we celebrate as many as we can in our facility, because religion is so important to others. we ask for resident input on how to make thewir visions a reality
2020-11-05 08:19:38 PM jford124 we try to offer as many options as we can. those that wish to participate can. if it is not majority we schedule a 1:1 just for that resident
2020-11-05 08:20:21 PM byefelicia thanks everyone
2020-11-05 08:20:27 PM rdonatien we provide activities on our calendar that respects each person's religious practice.We let the residents decide what they want to do for the holiday. They help us plan activities, and share their experiences with each other.
2020-11-05 08:20:37 PM lboffeli We do a day to day celebration to focus on everyones beliefs. Monday will be Honakua tradition, Tuesday and so on...
2020-11-05 08:20:38 PM lhalfacre That is why I try and decorate to include all
2020-11-05 08:20:47 PM thomasodougherty Some of us are going to have staff and leadership that is going to tell you that one way is the right way. It isn't.
2020-11-05 08:21:20 PM julienorrisspeck Absolutely not! theres never just one way that is the right way
2020-11-05 08:21:52 PM jford124 there is never just one right way when assisting our residents. thats why it is so important to be their advicate and speak up when you feel its needed
2020-11-05 08:21:55 PM bobbieduke enter the chat room
2020-11-05 08:22:03 PM thomasodougherty So to recap a little on Person Centered Care.Person centered care focuses on the individual. Nursing Facilities are not a one size fits all program.
2020-11-05 08:22:12 PM lboffeli YES
2020-11-05 08:22:17 PM byefelicia Agree
2020-11-05 08:22:19 PM greenmj86 ok
2020-11-05 08:22:24 PM lhalfacre Yes, agree
2020-11-05 08:22:26 PM debrabryan RIGHT
2020-11-05 08:22:27 PM thomasodougherty Today more than ever most of us are not getting "pink sweater wearing grannies"
2020-11-05 08:22:27 PM julienorrisspeck Agreed
2020-11-05 08:22:29 PM yvettemlopez yes
2020-11-05 08:22:29 PM melveniag yes
2020-11-05 08:22:39 PM julienorrisspeck Very true!!!
2020-11-05 08:22:40 PM thomasodougherty Culture isn't only regional, it can be generational.
2020-11-05 08:22:57 PM rdonatien residents can decorate their door. Although this year we all have to cover things on the doors with material that can be sanitized.
2020-11-05 08:23:01 PM lhalfacre so very true
2020-11-05 08:23:02 PM melveniag lifestyle
2020-11-05 08:23:09 PM lboffeli SO TRUE
2020-11-05 08:23:20 PM debrabryan YES
2020-11-05 08:23:20 PM byefelicia Yes indeed
2020-11-05 08:23:26 PM tamirudd Sometimes we have men and women who do not interact well together. Because of generational differences.
2020-11-05 08:23:38 PM byefelicia Romeo & Juliet
2020-11-05 08:24:08 PM thomasodougherty Back to Care Planning for a bit.
2020-11-05 08:24:14 PM melveniag cost of living
2020-11-05 08:24:30 PM thomasodougherty Care Plan! If you do it, if it needs done, if it helps, if it hurts...put it in their Care Plan.
2020-11-05 08:25:03 PM lboffeli We describe Care Plan has a residents recipe book
2020-11-05 08:25:19 PM tamirudd Most definitely
2020-11-05 08:25:30 PM thomasodougherty Surveyors may come in and find a Resident, get to know them a little bit, and realize they have a culturally unique background to the majority of your facility.
2020-11-05 08:25:45 PM rdonatien indeed
2020-11-05 08:25:46 PM jford124 everything you need to know about a residemt should be in their care plan
2020-11-05 08:25:46 PM thomasodougherty They then may track you down to ask "what are you doing for this individual".
2020-11-05 08:25:56 PM rdonatien right
2020-11-05 08:26:10 PM lboffeli Thats when the recipe book (Care Plan) and activity charting come in
2020-11-05 08:26:22 PM rdonatien right
2020-11-05 08:26:24 PM thomasodougherty You can say you do any number of things, but if you don't have documentation to back you up, it didn't happen.
2020-11-05 08:26:25 PM byefelicia I like that . . . "recipe book"
2020-11-05 08:26:28 PM debrabryan RIGHT
2020-11-05 08:26:35 PM tamirudd Ask for their likes, dislikes. Accomodate them as best we can for activities and care routine.
2020-11-05 08:26:36 PM rdonatien exact
2020-11-05 08:27:01 PM rdonatien so, if your put it in the care plan, do it!
2020-11-05 08:27:15 PM thomasodougherty Also true!!
2020-11-05 08:27:30 PM thomasodougherty If you Care Plan something, and don't do it, it doesn't count.
2020-11-05 08:28:04 PM thomasodougherty However! If you have Care Planned it and the individual doesn't want to do it, keep it Care Planned, but also document and Care Plan that they don't want to do it!
2020-11-05 08:28:08 PM lboffeli again just like leaving an ingredient out of a recipe. You leave it out, it didnt happen
2020-11-05 08:28:30 PM byefelicia and it may not work
2020-11-05 08:28:30 PM jford124 if you care plan something and arent doing it... isnt that a tag?
