Trainer May 14, 2005
The National Council
of Certified Dementia Practitioners is offering
Train the Trainer
for Alzheimer’s and Dementia seminar
only once this year. Registration is still
open. The course will provide overheads, power
point, textbooks, video and handouts. All the
tools necessary to implement an Alzheimer’s
and Dementia Training program for your staff.
The course is recommended for in-service directors,
corporate trainers and consultants. The class
will be held on May 14th, Saturday in Livingston,
NJ Please visit www.nccdp.org for more information
and registration form.
As resident’s decline they are unable
to participate in planned group programs.
You are still required to provide stimulation.
We offer several products to help you with
programming ideas. We have a Sensory Enrichment
calendar packed with ideas. We also carry
a book called Wake Up that provides lots
of sensory ideas. We also have a book called “Enrichment
Sensory Program Book” with lots of
ideas to aide in planning your calendars.
Another book on our site is called The Activity
Planning Work book and gives ideas for each
month and are easy to do with your dementia
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so many benefits to having intergenerational programs
for the residents
and the children. For children,
it breaks down barriers while getting to know seniors
in long term care settings. Dispels myths about seniors.
Allow children to form new relationships. Remember
that the children are tomorrow’s elders.
For seniors, the benefits are many. Children bring a smile to a senior. Their
visits give them something meaningful to look forward to and lots to discuss
once the children have left. It provides opportunities to make new friends
and bond with children. Not all seniors have grand children and they will welcome
these special visitors. Seniors can be mentors to children. They can also offer
tutoring from reading to piano lessons.
Care needs to be taken towards children and their
visits. No matter how home like and pretty a facility
is, the visit can be scary. Many children have never
seen wheel chairs, walkers and Geri chairs. Some of
the behaviors that a dementia resident has may be scary.
So plan your visits well. Have something special planned
for the residents to do with the children.
One idea is a monthly story hour. A local preschool
could be invited to come monthly for a story. Let the
residents each take turns reading the book. Let the
children take turns turning the pages of the book.
Another child could place their fingers under each
line and help the resident read the book. There is
a great new book on our site titled; “Wilfrid
Gordon McDonald Partridge”, which would be a
great 1st book to begin with. It’s about a little
boy who asks several seniors, “What is a memory?” Each
senior gives a definition of what a memory is. The
little boy goes back to his room and fills a basket
with items based on these definitions. He takes the
basket of items to his special friend in the nursing
home, who he has been told “has no memories” due
to Alzheimer’s. As he shows her his basket of
items she begins to share memories. A beautiful book
with gorgeous illustrations.
End the program with a snack and thank them for coming.
|Nursing Home Magazine
- Canada Fantastic New Resource!
a great publication at www.nursinghomemagazine.ca.
The magazine has unbelievable articles and research
on Alzheimer’s and Dementia. Please contact
the editor about special rates for USA customers.
Enjoy your summer!
CALA, CDP, ADC
CSW, LNHA, CDP, CTRS
Alternative Solutions in Long Term Care
103 Valley View
Sparta, N.J. 07871
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90 Hour Advance Management
Course-Last time to be offered!
90 Hour Advance Management Course
taught by Lisa Reidinger, will be offered one last time
in the fall of 2005. It will be the last opportunity for
those students who have completed the 90 hour basic activity
course MEPAP part one but have not completed MEPAP part
two. NCCAP has made changes to the curriculum and do to
these changes, the courses will now be combined into one
long course. This change becomes effective 2007. It is
recommended strongly, that if you have not completed both courses
and are pursuing
certification as activity directors and activity assistants,
that you now complete the mepap part 2 adance management
course New Jersey at this time.
To avoid having to repeat material
that you have already taken, we strongly recommend that
now for the Advance Management Course being offered in
NJ. Registration is now open and see our web site for
What About Music?
How important is music? Music has been
a part of most people’s
lives for as long as they can remember. Music is there in
all stages of life. During childhood, teen years, young adult
and senior years, music plays a role.
With the shrinking dollars for recreation, music can provide
a lot of bang for the dollar. Music can make any activity
more enjoyable and draw your people into the activity more
successfully. The mellow sounds of music can bring in a person
who seldom participates. It can make him or her into a toe-tapper.
