Concurrent Session D
Wednesday, August 8, 8:30am – 10:00am
Safety vs. Autonomy in Elders: What if Maslow was Wrong?
This presentation will explore the complex issues involved in trying to honor the personal preferences of elders within the context of a health care/long-term care system obsessed with "safety." The rationale for this emphasis on safety is often Maslow's Hierarchy of Needs; the pyramid that places physiological needs at its base followed by safety, then love and esteem and self-actualization at the peak. Add your voice to our discussion as we examine how to make well- reasoned decisions when the values of autonomy and safety collide.
Guides: Lynda Crandall, Lynda Crandall Consulting
Teresa Harvath, Oregon Health Sciences University, School of Nursing
Caregiver Satisfaction: The Essential Element for Person-Centered CareThe voices of thousands nursing home and assisted living caregivers have been heard. The research that will be presented reveals and quantifies factors that drive varying degrees of satisfaction. By understanding caregiver motivations, administrators, DON's and policymakers will be in a better position to manage the important issues surrounding attracting, hiring and keeping the highly skilled nurses and nursing assistants that are the profession's primary caregivers. The findings offer clear indicators as to the state of caregiver satisfaction and provide insight into what motivates them. Discussions will focus on the relationship between satisfied caregivers and resident quality of life.
Guide:
Mary Tellis-Nayak, My InnerView
Science for Seniors: Engaging Hands-on Activity ProgramsHere come the baby boomers-the most educated tech and science oriented generation to enter our communities! This program will demonstrate how to excite residents about current events and our environment through fun trivia and hands on safe easy experiments that make participants go, "Wow!" Participants will leave ready to do this program with their residents.
Guide:
Gloria Hoffner, Guitar with Gloria
Implementing the POLST (Physician Orders for Life-Sustaining Treatment) Paradigm in Florida Long-Term CareWe must move beyond traditional patient-authored advance directives to a more sophisticated approach to honoring a person's values about medical care at the end of life. This workshop will set out historical, legal, and ethical foundations of the POLST, with special emphasis on long-term care. Panelists will discuss ways to promote POLST use among professionals, policy makers, and consumers in the long-term care context.
Guides:
Marshall Kapp, Florida State University-College of Law
Panel:
Kenneth Brummel-Smith, Florida State University-College of Medicine
Stuart Bagatell, JFK Medical Center
Tracy Christner, Project GRACE
Caring For Someone Who Is In PainAs a member of the Advancing Excellence in America's Nursing Homes and along with the Nebraska Local Area Network of Excellence (LANE), it is our goal to achieve excellence in the quality of care and quality of life for individuals living in our care communities. The learner will identify signs and symptoms of pain and measures to implement that will prevent and minimize the episodes of moderate or severe pain in order to achieve a higher level of comfort.
Guides:
Lois Hess, Nebraska LANE for Advancing Excellence in American Nursing Homes
Mary Powell, Nebraska LANE for Advancing Excellence in American Nursing Homes
Leadership Practices to Inspire Culture ChangeIn this session we will share creative thinking and the roadblocks that stall our imagination. It can be difficult to get creative juices flowing if we are stuck in everyday practicalities, following the rules, afraid to make mistakes or repeating past routines. As leaders, how can we nurture the creativity of our teams as we seek to transform care approaches? We will explore in this session how a culture of continuous learning strengthens your homes ability to build trusting environments where change flows.
Guides:
Kelly Papa, Alzheimer's Resource Center
Michael Smith, Alzheimer's Resource Center
Eileen Smith, Alzheimer's Resource Center
The Power of Language to Create CultureIt is not news that the language of institutional long-term care needs some work. Even CMS notes that language can affect elders' quality of life by encouraging the elimination of labels such as "feeder" in its 2009 interpretive guidance for Tag F241 Dignity. Some are working toward new language, many want to. What is still missing, however, is a language transformation strategy that considers what is said to whom and how it is said, that would accurately convey the values of a changed culture. This session built upon a recent Rothschild funded paper with the same title authored by Judah Ronch, Galina Madjaroff and Carmen Bowman.
Guides:
Carmen Bowman, Edu-Catering
Judah Ronch, The Erickson School, UMBC
Galina Madjaroff, The Erickson School | University of Maryland Baltimore County
Using Technology to Measure Transitions of Care between Hospitals and Nursing Homes
Attendees to this session will view examples of using technology to measure transitions of care between hospitals and nursing homes. Attendees will hear a case study of 5 organizations who used ipads, you tube videos, and a website to improve transitions of care for older adults. After viewing the materials and hearing about the project, attendees will be able to evaluate the use of these publicly available materials in their respective organizations.
