123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-11-19 07:49:08 PM sarahnicole Try to redirect
2020-11-19 07:49:12 PM byefelicia Hmmm, would that be on a case by case basis?
2020-11-19 07:49:20 PM ursulla safety
2020-11-19 07:49:23 PM erittenhouse1683 Trying to figure out the cause
2020-11-19 07:49:24 PM wmcollins try to redirect
2020-11-19 07:49:24 PM klevengood redirection, follow BSP if one is in place
2020-11-19 07:49:28 PM sarahnicole calm safely
2020-11-19 07:49:32 PM melissabarrett redirect
2020-11-19 07:49:36 PM amiller20 enter the chat room
2020-11-19 07:49:42 PM jford124 first make sure the resident is in a safe place, then figure out if it is causing harm, if so redirect
2020-11-19 07:49:47 PM greenmj86 observe then redirect
2020-11-19 07:49:50 PM galjan15 intervention
2020-11-19 07:49:50 PM amiller20 im here sorry im late
2020-11-19 07:50:01 PM ursulla I remove the trigger to defuse the situation
2020-11-19 07:50:12 PM abigailgearhart figuring out what is causing the behavior and then implimenting interventions to decreas the behavior
2020-11-19 07:50:13 PM thomasodougherty All right, they're redirected and calm. Now what?
2020-11-19 07:50:16 PM amiller20 left the chat room
2020-11-19 07:50:18 PM lboffeli attending to the situation first: redirecting, seperating from a public area
2020-11-19 07:50:32 PM ursulla document
2020-11-19 07:50:34 PM jford124 document and update care plan
2020-11-19 07:50:35 PM lhalfacre left the chat room
2020-11-19 07:50:39 PM lboffeli document
2020-11-19 07:50:44 PM byefelicia finding the root cause of the situation first
2020-11-19 07:50:53 PM greenmj86 change the area
2020-11-19 07:50:54 PM klevengood praise them....document
2020-11-19 07:50:56 PM sarahnicole let the nurse know
2020-11-19 07:50:57 PM galjan15 document
2020-11-19 07:51:00 PM melissabarrett talk to them take them some else
2020-11-19 07:51:07 PM thomasodougherty Document and update the Care Plan!
2020-11-19 07:51:13 PM thomasodougherty What do we document?
2020-11-19 07:51:24 PM melissabarrett so we can help them
2020-11-19 07:51:24 PM byefelicia the incident
2020-11-19 07:51:27 PM ursulla the behavior
2020-11-19 07:51:36 PM melissabarrett behavior
2020-11-19 07:51:40 PM erittenhouse1683 the behavior and what helped
2020-11-19 07:51:41 PM galjan15 the behavior
2020-11-19 07:51:43 PM melissabarrett time
2020-11-19 07:51:43 PM klevengood the incident/behavior
2020-11-19 07:51:46 PM wmcollins the behavior
2020-11-19 07:51:46 PM klevengood what caused it
2020-11-19 07:51:52 PM abigailgearhart the incident and then the new interventions put in place
2020-11-19 07:51:54 PM desiraes enter the chat room
2020-11-19 07:51:56 PM jford124 the facts of what happened. without your opinion
2020-11-19 07:52:02 PM lboffeli The behavior the resident was experiencing, your way of solving the incident and what the resident was doing when you left the resident
2020-11-19 07:52:07 PM lhalfacre enter the chat room
2020-11-19 07:52:07 PM wmcollins if you know what caused it
2020-11-19 07:52:13 PM greenmj86 the entire scenario what you see what happened what helped to change
2020-11-19 07:52:17 PM ursulla right jford24
2020-11-19 07:52:22 PM desiraes sorry just getting on i had to work late
2020-11-19 07:52:31 PM byefelicia Right greenmj86
2020-11-19 07:53:32 PM thomasodougherty Exactly. A detailed objective Progress Note. Followed by a Care Plan update.
2020-11-19 07:53:40 PM melissabarrett yes
2020-11-19 07:53:44 PM sarahnicole yes
2020-11-19 07:53:50 PM thomasodougherty Does anyone know the F Tags that CMS uses regarding behaviors?
2020-11-19 07:53:51 PM abigailgearhart okay
2020-11-19 07:54:02 PM byefelicia Absolutely. Do you document based on what you actually observed or what was told to you by others?