Music can improve any activity. Holidays,
birthdays and other life-changing events flow better with
music. By playing
appropriate music, you can make even an exercise session
into an entertaining activity. Just don’t tell them
it was good for them and they will ask when the next time
One way to find out what kind of music
fancy is to ask what they listened to when they were young.
Everyone had his or her favorite 78’s and 45’s,
or favorite radio station that played the top 40. People
who were in their teens in the 1940’s danced to the
sounds of Benny Goodman or the Dorsey brothers. Younger people
remember Perry Como, Elvis Presley, the Beatles or the Rolling
Group leaders can lead discussions on music. They can encourage
people to talk about where they were the last time they heard
a piece of music. Or, what they think about when they hear
musical pieces or even nature sounds.
Giving people back their past with music can be a real pleasurable
experience. Music can be what gets someone started, keeps
him or her involved, or makes an activity fun and stimulating.
There is no special formula for having a successful activity.
Every group is different just as every person needs to feel
special. One way to reach people is through music.
There are a number of ways to find music for recreational
activities. Your facility has music, although sometimes you
have to search for it. Individuals can bring in their own
music. Or you can call Recordings for Recovery at 1-800-798-1192.
R4R is a non-profit music library with more than 1200 different
musical titles. It is available to both activity directors
and individuals. Our address is 5103 Eastman Place, Suite
101, Midland, MI, 48640-6723. You can also contact us on
the web at www.r4r.org or by e-mailing us at firstname.lastname@example.org.
Recordings for Recovery
Dementia & Nutrition:
Recommendations for Activity Professionals and Recreation Therapists.
Excerpts from the new book, Dietary Concerns
and Recommendations for Alzheimer’s and Dementia.
A Guide for Long Term Care Facilities and Special Care
Units. Sold only at www.activitytherapy.com
Plan and prepare all cooking events.
Have all your products available and set up prior to beginning
your program. Keep
all sharps out of sight and locked up. You should have a
finished sample of what you will be making. It is recommended
that all cooking programs be offered in the afternoon, as
you have more time in the afternoon and are not restricted
by lunch hour. Offer 2 exercise programs a day, which will
increase appetite, aid in digestion and increase desire for
fluids. Before every activity, clean resident’s hands
with wipes (if possible take the resident to the sink and
wash hands) and offer scented lotions such as coconut. This
is a nice way to segway into a program and offer stimulation
to the resident.
Provide fluids at every activity.
> Offer fluids after all exercise programs.
> Invite to all food related activities and provide supervision.
> Offer end of day “tea socials.” Serve tea on
fancy china and china cups.
Use colored cups, vs. white cups.
> Offer a weekly social. Play “Cheers” theme
music. Serve non-alcoholic beverages such as Pina Coladas.
> Invite residents to assist with lunch set up and meal clean
> Offer home made milkshakes and prepare with the residents.
> Use bread machines and bake bread often.
> Watch your sharps. During the activity program, keep knives
in your pocket at all times or out of sight. It only takes
a second for an accident to happen.
> Use aromatherapy machines and electric candle warmers while
setting up for programs.
> Play soft music before and after programs.
> Incorporate more cooking programs, using: Portable ovens,
Otis Spunk Meyer Cookie Ovens, Blenders and Microwaves Oven.
> If you have the use of a kitchen, prepare small meals with
the resident in the kitchens.
> Bring in recipe books for the resident’s to look
at. Ask them to share their favorite recipes.
> Begin a recipe book of their favorite recipes.
> Offer snacks at all special events.
> Food related word games and trivia games.
> Food Bingo
> Invite to watch cooking shows on television or video, especially
the 30 minute shows.
> Ask the resident to identify items such as squash and apples
(many kinds) and their uses.
> Plan special events, breakfast buffets, pancake breakfasts,
pizza parties, luaus, barbecues, elegant dining, cultural
events, monthly parties and birthday parties.
> Plan special meals for religious holidays.
> At club meetings serve nutritious snacks.
> Offer hydration stations that are attractive, such as clear
pitchers with floating fruit. Clear cups with lids at bedside.
