DateTimeFromToMessage
2016-03-30 06:20:02 PM jackie26 yes
2016-03-30 06:20:09 PM awatts usually helps in most situations
2016-03-30 06:20:11 PM cchase redirection works only if they find interest it what you are offering as redirection
2016-03-30 06:20:26 PM layvonne2016 sometimes you just leave and come back to redirect
2016-03-30 06:20:32 PM sue123 cchase That is why I like the water coloring painting for they are sitting quitely and concentrating on just one thing.
2016-03-30 06:20:34 PM jackie26 yes
2016-03-30 06:20:34 PM awatts correct. sometimes does not work
2016-03-30 06:20:41 PM cchase right.... leaving and come back good
2016-03-30 06:20:47 PM kgates It seems when they are that far upset its difficult to get them back on track, sometimes they scream and yell like your killing them even if your being sweet, then the next day they smile at you ,hug you and tell you they love you so genuine.
2016-03-30 06:20:56 PM zuly02 awatts trying a different aproach
2016-03-30 06:21:00 PM jackie26 5 minutes after
2016-03-30 06:21:18 PM sue123 cchase You are so correct... 5 min later
2016-03-30 06:21:19 PM cchase exactly what I am saying..they ramp so high & cannot calm down
2016-03-30 06:21:30 PM cchase so you need to know the timing really wwell
2016-03-30 06:21:41 PM awatts good point
2016-03-30 06:21:47 PM kgates Timing is key your right.
2016-03-30 06:21:50 PM layvonne2016 good point
2016-03-30 06:21:52 PM kathym so, there has to be something that will get their attention to calm them down.
2016-03-30 06:21:54 PM jackie26 yes
2016-03-30 06:21:54 PM cchase we have someone that gets upset @ 3pm
2016-03-30 06:22:02 PM kimj yes very good point
2016-03-30 06:22:16 PM kathym We have them anywhere from 3-5 in the afternoon.
2016-03-30 06:22:28 PM cchase looking into history - it has to do with children coming home from school
2016-03-30 06:22:40 PM zuly02 kathym we have somome everytime a unknown person shows up
2016-03-30 06:22:40 PM cchase she was worried that she would miss them
2016-03-30 06:22:40 PM jackie26 looks like a madhouse but is a nursing home, just because of the sundawn
2016-03-30 06:22:52 PM belindaf would photo albums of kids work
2016-03-30 06:22:56 PM cchase what do you think worked???
2016-03-30 06:23:00 PM zuly02 she gets pretty upset
2016-03-30 06:23:04 PM kimj yes we have a resident that does the same thing
2016-03-30 06:23:16 PM awatts so what worked cchase
2016-03-30 06:23:18 PM jackie26 give something to eat
2016-03-30 06:23:20 PM kimj go along with it and redirect
2016-03-30 06:23:22 PM kathym picture of her kids and telling her they are alright and waiting for her?
2016-03-30 06:23:28 PM sue123 cchase I have a 94 yr oldnthat is up early, that never takes a nap but after dinner she is down all night.
2016-03-30 06:23:38 PM cchase we did the picture - did not work
2016-03-30 06:23:41 PM cchase what else
2016-03-30 06:23:44 PM zuly02 I usually talk to her about her kids and her church and she likes do
2016-03-30 06:23:56 PM jackie26 invite for coffee
2016-03-30 06:24:03 PM kathym askingher how kids are sdoing in school?
2016-03-30 06:24:04 PM kgates Looking into family too, sometimes the family will know of routines they used to have that might help to keep them directed positive before the behavior shows up. Like reading the paper before supper. Just sitting down and reading the paper out loud and asking things here and there may solve the problem.
2016-03-30 06:24:06 PM cchase she needs to be there for the bus!!!
2016-03-30 06:24:36 PM belindaf so how do you do it with out actually going to the bus
2016-03-30 06:24:48 PM cchase two things worked
2016-03-30 06:25:07 PM sue123 cchase Let her know we will get her for the bus, when it arrives sometimes works for one of my residents.
2016-03-30 06:25:09 PM layvonne2016 sometimes if you just listen when they talk .