2020-11-19 07:54:22 PM lboffeli what you observed; byefelicia
2020-11-19 07:54:22 PM greenmj86 isnt it like 680
2020-11-19 07:54:29 PM lhalfacre F740 thru F745
2020-11-19 07:54:35 PM ursulla F740
2020-11-19 07:54:42 PM klevengood F740-745
2020-11-19 07:54:45 PM desiraes F740-F745
2020-11-19 07:54:47 PM melissabarrett f740
2020-11-19 07:54:47 PM lboffeli yes agree with lhalfacre
2020-11-19 07:55:00 PM thomasodougherty What you observed is what needs documented. You might even say that CNA so and so offered some information.
2020-11-19 07:55:01 PM erittenhouse1683 Ditto
2020-11-19 07:55:08 PM byefelicia F656 Develop/ImplementComprehensive Care
2020-11-19 07:55:18 PM thomasodougherty F740 - F745 are the tags we need to be aware of when it comes to Behaviors.
2020-11-19 07:55:28 PM desiraes correct
2020-11-19 07:55:33 PM melissabarrett ok
2020-11-19 07:55:40 PM abigailgearhart okay
2020-11-19 07:55:45 PM ursulla Got it
2020-11-19 07:55:47 PM sarahnicole right on
2020-11-19 07:55:50 PM lboffeli yes
2020-11-19 07:55:53 PM galjan15 ok
2020-11-19 07:55:54 PM jmeza75 got it
2020-11-19 07:55:56 PM jford124 wouldnt that cna do a prog note of their own?
2020-11-19 07:56:08 PM wmcollins yes ! correct
2020-11-19 07:56:17 PM lboffeli yes they would
2020-11-19 07:56:36 PM thomasodougherty There can be a lot of overlap with Tags, but the main ones for this purpose are F740 - F745
2020-11-19 07:56:50 PM melissabarrett ok
2020-11-19 07:56:52 PM thomasodougherty CNAs don't always have the capacity to make progress notes.
2020-11-19 07:57:01 PM ursulla at my facility we report beaviiors to the nurse and she documents
2020-11-19 07:57:22 PM thomasodougherty If it was reported to you by them you could add it, but they would likely have gone to their nurse who would add their observations to their note.
2020-11-19 07:57:38 PM ursulla I as a AD document but my staff don't
2020-11-19 07:57:42 PM jford124 ok
2020-11-19 07:57:52 PM desiraes at my facility we tell the nurse and then we chart it as welll in our documentation in activites if we are involved
2020-11-19 07:58:14 PM galjan15 agree
2020-11-19 07:58:30 PM thomasodougherty So, Ursulla, you would document that your staff witness the behavior and reported it to you.
2020-11-19 07:58:36 PM thomasodougherty What is the importance of documentation?
2020-11-19 07:58:50 PM ursulla Yes I would
2020-11-19 07:58:56 PM ursulla left the chat room
2020-11-19 07:58:58 PM erittenhouse1683 If you don't document it never happened
2020-11-19 07:59:02 PM sarahnicole It is very improtant when state comes they ask for documentation on behaviors
2020-11-19 07:59:03 PM melissabarrett so we know how to care for our residents
2020-11-19 07:59:04 PM galjan15 not right
2020-11-19 07:59:05 PM byefelicia for CMS purposes and as proof that something occurred
2020-11-19 07:59:16 PM sarahnicole yes if you dont document it didnt happen!!!
2020-11-19 07:59:24 PM jford124 to have a history so nursing can look at meds ect
2020-11-19 07:59:26 PM klevengood documentation shows an increase and decrease in behaviors. This is shown to doctors to see if any medical interventions are needed
2020-11-19 07:59:32 PM ursulla enter the chat room
2020-11-19 07:59:46 PM jmeza75 communicate to treatment team
2020-11-19 07:59:59 PM thomasodougherty Again, you all have it!
2020-11-19 08:00:05 PM ursulla Sorry I got booted out some how lol
2020-11-19 08:00:16 PM desiraes document or it never happened
2020-11-19 08:00:18 PM amiller20 enter the chat room
2020-11-19 08:00:29 PM lboffeli document, document, document
2020-11-19 08:00:43 PM amiller20 Im sorry im late got off late and then laptop went dead
2020-11-19 08:01:05 PM amiller20 what is the chat topic
2020-11-19 08:01:10 PM thomasodougherty The big thing is, if you didn't document it, it didn't happen. If state gets contacted for the behavior and wants to know what interventions were implemented, but you can't provide evidence of the painstaking effort you put into the problem, your word isn't enough.
