We Care Online

2011 By The Numbers

2012-01-26T11:00:00.000-07:00

2011 was a great year for We Care Online and we'd love to give you a behind-the-scenes peek at what made it so special. For starters, over 2,000 health care professionals trusted us with their learning and continuing education needs. While the majority of students are based in Kansas, we have students in almost every state in the USA. Most of our classes are available in all states, and we continue to attract students in diverse locations. November was the busiest month with over 300 students in both our scheduled and open enrollment classes. We have trained 1,334 CNAs since 2007 and over 650 were in the last year alone! In addition, the Medication Aide Update class continues to be one of our most popular. Just shy of 600 students did their update with We Care Online last year. We added new Spanish for Healthcare Providers and Pharmacy Technician classes, and expanded Medication Aide training to four new states (Iowa, Minnesota, Montana, and Nebraska). We have a lot more planned for this year, so be sure to sign up for our monthly newsletter for all the latest on class schedules and learning opportunities!

Five Minute Vacation

2012-01-24T10:00:00.000-07:00

Here's something everyone can appreciate: a tour of some of the most scenic and exciting places in the world in five minutes. Whether you need a few moments of quiet time, or want something fun and exotic to share with your residents, this short video has it all. See the world without leaving your desk!

An Insider's View: Nursing Home Staff

2012-01-19T10:00:00.000-07:00

You know the opinions and culture in your own workplace, but have you ever wondered what employees in other long term care facilities are saying about their workplaces? The 2011 Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report sheds some light on things. While it's not representative of the entire scope of nursing homes, the survey gathered data from over 16,000 employees and over 200 facilities. This Eavesdropping on the Nursing Home Staff article summarizes some of the highlights of the study. In particular, it showed that employees of non-profit facilities tended to be happier about their jobs, and felt that residents received better care. Survey respondents were asked about the size of their facilities, the quality of resident care, and of general issues they encountered on the job. It's an interesting peek inside the world of nursing home care...from the inside.

Exercise and Alzheimer's

2012-01-17T10:00:00.000-07:00

Everyone knows it's a good idea to make exercise a part of your daily routine, but finding the time or energy can be tough. Here's some great motivation, if you need it: a new study indicates that getting at least 30 minutes of moderate exercise five times a week can reduce the risk of Alzheimer's disease in some people.

Scientists are starting to identify genetic traits and triggers for the disease, and in individuals with a certain genetic inclination to the disease, exercise can mitigate the effects of the gene and bring their risk back down to that of a person without the genetic trait. It's a good idea to exercise for overall health, but the possibility of reducing Alzheimer's risk should make it that much more appealing to get out for a walk! It's an interesting study that could advance the cause of early detection and even prevention.

Read more here: How Exercise May Keep Alzheimer's At Bay.

cc licensed ( BY NC ) flickr photo shared by sparkle glowplug

What Are You Grateful For?

2012-01-12T10:00:00.000-07:00

Every day we're bombarded with numbers and statistics about the world's population, but it can be hard to make sense of it all. This short video boils it down to an easy to understand summary by showing how things would look if the world were made up of 100 people in a village. I found this link on literary agent Rachelle Gardner's blog and I think it's worth repeating her question: What are you grateful for today?

New Year's Resolutions

2012-01-10T10:00:00.000-07:00

Now that the holiday season is behind us, many people have turned their thoughts to New Year's resolutions. The new year is a great time to take stock of things and set yourself on the right path to achieve your goals over the next 12 months. What about the residents in your care? The best ways to stick to a resolution are to enjoy what you're doing and to have people hold you accountable. Who better than the people you see every day? Find out what your residents' goals are, too. If they can't think of anything, you could suggest something like attending two group activities a week, or making a point of calling or writing a letter to a family member. It'll give you something to talk about, and you can support each other in your new routines. Whether you want to add 30 minutes of exercise to your day, or read a book a month, you can make it fun and easy to achieve by sharing accomplishments and encouragement with your coworkers and residents.