2020-11-05 08:28:40 PM lboffeli yes jford124
2020-11-05 08:28:41 PM thomasodougherty It can be a tag, yes!
2020-11-05 08:28:53 PM bobbieduke left the chat room
2020-11-05 08:29:13 PM rdonatien right. we should also review and update the care plan regularly,correct?
2020-11-05 08:29:15 PM thomasodougherty Saying you did something you didn't is just as bad as not documenting something you did.
2020-11-05 08:29:16 PM julienorrisspeck Thomas can you give us an example for care planning something we have care planned but they dont want to do? that confused me a little
2020-11-05 08:29:32 PM thomasodougherty Care Plans need reviewed/updated every quarter or as needed.
2020-11-05 08:29:33 PM jford124 isnt that why we quarterly evaluate care plans to adjust them?
2020-11-05 08:29:49 PM melveniag diversity can be very exiciting especially when you interview with a resident in care plans and see how cultrualiy the lifestyles change between yourself and other residents
2020-11-05 08:29:56 PM lboffeli agreed on the quarterly update, unless significant change will change that as well
2020-11-05 08:29:57 PM thomasodougherty A Care Plan consists of a behavior, a goal, and plan of action.
2020-11-05 08:30:46 PM thomasodougherty In the plan of action you will put what it is you have coordinated for the individual, but then add something to the effect of "but, respect their wishes not to engage in this activity".
2020-11-05 08:30:52 PM byefelicia Who would primarily be responsible for the care plan? Would it be the AD, the physican or all staff members?
2020-11-05 08:31:06 PM rdonatien when care plan interventions or tasks are no longer relevant, for example if there has been a change in condition/significant change, should we cancel or resolve?
2020-11-05 08:31:59 PM thomasodougherty Everyone is responsible for the Care Plan. However, we are responsible for Activiy specific Care Plans. We may also be tagged in other Care Plans that pertain to us.
2020-11-05 08:32:16 PM byefelicia Great
2020-11-05 08:32:20 PM tamirudd We should remember our core values: relationships, choice, dignity, respect, self-determination and purpose.
2020-11-05 08:32:22 PM yvettemlopez ok
2020-11-05 08:32:32 PM julienorrisspeck Thank you Thomas!
2020-11-05 08:32:35 PM lboffeli Yes tamirudd
2020-11-05 08:32:37 PM thomasodougherty How you resolve/cancel Care Plan matters is going to be facility specific.
2020-11-05 08:32:45 PM lboffeli yes
2020-11-05 08:32:54 PM rdonatien Thank you.
2020-11-05 08:32:59 PM tamirudd agreed
2020-11-05 08:33:26 PM debrabryan left the chat room
2020-11-05 08:33:26 PM lhalfacre I keep a desk calender just for notes of when care plans are due, and who they are due on.
2020-11-05 08:33:36 PM tamirudd Thanks.
2020-11-05 08:33:46 PM debrabryan enter the chat room
2020-11-05 08:33:47 PM thomasodougherty I'm going to do as best a recap to tie this all together as I can, but before I do, does anyone have any questions?
2020-11-05 08:33:56 PM byefelicia No questions
2020-11-05 08:34:00 PM yvettemlopez no
2020-11-05 08:34:02 PM debrabryan FOR SURE
2020-11-05 08:34:04 PM greenmj86 none
2020-11-05 08:34:09 PM lboffeli no questions AWESOME CONVERSATION
2020-11-05 08:34:12 PM tamirudd No
2020-11-05 08:34:12 PM jmeza75 no questions
2020-11-05 08:34:14 PM rdonatien no further questions
2020-11-05 08:34:23 PM jford124 recap away
2020-11-05 08:34:33 PM thomasodougherty All right, let me try to wrap this all up.
2020-11-05 08:34:44 PM debrabryan NO QUESTIONS
2020-11-05 08:36:19 PM thomasodougherty Culture pertains to age, beliefs, traditions, foods, music, etc.These things can often change from country to country, town to town, and even household to household.
2020-11-05 08:36:48 PM yvettemlopez yes
2020-11-05 08:37:04 PM tamirudd agreed
2020-11-05 08:37:11 PM lboffeli AGREED
2020-11-05 08:37:15 PM thomasodougherty Culture Change is when an individual who lives in a region where there are culturally specific practices to another region where those who occupy that space have different cultural practices.
2020-11-05 08:37:25 PM melveniag Care plans are relevant for the care plan team to meet the goals of all residents.
2020-11-05 08:37:49 PM thomasodougherty This can provoke an onslaught of emotional responses. Most common are depression, anxiety, anger, etc.
2020-11-05 08:38:39 PM thomasodougherty Our purpose is to approach all of our Residents with the "Person Centered Approach" as we are not all carbon copies of the other.
2020-11-05 08:39:05 PM thomasodougherty We can do so by communication, 1:1 activities, family involvement, etc.
2020-11-05 08:39:14 PM melveniag Agreed
2020-11-05 08:39:21 PM yvettemlopez agree
2020-11-05 08:39:26 PM lboffeli AGREED
2020-11-05 08:39:36 PM thomasodougherty We can avoid any assortment of tags by documenting and care planning the things that we do for these individuals.