2020-11-19 08:01:10 PM byefelicia Behavior
2020-11-19 08:01:23 PM ursulla Right
2020-11-19 08:01:25 PM sarahnicole yes
2020-11-19 08:01:30 PM erittenhouse1683 yup
2020-11-19 08:01:30 PM desiraes agree
2020-11-19 08:01:33 PM abigailgearhart okay
2020-11-19 08:01:35 PM melissabarrett yes
2020-11-19 08:01:39 PM lhalfacre Absolutely
2020-11-19 08:02:44 PM thomasodougherty Second to that, every member of your team will likely not have been invovled in the incident. However, they may be exposed to a similar behavior later on down the road. If they can check the Care Plan and see this behavior has happened before and you put in a spot on intervention, they don't need to start from ground zero trying to figure out how to help.
2020-11-19 08:03:03 PM desiraes ok
2020-11-19 08:03:08 PM melissabarrett yes
2020-11-19 08:03:11 PM byefelicia Good to know, thanks
2020-11-19 08:03:12 PM sarahnicole makes sense
2020-11-19 08:03:12 PM abigailgearhart yes
2020-11-19 08:03:18 PM erittenhouse1683 ok
2020-11-19 08:03:24 PM ursulla agree
2020-11-19 08:03:27 PM jmeza75 correct
2020-11-19 08:03:33 PM jford124 yup
2020-11-19 08:03:35 PM galjan15 noted
2020-11-19 08:03:42 PM amiller20 left the chat room
2020-11-19 08:03:57 PM amiller20 enter the chat room
2020-11-19 08:03:58 PM lhalfacre I have heard not only is documentation important for the what the resident might need but also it is a form of covering yourself if something serious was to happen
2020-11-19 08:04:10 PM wmcollins yes
2020-11-19 08:04:12 PM melissabarrett yes
2020-11-19 08:04:13 PM desiraes very true
2020-11-19 08:04:13 PM thomasodougherty All right, ice cream worked like a charm for Johnny this time. It doesn't come even close to working the second time. How do you document that?
2020-11-19 08:04:38 PM byefelicia Documnt exactly what happened
2020-11-19 08:05:04 PM lboffeli Document exactly that. Also document what your intervention was that did work
2020-11-19 08:05:05 PM melissabarrett write down what you did try
2020-11-19 08:05:07 PM klevengood document what was going on and ice cream intervention was ineffective
2020-11-19 08:05:10 PM desiraes dcoument everything that happened
2020-11-19 08:05:12 PM thomasodougherty Do you change previous documentations about the ice cream working?
2020-11-19 08:05:15 PM klevengood no
2020-11-19 08:05:18 PM erittenhouse1683 no
2020-11-19 08:05:19 PM melissabarrett never
2020-11-19 08:05:20 PM lboffeli no
2020-11-19 08:05:22 PM desiraes no
2020-11-19 08:05:24 PM abigailgearhart document in progress notes what you attempted to do and no
2020-11-19 08:05:25 PM jmeza75 no
2020-11-19 08:05:26 PM sarahnicole yes change the care plan
2020-11-19 08:05:28 PM lhalfacre no
2020-11-19 08:05:34 PM jford124 johnny had repeat behavior. used ice cream intervention. ice cream didnt work. tried different approach with these results
2020-11-19 08:05:39 PM byefelicia Make notations of what did and didn't work
2020-11-19 08:05:48 PM galjan15 report and document the situation
2020-11-19 08:05:48 PM thomasodougherty "Change" the Care Plan or "Add" to the Care Plan?
2020-11-19 08:05:55 PM melissabarrett add
2020-11-19 08:05:58 PM byefelicia Add
2020-11-19 08:05:59 PM lhalfacre add to the care plan
2020-11-19 08:06:01 PM lboffeli Add
2020-11-19 08:06:01 PM jford124 add
2020-11-19 08:06:02 PM ursulla add to the care plan
2020-11-19 08:06:02 PM abigailgearhart add
2020-11-19 08:06:04 PM sarahnicole Ohhhhhh add
2020-11-19 08:06:04 PM galjan15 add
2020-11-19 08:06:07 PM desiraes add the care plan
2020-11-19 08:06:08 PM erittenhouse1683 We talk about interventions in behavior management before we change the care plan
2020-11-19 08:06:18 PM desiraes yes
2020-11-19 08:06:20 PM thomasodougherty Don't take out an intervention that worked in the past. It may be useful again the next time around.
