Activities Assistance

Tuesday, April 24, 2007

Be Specific

With the CMS Guidelines that went into effect last year, we now need to be specific when we assess, care plan and note on the resident's. For example, if a resident enjoys listening to the radio what type of radio and the specific radio station does the resident enjoy. If someone else enjoys playing cards, which card games does he/she play?
By being specific and addressing the specific interests of your resident will assist you in devleoping their care plans and addressing their specific needs in their progress notes. You will need to review your assessments to ascertain if you are actually gathering the correct information for your documentation.

Wednesday, April 06, 2005

1-1 Activities

Using the information that you gather on the Activities Assessment will assist you in planning activities for 1-1 activities, programs for bed bound residents, activities with 2-3 people or those that have a hard time planning programs for individuals.
Yes, planning. See developing programs for 1-1 residents takes as much planning as planning for a group event. All of which takes some time, thought and indeed planning.....Which makes this so difficult for most activities departments. This type of program means that you will be spending time 1-1 with the resident, not visable to the nursing staff or that you have to make sure that the Activities Assessment reflects what the resident is interested in and has skills in.
So with that in mind, what works for my department might work for yours, but on the other hand may not. It depends on the approach, what the resident is interested in and what you can provide for them.

For example, I had a resident who had been to museums and was a fine arts major in college. She was unable to make her needs known, but did open her eyes during care and when I would go to see her. So for her activity, I found an "Art Game" that had picutes of famous paintings. Once a week I would change the pictures on her wall (which was also placed at her eye level) and talk about the paintings and the artists. She would only respond with eye contact and I was never sure that she knew what was up. BUT this met her needs and her interests.

Another resident that enjoyed watching TV was visited 2x a week by staff with a TV schedule that was updated, blown up on the copier for the resident to see and a conversation about TV specials.

Both activities were done under the scheduled "Coffee Cart". Both residents had their needs and interests met, both residents participated in the scheduled 1-1 activities. They were assessed and their assessments reflected their particular interests and needs. Now that we have the internet both residents would have their programs updated and done ASAP!

Monday, March 14, 2005

Initial Assessment Form

Activities Initial Assessment
Name_____________________________________ Date__________________
Room #________________ Diagnosis_________________________________

Marital Status ‹ Married ‹ Divorced ‹ Single (Never Married) __Other
Past Occupation(s) ____________________________________________________________________________________________

Religion ‹Practicing ‹Non-practicing ‹Enjoys all religions

Registered to vote? ‹Yes ‹No ‹Would like to vote here

Activities/Hobbies/Interests that this person likes to pursue as well as learn about. Please encourage him/her to attend these programs when announced

Hobbies

‹ Gardening
‹Pets __________________
‹ Family Events
‹ Holiday Celebrations
‹ Bird Watching
‹ Boating
‹ Camping
‹ Hunting
‹ Fishing
‹ Cooking
‹ Crafts
‹____________________
‹____________________
‹____________________

‹ Favorite Game
_____________________

‹ Casino Games
‹ Crossword Puzzles
‹ Word Searches
‹ Reading
‹ Travel
‹ Dancing
‹ Movies
‹ Computers
‹ Cards

Spiritual Needs

‹ Services (attends regularly)
‹ Bible Study
‹ Meditation
‹ Temple
‹ Protestant Services
‹ Catholic Mass and Traditions
‹ Priest/Minister to visit 1-1
‹________________________
‹________________________

Sports
‹ ___ Sports Fan
‹ Baseball
_______________________
‹ Football
________________________
‹ Basketball
________________________
‹ NASCAR
________________________

‹ Soccer
‹ Horseshoes
‹ Bocce Ball
‹ Walking
‹ Horse Racing
‹ Snow Sports
‹ Olympics

‹ Card Playing
‹ Poker
‹ Bridge
‹ Hearts
‹ Solitaire
‹ Spades
‹ Rummy
‹ ___________________
‹___________________

‹ Crafts
‹ Knitting
‹ Crocheting
‹ _________________
‹ Sewing
‹ Painting
‹ Ceramics
‹ Scrapbooking
‹ Woodworking
‹ Writing
‹ House Décor
‹ Rubber Stamping
‹ Model Making
‹ Puzzles
‹ Crafty Crafts

‹ Games
‹ Bingo
‹ Board Games
‹_____________________
‹ Casino Games
‹ ____________________

Activities that we have here that the resident would like to attend

‹ Socials
‹ Teas
‹ Men’s Groups
‹ Veterans Programs
‹ Parties
‹ Entertainment

‹ Educational
‹ Biography
‹ Current Events
‹ You be the Judge
‹ Back to School
‹ Science Programs
‹ ___________________
‹____________________

‹ Community
‹ Movies
‹ Resident Council
‹ Outings
‹ Service Projects
‹ Entertainment
‹____________________
‹ ____________________
‹_____________________

Spiritual
‹ Protestant Service
‹ Catholic Mass
‹ Bible Study
‹____________________
‹____________________
‹____________________

Intergenerational
‹ Elementary School/Highe School/University visits
‹ Reading Programs
‹ Home School

1-1 and Individual Activiites
Bedside and Small Group


‹ Reading/ Talking Books/
Newspaper/ Magazines
type___________________
‹ Crossword Puzzles
‹ Crafts
‹ Snack/Soup/
Refreshment Cart
‹ Wheeling/ Walking
‹ Current Events
‹ Family Events
‹ Tea Cart
‹ Trivia
‹ Card Playing
‹ Word Searches
‹ Helping Others
‹ Listen to Radio
‹ Visits with Staff/Volunteers
‹______________________
‹ TV Specific Programs
‹_______________________
‹_______________________
‹_______________________