2016-03-30 06:26:07 PM kgates Let them know that someone is picking them up from the bus and no need to worry. Pick up the phone and have them hear you say Oh Im so glad the children are fine thank you for calling
2016-03-30 06:26:12 PM awatts please tell us what worked in that situation
2016-03-30 06:26:17 PM cchase we had a meg shift clock - it was set for 1:45 - we showed her and said it was too early
2016-03-30 06:26:31 PM cchase then that did not fly
2016-03-30 06:26:39 PM sue123 cchase Clever ...
2016-03-30 06:26:41 PM cchase but it worked for awhile
2016-03-30 06:26:45 PM jackie26 ok
2016-03-30 06:26:48 PM jackie26 then
2016-03-30 06:26:57 PM kathym what was the other ting?
2016-03-30 06:27:00 PM kathym thing?
2016-03-30 06:27:19 PM cchase then - we dug up her husbands name and told her that he picked up the kids
2016-03-30 06:27:23 PM kimj maybe go look out the window with her and wait and bring up a conversation about something else?
2016-03-30 06:27:26 PM cchase that worked
2016-03-30 06:27:29 PM jackie26 nice
2016-03-30 06:27:33 PM sue123 cchase That is our job, to find out what works for the moment.. then be flexiable to keep trying when it fails.
2016-03-30 06:27:33 PM awatts geat idea
2016-03-30 06:27:34 PM kimj ok
2016-03-30 06:27:37 PM belindaf cool good to know
2016-03-30 06:27:51 PM kgates Flexibility is what works for us.
2016-03-30 06:27:55 PM cchase okay so what did you learn from that
2016-03-30 06:27:57 PM jackie26 true
2016-03-30 06:28:08 PM belindaf read the care plans, ask family
2016-03-30 06:28:16 PM cchase right
2016-03-30 06:28:24 PM kathym you need to ask questions.
2016-03-30 06:28:25 PM awatts i agree with belinda
2016-03-30 06:28:26 PM kimj that its okay to tell fiblets lol?
2016-03-30 06:28:40 PM cchase so often I see professionals stand on their heads and put on events
2016-03-30 06:28:42 PM layvonne2016 i agree too
2016-03-30 06:28:43 PM belindaf i like fiblets
2016-03-30 06:28:50 PM kimj and read the care plans
2016-03-30 06:28:54 PM cchase and never thought to look at the history
2016-03-30 06:28:56 PM jackie26 to always have an answer for them
2016-03-30 06:28:59 PM cchase or read care plans
2016-03-30 06:29:09 PM cchase therapeutic fiblets
2016-03-30 06:29:12 PM kgates Familiarity or remembering things from the past that make you feel like your being unresponsible for things can make you trigger on behaviors. She felt like she wasnt doing what she was supposed to be doing. So look deeper at the cause of the behavior.
2016-03-30 06:29:12 PM jackie26 ask family
2016-03-30 06:29:18 PM kimj yes
2016-03-30 06:29:23 PM cchase (@) use them all the time
2016-03-30 06:29:37 PM kimj so do we ;)
2016-03-30 06:29:38 PM awatts we have a member history book available for the staff to look at for any situation
2016-03-30 06:29:43 PM belindaf look into cause of behavior
2016-03-30 06:30:02 PM belindaf whats a member history book
2016-03-30 06:30:03 PM kgates I think changing them all the time too when new ideas come into play for different situations.
2016-03-30 06:30:03 PM zuly02 we have bios avaliable for staff
2016-03-30 06:30:10 PM awatts life history
2016-03-30 06:30:14 PM cchase okay so Jane starts rocking in her chair & will not stop
2016-03-30 06:30:19 PM cchase what could it be
2016-03-30 06:30:26 PM belindaf anxiety
2016-03-30 06:30:28 PM zuly02 she would be anxous
2016-03-30 06:30:32 PM kathym could be worried that hubby not coming home.
2016-03-30 06:30:39 PM kgates She is trying to get the baby to sleep.
2016-03-30 06:30:42 PM layvonne2016 need to go to bathroom.
2016-03-30 06:30:44 PM jackie26 anger
2016-03-30 06:30:52 PM kimj anxiety, maybe thinking she is rocking her baby?
2016-03-30 06:30:53 PM awatts going into sundowners
2016-03-30 06:30:54 PM belindaf could be any of the above
2016-03-30 06:30:56 PM cchase who said bathroom??
2016-03-30 06:31:00 PM kathym she could easily be anxious over something.
