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Category Archives: Culture Change

Action Pact 1-Day Workshop

June 9, 2016:  From Good Sleep to Wellness
Location:  Kansas City, KS

Participants will take an in-depth look at the impact of sleep or lack of sleep on the life of those they serve.  They will consider the causes and contributing factors, identifying those that can be changed and develop plans for addressing them based upon the concepts of high involvement and resident-directed care.

Please see the even details and registration info here.

Conversations with Carmen

April 22, 2016:  Dignity-Based Approach to Incontinence
Guest:  Susan Fry, Retired Culture Change Nurse Leader

Guest Susan Fry will report out on a multisite research study regarding a dignity-based approach to incontinence management. Join us to hear both the change steps and the exciting improved outcomes realized:

  • Disturbing residents less often increases comfort and dignity and respects natural sleep patterns, which improves alertness, appetite and nutrition while reducing confusion.
  • Reducing the risk for falls by supporting residents to sleep naturally through the night without the need to get up to use the bathroom.
  • Higher quality products keep skin dryer and promote skin health.
  • Better leakage protection encourages resident confidence and security.
  • Individualized care respects residents’ dignity and voiding patterns, and improves the level of participation in daily activities.

Please visit the event page here for more information and to register.

Hot Topics: Culture Change in Action

April 14, 2016:  Educating the Next Generation of Nurses in Person-Directed Care
Presenter:  Christine Mueller, Ph.D., Professor & Associate Dean for Academic Programs, School of Nursing – University of Minnesota

This webinar will provide specific strategies about how to partner with schools of nursing and engage your nursing staff in being guides and mentors for nursing students in providing person-directed care.  Learn how your organization can be a place to foster enthusiasm in nursing students about working in long-term care.

For more information including registration, please visit the Pioneer Network’s event page here.

Monthly Challenge Poster from MoLANE

“Distracted and Overwhelmed”
This month’s poster urges the use of physical and verbal clues when communicating with a resident who seems withdrawn or has a hard time following instructions.  Please use this poster to stimulate discussion among direct care staff to help them learn more verbal and physical clues and to encourage their use.

Please see the poster and MoLANE Letter for more information.

Conversations with Carmen

March 18, 2016:  ALARMS: The New Deficient Practice?  Replacing Alarms With Better Practices
Presenter:  Carmen Bowman, co-author of “Alarms: The New Deficient Practice? Eliminating Alarms and Preventing Falls by Engaging with …. Life”

Join the discussion to consider the use of alarms.  Could it be that alarms actually fit CMS’ definition of “convenience,” which is not to be a reason for restraints at Tag F221?  Hear how the use of alarms could be deficient practice on/for at least seven tags.  Although no research shows that alarms prevent falls and there is evidence that alarms cause people physical and psychological harm, they are still used widely.  Eliminating alarms has actually reduced falls in the homes that have done so, committing to the better practices of

  • proactively checking in with residents
  • focusing on mobility
  • anticipating needs and
  • engaging residents with real life.

For more information including registration, please visit the event page here.

Nursing Home Quality Improvement Spotlight On…

Activities for Daily Living
Focusing on person-centered interventions can improve a resident’s activities for daily living.  Click on the following links for resources on this topic.

Activities to Improve Nighttime Sleep (PDF)
Person-Centered Care Resources

Hot Topics Webinar

March 17, 2016:  Palliative Care for Persons Living with Advanced Dementia: Why Comfort Matters!
Presenters:  Tena Alonzo, Director of Education & Research, Beatitudes and Ann Wyatt, Residential Care Policy & Strategy Consultant, Alzheimer’s Disease and Related Disorders, New York City, Inc.

Comfort Matters™ is a comprehensive, palliative approach to caring for persons living with advanced dementia, developed by the Beatitudes Campus in Phoenix, Arizona.  This webinar will describe some assumptions that exist about persons in different stages of dementia and the principles and practices embodied in this approach to their care as well as the organizational adaptations needed in order to support comfort practices in residential long-term care settings.  The Alzheimer’s Association, NYC Chapter, worked with three nursing homes to adapt and implement these practices and their findings, processes and challenges will be shared.

Please see the Hot Topics Event page here for more information and to register.