Guide:
Heidi Gil, Planetree
FUNdamentals in FUNctional FITnessThis is an energy-filled, highly interactive workshop designed to help recreation/activity professionals empower their clientele...as a group or on an individual basis! Regardless of the capabilities of those you serve...there is something in it for you! Participants will depart feeling energized and inspired to empower clients to increased strength and flexibility, improved balance and lung function, better overall body awareness AND reduced stress and/or anxiety.
Guide:
Nikki Carrion, FitXpress LLC
Therapeutic Touch: Healing and Culture Change the Perfect UnionThis will be an introduction to the history, theory, practice and research of Therapeutic Touch (TT) as developed by Dolores Krieger, PhD., RN and her mentor Dora Kunz. Included will be a demonstration and slides showing the effects of TT before, during and after a session using Clinical Thermography. The audience will have a chance to see and experience some of the principles behind energy medicine and its efficacy.
Guide:
Evy Cugelman, Pi
ñon Management
Camp Pickett: A Journey Into Intergenerational ProgrammingCamp Pickett is an intergenerational day camp, which runs throughout the summer at Pickett Care and Rehabilitation in Byrdstown, TN. The camp, which has been running since 2008, offers the stakeholders of the home an opportunity to bring their children to spend the summer months with them at work. This session will give you all the tools and resources you need to begin a similar program at your home.
Guide:
Angela McAllister, Signature HealthCare
The Poetics of Culture Change: The Way of the Spirit Keeper
At its essence, culture change is a communal experience that stirs the soul and enlivens the heart, opening us to vision and creativity. The emerging culture liberates the Spirit Keepers, providing an opportunity for them to emerge and serve the life force of the community and its members. We will learn to use song and poetry to give voice to the elders; to consistently ground the organization in its values; and to build positive momentum for the change process. We will contact our own creativity through guided meditation. We will learn the skills of guiding the process of writing community.
Guides:
Barry Barkan, Live Oak Institute
Debora Barkan, Live Oak Institute
Adapting the Artifacts of Culture Change for Assisted Living HomesAssisted Living homes have been envisioned as person-centered and resident-directed settings, especially evident in beautiful and homelike assisted living environments. Since it is easy for the basic elements of person-centered care to be lost, this Winter Park Health Foundation-funded research project looked at the adaptation of the Artifacts of Culture Change (Florida) for use as a culture change assessment tool in assisted living. This session describes how the ACC-FL-AL was repurposed for assisted living and uses the experiences of three AL homes to illustrate the successes and challenges in using the instrument.
Guides:
Annette Kelly, Florida Pioneer Network
Peggy Bargmann, Bargmann Consulting, LLC
Using the Skills and Tools of Person Centered Thinking to Implement Systems and Organizational Change and Support Quality Management Practices
Improving quality of life within available resources is the challenge that all the organizations within long-term services are facing. In this session the process and outcomes of one approach are shared. The approach, which integrates person centered thinking skills with quality management practices, is seeking to create transformation change within the systems and services. Change is driven by having the learning from those receiving services being acted on by those who manage the organizations and the system. The outcomes from efforts that are taking place in 6 states across disability issues and settings are shared.
Guides:
Leigh Ann Kingsbury, Support Development Associates, LLC
Michael Smull, Support Development Associates, LLC
Redesigning the Organization: Tools for Growing Self-Directed Teams Top-down hierarchy and departmental approaches to care have diminished performance, crushed creativity, and crowded out good behavior among hard-working employees. The "efficiency" model we have all experienced prevents us from raising the art of care partnering to its highest level. Through organizational redesign and the development of empowered Neighborhood Teams, Piñon Management has improved the well being of both elders and their care partners. Through a new partnership with The Eden Alternative, the Piñon model continues to build internal capacity by empowering leaders to serve as Neighborhood Guides, resulting in higher customer and employee satisfaction.
Guides:
Nancy Fox, Piñon Management
Chris Perna, The Eden Alternative
Demystifying the Role of the Household Coordinator: Household Coordinators Designing their Role in the Households The Household Coordinator is a vital part of household staff in the skilled nursing households at Garden Spot Village. Household Coordinators will discuss all aspects of the roles they play in the organization of the household. They will review all parts of their jobs, from supervising staff, to their work and relationships with residents, families and household staff. They will discuss their successes and their failures and the unique relationship that has developed between the Household Coordinators and the Administrator. We will detail the many responsibilities the job entails and how they have learned to balance them.
Guides:
Marcia Parsons, Garden Spot Village
Becky Weber, Garden Spot Village
Lorrie Westenhoefer, Garden Spot Village
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Session E