‹ Decorates Own Room
‹ Goes out on own
‹ Family visits regularly
‹ ______________________
‹ _______________________

Preferred Activity Setting

‹ Own Room
‹ Day/Activity Room
‹ Inside Nursing Home/off Unit
‹ Outside Nursing Home
‹ Community Programs on own
‹ Family Events
‹ Needs Assistance from Staff to
get to programs (transport to and from)
‹ Read calendar to him/her
‹ Favorite Snack/Food __________________
‹ Favorite TV _________________________ ‹ Other Interests

Thursday, March 03, 2005

John T

John T
John was admitted to your facility with Parkinson and the inability to speak. He can make his needs known by hand gestures. He has an estranged daughter who lives out of town and will not be able to come and visit. He is an ex-boxer and more than likely has Parkinson due to the boxing. He is able to push the wheelchair around on his own using his good arm and his foot. He also has had a CVA affecting his right side.
How do we go about learning about what John would like to do? How can we learn about what he enjoys doing and what he would like to do? How can we document our conversations with him?

Carrie

Carrie
Carrie will be celebrating her 100th Birthday next year. She owned a grocery store in the neighborhood. It was a gathering spot for all the neighbors. She was married twice and outlived both husbands. She enjoyed her church functions and was an elder in the Pentecostal church. She was also active on her political committee, for which she watched the polls every year. She has five children who all live close by and state that they will visit often. However, since admission they have only visited to bring in her belongings.
She was admitted on a ventilator along with a fractured right arm. She also has MRSA and VRE. She is in a private room, has been very demanding of nursing staff and is always on the call bell. Nursing has requested that Activities give her something to do.

What type of activities, that you currently have on the calendar would she be interested in? How can you adapt her situation to include activities of interest??? How do we go about getting her interested in her new living situation.

Wednesday, March 02, 2005

Ethel

Ethel
Miss Ethel is 84 years young, she is a member of a Bridge Club that plays every week. She also enjoyed shopping and baked. She was a career women who never married, she worked for a law office as the secretary for the founding members of the law firm. She also trained other secretaries. She has traveled around the world, has scrapbooks of pictures and journals of all her trips. She has a nephew who lives four states away and stays in touch via phone to the facility.
She has MS and has been an active member in her community support group. Due to the loss of control she is confined to a wheelchair.
Looking at your current activities calendar, where would she "fit in"?? What would you provide for her considering what your activities calendar looks like right now.

Tuesday, March 01, 2005

Sam

Resident Personality

Let's discuss "Sam" for a moment. Sam came to the nursing Home with an amputee, bad diabetes and COPD. He has some mild confusion and has lived at the VA for the last three months since the amputation. Sam was born in late 1929.

His social history includes an avid crossword puzzle fan, doing the daily puzzle in the daily paper. He puttered about his house, fixing things and doing all the "traditional" husband projects and tasks. He mowed the lawn, washed the cars, took the trash out, walked the dog and enjoyed a good barbecue with his family. He also enjoyed fishing and is a former Navy lieutenant. He enjoyed his job, but did not have a "best friend". He went to social events planned by his wife and enjoyed family gatherings. When he was younger he would stop and have a drink with co-workers on Friday evenings before returning home.

He has four children and a wife who visits twice a week for the day. So based on your current activities and what you have on your calendar, where would Sam fit in? Would he be going to a whole bunch of activities? Would he be coming to Bingo??? How about Men's Club????

What do you think? Post your comments here.......

Monday, February 28, 2005

Activities Planning

Needs and Interests

Assessing a resident for activities should be a journey into their past interests, dreams and leisure skills. While we are all defined by "what we do" for a living, we still have talents way beyond the job that paid us. We enjoy spending an evening with our family helping with homework, we love to watch re-runs of "The Honeymooners" or we have a hobby that we use to reduce the stresses of the day. On the weekends we look forward to fishing in our favorite pond or we make that extra pot of coffee and gossip with our neighbors. All are interests that residents would like to continue to enjoy. Do we look for that on our assessments? Do we ask the questions that will assist with meeting their needs?


Many times we find out that residents participated in Community Groups only in their obituary. Did we find that information out during their assessment? Did we ask their loved ones about their accomplishments? Did we make those accomplishments known while they lived with us or are we mentioning them at their Memorial Service?? Does your assessment include areas for this information or are we still referring to their medical condition?
Do we seek out information that actually reflects the interests? Would a resident like to continue their "schooling"? Would a resident like to accomplish something totally different in their life time. Have we probed into what those "dreams" are? Are we adapting the activities to meet those interests?


If a resident is interested in going to the Louvre in Paris, what have we done to accomplish that dream? Do we have reproductions of the paintings hanging in their room? Have we gone to the website and gotten information for them? Do we periodically change pictures and make sure that they can go to the local art galleries? What, as activity professionals, do we do to adapt their environment to meet their interests?


Are we using the Activities Assessment tool to it's fullest potential? Are we just repeating the information that can be found in other sections in the chart? Are we really looking into a residents life or just recording information because we "HAVE TO"??? Does our staff know why they are doing this? Do we use these assessments to plan activities or are they gathering dust in the charts?

Are we using all the resources we have to meet the residents needs? If a resident came to your facility tomorrow with late stage dementia, wandered and had a social history of riding horses what would you do? Who would you contact? Where would you look for a place to take him/her to see horses or how would you go about getting them a ride on a horse? Would you get movies about horses? Would you get pictures or magazines? Are there resources that you would look for? How about a resident that Ballroom danced?

See the Activities Assessment is not just a piece of documentation that "HAS TO GET DONE" it's a document that should be the key to a residents soul. It should be the key to the soul of the activities department.