DateTimeFromToMessage
2020-11-17 08:06:07 PM lisab70 exactly
2020-11-17 08:06:08 PM michelled diversonal activity
2020-11-17 08:06:16 PM thomasodougherty Well done, All.
2020-11-17 08:06:24 PM annettep Had to do this a few times; protective lies
2020-11-17 08:06:25 PM diamondreed Hey what kid of ice cream does grandma get you when yall go out? lets find a sweater to match those jeans
2020-11-17 08:06:28 PM kellisheehan thank s
2020-11-17 08:06:35 PM diamondreed kind
2020-11-17 08:06:37 PM lisab70 redirecting too harshly can cause a "bad" behavior
2020-11-17 08:06:39 PM thomasodougherty Do we argue?"Grandma is dead, Steven, go back to your room!"
2020-11-17 08:06:39 PM jeremytilton174 walk with him til he is redirectable and go get some icecream.
2020-11-17 08:06:39 PM debrabryan oh... so do we play along with it and shes not coming today or something??
2020-11-17 08:06:41 PM shedenaalexander Yes redirect or amybe even go along telling him Grandmom brought ice cream already and left it here for him to have
2020-11-17 08:06:44 PM jeanneb Never
2020-11-17 08:06:44 PM ursulla NO
2020-11-17 08:06:44 PM michelled never
2020-11-17 08:06:45 PM wclavin1234 nooooooo
2020-11-17 08:06:45 PM diamondreed not at all
2020-11-17 08:06:46 PM annettep no
2020-11-17 08:06:47 PM tinacognato never
2020-11-17 08:06:48 PM fillmorepam8 never
2020-11-17 08:06:48 PM paigea no
2020-11-17 08:06:48 PM judithdevin never
2020-11-17 08:06:50 PM debbief82 no
2020-11-17 08:06:52 PM lisab70 no!!
2020-11-17 08:06:54 PM bobbieduke no
2020-11-17 08:06:54 PM jeremytilton174 Never
2020-11-17 08:06:55 PM kellyryan no
2020-11-17 08:06:55 PM mleague never
2020-11-17 08:07:02 PM ryann no
2020-11-17 08:07:02 PM priyab What annette said! I would also try to Give him icecream, say Grandma sent it and if he behavesgood, she will come next time
2020-11-17 08:07:05 PM kellisheehan never
2020-11-17 08:07:09 PM debrabryan never
2020-11-17 08:07:12 PM bobbieduke live in thier world
2020-11-17 08:07:22 PM jeremytilton174 Reminence and get icecream.
2020-11-17 08:07:36 PM diamondreed yesss live in their world !!!
2020-11-17 08:07:37 PM ursulla you alway allw the resident to live in thheir reality
2020-11-17 08:07:37 PM lisab70 Yes! bobbieduke
2020-11-17 08:07:41 PM shedenaalexander Yes bobbieduke
2020-11-17 08:07:49 PM lisab70 meet them where THEY are
2020-11-17 08:07:51 PM thomasodougherty This is Stevens reality right now. Go there with him. Ask about Grandma. Ask what kind of ice cream he gets.
2020-11-17 08:08:03 PM diamondreed yessssss
2020-11-17 08:08:05 PM debrabryan yes live in their world
2020-11-17 08:08:05 PM priyab I agree
2020-11-17 08:08:11 PM paigea yess
2020-11-17 08:08:11 PM judithdevin live in their world not ours
2020-11-17 08:08:11 PM wclavin1234 validate
2020-11-17 08:08:12 PM jeremytilton174 i agree
2020-11-17 08:08:16 PM kellisheehan agree
2020-11-17 08:08:18 PM debbief82 Agreed
2020-11-17 08:08:22 PM michelled yes
2020-11-17 08:08:23 PM lisab70 (y)
2020-11-17 08:08:26 PM jeanneb arguing would only make it worse
2020-11-17 08:08:26 PM thomasodougherty What else do we do?
