Cindy ndy DeGroo oot t BSN, N, RN, , CDP Rive ivers rside - - PowerPoint PPT Presentation
WE WEDN DNESD ESDAY Y 3/21/18 21/18 10:45a :45am-12: 12:15pm 5pm Cindy ndy DeGroo oot t BSN, N, RN, , CDP Rive ivers rside ide Senior ior Life e Commun mmunities ities-Bou Bourbo rbonnais, nnais, IL cdegr egroot oot@R
WE WEDN DNESD ESDAY Y 3/21/18 21/18 10:45a :45am-12: 12:15pm 5pm Cindy ndy DeGroo
t BSN, N, RN, , CDP Rive ivers rside ide Senior ior Life e Commun mmunities ities-Bou Bourbo rbonnais, nnais, IL cdegr egroot
@RHC.net HC.net
I have the right to determine how best to meet my
needs
It must include me, my family and team in
decision-making
My care must be nurturing, compassionate,
empowering and respectful
My care should optimize my physical and
psychosocial well-being
“Nothing About Me, Without Me”
“See me for the person I am” “See me for all the things I believe, care about and
love to do”
Please don’t diminish my personhood just because
I need some assistance with activities of daily living
Person-Centered Living Matters….produced by
Dementia Action Alliance Reflects on 5 people living with Dementia and how PCC helps them more fully
www.youtube.com/watch?v=OZXeXHJX_1A&t=165s
www.youtube.com/watch?v=o_lIcihpIYQ
Ri Right t Way? Wrong ng Way?
Define Person-Centered Care/Person-Directed Care Define Culture Change Identify a Well-Being Framework to share in your
Discover one community’s lessons learned along their
Obtain & Identify tools & resources to use in
Share YOUR Successes in Culture Change/Person-
“Well-being is a much larger idea than either
quality of life or customer satisfaction. It is based
human possessions…Dr. Bill Thomas, “What Are Old People For”
The Ultimate goal of Culture Change is…”Well-
Being for all”
community
the relationship
IDENTITY-Being well-known, having personhood,
individuality, wholeness, have a history
GROWTH – Development, enrichment, unfolding;
expanding, evolving
AUTONOMY – liberty, self-governance, self-
determination, choice, freedom
SECURITY-freedom from doubt, anxiety, fear,
safe, dignity, respect
CONNECTEDNESS alive, belonging, engaged,
connected to the past, present, future, connected to personal possessions
MEANING-significance, heart, hope, import,
JOY-happiness, pleasure, delight,
Relationships between the staff & residents are at the
Systems and structures are developed to support
TEAM TIME: Write down what your day of a “LIFE
Strength Possibilities Dreams Goals Our Resident’s Best ability to Function What they “CAN” do, not what they “Can’t do”
https://www.youtube.com/watch?v=EFRkFPPh2hw
A transformation in philosophy and practice to de-
Now…it’s practices are applicable in MANY post-acute
TR
TRADITIO TIONAL NAL CARE RE
Re
Residen ents ts are told d when to wake e up, go to bed, eat, and bathe he based d upon
insti titutio tutiona nal sch chedule dules s and set routi tine nes
RESIDENT-CENTERED CARE Residents wake up, go to bed,
eat, and bathe when they choose to.
Staff alter their work routines
to honor the resident’s preferences
Resident Routine
Individualized Service Plans Hiring/Training New
Employees
Meaningful Resident
Engagement
Resident Centered Council
Dining Experience
Residents
neighborhoods
Responding to Pull Cords
know resident’s routine
Consistent Assignment Huddles Involve C.N.A.’s the frontline team members
QI Huddles-involve those closest to the
“The same residents are cared for by the same caregivers on at least 85% of their shifts”
The Advancing Excellence Campaign
www.youtube.com/results?search_query=advancing+ excellence+consistent+assignment
“Consistently assigning the same care givers
to the same nursing home residents every day”- David Farrell 2007
Refers to assignments for nursing assistants
Readily extends to Charge Nurses, Social
To never know who your caregiver is To always have caregivers that don’t know
To know that you may not see that person
There is a possibility that a single resident
Residents have more control over their care Improved Clinical Outcomes Reduction in Skin Impairment Build positive relationships Increase resident and family satisfaction Improve staff satisfaction Lower Absenteeism Decreased Staff Turnover Quicker awareness of clinical problems Improve staff accountability Improve communication between shifts and with other
disciplines
Improve Quality Outcomes!!!
