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Monday, June 27, 2016

Prayers for kindness

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professionals,

Here is information on being the best caregiver you can be

Here is a way for nurses administrators, social workers and other health care professionals to get an easyceu or two

Prayers & Prayer Request

Prayer for Kindness

Be generous in prosperity, and thankful in adversity. Be fair in thy judgement, and guarded in thy speech. Be a lamp unto those who walk in darkness, and a home to the stranger. Be eyes to the blind, and a guiding light unto the feet of the erring. Be a breath of life to the body of humankind, a dew to the soil of the human heart, and a fruit upon the tree of humility.
And this above all, to thine own self be true. And it must follow as night the day, thou canst not be false to any man. -Shakespeare

For as he thinks in his heart, so is he. Proverbs 23:7

Simple Kindness Prayer

Dear God

Give me the power to have helping hands

a warm heart

and a friendly smile

so I can be kind to someone in need

Sunday, June 26, 2016

Specialized center helps seniors with memory loss

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals,

Here is information on being the best caregiver you can be

Here is a way for nurses administrators, social workers and other health care professionals to get an easyceu

Get your subscription to Activity Director Today's e magazine

By John Keahey

The Salt Lake Tribune

Provo • Helen Hassell, all smiles and with a little help from her friend, pushed her way through the front door of the Aspen Senior Center housed in a former church meetinghouse.

The 89-year-old Orem woman was looking forward to her time in the unique center designed to help people with early symptoms of Alzheimer’s or dementia. She sat down at a round table in the midst of four other senior women and three staff members and jumped right in to play a round of memory games.

The large room, once the church’s sanctuary, is full of comfortable couches and chairs, along with tables overflowing with a variety of crafts that would appeal to both men and women. A quilting frame sits in the middle, next to a pool table. A donated organ is on the low stage, along with a piano. In another room, a library is being put together. A television room packed with comfortable chairs is nearby.

On the other side of the building is a snoezelen therapy room, so-named after a European concept. Designed as a multi-sensory quiet space, it is used to help settle clients who may be undergoing a severe dementia attack. Calming music can be played and different relaxing scents are available. A soft daybed rests along a wall.

Back in the main room, and within a half hour of Helen’s arrival, the women and their coaches were seated in an open circle, moving arms and legs in a relaxed series of exercises.

“Helen has a short-term memory problem,” said caregiver Nancy Pomeroy. After the exercise session and lunch, she listened to the other women talking about their lives, and it triggered memories of her own that she shared with the group.

“That’s exactly what she needs.”

Helen lives alone. Her three sons, all living out of state, rotate monthly visits of a week at a time to help their mom with house cleaning and bill paying, said Pomeroy. But Helen gets lonely at other times, and her age and medical conditions keep her from going to traditional senior centers run by counties and other nonprofit groups. That and her mild dementia.
more about Specialized center helps

Friday, June 24, 2016

Safety & Quality Pay Off

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professinals.Benevolant Society

Here is information on being the best caregiver you can be

Here is a way for nurses administrators, social workers and other health care  professionals to get an easyceu or two

Advance for long term care

By Sanjaya Kumar, MD

Safe, high-quality care is an imperative in the evolution of health care. Everyone involved in the care process, from patients to providers to payors agree on this point.
No matter what payment system, billing process or reimbursement policy is implemented, top-notch care is becoming the focus. At the core of a superior care environment is a consistent experience based on best practices and actionable knowledge.
Yet, as the entire industry is rapidly moving from process to outcomes-based metrics, most health care executives and senior staff are still ill equipped to make prudent decisions that help improve care while ensuring their efforts are operationally and fiscally sound.
Today providers make these decisions using a combination of partial data, past experience and trial and error. However, with technological advancement, better methods of decision-making are coming to the forefront. If implemented appropriately, these methods can rapidly change the paradigm of care and the overall performance of the health care enterprise.
One main barrier to this is that performance-enhancing, actionable knowledge resides within silos of data scattered throughout the health care IT environment. Integration of this information through business intelligence systems will enable health care executives to more effectively direct resources to improve patient safety and care based on hard evidence.