2020-11-05 08:40:10 PM thomasodougherty Activities fall on our shoulders, but this is a team effort!
2020-11-05 08:40:13 PM tamirudd agreed
2020-11-05 08:40:22 PM jmeza75 agreed
2020-11-05 08:40:23 PM debrabryan YES
2020-11-05 08:40:29 PM byefelicia Very true
2020-11-05 08:40:35 PM julienorrisspeck true!!!
2020-11-05 08:40:37 PM lboffeli very true
2020-11-05 08:41:09 PM thomasodougherty If you know Jimbo is devoted to his Jewish faith, but can't tell his CNA that he doesn't eat pork, step up!
2020-11-05 08:41:23 PM lboffeli 100%
2020-11-05 08:41:32 PM thomasodougherty If that tid bit is Care Planned, make the CNA aware. If it isn't, get it Care Planned and make a note!
2020-11-05 08:41:39 PM debrabryan OH YES
2020-11-05 08:42:04 PM jford124 thats part of advicating for your residents
2020-11-05 08:42:14 PM thomasodougherty That, my friends, is an oversimplified compression of all we went over.
2020-11-05 08:42:25 PM tamirudd Thanks
2020-11-05 08:42:28 PM lboffeli Great wrap up Thomas1
2020-11-05 08:42:31 PM jmeza75 well done
2020-11-05 08:42:33 PM byefelicia Well said (or typed0
2020-11-05 08:42:34 PM rdonatien received
2020-11-05 08:42:34 PM greenmj86 thanks
2020-11-05 08:42:41 PM debrabryan THANK YOU VERY NICE
2020-11-05 08:42:54 PM thomasodougherty Is there any confusion? Are there any questions, concerns, jokes, etc?
2020-11-05 08:43:02 PM yvettemlopez thank you
2020-11-05 08:43:09 PM tamirudd No, all clear.
2020-11-05 08:43:16 PM byefelicia no questions, this was my first chat. Very enjoyable.
2020-11-05 08:43:24 PM jford124 no questions... just thank you'
2020-11-05 08:43:33 PM debrabryan I AM GOOD
2020-11-05 08:43:33 PM lhalfacre Great chat tonight
2020-11-05 08:43:35 PM lboffeli I just want to thank everyone for the ideas shared and the great conversation. I learned a lot and know things I can take tomorrow and adpat
2020-11-05 08:43:40 PM thomasodougherty You're all wonderful human beings!
2020-11-05 08:43:47 PM julienorrisspeck No questions, thank you for being so helpful!!
2020-11-05 08:43:52 PM thomasodougherty Don't forget to post your 1/2 page papers for Celeste.
2020-11-05 08:43:53 PM byefelicia you're great as well
2020-11-05 08:43:53 PM rdonatien bravo(v)
2020-11-05 08:44:02 PM thomasodougherty Does everyone know where those get posted?
2020-11-05 08:44:06 PM yvettemlopez what did the pilgrims stand on when they landed??
2020-11-05 08:44:15 PM thomasodougherty Their feet?
2020-11-05 08:44:16 PM debrabryan WHERE
2020-11-05 08:44:19 PM yvettemlopez yes!
2020-11-05 08:44:21 PM julienorrisspeck omg what????
2020-11-05 08:44:21 PM yvettemlopez lol
2020-11-05 08:44:24 PM byefelicia that's funny
2020-11-05 08:44:25 PM thomasodougherty Good one!
2020-11-05 08:44:28 PM melveniag Thank you very much this session gave alot of meaningful information.
2020-11-05 08:44:32 PM julienorrisspeck and no i dont know where to post
2020-11-05 08:44:54 PM lboffeli Hilarious!
2020-11-05 08:44:59 PM thomasodougherty On the home page to this course is the NAPT-Course Live Chats section.
2020-11-05 08:45:07 PM melveniag left the chat room
2020-11-05 08:45:08 PM byefelicia Neither to I. It's been a challenge trying to manuever around the website
2020-11-05 08:45:14 PM rdonatien got any more thomas? I have to drive 2 hrs
2020-11-05 08:45:25 PM julienorrisspeck Thank you!!
2020-11-05 08:45:35 PM tamirudd left the chat room
2020-11-05 08:45:37 PM thomasodougherty You'll see "Live CE Chat Assignment - Tuesday... 11/03 & 11/05..."
2020-11-05 08:45:45 PM thomasodougherty Click there and upload your paper.
2020-11-05 08:45:53 PM thomasodougherty No more! Get started on that drive!
2020-11-05 08:45:54 PM yvettemlopez thank you so much
2020-11-05 08:46:03 PM lboffeli Thomas thank you for all your help
2020-11-05 08:46:09 PM debrabryan OK
2020-11-05 08:46:09 PM julienorrisspeck Thank you!
2020-11-05 08:46:13 PM thomasodougherty Thank you! Have a great night All.
2020-11-05 08:46:15 PM julienorrisspeck left the chat room
2020-11-05 08:46:15 PM jford124 have a good night all

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