SUCESSFUL TIPS
TYPES
New Residents At Risk Residents Changes in condition Rehospitalizations Pending transitions/discharges Incidents/Accidents QAPI News, announcents Kudos/Celebrations/Recognitions New Staff
Relationships closest to the Resident: Nursing Housekeeping Activities Culinary Volunteers All Team Members RESIDENT AS THE FOCUS
Began 20yrs. Ago – Pioneer Network Movement Our Team over 10yrs. Ago wanted to “CHANGE THE
ASSISTED LIVING IS CHANGING….from Social Model to…???? Aging in Place…Growing Needs of Residents….we were starting down the “Institution Path”…NO WAY!!!
fe is a r remarka kabl ble e journe ney. y. Health impacts every step - how we connect with others, how we express our potential, how we pursue our dreams. At Riverside our mission is to provide healthcare experiences that are just as remarkable. We do this for each and every person, regardless
We offer our highest thinking, our kindest touch, and our strongest commitment to excellence.
QUALITY –
and processes until they progressively improve interpersonal RELATIONSHIPS!
THE END-USER –
contributions to Quality Improvement
Celebrate How To Live Our Mission Daily Discover Our Foundation For Relationships
Analyze data Manage perceptions to make a difference Our goal is to set you up for success! Another goal at Riverside is for every patient,
Growing Trusting Relationships Consistent Communication Monthly Team Meetings Shift Report/Walking Rounds Wellness Rounds Huddles
Trust Walk Inspirational Stories
Evidence Based Interview questions Clear Expectations Obtaining references If valuable candidate-schedule shadowing Welcome Communication Orientation Classes – Priority to attend Post Orientation1:1 30-60-90 day Rounding by Educator
“How Would You Feel if”-Exercise
Topic: What would it be like to be dependent on others and not in control
EXERCISE: Offer as an example of a role play: Imagine that you are sitting in a chair in your living room. You are looking
kids play in front of your house and BAM…suddenly a person you do not know, walks into your room, starts taking off your clothes and says, “It’s time for your bath!” DISCUSS..how would you feel
Tom Kitwood…Person-Centered Care
Riverside Healthcare –
2017 Started Senior Life
2017 Smar art t Goals als
1. Increase Communication Across the Continuum 2. Reduce Falls Rate 3. Decrease Medication Errors
2017 Membe mbers s of SL Co SL Council il
Christina McKee, Chair Carolyn Blanchette, Facilitator Judi Coyne, Co Chair Rosa Rodriguez Ashley Chappell Joanne Smith Cindy DeGroot Diane Marek Meghann Giarraputo Kathy Johnson Deena Kissee
Bios are emailed out on new residents moving in to our clinical staff
& managers to share with their teams
We “ASK” our Residents WE “ASK” our Families (for residents in Memory Care Personal Preference Lists may be in binders at your front reception
desk (Kankakee)
IN2L – “My Page” – Experience Team creates personalized pages on
IN2L with resident’s favorite things to do
IN2L – “MY STORY” – Experience Team creates the “STORY” of the
residents during first few months
Clinical Team – C.N.A.’s Touch screen computer – Resident Profile Memory Care – Individual forms for each resident Dept. Meetings/Huddles/Shift Report New Resident Socials “Live To Learn” series – Residents present/share about them, hobbies
We support our Resident’s life journey to help them acquire more cherished moments.
Every minute
cause for celebration!
Annual All Staff Meeting Monthly Team Meetings Recognition/Employee Stories in monthly
Annual Employee Celebration/For their
Celebration Team Holiday Meals Annual Garage Sales - $$ for Employee
Start every Leadership Meeting, staff
New Hires complete “TELL US ABOUT FORM” Care Connection Cards – when going above &
Thank-You cards handwritten by managers &
We focus on your connections to family, friends and all those you love.
10wk project
Weekly
Resident’s Story
them
Experience
WHAT ARE THE BENEFITS OF THIS EXPERIENCE?
Geriatric Patient
residents
First, then the task at hand
when they go to the Dr’s office or when they’re in the hospital.
first and foremost
EACH DIFFERENT”
Am” & what my preferences are
built on TRUST first & as a nurse you must earn that from your patients.
memorable beginning to their Geriatric Clinical Experience in Geriatric Settings for Nursing Students
Partner Up…Take 5minutes and share with
What does YOUR community have in place to
How do you share, communicate, where does
Educate New Hires in Orientation Monthly Leadership QI Meetings Share Findings at Resident Council Meetings Monthly Care Team Meetings Post for all Depts. To see Email To Team Discuss at Huddles
Retention Resident/Family Complaints/Feedback Resident Satisfaction Surveys Employee Opinion Surveys Mini Surveys during Dining QI Areas you study
Cindy DeGroot RN, BSN, CDP cdegroot@RHC.net 815-935-3332 ext. 6276