Eliminate Styrofoam pitchers and cups at bedside because
they cannot do this three-step process of picking up the
pitcher and pouring liquid into the cup.
> Offer nutritious snacks during reminisce and relaxation
> Provide short lunch trips to restaurants such as McDonalds,
Cafes and Diners.
> Offer tea samplers and unique condiments.
> Display different grocery items and have them reminisce
about them. Uses and prices.
> String popcorn and cranberries for the birds to feed on
outdoors. Drape over bushes.
> Make potpourri out of dried fruit.
> Roll pinecones in peanut butter and birdseed.
> Dry fruit and sample. Can also make art projects out of
> String cheerios and fancy macaroni.
> Make macaroni art. Place on construction paper and glue
> Discuss all the ways peanut butter can be used. Provide
crackers, apples and bread.
> Shuck corn and snap beans.
> Offer seasonal beverages and food such as eggnog and peppermint
> Make homemade lemonade and tea.
> Make popcorn and offer different seasonings for the popcorn.
Let them season with their own individual portions.
> Fold dishtowels and napkins.
> Make easy salads, potato, coleslaw, three bean, fruit salad
and corn salads.
> Share cooking stories found in reminisce magazines.
> Peel potatoes and make mashed potatoes.
> Prepare gelatin and fast setting puddings.
> Let them dry dishes, sort utensils and silverware.
> Provide history of different foods with a sampler.
> Have tea with the administrator or guest.
> Cinnamon crafts. Lots of ideas for cinnamon sticks.
> Have theme days such as Western Day.
> Have word games associated with themes; Vegetables, Breakfast
items, farm stands.
> Have residents wipe the place mats clean.
> Make seasonal murals. For November draw a cornucopia. Let
residents color vegetable items. Another idea is a mural
about a farmers market that has pictures the resident can
color of food items.
> Make simple recipes with the residents, such as fruit salad,
pigs in a blanket,
Cookies and icing, ice cream pies, apple pies, etc. Offer
recipes that are theme related such as Apple pies in September.
Live Instructors vs. Video’s for
Many nursing homes, assisted living and adult day care facilities
rely on videos for training staff. Often times, staff is
left unattended when watching videos and there is no test
offered to verify they have learned the materials. Administration
has to ask the question, if this type of training is beneficial?
Federal and state guidelines require training. Each state
is different on the type of training topics to be covered,
the area of concentration. Length of training and who should
conduct the training. Health Care staff and administrators
realize that training has to be ongoing and continues. However,
training programs have to be done well, with thought and
planning into what the message is your trying to get across.
No one tool should be used as the sole means to training.
Variety in training and different types of tools and media
will only make training programs more interesting for your
staff. Videos are a welcome supplement, but should not be
the only tool used when training.
There are benefits to using videos for training. However,
the use of video should not be the only way material is covered
with employees. The benefits to using videos are;
Videos are consistent when using the same one for different
shifts. Provides staff with more tools to do their job and
is less expensive than using live instructors. When using
videos, there should be self-study manual, tests and observations
of the skills learned in the video. There are excellent videos
for health care topics and there are horrible ones. The in-service
director before showing to the staff, should review all videos.
These are questions to consider when selecting a video.
1. Does the video meet your objective?
2. Does the video present logically?
3. Are the actors used, interesting? Do they use accents
that are hard to understand?
4. Is the topic presented in an easy to understand way? You
have all levels of education that will be watching the video.
5. Is the video too long? If its long, does it break in between
topics allowing students to answer questions?
6. Does the video summarize key points?
7. Is the video interesting? If it is boring, it will not
hold their attention.
8. Is the video relevant to today’s market?
9. Does the video give examples to the topic being presented?
If videos are going to be the main tool for teaching, the
in-service director should implement the following tools
to insure the staff is getting the message from the video.
1. Use handouts that are relevant to the topic.
2. Introduce the video and what key points they will learn
from the video
3. Summarize what they learned.
4. Lead a discussion about the topic.
5. Provide a quiz to show competency of the topic.
6. Have students fill out an evaluation about the video.
7. Ask for three key points they learned from the topic presented.
8. Observe employee competency related to what they learned.
9. Provide books related to the topic
10. Provide magazine or newspaper articles related to the
11. Provide information off of the internet relevant to the
12. Supervise staff while watching the video.
Some states require 40 hours of dementia training and have
approved videos as the approved method of training in certain
areas. Other states require less hours but with instructors.