2020-11-19 08:06:28 PM lhalfacre you never remove previous notes
2020-11-19 08:06:28 PM klevengood add
2020-11-19 08:06:32 PM sarahnicole Got it
2020-11-19 08:06:36 PM melissabarrett yes
2020-11-19 08:06:44 PM lboffeli yes
2020-11-19 08:06:54 PM abigailgearhart how many intervetions should one resident care plan have ?
2020-11-19 08:06:56 PM amiller20 ok
2020-11-19 08:06:56 PM byefelicia even if it didn't work, that way you'll know not to use it again
2020-11-19 08:07:04 PM byefelicia or maybe change it a bit
2020-11-19 08:07:12 PM lhalfacre as many as you need
2020-11-19 08:07:29 PM galjan15 ah ok
2020-11-19 08:07:53 PM thomasodougherty I've got a scenario:Mildred is one of your most engaging Residents. She's at every activity. She's social and engaging. However, one day she skipped her favorite activity. You check in with her and she's short with you and has trouble placing who you are. What do you do?
2020-11-19 08:07:59 PM wmcollins Add'
2020-11-19 08:08:09 PM desiraes add
2020-11-19 08:08:12 PM sarahnicole Tell the nurse
2020-11-19 08:08:17 PM abigailgearhart notify the nurse and document
2020-11-19 08:08:19 PM amiller20 tell nurse
2020-11-19 08:08:20 PM melissabarrett tell the nurse
2020-11-19 08:08:22 PM lhalfacre report to the nurse right away
2020-11-19 08:08:23 PM byefelicia Notifiy the nurse
2020-11-19 08:08:24 PM greenmj86 stop and watch
2020-11-19 08:08:29 PM desiraes notify nurse and document
2020-11-19 08:08:30 PM ursulla Repot to the nurse
2020-11-19 08:08:36 PM byefelicia notate in care plan as well
2020-11-19 08:08:37 PM ursulla Report
2020-11-19 08:08:42 PM jford124 ask her if she is alright. then report to the nurse
2020-11-19 08:08:42 PM klevengood appologize to her for bothering her, remind her who you are and ask if she needs anything...tell the nurse
2020-11-19 08:08:44 PM galjan15 report and document
2020-11-19 08:08:45 PM lboffeli report to the nurse but then be sure you stay with the resident
2020-11-19 08:08:46 PM amiller20 document as well
2020-11-19 08:08:56 PM erittenhouse1683 observe report and document
2020-11-19 08:08:59 PM thomasodougherty Definitely tell the nurse and make a progress note.
2020-11-19 08:09:12 PM jmeza75 offer possible 1 :1 intervention
2020-11-19 08:09:12 PM melissabarrett yes
2020-11-19 08:09:18 PM byefelicia Question: is this considered a progress note of something else?
2020-11-19 08:09:26 PM byefelicia or something else
2020-11-19 08:09:31 PM thomasodougherty She is out of her norm and something could be wrong that requires an intervention.
2020-11-19 08:09:40 PM melissabarrett yes
2020-11-19 08:09:40 PM sarahnicole yes
2020-11-19 08:09:45 PM abigailgearhart yes
2020-11-19 08:09:49 PM desiraes yes
2020-11-19 08:09:54 PM galjan15 yes
2020-11-19 08:09:57 PM lboffeli yes
2020-11-19 08:10:13 PM thomasodougherty There are some medications that simulate dementia like behaviors.A UTI could be the culprit.Or, she does have dementia and she is progressing in her disease process.
2020-11-19 08:10:18 PM byefelicia seems as though a progress note is something going from bad to good, ???
2020-11-19 08:10:44 PM klevengood progress can go either way @ byfelicia
2020-11-19 08:10:47 PM jford124 sometimes shes just having a bad day and needs to talk
2020-11-19 08:11:13 PM thomasodougherty Either way and IDT meeting should take place to attempt to identify any recent changes that could be the culprit and interventions going forward.
2020-11-19 08:11:14 PM lboffeli progress notes are bad and good. Thats why they are a progress note. They are record of good and bad progree
2020-11-19 08:11:17 PM lboffeli progress
2020-11-19 08:11:20 PM byefelicia Just wondering, would it be considered something like a reprimant instead of progress?
2020-11-19 08:11:30 PM melissabarrett yes
2020-11-19 08:11:52 PM thomasodougherty A progress note is just a documentation on how the Resident is doing. Good, bad, or neutral.
2020-11-19 08:12:00 PM desiraes ok
2020-11-19 08:12:02 PM abigailgearhart okay
2020-11-19 08:12:06 PM melissabarrett ok
2020-11-19 08:12:11 PM byefelicia Kool - thanks!