Out of Functional Silos, Integration of Clinical and Financial MetricsToday, clinically relevant data can more easily be associated with financial metrics. For example, pressure ulcers have always been considered a drain on resources, but proving this was cumbersome. Software enables patient populations to be easily separated into different cohorts (e.g., various stages of pressure ulcers). Likewise, analytics built into software enables length of stay (LOS) and costs incurred by each group to be analyzed.
The differences between the groups are typically wide, with extended stays and higher costs associated with those who have stage III and IV pressure ulcers. And if these are acquired while in the hospital, Medicare reimbursement is at risk. This of course is in addition to the burden on the patient, many of whom must subsequently be cared for in a rehab or skilled nursing facility.
There are many other examples of how integrated data can clarify and "prove up" where and to what extent investments in patient safety and quality should be allocated. High-risk, problem-prone activities, as well as those that are covered under accreditation standards, can be used as variables in the prioritization process. Research can also support decision-making regarding investment decisions.
An analysis of insurance claims data completed by the consulting firm Milliman for the Schaumburg, IL-based Society of Actuaries (SOA) revealed that five common medical errors accounted for 55 percent of total medical error costs in 2008:
  • Pressure ulcers, $3.86 billion ($10,288 total cost per error)
  • Postoperative infections, $3.66 billion ($14,548 per error)
  • Mechanical complications of devices, implants, or grafts, $1.13 billion ($18,771 per error)
  • Postlaminectomy syndrome, $1.12 billion ($9,863 per error)
  • Hemorrhages complicating a procedure, $960 million (12,272 per error)
Access to cross-domain, interrelated information on demand, with presentation in a context that makes sense based on the decision-maker's roles and responsibilities, is critical to supporting executive decision-making, the launch of improvement goals and the measurement of results. Analytics and reporting support teams as they delve into the processes and systems that need to be revised or redesigned.
In addition, the quality effort must be applied consistently across the entire organization to allow performance improvement to be measured enterprise-wide and across all domains.

Understanding the Technological FundamentalsHealthcare executives have long dealt with large budgets for IT systems, software and hardware. Today's newer technologies will support not just an individual organization, but also the healthcare continuum. To be prepared to review and evaluate these technologies, leaders must be have a basic understanding of the following concepts:
  • Cloud computing: this term refers to hosted services over the Internet and is broadly divided into three categories: platform-as-a-service (PaaS), infrastructure-as-a-service (IaaS), and software-as-a-service (SaaS). Among many advantages, these services provide access to a wide variety of service options and applications, the latest advanced application developments at a fraction of the cost of in-house development, and hosting on the most advanced platforms with the greatest computing power.
  • Integration and its complexities: With cloud computing services and their new, flexible and highly sophisticated technologies, the time-consuming and expensive task of integrating data across multiple tasks becomes considerably easier. This scheme provides match data types for the business owner with a map in place across all data types.

  • Role-based application architecture: Operating on the many-to-many principle, this architecture distributes data to many individuals from multiple sources. Each individual develops specific profiles with data access and permissions. To monitor metrics important to their role across clinical, operational and financial domains, users have the ability to customize their environment. This empowers and guides healthcare executives to make the most financially prudent and clinically sound decisions.
Next Steps for a Creating Clinical Business Intelligence EnvironmentNavigating the ever-changing tides of the health care environment and making driving a profitable, high-quality end result is not an easy task. Yet health care organizations have the data required to optimize performance and manage a financially and operationally efficient enterprise. As health care providers look to harness the power of business intelligence there are some key factors that deserve consideration. They include:
  1. Start with the end in mind. Setting a concrete vision for how a health care organization plans to implement and use a business intelligence system is critical to its success. Lack of vision will lead to numerous missteps and poor investment decisions.
  2. Choose the right technology platform. Health care providers need to review their environment and make sure the technology supports the overall vision. Technology for technology's sake will not yield the results desired from a business intelligence and decision support system.
  3. Drive cultural change. Ultimately, business intelligence solutions are used by staff to make critical decisions. Health care organizations need to ensure their organizations are prepared to take action with this knowledge. Clarity of roles and responsibilities and a supportive environment that encourages responsibility and accountability accelerate adoption and usage of this newfound intelligence.
  4. Implement checks and balances. Any decision support system needs constant monitoring to validate the use of the system and the decisions being made. Business intelligence is not a magic bullet to solve all your organizational issues. It is a systematic means of making informed decisions that should be monitored in terms of financial and clinical outcomes.
  5. Expect to fine-tune as you go. Implementing a business intelligence system is the start of a journey. Once the initial implementation takes place, health care providers will see a hundred other areas where business intelligence can be applied. They should expect this and make sure the technology used has the ability adapt and evolve with the needs of the organization.
Health care is at a crossroads. The intersections are safe, high-quality care, efficient operations and financially prudent decisions. Business intelligence, the technology, people and processes deployed will determine the level of organizational success in this endeavor. Every day health care providers wait to get moving is another day where profits and quality care are at risk.
1. Davis, C. (2010). Medical errors: Pressure ulcers and postop infections 