Some states just state that dementia training be required
for dementia units but don’t state the topics to be
There are many benefits to investing the time, energy and
money in recruiting trained instructors. Students are able
to interact with the instructor. There is time for questions
and answers. Instructors may incorporate role-playing. The
instructor is able to clarify points that students may not
understand or just need more information. The students are
able to share ideas with each other as well as problem solves
Although the use of videos is cheaper, it cannot compare
in any way to a live instructor. Administration has to look
at the benefits in the long run to having staff that are
well trained in the areas most crucial to resident care,
areas of resident rights, dementia education, elopement,
neglect and abuse. The benefits far out weigh the costs involved
by using a live instructor who are trained in these areas.
You can save money by using videos, but in the long run,
owners of facilities will be paying in the end in state fines
and litigation if videos are the only method used for training
Many health care professionals attend or participate with their local groups
or state associations. This books is a must if you are actively involved
in your organization.
Major Henry M. Robert first published the Robert’s Rules of Order in 1876.
This is an essential reference tool that every organization that holds meetings,
board meetings, committee meetings, civic groups, and churches should have with
them at formal meetings. The text includes by laws and resolutions, amendments,
treasurer’s reports, secretary’s minutes, nominations, elections,
disciplinary actions, introduction of business, motions, officers and boards,
resolutions, debates and order of business. If you are part of a board or committee,
regardless of your position, it is recommended that you purchase this inexpensive
From time to time, there may be situations where bylaws do not clearly state
what to do in every situation. This is when committees should follow the recommendations
of Roberts Rules of Order. For example; there are situations when a committee
member may commit an offense outside of a meeting and there may be no witnesses.
When this happens, Robert’s Rules of Conduct recommends the following actions;
The Executive Committee will make a motion to investigate
the action but not accuse anyone. The Executive Board would
have board members or committee members volunteer for a
Disciplinary Committee. At this juncture, the committee
is only looking to see if the situation warrants investigation.
The disciplinary committee (investigators only) would discreetly
investigate the conduct and report back to the Executive
The Executive Board would meet with the accused board
or committee member and all accusations and documents supporting
the allegations would be shown to the accused. Once the
Disciplinary committee meets with the accused they determine
if actions warrant a trial and charges are filed or exonerate
For each charge there will be a time, place and date set
for trial and the accused is notified by registered mail,
of the trial and findings of the committee. At the trial
one or more members of the disciplinary committee will
represent the board. The trial can be held before the disciplinary
committee but not before those disciplinary members who
carried out the investigation. Once notice has been given
to the accused all rights as a board member or committee
member are suspended.
At the beginning of the trial, charges are read by the
secretary for the committee. The accused will enter a motion
of guilty or not guilty for each charge. If the accused
pleads guilty to one or all of the charges, the trial will
then move to the penalty phase of the proceedings.
If he pleads not guilty, the board presents arguments,
evidence and witnesses against the accused. Witnesses do
not have to be members of the group, committee, or board.
This type of trial is not bound by legal rules of evidence.
The purpose of the trial is not to prosecute the accused
but to ascertain the truth. The accused is allowed to present
a thorough defense. The members than consider each of the
charges as separate motions, debatable, amendable and adoptable
by a majority vote.
If, the accused is found guilty of any charge, the committee
moves to the penalty phase. Any penalty may be imposed
by a majority vote, EXCEPT FOR EXPULSION WHICH REQUIRES
A TWO THIRDS VOTE. The vote should be carried out by ballot.
In any situation where there is a trial, it is recommended
that you consult an attorney who is knowledge about boards
and committees to avoid litigation down the road.
References: Robert’s Rules of Order by Darwin Patnode;
Robert’s Rules of Order 2nd Edition by Mary A. Devries,
Robert’s Rules of Order Newly Revised in Brief by
Henry M. Robert III. It is available at all bookstores.