2020-11-17 08:08:26 PM galjan15 yap i agree
2020-11-17 08:08:27 PM desiraes put yourself in their shoes
2020-11-17 08:08:27 PM ryann I agree
2020-11-17 08:08:27 PM annettep It can be fun joining them
2020-11-17 08:08:36 PM debbief82 document
2020-11-17 08:08:38 PM wclavin1234 document
2020-11-17 08:08:41 PM ursulla document
2020-11-17 08:08:41 PM paigea document
2020-11-17 08:08:41 PM bobbieduke document
2020-11-17 08:08:41 PM thomasodougherty Document!!!
2020-11-17 08:08:45 PM desiraes document
2020-11-17 08:08:46 PM jeremytilton174 live in their moment.
2020-11-17 08:08:47 PM kellisheehan document!
2020-11-17 08:08:48 PM shedenaalexander document
2020-11-17 08:08:49 PM priyab ofcourse!
2020-11-17 08:08:50 PM fillmorepam8 yes
2020-11-17 08:08:51 PM debrabryan document
2020-11-17 08:08:51 PM lisab70 Yes, of course
2020-11-17 08:08:53 PM michelled ok
2020-11-17 08:08:57 PM annettep okay, I will
2020-11-17 08:09:00 PM jeanneb ok
2020-11-17 08:09:04 PM jeremytilton174 document
2020-11-17 08:09:07 PM tamirudd ok
2020-11-17 08:09:21 PM thomasodougherty I'm joking about that a little bit, but it really is super important. If you didn't document, did it happen?
2020-11-17 08:09:26 PM lisab70 all staff should be made aware to help know the resident..
2020-11-17 08:09:29 PM ursulla no
2020-11-17 08:09:30 PM michelled no
2020-11-17 08:09:33 PM tamirudd no
2020-11-17 08:09:33 PM paigea no
2020-11-17 08:09:33 PM debbief82 Right now it might be fun to live in someone else's world! Lol
2020-11-17 08:09:36 PM lisab70 no
2020-11-17 08:09:37 PM debrabryan no
2020-11-17 08:09:38 PM shedenaalexander No
2020-11-17 08:09:43 PM thomasodougherty Good.
2020-11-17 08:09:49 PM kellyryan no
2020-11-17 08:09:49 PM priyab other staff need to know
2020-11-17 08:09:49 PM desiraes no. documentation shows that it did happen
2020-11-17 08:09:52 PM jeremytilton174 no
2020-11-17 08:09:54 PM thomasodougherty All right, another example!
2020-11-17 08:09:57 PM tinacognato i love time travel, we do it everyday
2020-11-17 08:09:58 PM desiraes so all staff knows
2020-11-17 08:10:28 PM thomasodougherty Mildred is one of your favorite Residents. You have great talks. She participates in all of your activities. She helps other Residents.
2020-11-17 08:10:30 PM annettep shows you are paying attention
2020-11-17 08:10:43 PM lisab70 yes... Go Mildred
2020-11-17 08:10:45 PM diamondreed Mildred is the bomb!!!!
2020-11-17 08:10:49 PM lisab70 haha
2020-11-17 08:10:50 PM wclavin1234 milly!
2020-11-17 08:10:51 PM kellyryan way to go
2020-11-17 08:10:51 PM fillmorepam8 I love Mildreds
2020-11-17 08:10:52 PM debbief82 We have residents like that.
2020-11-17 08:10:53 PM debrabryan ok
2020-11-17 08:10:57 PM thomasodougherty One day that changes. She forgets to attend her favorite activity. She's grumpy.
2020-11-17 08:10:58 PM mleague I need a Mildred
2020-11-17 08:10:59 PM tinacognato Oh no is Mildred going to have a bad day?
2020-11-17 08:11:02 PM ursulla dREAM RESIDET
2020-11-17 08:11:02 PM desiraes Superstar Midred everyone loves her
2020-11-17 08:11:06 PM shedenaalexander Still document
2020-11-17 08:11:06 PM annettep Safely helping I hope
2020-11-17 08:11:08 PM jeremytilton174 We all have mildreds.
2020-11-17 08:11:14 PM fillmorepam8 notify nurse
2020-11-17 08:11:15 PM ryann put a alert in for change of staus
2020-11-17 08:11:16 PM mleague talk to the nurse
2020-11-17 08:11:17 PM thomasodougherty What do we do?