Need more ideas? Check out these links for more.

Top 5 New Year’s Resolutions for Seniors & Caregivers (and how to achieve them)

New Year's Resolutions for Seniors

Top Five New Year’s Resolutions for Seniors and their Families

cc licensed ( BY NC ND ) flickr photo shared by Captain Kimo - "Back in Florida"

It's a New Year at We Care Online

2012-01-05T10:00:00.000-07:00

As the new year begins, we here at We Care Online want to take a moment to thank everyone who has been a part of our online and in-office family for the past year. We have seen a lot of changes, and have grown quite a bit, and we sincerely appreciate everyone who has been along for the ride. 2011 brought us new staff, a beautiful new office in Kansas, and saw the addition of several new classes to our roster. Our Certified Nurse Aide and Medication Aide classes are now available in even more locations, and we continue to add valuable topics to the open enrollment class list--most recently the Pharmacy Technician course and Spanish for Healthcare Providers. Thank you, students, for choosing We Care Online for your healthcare education needs. We wish you all the very best in 2012--here's to jobs you love and opportunities to work with people who enrich your lives!

cc licensed ( BY NC SD ) flickr photo shared by Ludie Cochrane

Dementia From a Family Member's Perspective

2012-01-03T10:00:00.000-07:00

As caregivers and assisted living specialists, we see the challenges of dementia and other age-related issues on a daily basis. In many cases, we don't even get to know individuals until their dementia has progressed to a point where they can no longer live independently. That's why this essay, Joining The Dementia Network, And Finding Gratitude, caught my eye. It's a thoughtful piece from a daughter who has watched her mother's decline and has had to learn to reconcile the mother she knew growing up with the dementia-affected mother she now sees. It's a look at dementia and care from the other side of the coin, and a good reminder of the rich, vibrant people behind the symptoms of dementia.

More Holiday Cheer

2011-12-22T10:00:00.000-07:00

In the rush to the holidays, it's easy to forget how important the little things can be. This lovely short film is a reminder of how tiny acts of kindness can equal remarkable change. Happy Holidays and a very Merry Christmas to you from everyone at We Care Online!

Big News for CNAs

2011-12-20T10:00:00.000-07:00

You asked for it, and We Care delivers! Starting in January, our Certified Medication Aide classes are expanding to include four new states. If you're a CNA and want to expand your skills and employment opportunities, this is the class for you. Certified Medication Aides are qualified to do everything a Certified Nurse Aides does, but with the added opportunity to pass medications. Our CMA class will teach you everything you need to know about medications, herbal supplements, drug interactions, and how these things work in the body. The class is currently available in Kansas and South Dakota, but in the new year we'll have it available for CNAs in Iowa, Minnesota, Nebraska and Montana. Start your new year off right, and come join the first Medication Aide classes in four new states!

A little holiday cheer

2011-12-19T15:02:00.001-07:00

Here's a cute clip of pets singing "Deck the Halls." Perfect for spreading some holiday cheer on the job and at home!

Holiday Gifts

2011-12-13T10:16:00.000-07:00

In all the hustle and bustle of the holiday season, it's often easy to overlook relatives who live in managed care facilities. This, coupled with the general stress of the holidays, can make it an especially lonely time for residents. Today's blog is directed more at the friends and families of residents than the caregivers. If you absolutely can't get away for a visit, but want to get something special for your friend or relative, this article has a fantastic list of inexpensive suggestions: Holiday Gifts for Nursing Home Residents.

If you have time to do more than send a gift, but can't quite make it over for a visit, consider doing something a little more involved than just sending a car. Record an audio or video message instead. You can pick up a digital voice recorder at any major electronics store (or online) for around $30. With that, you can record a greeting, let your kids sing a carol, or any number of fun, silly things. If you have access to a video camera, or have a webcam on your computer, you can step things up and record a video greeting. Either option will give your loved one a gift they can play and replay--so much nicer than a card!

