Individual Activity Overview Working with Residents, Families and How to Get Better Results through a Few Small Changes Kicking Off This Work Activity Use this to (if applicable) 1. Hospitality and a Fresh Invitation to Engage And Empower To test new strategies to support resident participation in meetings and smaller conversations Going Deeper, Reaching Further, Creating Better Outcomes 2. Gratitude and Discovery: Using Positive Psychology to Engage and Empower To increase engagement of residents and/or families, and shift from an over- emphasis on legitimate complaints to a more holistic approach to creating improvements and better outcomes. 3. Discovery and Action: Engaging Residents and Families in Making Change To build on the Gratitude and Discovery activity and begin solving problems and creating better outcomes. To use small tests of change on easy wins to build skills and momentum to solve more complex challenges and enrich the sense of meaning in the lives of residents. Plan-Do-Study Act (PDSA) Worksheet IHI Whiteboard videos 4. An Activity to Increase Care in Nursing Homes Introduce residents and families to values of person-centered care, and strategies and potential changes to try. Webinar Examples of care 5. Maximizing Resident Engagement Through Appreciation Improve engagement through skills development in active and appreciative listening. Webinar 6. Activities to Maximize Resident Engagement Through Accommodations and Adaptation Increase participation in meetings. Test new strategies to support resident participation in meetings and smaller conversations. 7. Tracking your progress with Resident (or Family) Council: measures for quality improvement Take periodic measurements with your Council groups to see how participants assess the impact and success of the work. Provides data to make corrections and adjustments. Worksheet with survey questions Bringing into the Picture 8. Story Sharing: Four Linked Activities to Move Toward Relationship-Based Care Four sub-activities build on each other to help residents and staff learn each other’s stories, increase respect and mutual understanding and enhance person- centered care. Webinar Exercises to engage staff and residents in telling stories. 9. Language of Person- Centered Care: An Exercise for Support staff in becoming mindful about the impact of their word choices and vocabulary. Exercises to engage staff in using more positive language that aligns with person- centered care. Resource
Accommodation and Ad- aptation Explanatory Notes Actions to Focus On Vary the duration and frequency of your meetings based on need and energy. Low engagement is a telltale sign of boring meetings. People long to have meaningful conversations. Keeping some conversations and focused and allowing other conversations to take deeper dives helps improve engagement by reducing boredom. Take time to help people visualize positive changes. As emphasized throughout these activities, complaints signal an unmet need and should be addressed. However, solving the specific problem presented in the complaint may not meet the underlying request. Take time to make sure you understand the unmet need behind the complaint. Choose 1-2 things and start today. These small and profound changes in orientation will help you move mountains. Include the residents. This is their home so including them is essential. Do WITH residents NOT TO residents. Care providers have learned through their respective educational programs to equate caring with doing something “to” or “for” versus with residents. Out of good intentions, care providers often make assumptions about what people can’t do for fear of embarrassing them or out of anxiety that someone could get hurt. These are important considerations; however, it is equally important not to fall into the trap of doing TO or FOR residents what they could, with patience and accommodation, be doing for themselves. Inviting residents to stretch to their full capacity is win-win.
Language of Person-Centered Care Worksheet Language Currently Being Used Strength-Based Language Alternative Difficult Non-compliant Behaviors Facility Bed (i.e. we are a “bed” facility) Elderly Allow Agitated I need you to Toilet you Pain Feeder Diaper Honey, sweetie Cute Patient Bib, clothing protector Admit “My” resident Inappropriate (as in behavior is…) Working short Elope I “did her/him”
Worksheet for Language of Care Language Currently Being Used Strength-Based Language Alternative Difficult Non-compliant Behaviors Facility Bed (i.e. we are a “bed” facility) Elderly Allow Agitated I need you to Toilet you Pain Feeder Diaper Honey, sweetie Cute Patient Bib, clothing protector Admit “My” resident Inappropriate (as in behavior is…) Working short I “did her/him” Credit: Lori Todd, Loomis House 77