2020-11-17 08:11:19 PM wclavin1234 document
2020-11-17 08:11:20 PM diamondreed Document the change in behavior
2020-11-17 08:11:25 PM thomasodougherty Notify a nurse! Document.
2020-11-17 08:11:25 PM debbief82 Talk to her, find out what's going on
2020-11-17 08:11:27 PM kellisheehan DOCUMENT
2020-11-17 08:11:28 PM judithdevin document
2020-11-17 08:11:29 PM diamondreed and alert nursing
2020-11-17 08:11:30 PM desiraes encourage to have her attend
2020-11-17 08:11:30 PM lisab70 1:1 with mjildred to try to understand what may be going on
2020-11-17 08:11:31 PM tinacognato have a 1:1 chat with Mildred and see whats cookin'
2020-11-17 08:11:31 PM michelled right
2020-11-17 08:11:31 PM ryann document an alert
2020-11-17 08:11:33 PM kellisheehan and find out what is ogin gon
2020-11-17 08:11:33 PM shedenaalexander Its a cahge in behavior
2020-11-17 08:11:33 PM paigea we talk with mildred and see whats going on with her
2020-11-17 08:11:34 PM wclavin1234 see if we can offer her 1:1 time
2020-11-17 08:11:34 PM priyab find out the reason. She loves to talk, so pleasantly have her talk it out
2020-11-17 08:11:36 PM annettep Talk to her in private first
2020-11-17 08:11:39 PM michelled talk with mildred
2020-11-17 08:11:39 PM jeanneb what has changed that day
2020-11-17 08:11:39 PM debrabryan document, talk to nurse and maybe 1:1 with Mildred
2020-11-17 08:11:40 PM jeremytilton174 report it
2020-11-17 08:11:43 PM jeanneb Document
2020-11-17 08:11:49 PM ryann check on her
2020-11-17 08:11:52 PM desiraes or do a 1:1 with the resdient and do a mini session of activity with her
2020-11-17 08:11:54 PM ursulla INFORM THE NURSE AND DOCUMENT
2020-11-17 08:11:55 PM tamirudd talk to nurses
2020-11-17 08:11:57 PM bobbieduke you need to see if you can figure out why is it a decline or illness
2020-11-17 08:12:00 PM dianes i am here, it is the norm at our facility so we attempt these things but with not much help
2020-11-17 08:12:01 PM galjan15 document the change of condition
2020-11-17 08:12:03 PM jeanneb check with the nurse maybe there is a new medication
2020-11-17 08:12:12 PM debbief82 talk to the nurse or STNA
2020-11-17 08:12:16 PM thomasodougherty Jeanne!!!
2020-11-17 08:12:20 PM jeremytilton174 talk to the nurse
2020-11-17 08:12:22 PM lisab70 once 1:1 is explored....then note ...it may be a simple fix of hunger...boredom...another resident upsetting her
2020-11-17 08:12:29 PM thomasodougherty Could be a new med.
2020-11-17 08:12:33 PM lisab70 yes!
2020-11-17 08:12:36 PM diamondreed could be
2020-11-17 08:12:39 PM shedenaalexander yes
2020-11-17 08:12:40 PM ryann UTI
2020-11-17 08:12:40 PM priyab yes, could be
2020-11-17 08:12:42 PM debrabryan yes
2020-11-17 08:12:44 PM dianes refusal of meds
2020-11-17 08:12:44 PM ckelly1 ok i see now yes chart on the resident with the problem. get Johnny to watch tv somewhere maybe the tv room
2020-11-17 08:12:51 PM jeremytilton174 yes or a decrease in medication.
2020-11-17 08:12:54 PM thomasodougherty There are a handful of meds out there that can simulate dementia.
2020-11-17 08:12:55 PM annettep pain, illness, bad family event
2020-11-17 08:13:05 PM tinacognato could be many things, ask her first, check with nursing
2020-11-17 08:13:05 PM lisab70 Ohhhh yes!
2020-11-17 08:13:07 PM priyab oh ok
2020-11-17 08:13:16 PM thomasodougherty Some of you have mentioned UTIs! Could be a UTI!