Wednesday, June 22, 2016

Take a risk quotes

Enjoy these famous quotes about taking risks:

* "Go out on a limb. That's where the fruit is." -- Jimmy Carter

* "Do not fear mistakes. There are none." -- Miles Davis

* "Twenty years from now you will be more disappointed by the things you didn't do than by the ones you did. So throw off the bowlines, sail away from the safe harbor, catch the trade winds in your sails. Explore. Dream. Discover." -- Mark Twain
The person who risks nothing, does nothing, has nothing, is nothing, and becomes nothing. He may avoid suffering and sorrow, but he simply cannot learn and feel and change and grow and love and live.”
 Leo F. Buscaglia
Don't refuse to go on an occasional wild goose chase - that's what wild geese are for.  ~Author Unknown

To dare is to lose one's footing momentarily.  To not dare is to lose oneself.  ~Soren Kierkegaard

I am always doing that which I cannot do, in order that I may learn how to do it.  ~Pablo Picasso

When in doubt, make a fool of yourself.  There is a microscopically thin line between being brilliantly creative and acting like the most gigantic idiot on earth.  So what the hell, leap.  ~Cynthia Heimel, "Lower Manhattan Survival Tactics"

I dip my pen in the blackest ink, because I'm not afraid of falling into my inkpot.  ~Ralph Waldo Emerson

Progress always involves risks.  You can't steal second base and keep your foot on first.  ~Frederick B. Wilcox

Why not go out on a limb?  Isn't that where the fruit is?  ~Frank Scully

Yes, risk taking is inherently failure-prone.  Otherwise, it would be called sure-thing-taking.  ~Tim McMahon

Many great ideas have been lost because the people who had them could not stand being laughed at.  ~Author Unknown

If you don't take risks, you'll have a wasted soul.  ~Drew Barrymore

The fear of being laughed at makes cowards of us all.  ~Mignon McLaughlin, The Neurotic's Notebook, 1960

You'll always miss 100% of the shots you don't take.  ~Wayne Gretzky

I believe in getting into hot water; it keeps you clean.  ~G.K. Chesterton

What is more mortifying than to feel you've missed the Plum for want of courage to shake the Tree?  ~Logan Pearsall Smith

A ship in harbor is safe - but that is not what ships are for.  ~John A. Shedd, Salt from My Attic

To eat an egg, you must break the shell.  ~Jamaican Proverb

To win you have to risk loss.  ~Jean-Claude Killy

The torment of precautions often exceeds the dangers to be avoided.  It is sometimes better to abandon one's self to destiny.  ~Napoleon Bonaparte

If you're never scared or embarrassed or hurt, it means you never take any chances.  ~Julia Sorel (Rosalyn Drexler), See How She Runs, 1978

Take risks:  if you win, you will be happy; if you lose, you will be wise.  ~Author Unknown

Prudence keeps life safe, but does not often make it happy.  ~Samuel Johnson

This nation was built by men who took risks - pioneers who were not afraid of the wilderness, business men who were not afraid of failure, scientists who were not afraid of the truth, thinkers who were not afraid of progress, dreamers who were not afraid of action.  ~Brooks Atkinson

The more chance there is of stubbing your toe, the more chance you have of stepping into success.  ~Author Unknown

The healthy being craves an occasional wildness, a jolt from normality, a sharpening of the edge of appetite, his own little festival of the Saturnalia, a brief excursion from his way of life.  ~Robert MacIver

