A RESIDENT PERSPECTIVE -

From Resident Perspective -

A Resident, sometimes, needs an inordinate amount of help...to do ordinary things.

Resident Care Ideal: A hospital-wide mindset
where ALL workers are caregivers.

Caregiver is someone ''willing and able'' to fulfill ''needs and preferences'' of Resident.


Resident (needs and preferences):
GENERATED by IDT meeting.

EVERY Resident has an IDT (care team).

IDT is care team - made up of Staff, etc.
InterDisciplinary Team.

IDT meeting: Meeting of
care team and Resident.
(FOUR times per year)


NO Matter HOW You Look At It,
We Are ALL In This Together.

IDT or Care Team -

Every Resident Has IDT (Care Team)

IDT and YOU -

IDT and YOU -

http://www.mediafire.com/?mlbof7gu5hg

---Every Resident has different NEEDS and PREFERENCES. It is very rare if we find any two who have the exact N’s and P’s, someone else may have.
---Every Resident has an Interdisciplinary Team or IDT, to help with the management of his care. The IDT team is made up of your doctor, the nurse manager, the charge nurse, your dietician, your activities therapist, your social worker and whoever else may be a part of your aid team. It is also made up of YOU.
---The IDT will help the Resident to identify the N’s and P’s, that best suit his care. And that both sides have come to a happy agreement. Once we have identified the Residents N’s and P’s, we then convey the N’s and P’s to his CNA of the day.
---We remember that the best CNA-Resident relationship, is one that works. The relationship seems to work best when the N’s and P’s of the Resident are provided for him/her by a CNA who is Willing and Able to carry them out.

When the Ground Rules are straight, then we should have a more natural and healthier communication for all parties concerned.

.

Hospital-Wide Mindset - Where ALL Hospital Workers Are Caregivers.

.

Resident-Centered Care Conference -

.

(The Second Article Was Written About 18 months, After The IDT and YOU)

.
---This is the new name chosen for the IDT. It spells out what it intends, from the beginning. It is easier to understand, right out of the gate.
---There was a committee formed that had as its intention, to ''continually improve communication,'' at the Hospital. There was a poster developed that put the results and conclusions we came to, in the meetings, into an easy to read version that will be prominently displayed throughout the Hospital.
---There is a real effort to put residents first, and not just give the idea, ''lip-service.'' In my own opinion, I hope that a Care Team Member checks in with each resident, at least once a week, just to see how he/she is doing and if anything new is going on. To me this will keep things current and fresh and forge more of a bond between the Resident and his Care Team.
---In my case, I like the fact that a member of my care team came into my own space and we talked for a bit. This person would see me in the hallway and ask how I'm doing, but I noticed it didn't seem to have the same effect that an actual ''visit and short chat,'' did. It was nice that she made some time for me. We talked of things outside of here, and, it seemed the beginning of a ''better'' relationship. There are efforts made to bridge the gap existing, sometimes, between staff and resident. To do this, we need the cooperation of EVERYONE, here. Take Care.

The RESIDENT COUNCIL -

The RESIDENT COUNCIL -

.
---This should be a place to get things done, after a try with your IDT has come up short. The chain of command would be to begin with the nurse manager of the unit. If you were unsatisfied with the nurse managers and IDT advice, then bring issue to Residents Council.
---We know that the above scenario doesn't come into play, very often. And that is for a number of different reasons. I started to think of the different ways and reasons that it doesn't work, and it comes down to the fact that the chain-of-command is NOT well-known.
---To top it off, we, for the most part, don't have a ''good,'' relationship with the person that we would take the issue to, anyway, if it was a perfect world.
---In my estimation, I think that if Residents felt ''comfortable,'' with members of their IDT, and trusted their judgments and decisions, they would use them more often. But, by the same token, the members of the IDT have to PROVE that their judgments and decisions are worth trusting. Some, of what goes down, as trustworthy decisions and judgments, makes you wonder.
---I believe that if the Resident has a top notch support mechanism, in place, the above would NOT be as problematic. He would naturally go to the party, who could resolve the problem.
---Personally, I find that the person I want to talk to, is NOT ALWAYS AVAILABLE. I, myself, find I play the ''waiting,'' game, a lot. I believe, also, that if the ''team,'' worked more as a unit and were more on the same page, that we would see a marked improvement.
---People tend to be more self-centered than Resident-Centered...and that includes, both, Residents and Staff. People prioritize differently - You may NOT be the priority, at that moment.

.

The Golden Rule - Treat Others As You WANT To Be Treated.