2020-11-17 08:13:20 PM desiraes see if she is feling alright
2020-11-17 08:13:25 PM debrabryan yes
2020-11-17 08:13:27 PM tamirudd yes
2020-11-17 08:13:29 PM kellisheehan yes totally
2020-11-17 08:13:29 PM priyab good point
2020-11-17 08:13:34 PM jeremytilton174 yes
2020-11-17 08:13:34 PM debbief82 Yes, it could
2020-11-17 08:13:35 PM desiraes talk with staff to see if she seems like herself today
2020-11-17 08:13:39 PM judithdevin right
2020-11-17 08:13:39 PM shedenaalexander Could be
2020-11-17 08:13:40 PM ursulla YES
2020-11-17 08:13:44 PM desiraes UTI
2020-11-17 08:13:46 PM tinacognato ive predicted 3 UTIs since last week all based on behaviors
2020-11-17 08:13:49 PM ryann She could be having a bad day, and a 1:1 is a good idea
2020-11-17 08:13:54 PM lisab70 investigate!
2020-11-17 08:14:03 PM lisab70 be their advocate
2020-11-17 08:14:08 PM jeanneb could be a full moon
2020-11-17 08:14:11 PM bobbieduke has she had an uavoidable decline due to her dementia
2020-11-17 08:14:21 PM thomasodougherty So, we document! Let the nurse know. In the meantime, be supportive of Mildred and her new needs.
2020-11-17 08:14:30 PM jeanneb yes
2020-11-17 08:14:31 PM desiraes exactly
2020-11-17 08:14:32 PM priyab got it
2020-11-17 08:14:33 PM fillmorepam8 right
2020-11-17 08:14:34 PM debrabryan always
2020-11-17 08:14:34 PM kellisheehan yes agree
2020-11-17 08:14:34 PM shedenaalexander yes
2020-11-17 08:14:35 PM michelled right
2020-11-17 08:14:35 PM debbief82 Yes
2020-11-17 08:14:36 PM annettep yes
2020-11-17 08:14:37 PM ursulla OK
2020-11-17 08:14:37 PM tamirudd yse
2020-11-17 08:14:40 PM galjan15 ok
2020-11-17 08:14:41 PM jeremytilton174 always
2020-11-17 08:14:41 PM thomasodougherty Good point Bobbie, perhaps she has dementia and this is the new Mildred.
2020-11-17 08:14:43 PM paigea yes
2020-11-17 08:14:45 PM kellyryan yes
2020-11-17 08:14:46 PM dianes of course
2020-11-17 08:14:54 PM desiraes yes
2020-11-17 08:14:56 PM lisab70 Mildred is getting a hug....(with permission of course)
2020-11-17 08:15:00 PM debbief82 New care plan if new Mildred
2020-11-17 08:15:01 PM tinacognato Oh i miss Mildred all ready
2020-11-17 08:15:08 PM diamondreed pre covid give her a big hug
2020-11-17 08:15:08 PM lisab70 ha! tina
2020-11-17 08:15:10 PM debrabryan haha
2020-11-17 08:15:12 PM annettep no, she is just sick
2020-11-17 08:15:15 PM fillmorepam8 me too
2020-11-17 08:15:31 PM annettep she has a head ache
2020-11-17 08:15:41 PM thomasodougherty Take me through the process for behaviors!