Of all the people I have ever known, those who have pursued their dreams and failed have lived a much more fulfilling life than those who have put their dreams on a shelf for fear of failure.  ~Author Unknown

Nothing will ever be attempted, if all possible objections must be first overcome.  ~Samuel Johnson, Rasselas, 1759

Only those who dare to fail greatly can ever achieve greatly.  ~Robert F. Kennedy

It's a shallow life that doesn't give a person a few scars.  ~Garrison Keillor

Why live on the edge when you can jump off it? ~Sign at Macau Tower Bungy Jump

Adventure is what happens when you just did something stupid. ~Professor Bernie

It is not because things are difficult that we do not dare, it is because we do not dare that they are difficult.  ~Seneca

What great thing would you attempt if you knew you could not fail?  ~Robert H. Schuller

You must lose a fly to catch a trout.  ~George Herbert

While forbidden fruit is said to taste sweeter, it usually spoils faster.  ~Abigail van Buren

I hugged safety close to my chest and kissed risk full on the lips. ~Betsy Cañas Garmon,

The knowledge of the world is only to be acquired in the world, and not in a closet.  ~Lord Chesterfield

Often we... expect and want every day to be just like today.  Even though we're not satisfied with today, we settle for security instead of discovery.  ~Stephen G. Scalese, The Whisper in Your Heart

Never be afraid to try something new.  Remember, amateurs built the ark; professionals built the Titanic.  ~Author Unknown

Adventure may hurt but monotony will kill you. ~Author Unknown

If one is forever cautious, can one remain a human being?  ~Aleksander Solzhenitsyn

Dare to be naive.  ~Buckminster Fuller

It is only in adventure that some people succeed in knowing themselves - in finding themselves.  ~André Gide

Every man has the right to risk his own life in order to preserve it.  Has it ever been said that a man who throws himself out the window to escape from a fire is guilty of suicide?  ~Jean-Jacques Rousseau

There are those who are so scrupulously afraid of doing wrong that they seldom venture to do anything.  ~Vauvenargues

One cannot refuse to eat just because there is a chance of being choked.  ~Chinese Proverb

Do not be too timid and squeamish about your actions.  All life is an experiment.  The more experiments you make the better.  What if they are a little course, and you may get your coat soiled or torn?  What if you do fail, and get fairly rolled in the dirt once or twice.  Up again, you shall never be so afraid of a tumble.  ~Ralph Waldo Emerson

One does not discover new lands without consenting to lose sight of the shore for a very long time.  ~André Gide

Behold the turtle.  He makes progress only when he sticks his neck out.  ~James Bryant Conant

You might as well fall flat on your face as lean over too far backward.  ~James Thurber

We fail more often by timidity than by over-daring.  ~David Grayson

Living at risk is jumping off the cliff and building your wings on the way down.  ~Ray Bradbury

Monday, June 20, 2016

Preparing for sundowners

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professionals.

Here is information on being the best caregiver you can be

Here is a way for nurses administrators, social workers and other health care professionals to get an easyceu or two

If you have a loved one or client with Alzheimer's whose confusion appears to increase during the latter part of the afternoon, you're not alone. This is a symptom which many Alzheimer's patients will go through. It is called, "Sundown Syndrome"—also known as "Sundowning." This descriptive term describes the onset of heavier confusion and intensified agitation. Usually, this begins anywhere from late afternoon to dusk. But in reality, it could happen anytime throughout the day.
Around 4:45 p.m.—everyone in my house got a new name, possibly two. My father, who didn't seem to need a clock for this, went through this change daily toward the end of the moderate stage of Alzheimer's disease.
Experts believe one of the contributing factors is a shift in their biological clock, caused from the change of daylight to dark. Keeping the house well lit during these hours will help immensely.
Physical and mental exhaustion is one of the biggest culprits. An Alzheimer's patients' days consists of coping with who's who, "where am I," and living in the past. This would mentally drain anyone.
Once again, routine is the most helpful thing for memory-impaired loved ones. Evening hours usually become the busiest in a household; people coming and going, cooking supper, phone calls and the list goes on. If the traffic in your home is high volume, try placing them in a quieter
For a caregiver, one of your best stands for defense will be to be prepared beforehand.
As the hours of daylight change with the seasons, always have you house lights turned on an hour before day's end, never allowing shadows to invade your home. Also, when you sense that a heavy bout of confusion is advancing, try to keep them preoccupied with some kind of activity. Place a photo album in their lap, anything that will redirect their jumbled thoughts. This may call for a little trial and error before you find something that is truly effective.
There were days when I swore my father's Sundowners would last morning 'til midnight. I also recall noticing similar reactions on dispiriting rainy days. Once anxiety builds, it's difficult to turn it around. Keep evenings as calm, routine and simple as possible. You just have to continue doing the best that you can.
Gary Joseph LeBlanc was the primary caregiver of his father for a decade after he was diagnosed with Alzheimer's disease and has published a new expanded edition of his book, "Staying Afloat in a Sea of Forgetfulness", due to release on July 15.
Posted by (alzheimersideas) on 07/10/2011 at 02:04 pm.
These are great suggestions. A book with baby photos might be a good diversionary tool