Resident-Centered Care -

RESIDENT-CENTERED CARE -

---There is a buzzword going around. It is a term, actually. It is - Resident Centered Care. Contrary to what you may have heard, it wasn’t created to give the staff nightmares, or something else to worry about. But, I’ve noticed that when left on their own with terms like this, they can’t help but worry…or at least, wonder. WHAT DOES THAT MEAN? Staff and Resident, alike, are looking for a definition.

.

---Suitable Definition, To Me -
---To me, it is where the rubber meets the road. Resident-Centered Care is where staff and resident have a DIALOG. They have to hash out it’s meaning. It may be different in every case. There really is NO definition that will fit everybody, all the time. There is NO real blanket definition.

.
---Personally, I think, it is where the Resident states, what he wants. When you know what you want, I think you are at least, halfway there. It really doesn’t matter if it is possible or impossible, foolish or right-on, the staff will swoop down upon it and help you make your idea fitting and realistic.
---It takes, ‘’two, to tango.’’ There is a good chance that the Resident, with his idea, will need help to accomplish his goal, anyway. We, as Residents, have to be realistic with it all. Otherwise, it doesn’t have a ‘’snowballs chance in hell,’’ to get done. As sad as it may seem, we NEED the SWOOPERS.
---BUT, it is through this process of give-and-take, that we reach a comfortable agreement of dealing with the task at hand. When both sides are happy with the role each plays in the situation – We have a done deal. Then, the carrying it out part, is the easy part. Be Well.

.

EVERY Resident Has An IDT (Care Team)

CARTOON BREAK -

Resident-Staff Communication

Resident-Staff
Communication

---The Communication between the Resident and Staff is what I really mean, when I say that the focus should be on the IDT. To me, the IDT situation is where the Rubber meets the Road.
---From my observation, I have seen many cases where the Resident cannot communicate his needs to the staff, and vice-versa. They seem to be on a different page. Sometimes it seems there is a different book. I think the Objectives of each are different. The Resident seems very concerned with the immediacy of his needs, while the staff, per se, are broader in there thinking, and more casual about the situation.
---I think that the word URGENT says a lot. Residents think that there is an urgency, where sometimes there is NOT. BUT, the fact that the Resident thinks this, and hence, the Resident is reacting to this has got to be dismantled, in my estimation.
---The other-side of the coin, is that the Staff thinks that certain situations are more URGENT than the Resident, does. The Staff can even be taken aback by the Resident’s non-challance, in a situation.
---Staff and Residents have different priorities. They think different things are ‘’important.’’ The Staff seems more concerned doing things according to the book – To keep their jobs or because, to them, this is the best way. It may be the way they think it is done, and questioning it doesn’t enter the picture.
---The Resident response is laced with their upbringing, etc. but their time-frame is different. Earlier, I said that the Resident is on the ‘’doing it immediately, schedule,’’ and the Staff is prioritizing, etc. TRYING TO FIT IT ALL IN BEFORE THEY [leave, break, etc.]
---The Staff doesn’t seem to understand why the Resident isn’t ready when they are, and vice-versa. A classic example is when the nurse is ready with the medication, sometimes, the Resident is nowhere to be found. Their availability is much different, in many cases.
---Here we have a brainstorming point:

1. Interests are different
2. Staff and Resident should DO many, more things together. [Clubhouse Model] – Almost a mentoring situation where Staff and Resident share and exchange ideas, etc. [They Talk, Together]
3. People need to feel engaged, included, etc.
4. People have to feel they are part of the team. No matter what part they play, their part is important. [Realize that their part is important-Don’t fake it]

---What may begin by just needing ATTENTION at first, grows into a more comfortable setting where actual SHARING may take place.

---Residents may have much too say and to some it may just be rambling, that is okay. It is a very relative situation. You may NOT want to hear the Aunt Margaret Story. Many staff do NOT know how to disengage from a Resident Rambling. Brainstorm:

1. Resident may not know he is rambling or being repetitive
2. future

----How to deal with Resident Rambling. You have to actually hear what Resident is saying. You could help him be more specific.

This Occurs Very Often:

---Many Residents are trying to squeeze too much information into the time that is allotted them, by the Staff. Resembles Resident Rambling - but isn't. Some end up saying nothing, because somewhere in their past they were thwarted as they made this attempt. It is too painful to even try, now, or they are so out of practice, that they don’t know where to begin.

QUESTION: Out of it, or out of practice with
communication?

---Dealing with APATHY [Brainstorm]:

1. Be sure it IS APATHY Could just be out of practice with communicating.
2. Still find likes and dislikes. It may be difficult, but they are usually in there.

Know that some communicate too little, while some are trying to fit it ALL in. The Staff person involved is the time keeper by his/her reaction[s] and response, in the exchange.