2020-11-17 08:15:49 PM desiraes observe
2020-11-17 08:15:53 PM desiraes document
2020-11-17 08:15:55 PM desiraes redirect
2020-11-17 08:16:01 PM bobbieduke if this continues with no medical cause you may need to do change in status
2020-11-17 08:16:02 PM lisab70 interventions
2020-11-17 08:16:02 PM desiraes communicate
2020-11-17 08:16:03 PM priyab intervene
2020-11-17 08:16:04 PM tinacognato yes
2020-11-17 08:16:05 PM shedenaalexander identify
2020-11-17 08:16:05 PM fillmorepam8 investigate, document, observe, redirect
2020-11-17 08:16:07 PM kellisheehan observe document redirect communicate
2020-11-17 08:16:10 PM kellisheehan investigate
2020-11-17 08:16:13 PM galjan15 observe
2020-11-17 08:16:13 PM shedenaalexander redirect
2020-11-17 08:16:17 PM kellisheehan identify and redocument
2020-11-17 08:16:17 PM debbief82 New behavior, is it documented, talk to the nurse
2020-11-17 08:16:19 PM jeanneb observe redirect document and redirect
2020-11-17 08:16:22 PM jeremytilton174 observe redirect document
2020-11-17 08:16:27 PM anavillicana left the chat room
2020-11-17 08:16:32 PM debrabryan observe, communicate, redirect, document
2020-11-17 08:16:32 PM anavillicana enter the chat room
2020-11-17 08:16:37 PM jeanneb talk to nurse progress note
2020-11-17 08:16:37 PM shedenaalexander Report
2020-11-17 08:16:37 PM paigea obsever redirect and docoment
2020-11-17 08:16:40 PM ryann find a cause, help with the cause document and care plan
2020-11-17 08:16:41 PM jeanneb care plan
2020-11-17 08:16:43 PM jeremytilton174 report
2020-11-17 08:16:47 PM dianes obseerve, document, redirect, report to nurse
2020-11-17 08:16:49 PM judithdevin report document
2020-11-17 08:16:54 PM annettep investigate, document, interventions, care plans, communicate
2020-11-17 08:16:54 PM desiraes care plan new behavior
2020-11-17 08:17:05 PM thomasodougherty I think you've all got it!
2020-11-17 08:17:08 PM tamirudd observe,document, report
2020-11-17 08:17:11 PM annettep yep
2020-11-17 08:17:12 PM priyab thanks
2020-11-17 08:17:14 PM lisab70 yay!! Us!!!
2020-11-17 08:17:18 PM jeremytilton174 thanks
2020-11-17 08:17:19 PM ryann IDT team is great for putting the process in motion
2020-11-17 08:17:21 PM tinacognato woot woot
2020-11-17 08:17:23 PM desiraes look at us all go
2020-11-17 08:17:27 PM dianes great
2020-11-17 08:17:27 PM lisab70 (F)
2020-11-17 08:17:36 PM jeanneb yay
2020-11-17 08:17:38 PM fillmorepam8 we're good, tacos and beer for all
2020-11-17 08:17:41 PM anavillicana (lol)
2020-11-17 08:17:43 PM tinacognato sweet
2020-11-17 08:17:45 PM lisab70 im in!
2020-11-17 08:17:47 PM annettep yum
2020-11-17 08:17:53 PM thomasodougherty Who are we communicating with when we document?
2020-11-17 08:17:54 PM tamirudd thanks
2020-11-17 08:17:55 PM tinacognato tacos and tequila
2020-11-17 08:17:58 PM shedenaalexander FUTURE ACITVITY DIRECTORS(L)
2020-11-17 08:17:58 PM lisab70 someone did mention tacos, yes?
2020-11-17 08:18:01 PM debrabryan stupendous!!!!!
2020-11-17 08:18:04 PM anavillicana socia workers
2020-11-17 08:18:04 PM ursulla tHE TEAM
2020-11-17 08:18:08 PM anavillicana doctors
2020-11-17 08:18:08 PM fillmorepam8 other staff
2020-11-17 08:18:10 PM kellisheehan the whole team
2020-11-17 08:18:11 PM debbief82 other staff members
2020-11-17 08:18:11 PM annettep everybody who has access to charts
2020-11-17 08:18:12 PM michelled everyone
2020-11-17 08:18:13 PM jeanneb the whole team
2020-11-17 08:18:14 PM tamirudd staff
2020-11-17 08:18:17 PM ryann everyone involved in the care
2020-11-17 08:18:17 PM debrabryan the whole team
2020-11-17 08:18:18 PM desiraes social workeres/ leadership team
2020-11-17 08:18:18 PM lisab70 THE staff/team!!!
2020-11-17 08:18:20 PM dianes nurses, doctors, staff
2020-11-17 08:18:21 PM tinacognato the entire team
2020-11-17 08:18:21 PM shedenaalexander IDT team
2020-11-17 08:18:23 PM desiraes all staff
2020-11-17 08:18:23 PM priyab Nurse, Staff, Family, CMS
2020-11-17 08:18:26 PM jeremytilton174 all managers on PCC
2020-11-17 08:18:30 PM galjan15 idt
2020-11-17 08:18:32 PM bobbieduke interdisiplary team
2020-11-17 08:18:39 PM tinacognato and permenant medical records
2020-11-17 08:18:40 PM shedenaalexander Families
2020-11-17 08:18:40 PM thomasodougherty IDT Team! Who is on the Team?