2020-11-19 08:12:55 PM lhalfacre if you ever seen a full paper chart the thickest section of the chart is the progress notes
2020-11-19 08:13:09 PM desiraes yes i have seen that
2020-11-19 08:13:20 PM byefelicia I haven't, that's why i was curious
2020-11-19 08:13:31 PM thomasodougherty Another scenario: Gerard is a demented Resident. You see him making straight for the exit and he's giving no indication that he's stopping. You engage him to see whats up and he says he is on his way to meet his grandmother (who passed away years ago) for ice cream at a shop you know for certain does not exist.
2020-11-19 08:13:34 PM thomasodougherty What do you do?
2020-11-19 08:14:04 PM sarahnicole Tell him she called and is running late for him to wait for her here.
2020-11-19 08:14:07 PM byefelicia Contact the nurse in charge and notate the file
2020-11-19 08:14:13 PM sarahnicole tell the nurse
2020-11-19 08:14:14 PM greenmj86 Redirect notify nurse document
2020-11-19 08:14:18 PM sarahnicole redirect
2020-11-19 08:14:25 PM erittenhouse1683 Ask him about his grandmother and the ice cream place
2020-11-19 08:14:33 PM erittenhouse1683 Get him talking about them
2020-11-19 08:14:37 PM melissabarrett she if we can call his poa and see if that will help or get him an ice cream
2020-11-19 08:14:39 PM desiraes redirect resident, tell the nurse, document, 1:1
2020-11-19 08:14:39 PM klevengood try to redirect him to "wait" for his grandma and ask if you can wait with him... try having a conversation and redirect him away from " leaving with grandma"
2020-11-19 08:14:41 PM ursulla I distract him by asking about what flavor he likes and guide him away from the door
2020-11-19 08:14:46 PM amiller20 tell him she called to reschedule and try to get him to come back, also contact nurse
2020-11-19 08:14:47 PM jford124 tell him his car isnt hear and offer to wait with him inside away from the door. the redirect onto something else
2020-11-19 08:14:51 PM amiller20 redirect
2020-11-19 08:14:52 PM abigailgearhart redirect and try to occupy with other activities
2020-11-19 08:14:53 PM galjan15 talk to him about his granma
2020-11-19 08:15:18 PM jmeza75 attempt to distract
2020-11-19 08:15:38 PM thomasodougherty Do you tell him he's wrong? His grandmother is dead and the ice cream shop is closed?
2020-11-19 08:15:44 PM desiraes no
2020-11-19 08:15:45 PM abigailgearhart no never
2020-11-19 08:15:46 PM lhalfacre no
2020-11-19 08:15:46 PM jford124 no
2020-11-19 08:15:48 PM sarahnicole definitely not
2020-11-19 08:15:49 PM galjan15 no
2020-11-19 08:15:50 PM melissabarrett no
2020-11-19 08:15:50 PM byefelicia No, that's not a good idea
2020-11-19 08:15:53 PM erittenhouse1683 Absolutely not
2020-11-19 08:15:55 PM ursulla Is this the same subject live from Tue?
2020-11-19 08:15:58 PM greenmj86 no
2020-11-19 08:16:02 PM jmeza75 no
2020-11-19 08:16:05 PM desiraes it could esculte behavior
2020-11-19 08:16:12 PM amiller20 no
2020-11-19 08:16:16 PM thomasodougherty This is the same subject from Tuesday. If you were here Tuesday, you don't need this tonight.
2020-11-19 08:16:16 PM byefelicia Ursulla, I believe it is
2020-11-19 08:16:25 PM thomasodougherty left the chat room
2020-11-19 08:16:33 PM jford124 its cruel and unnessasary
2020-11-19 08:16:38 PM ursulla lol okay thank u
2020-11-19 08:16:41 PM thomasodougherty enter the chat room
2020-11-19 08:16:43 PM sarahnicole cruel yes
2020-11-19 08:17:03 PM thomasodougherty Those living with dementia are immersed in their World.
2020-11-19 08:17:09 PM ursulla left the chat room
2020-11-19 08:17:11 PM sarahnicole yes
2020-11-19 08:17:13 PM abigailgearhart yes
2020-11-19 08:17:15 PM melissabarrett very much
2020-11-19 08:17:20 PM galjan15 true
2020-11-19 08:17:20 PM thomasodougherty There is next to nothing you could do to change their mind.
2020-11-19 08:17:49 PM thomasodougherty The best intervention would be, what some of you already mentioned, engaging with them about their grandmother and/or the ice cream shop.