2016-03-30 06:31:06 PM zuly02 is getting late and she thinks she has to get home
2016-03-30 06:31:13 PM awatts hmmm bathroom
2016-03-30 06:31:16 PM layvonne2016 layvonne
2016-03-30 06:31:17 PM cchase yes
2016-03-30 06:31:20 PM cchase good
2016-03-30 06:31:34 PM cchase another had her depends way too tight
2016-03-30 06:31:44 PM belindaf soooo like a samall child they rock when they need to pee
2016-03-30 06:31:53 PM cchase look for physical issues that bring on behaviors
2016-03-30 06:31:54 PM kimj aww
2016-03-30 06:31:57 PM zuly02 interesting
2016-03-30 06:32:00 PM cchase yes belinda
2016-03-30 06:32:04 PM kimj yes it is
2016-03-30 06:32:05 PM sue123 layvonne2016 Yeah..
2016-03-30 06:32:08 PM jackie26 good to know
2016-03-30 06:32:10 PM cchase we do revert back my dear
2016-03-30 06:32:16 PM belindaf sadly
2016-03-30 06:32:19 PM jackie26 i guess so
2016-03-30 06:32:24 PM awatts yes
2016-03-30 06:32:27 PM jackie26 very
2016-03-30 06:32:34 PM kgates Looking at the deeper cause of the outburst, keep going till you find the reason behind the behavior. Right.
2016-03-30 06:32:38 PM cchase but remember that these folks know that they are adults...
2016-03-30 06:32:38 PM sue123 layvonne2016 sorry Lavonne meant yea...good answer
2016-03-30 06:32:42 PM layvonne2016 thank you Sue123
2016-03-30 06:32:54 PM cchase so do not treat them or speak to them like children
2016-03-30 06:33:02 PM jackie26 eexactly
2016-03-30 06:33:03 PM zuly02 correct and can easily feel if you treat them otherwise !
2016-03-30 06:33:05 PM kimj right
2016-03-30 06:33:08 PM kathym so you have to treat them that way and try to figure out why they are doing what they are doing.
2016-03-30 06:33:24 PM layvonne2016 so true.
2016-03-30 06:33:26 PM cchase okay so lets see about this next case study ...ready??
2016-03-30 06:33:31 PM belindaf go
2016-03-30 06:33:34 PM zuly02 yes @
2016-03-30 06:33:34 PM kimj yes
2016-03-30 06:33:35 PM sue123 layvonne2016 exactly ... I hate it when someone treats me like I cant do something.
2016-03-30 06:33:35 PM jackie26 they behave if they are soaking wet too
2016-03-30 06:33:36 PM awatts some opf our members have reverted back to not even knowing how to use a fork
2016-03-30 06:33:41 PM jackie26 yes
2016-03-30 06:33:47 PM awatts of
2016-03-30 06:33:53 PM cchase mary takes mom to dinner every wed.
2016-03-30 06:33:55 PM kgates They are human beings having a strange experience with not being able to remember things when they want to. Heck I have moments like that daily.
2016-03-30 06:34:19 PM cchase mary came to pick up mom and mom was all ready waiting at the door with her coat on
2016-03-30 06:34:29 PM kgates Routines are good it helps them to organize thoughts
2016-03-30 06:34:37 PM kathym but
2016-03-30 06:34:48 PM cchase mary got to the restaurant with mom then once at the table
2016-03-30 06:35:04 PM kathym yes
2016-03-30 06:35:25 PM cchase mary's mom took off her coat and only had a bra & slip --- what to do??
2016-03-30 06:35:31 PM belindaf mirroring, put on your coat, she will do it too
2016-03-30 06:35:46 PM kimj keep your coat on too!
2016-03-30 06:35:48 PM kathym yes beklinda
2016-03-30 06:35:50 PM layvonne2016 put coat back on
2016-03-30 06:35:52 PM awatts good answer
2016-03-30 06:35:53 PM kgates Give her your coat and say I think we need to go eat somewhere else they are out of our special.
2016-03-30 06:35:53 PM jackie26 yeah keep it
2016-03-30 06:35:54 PM zuly02 cover her up
2016-03-30 06:36:02 PM belindaf i like yours kgates
2016-03-30 06:36:09 PM belindaf funny
2016-03-30 06:36:11 PM sue123 cchase Yes put your own coat back on stating how cold it is.