by Susan Berg author of Adorable Photographs of Our Baby-Meaningful Mind Stimulating Activities and More for the Memory Challenged, Their Loved Ones and Involved Professionals a book for those with dementia and an excellent resource for caregivers and healthcare professionals.

Saturday, June 18, 2016

The Foolish Fish

Activities directors and other healthcare professionals here is a great dementia resource for caregivers and healthcare professionals,

Here is information on being the best caregiver you can be

Here is a way for nurses administrators, social workers and other health care professionals to get an easyceu or two

This Short Story The Foolish Fish is quite interesting to all the people. Enjoy reading this story.

In a huge pond, there lived many fish. They were arrogant and never listened to anyone. In this pond, there also lived a kind-hearted crocodile.

He advised the fish, “It does not pay to be arrogant and overconfident. It could be your downfall.” But the fish never listened to him. “There is that crocodile, advising us again,” they would say.

One afternoon, the crocodile was resting beside a stone near the pond, when two fishermen stopped there to drink water.

The fishermen noticed that the pond had many fish. “Look! This pond is full of fish. Let’s come here tomorrow with our fishing net,” said one of them. “I am surprised we have not seen this place before!” exclaimed the other.

The crocodile heard all this. When the fishermen left, he slowly slipped into the pond and went straight to the fish. “You all had better leave this pond before dawn. Early morning those two fishermen are going to come to this pond with their net,” warned the crocodile.

But the fish just laughed and said, “There have been many fishermen who have tried to catch us. These two are not going to catch us either. Do not you worry about us, Mr. Crocodile,” they said in a mocking voice.

The next morning, the fishermen came and threw their net in the pond. The nets were big and strong. Very soon all the fish were caught. “If only we had listened to Mr. Crocodile. He had only wanted to help. For our arrogance we have to pay with our lives,” said the fish.

The fishermen took the foolish fish to the market and sold them for a good profit.

Thursday, June 16, 2016

Person centered activities for those with dementia

Activities directors, caregivers, and healthcare professionals,here is some great information

Here is a great dementia resource for caregivers and healthcare professionals,

Your residents will love the Amazon Kindle Fire

Here is information on being the best caregiver you can be

Here is a way for nurses administrators, social workers and other health care  professionals to get an easyceu or two

Follow alzheimersideas on twitter

The Dementia Caregiver's Little Book of Hope [Kindle Edition]

 Person centered activities take into account the whole person. We consider everything from persons’ interests,backgrounds, likes, past family dynamics, limitations, special behaviors, and cultures
Our workforce is a unit of highly creative caring individuals. with unique characteristics such as: creative, quick thinking, adaptive and modification skills,exceptionally positive attitude, enthusiatic, flexible, self esteem boosting, intuitive, and extremely patient
Our staff takes ordinary activities and turns them into extraordinary events.**Examples include: -a ball game where we use a wide variety of balls with many special qualities. We also use balls and other sensory items for unique purposes such as: grounding a low functioning resident
-Real conversations with real people- where we focus on sharing stories about real life experiences and residents unique past experiences. We try to add humor all the time
-Activities using imagery such as: pretending we are fishing using real or unusual, safe fishing gear
-Creative writing activities including composing short stories and creating different types of poetry
-Music activities taking simple sing a longs and alike and transforming them into multilevel, multifunctional experiences