2020-11-19 08:17:53 PM lboffeli Absolutely the best to do is go with their story and agree with them. Come into their world
2020-11-19 08:18:15 PM sarahnicole We have a lady who thhinks were a bus station and is always waiting for the bus and we always tell her they are running late.
2020-11-19 08:18:16 PM klevengood exactyly @iboffeli
2020-11-19 08:18:20 PM byefelicia I witness this happen to my granny
2020-11-19 08:18:22 PM thomasodougherty Maybe offer to take him for some ice cream in the kitchen.
2020-11-19 08:18:29 PM melissabarrett yes
2020-11-19 08:18:57 PM jmeza75 yes
2020-11-19 08:19:00 PM lboffeli Even offer to let him pick his Ice Cream out
2020-11-19 08:19:16 PM jford124 yup. unless they are a danger to themselves or someone else you always just go with it
2020-11-19 08:19:23 PM byefelicia seems like there are different approaches that all could be beneficial
2020-11-19 08:19:46 PM thomasodougherty There are no cookie cutter solutions when dealing with people.
2020-11-19 08:19:54 PM byefelicia Agree
2020-11-19 08:20:00 PM erittenhouse1683 Right
2020-11-19 08:20:04 PM melissabarrett no there is not
2020-11-19 08:20:16 PM galjan15 right
2020-11-19 08:21:05 PM thomasodougherty What is our role in activities when dealing with behaviors?
2020-11-19 08:21:24 PM erittenhouse1683 Helping come up with activity interventions
2020-11-19 08:21:32 PM byefelicia notifiying the charge nurse, and notiting the file, and coming up with a program that works
2020-11-19 08:21:41 PM melissabarrett to make sure they are getting what they need
2020-11-19 08:21:42 PM desiraes to redirect , come up with a activity intervention
2020-11-19 08:21:56 PM erittenhouse1683 attending behavior management meetings
2020-11-19 08:21:59 PM lboffeli Assisting with redirecting and coming up with recreational interventions to mediate the situation
2020-11-19 08:22:01 PM greenmj86 our role is to document and come up with interventions to keep these behaviors from happening
2020-11-19 08:22:02 PM jford124 to provide a safe enviorment for social intereaction
2020-11-19 08:22:02 PM klevengood the same as any other staff
2020-11-19 08:22:03 PM lhalfacre Trying to keep them busy in anyway that is safe
2020-11-19 08:22:04 PM abigailgearhart to decrease behaviors as much as possible without the use of medication and to give the residents quality of life
2020-11-19 08:22:10 PM desiraes make sure to have a activity program for the resdient
2020-11-19 08:22:12 PM galjan15 good intervention
2020-11-19 08:22:20 PM jmeza75 help them cope
2020-11-19 08:22:29 PM sarahnicole Making sure that even if someone has behaviors they still enjoy their life
2020-11-19 08:23:17 PM lboffeli quality of life!
2020-11-19 08:23:46 PM amiller20 where some people get frustrated but to understand and help the resident bty being patient and help them
2020-11-19 08:24:05 PM thomasodougherty We are an integral part of the psycho social well-being of those we serve.
2020-11-19 08:24:22 PM sarahnicole yes
2020-11-19 08:24:23 PM melissabarrett ok
2020-11-19 08:24:26 PM amiller20 ok
2020-11-19 08:24:28 PM lboffeli O I like how that was put Thomas! Yes
2020-11-19 08:24:31 PM erittenhouse1683 well said
2020-11-19 08:24:39 PM thomasodougherty There are few others in the facilities we work that have the capacity to develop a relaitionship with our Residents.
2020-11-19 08:25:01 PM sarahnicole cnas nurses
2020-11-19 08:25:11 PM lboffeli social workers
2020-11-19 08:25:15 PM lhalfacre housekeeping
2020-11-19 08:25:20 PM melissabarrett social worker
2020-11-19 08:25:21 PM greenmj86 that is so true i work on a memory care unit as a cna and im the closest to all
2020-11-19 08:25:27 PM byefelicia nutritionists
2020-11-19 08:25:31 PM thomasodougherty Nurses purpose are to provide cares and medications.Social Services need to monitor meds and deal with behaviors.
2020-11-19 08:25:56 PM thomasodougherty Our goal is to make these individuals as happy as possible in their new environment.
2020-11-19 08:26:02 PM greenmj86 activities deal with the resident more closely then anyone
2020-11-19 08:26:05 PM melissabarrett yes
2020-11-19 08:26:07 PM sarahnicole yes

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