2016-03-30 06:36:21 PM cchase super answer -- mirror put your own on and she will follow... very good
2016-03-30 06:36:28 PM cchase no struggles
2016-03-30 06:36:34 PM awatts correct
2016-03-30 06:36:38 PM kimj :)
2016-03-30 06:36:39 PM jackie26 yep
2016-03-30 06:36:40 PM belindaf awesome problem solver
2016-03-30 06:36:40 PM cchase so shame...just get the behavior you need
2016-03-30 06:36:48 PM cchase and let her save face
2016-03-30 06:36:55 PM layvonne2016 yeap
2016-03-30 06:37:00 PM kathym yah.
2016-03-30 06:37:00 PM cchase who said routine???
2016-03-30 06:37:07 PM kgates Me
2016-03-30 06:37:12 PM cchase great
2016-03-30 06:37:30 PM cchase yes routine is the biggest reason for success
2016-03-30 06:37:43 PM zuly02 agree !
2016-03-30 06:37:45 PM cchase routine cause predictability
2016-03-30 06:37:49 PM jackie26 like exercise they know the routine
2016-03-30 06:37:54 PM belindaf that also makes our job easier
2016-03-30 06:38:04 PM cchase it promotes safety - knowing what is suppose to happen
2016-03-30 06:38:04 PM kimj and going to lunch and dinner
2016-03-30 06:38:07 PM belindaf we know their routine
2016-03-30 06:38:08 PM layvonne2016 i agree
2016-03-30 06:38:12 PM awatts we set a routine for the members at my facility so they dont get confused as easily
2016-03-30 06:38:24 PM sue123 cchase that is why Bingo is so popular , it is routine for them.
2016-03-30 06:38:32 PM jackie26 bingo too yes
2016-03-30 06:38:35 PM cchase I have a nurse that so despreately wants to change up the routine
2016-03-30 06:38:36 PM zuly02 life skills
2016-03-30 06:38:43 PM kgates Even I like to know whats going to happen next in my own life. But I think it reassures them to know things are as usual and not to worry.
2016-03-30 06:38:45 PM cchase drives me bonkers
2016-03-30 06:38:51 PM zuly02 why?
2016-03-30 06:38:55 PM kathym why change something that works?
2016-03-30 06:39:08 PM jackie26 yeah why
2016-03-30 06:39:16 PM cchase she does not like repeat - thinks they will be bored
2016-03-30 06:39:27 PM jackie26 for then is not repeat
2016-03-30 06:39:30 PM belindaf true if you got something with a good percentage of atendance
2016-03-30 06:39:37 PM kathym that's what she thinks, but what do they think?
2016-03-30 06:39:56 PM kgates Actually from my experience themore they practice the better they get and it builds their self confidence.
2016-03-30 06:39:57 PM belindaf they cant remember if they are bored
2016-03-30 06:39:58 PM kathym they are ahppy.
2016-03-30 06:39:58 PM cchase she needs more education on the topic
2016-03-30 06:40:00 PM kimj just what I was thinking Kathym!
2016-03-30 06:40:00 PM sue123 cchase Just looked how much we all stressed over the midterm, can you imagine that stress everyday just to get out of the bed and live life.
2016-03-30 06:40:11 PM kimj yes
2016-03-30 06:40:13 PM awatts we have the lower cognitive sit with eachother at lunch. it is very interesting to watch them eat. they look at eachother to make sure they are eating with the right utinsil
2016-03-30 06:40:14 PM cchase right practice makes perfect
2016-03-30 06:40:24 PM kimj sure does
2016-03-30 06:40:46 PM cchase awatts - are you adult day??
2016-03-30 06:40:48 PM layvonne2016 when my new nurse try to change it. thats drive me crazy.
2016-03-30 06:40:49 PM kathym I need more education and I am learning how to recognoze various behaviors.
2016-03-30 06:40:54 PM awatts yes cchase
2016-03-30 06:40:59 PM belindaf it hurst my heart wwhen they look at their hands to try and figure out if its theirs
2016-03-30 06:41:01 PM cchase awesome
2016-03-30 06:41:14 PM awatts it is a wonderful place
2016-03-30 06:41:20 PM cchase I am a program director in adult day
2016-03-30 06:41:32 PM kgates We can all use more education to make our jobs easier and learn new skills to keep our residents happy daily
2016-03-30 06:41:42 PM awatts it is very fullfilling and enjoyable
2016-03-30 06:41:44 PM kathym I am an AA, but when I learn something new I try to use it.
