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Who are
the Owners/Providers?
Many Providers have
nursing degrees; ARNP's, RN's, LPN's, as well as nursing
assistant certificates; CNA's and NAR's. We take
continuing education every year to renew our licenses.
Larger numbers of us are furthering our education and
have returned to school to become nurses or earn
Geriatric accreditation. Many started out by caring for
one of our own family members (father, mother, aunt,
etc.) and continue on in this line of work because we've
became attached to the Residents we care for. And many
came from other lands and found a niche market in which
to become established in America. For the members of
the WSRCC - It's about the care!
We care about Quality Assurance and hold ourselves to a
high standard! And, we consider it an honor and
privilege to serve you and your families just as if you
were our own!
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Our Daily Philosophy:
- In accordance with the
comprehensive assessment; Activities are the "things we
do." These include getting dressed, doing chores,
playing cards, etc. They can be active or passive, done
alone or in the company of others. They enhance a
person's sense of dignity and self-esteem by giving
purpose and meaning to his/her life. Activities
structure time and can make the best of retained and
existing abilities, and can especially lessen
undesirable behavior such as wandering or agitation.
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Daily Routines:
- Go way beyond Personal
Care and Mealtime Activities (bathing, shaving,
dressing, preparing food, cooking and eating) and Chores
(dusting, sweeping and doing laundry).
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The Person:
- When we plan
activities, we think about the Total Person, what skills
and abilities does he/she still have? What would this
person enjoy? Does he/she begin activities without
direction (set or clear the table, sweep the floor?)
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The Activity:
- We make the Activity
part of the daily routine, like asking a resident to
help us complete a task, like folding towels, which
provides a sense of purpose and importance. We focus on
enjoyment, not achievement. We stress involvement, with
activities that help the resident feel like a valued
part of the household, like setting the table. We
relate the activity to work life; a business person
might enjoy organization activities such as putting
coins in a holder. We look for favorites, like drinking
coffee and reading the newspaper (even if the resident's
not able to completely comprehend what he/she's
reading), and we modify activities as needed. We try to
be flexible and acknowledge the person's changing
interests and abilities, and as the disease progresses,
we introduce more repetitive tasks or even expect the
person to take a less active role in activities.
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Our Approach:
- We offer support and
supervision (we may need to demonstrate and provide
simple, step-by-step directions). We concentrate on the
process, not the product (does it really matter if the
towels are folded properly - not really). We try to
remain realistic and relaxed (every minute of the day
needn’t be filled with activity - the resident needs a
balance of activity and rest, and may need more frequent
breaks and varied tasks). We get the activity started,
break it into simple, easy to follow steps, and assist
with the difficult parts (in cooking, we can measure the
ingredients, and say "Would you please stir this for
me?"). We try not to criticize or correct the person,
and by careful observation, we can substitute an
activity for a behavior (if she rubs her hand on a
table, by placing a cloth in her hand we might be able
to encourage her to wipe the table). And if something
isn’t working, it may be the wrong time of day or the
activity may be too complicated. We try again later or
adapt the activity.
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Environment:
- We make the activities
safe, removing toxic materials and dangerous tools, so
an activity such as sanding a piece of wood can be safe
and pleasurable. By leaving out scrapbooks, photo albums
and old magazines, we help our residents to reminisce.
And we try to minimize distractions that can frighten or
confuse.
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Structuring the day:
- We begin by thinking
about the past week, by keeping notes in a journal about
activities and experiences that worked and didn’t work.
Which worked best and which didn’t? Why? Then we set up
a written schedule, based on this journal. A patterned
day allows us to spend less time and energy trying to
figure out what to do from moment to moment.
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Evaluation:
- The success of any
activity can vary from day to day. In general, if the
resident seems bored, distracted or irritable, we’ll
know its time to introduce another activity or take time
out to rest. In most cases, we expect these structured,
pleasant activities to decrease agitation and improve
her mood.
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The nature of the
activity and degree to which it's completed is not as
important
as the pleasure and sense of accomplishment
we hope our residents derive from it!
Activities We Draw
From:
#1
Self-Care
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Manicures;
Grooming: combing hair
Dressing,
Skin care & Make-up
Teeth & Denture Care; Toileting
Mobility & Transfer
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#2
Household Chores
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Pick up bedroom, trash
Make or strip Bed
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Fold Laundry
Dust & Sweep
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#3 Meal
Preparation
Kitchen Skills
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Sauces, Soups, Gravy, etc.
Sandwiches, Salads: Tossed, Potato & Macaroni
Puddings, Pies and Tarts
Folding Napkins,
Table
setting & clearing
Serving Food & Beverage
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#4
Physical -
Gross Motor
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Exercise;
Range of Motion
Floor Games:
shuffleboard, bowling, horseshoes, etc.
WALKING;
Dancing
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#5
Creative
Arts & Crafts
& Hobbies
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Decorating for Season
Note Cards, Greeting Cards, Scrapbooking
Mosaics, Bookmarks, Decoupage plaques
Candle Making, Painting & Gardening
Music - Words & Melody
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#6
Intellectual &
Work Related
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Books, Crossword
puzzles,
Magazines,
Daily Orientation,
Gardening,
Stuffing envelopes, Punching holes in paper
Stapling & collating, Stamping Mail,
Clip Coupons
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#7
Social & Spiritual
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PET/s
& CHILDREN THERAPY
Hymn Sing
& Devotions
Table Games & Table Discussion Groups
Dinners, Parties &
Monthly Potlucks
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