2020-11-17 08:18:48 PM wclavin1234 whats IDT Team?
2020-11-17 08:19:02 PM thomasodougherty IDT is Interdisciplinary Team
2020-11-17 08:19:04 PM michelled all departments
2020-11-17 08:19:05 PM jeremytilton174 Everyone is
2020-11-17 08:19:08 PM bobbieduke all clinical staff
2020-11-17 08:19:09 PM fillmorepam8 social worker, therapy, nurse, activities, dietary
2020-11-17 08:19:09 PM ryann social work, mds, nurse managers, wound care, DON, administrator, dietician]
2020-11-17 08:19:11 PM judithdevin dept head of each department
2020-11-17 08:19:12 PM paigea department heads
2020-11-17 08:19:14 PM kellisheehan cliclical staff
2020-11-17 08:19:14 PM debbief82 Nurses, Social Worker, Activities, etc.
2020-11-17 08:19:14 PM jeanneb social worker nursing director doctor managers
2020-11-17 08:19:18 PM annettep social worker, therapy, activities nursing, doctor, dietary
2020-11-17 08:19:19 PM ryann Therapy
2020-11-17 08:19:23 PM ursulla NURSE DOCTOR MDS ACTIVITY DIRECTOR
2020-11-17 08:19:23 PM shedenaalexander All departments
2020-11-17 08:19:32 PM diamondreed left the chat room
2020-11-17 08:19:32 PM debbief82 All departments
2020-11-17 08:19:32 PM debrabryan all
2020-11-17 08:19:35 PM ursulla DIETICIAN
2020-11-17 08:19:52 PM tamirudd all departments
2020-11-17 08:19:53 PM priyab Doctors, DON or RN, Administrator,
2020-11-17 08:19:54 PM diamondreed enter the chat room
2020-11-17 08:19:56 PM ryann and us of course
2020-11-17 08:20:03 PM thomasodougherty Everyone involved in the Residents Care. The Resident, their Family, Nursing, Social Servies, Therapy (if relevant), etc.
2020-11-17 08:20:08 PM dianes everyone involved in residents care
2020-11-17 08:20:13 PM kellisheehan yes
2020-11-17 08:20:17 PM debrabryan yes
2020-11-17 08:20:17 PM desiraes yes
2020-11-17 08:20:17 PM annettep oh ya, the resident
2020-11-17 08:20:18 PM lisab70 <---learning about IDT (thank you all)
2020-11-17 08:20:18 PM jeremytilton174 yes
2020-11-17 08:20:22 PM debbief82 yes
2020-11-17 08:20:22 PM fillmorepam8 yup
2020-11-17 08:20:22 PM shedenaalexander Yes
2020-11-17 08:20:24 PM tamirudd yes
2020-11-17 08:20:27 PM jeanneb ok
2020-11-17 08:20:50 PM thomasodougherty We communicate with everyone invovled in that Team, because someone may have the answer.
2020-11-17 08:20:54 PM ckelly1 separate the residents from each other make sure all residents are safe
2020-11-17 08:20:59 PM michelled right
2020-11-17 08:21:00 PM desiraes very true
2020-11-17 08:21:02 PM ursulla i AGREE
2020-11-17 08:21:03 PM lisab70 (y)
2020-11-17 08:21:04 PM debbief82 yes
2020-11-17 08:21:04 PM jeanneb true
2020-11-17 08:21:05 PM jeremytilton174 true
2020-11-17 08:21:07 PM priyab ok
2020-11-17 08:21:09 PM tamirudd agree
2020-11-17 08:21:27 PM thomasodougherty Someone may be aware that Mildred had a med change and address that. Someone may know about Johnny's behavior when his show is on.
2020-11-17 08:21:43 PM debbief82 Absolutely
2020-11-17 08:21:49 PM shedenaalexander Resolutions
2020-11-17 08:21:49 PM fillmorepam8 right