2016-03-30 06:42:06 PM cchase yes... okay so let's talk memory
2016-03-30 06:42:10 PM kathym I love my Alz residents. They are so sweet.
2016-03-30 06:42:15 PM awatts go for it
2016-03-30 06:42:20 PM jackie26 left the chat room
2016-03-30 06:42:21 PM jackie26 enter the chat room
2016-03-30 06:42:21 PM kgates Thats the key to use what you learn or try new things and see how they go. Then you can fine tune it to your residents.
2016-03-30 06:42:44 PM cchase why do memories become unaccessible
2016-03-30 06:42:47 PM kathym memoeries, pressed between the pages of my mind.
2016-03-30 06:42:57 PM cchase love that kathy
2016-03-30 06:42:59 PM kathym memories
2016-03-30 06:42:59 PM awatts good one kathy
2016-03-30 06:43:07 PM belindaf isnt it bc of synapses stop touching
2016-03-30 06:43:21 PM kgates sinapsus nerves dont work right and misfire
2016-03-30 06:43:22 PM cchase yes belinda why is that
2016-03-30 06:43:24 PM layvonne2016 good one kathy
2016-03-30 06:43:33 PM cchase what happens that causes that
2016-03-30 06:43:42 PM belindaf disease, eletrical issue?
2016-03-30 06:43:54 PM belindaf plaque?
2016-03-30 06:43:58 PM kathym it is the same way with depression. your synapses are short circuiting an dnot sending the message to the rest of your brain that you need to do something.
2016-03-30 06:44:08 PM cchase yes plaques and tangles
2016-03-30 06:44:20 PM belindaf oops forgot tangles
2016-03-30 06:44:21 PM cchase hallmarks of Alzheimers
2016-03-30 06:44:36 PM kgates It was explained to me like having 5 fingers, then 4, then 3, then 2 and then only 1 to hold a fork.
2016-03-30 06:44:50 PM awatts yes
2016-03-30 06:44:51 PM belindaf good explanation
2016-03-30 06:45:01 PM cchase the plaques & tangles are physically preventing connection
2016-03-30 06:45:02 PM layvonne2016 yes
2016-03-30 06:45:07 PM jackie26 hmm
2016-03-30 06:45:08 PM kimj yes
2016-03-30 06:45:17 PM zuly02 mm
2016-03-30 06:45:23 PM cchase the brain shrinks too
2016-03-30 06:45:24 PM jackie26 i wish we can stop that
2016-03-30 06:45:29 PM sue123 cchase I have nerve damage do to a lack of B12 due to surgery for intestional eruption... b -12 or lack up can cause senility.... I take injections monthly..
2016-03-30 06:45:35 PM cchase from 5 lbs to 3 lbs
2016-03-30 06:46:00 PM belindaf so dehdration is very bad
2016-03-30 06:46:08 PM cchase sorry adbout you nerve damage
2016-03-30 06:46:08 PM layvonne2016 did not know that
2016-03-30 06:46:19 PM jackie26 wow sue
2016-03-30 06:46:22 PM sue123 cchase thanks
2016-03-30 06:46:31 PM jackie26 take caare
2016-03-30 06:46:32 PM zuly02 I'm sorry
2016-03-30 06:46:37 PM cchase so why is it that memories from long ago can still be active??
2016-03-30 06:46:45 PM belindaf storage?
2016-03-30 06:46:46 PM kimj cchase isnt there a test family members can have to see if you have it/
2016-03-30 06:46:52 PM kathym first in last out.
2016-03-30 06:46:58 PM sue123 cchase Memories before the diease took affect.
2016-03-30 06:47:01 PM cchase there is a genetic test
2016-03-30 06:47:09 PM kgates Because the newest leave the quickest and the oldest remain longest
2016-03-30 06:47:11 PM kimj i thought so
2016-03-30 06:47:11 PM cchase looks for a specific gene
2016-03-30 06:47:11 PM jackie26 first come first
2016-03-30 06:47:16 PM kimj yes
2016-03-30 06:47:20 PM awatts yes
2016-03-30 06:47:32 PM layvonne2016 yes
2016-03-30 06:47:35 PM kathym yes
2016-03-30 06:47:36 PM cchase increases probability of coming down but not for sure
2016-03-30 06:47:41 PM zuly02 short term goes alway and long term remeins for a longer time
2016-03-30 06:47:43 PM cchase coming down with als
2016-03-30 06:47:50 PM kimj yes
2016-03-30 06:47:58 PM cchase here is the answer
2016-03-30 06:48:04 PM jackie26 ok
2016-03-30 06:48:10 PM cchase think computer files
2016-03-30 06:48:15 PM jackie26 yes
2016-03-30 06:48:15 PM awatts ok
2016-03-30 06:48:19 PM zuly02 ok
2016-03-30 06:48:23 PM layvonne2016 ok
2016-03-30 06:48:26 PM cchase we create a word document then give it a name
2016-03-30 06:48:34 PM jackie26 ok
2016-03-30 06:48:36 PM awatts right
2016-03-30 06:48:39 PM layvonne2016 ok
2016-03-30 06:48:40 PM cchase we use the name to reference the work on that page
2016-03-30 06:48:40 PM zuly02 (y)
2016-03-30 06:48:41 PM kimj the past is remembered while the present is not
2016-03-30 06:48:42 PM belindaf ok
2016-03-30 06:48:46 PM cchase right??'
2016-03-30 06:48:49 PM jackie26 yes
2016-03-30 06:48:51 PM awatts right
2016-03-30 06:49:00 PM layvonne2016 right
2016-03-30 06:49:12 PM cchase okay - so we file that work/memory in this case for future reference
2016-03-30 06:49:15 PM kathym that makes sense.
2016-03-30 06:49:29 PM awatts got it
2016-03-30 06:49:32 PM jackie26 ok
2016-03-30 06:49:33 PM kgates I don't think it makes any sense.
2016-03-30 06:49:37 PM cchase memories that were stored
2016-03-30 06:49:41 PM zuly02 i see
2016-03-30 06:49:49 PM cchase prior to the onset of the disease were saved
2016-03-30 06:49:50 PM layvonne2016 got it
2016-03-30 06:49:57 PM awatts correct
2016-03-30 06:50:01 PM belindaf you cant create new memories
2016-03-30 06:50:02 PM cchase before the disease went array
2016-03-30 06:50:18 PM sue123 cchase It makes perfect sense.
2016-03-30 06:50:20 PM kgates Hopefully they were the best memories ever.
2016-03-30 06:50:23 PM cchase no - you cannot save anymore memories
2016-03-30 06:50:27 PM kathym it is sort of like when there is a glitch in your computer and you loose everything most recently.
2016-03-30 06:50:36 PM kimj kinda like on a usb drive
2016-03-30 06:50:42 PM awatts that is why they can remember things from a certain point and not 5 min ago
2016-03-30 06:50:49 PM jackie26 left the chat room
2016-03-30 06:50:50 PM jackie26 enter the chat room
2016-03-30 06:50:50 PM cchase but up to a point- if they were saved before the disease you can access them ( again up to a point)
2016-03-30 06:51:00 PM jackie26 gone
2016-03-30 06:51:02 PM kgates I havn't had anything to eat today.
2016-03-30 06:51:13 PM cchase new memories or short term memories..cannot be saved
2016-03-30 06:51:26 PM awatts got it
2016-03-30 06:51:28 PM jackie26 they forget if they eat or not
2016-03-30 06:51:32 PM zuly02 interesting
2016-03-30 06:51:32 PM cchase to access because of the disease which prevents you from saving them
2016-03-30 06:51:44 PM cchase by the way
2016-03-30 06:51:50 PM awatts yes
2016-03-30 06:51:53 PM zuly02 ?
2016-03-30 06:52:00 PM layvonne2016 yes
2016-03-30 06:52:00 PM jackie26 ???
2016-03-30 06:52:10 PM cchase alzheimer's is active some 10 years before you present with any symptoms
2016-03-30 06:52:23 PM belindaf so it starts erasing
2016-03-30 06:52:25 PM kimj really?
2016-03-30 06:52:32 PM sue123 cchase Wow , did not know that...
2016-03-30 06:52:33 PM jackie26 oh oh
2016-03-30 06:52:33 PM kimj wow