Of course, the best gift of all is the gift of your time. Visiting, chatting, or even taking your friend/relative out for a nice meal (if possible). The best gifts are from the heart, and you can never go wrong by showing someone you care.

cc licensed ( BY NC SD ) flickr photo shared by Travis Jon Allison

Emotions and Cognitive Skills

2011-12-08T10:00:00.000-07:00

I came across an interesting article and thought it would appeal to many of our readers. Recent research has shown that, while cognitive skills decline as we age, our emotions can help make up the difference. The article, from Scientific American magazine, can be found here: How Seniors Can Get a Cognitive Boost.

It reminds me of an old Calvin & Hobbes comic strip in which Calvin was grumbling about an unpleasant task and his father reminded him that it would build character. Calvin muttered that he didn't know what he needed all this character for. Well, now we know: A lifetime of experience helps you to make effective decisions intuitively, or from the heart. It's a nice affirmation of all that character building we all go through. As the article says, "...it appears that the higher levels of well-being in older adults is contagious by eliciting positivity in their social partners." We all know this, but it never hurts to have a reminder--Happiness is contagious, pass it on!

cc licensed ( BY NC ND ) flickr photo shared by battsimon

Activity Director Idea: Create a Lending Library

2011-12-07T09:43:00.001-07:00

When you work in a facility with many residents, coordinating trips to the library can be a logistical nightmare. How do you keep up with your residents' need for books? Set up an in-facility lending library! All you need is space for a bookshelf or cart, and some books to get things going. You can use standard office supplies to label and keep track of books, or, if you're feeling fancy, get a DIY Library Kit to use.

How to get books
The easiest way to stock your library is to ask for donations. Many residents probably have books already, and you can ask them to donate books once they're done reading. Your fellow employees, and friends and families of your residents can donate, as well. Also, check your local thrift stores. You can usually pick up several books very inexpensively.

While these are good options, you're often left with other people's discards and not necessarily books that your residents want to read. If you're looking for specific authors, or books on a particular subject matter, try online swap sites like paperbackswap.com and bookins.com. These sites allow you to swap out your unwanted books for specific titles you request. They're much more affordable than purchasing new books, and it can be a fun activity for residents to browse the available titles and go "shopping" for new books to read. Plus, the books are sent via postal mail and who doesn't like getting mail?

Electronic options

Electronic "eBook" readers are a popular option today, too. Devices like Amazon's Kindle, Barnes & Noble's Nook, and the incredibly popular Apple iPad, are all wonderful options for finding electronic books. The advantage of these devices is the huge library of available books, and the fact that each user can customize the reading experience by adjusting the size of text on the screen, and many other options. No more scouring the library shelves for large print books. Also, more and more devices are now able to "check out" eBooks for free through local library services. On the down side, eReaders are expensive. Even the low-cost models start at around $100. But if you have one or two in your facility, they can be shared among many residents. Check out Project Gutenberg for thousands of free eBooks and audio books to load on your devices.

cc licensed ( BY ) flickr photo shared by CCAC North Library

More on Music

2011-12-05T09:55:00.001-07:00

If you need any proof of the power of music to charm and delight, just watch this short video. An elderly couple was waiting for an appointment at the Mayo Clinic when they spotted this piano in the lobby. What happened next was pure magic.

Instant Holiday Spirit? Just Add Music

2011-11-29T10:00:00.001-07:00

In a managed care setting, you have people with various levels of cognitive and physical ability. Because of this, planning holiday activities can be a challenge. Fortunately, there is one thing you can do that has universal appeal: Bring music into your facility. Music can be relaxing, inspirational, and comforting, all at the same time. From sacred music and traditional carols like "Silent Night" and Handel's Messiah, to more modern, secular songs like "Jingle Bells", nothing will get people in the holiday spirit faster than their favorite songs.

Recorded music
The easiest option is to pick up a couple CDs of holiday tunes at your local music store. Most have a variety of classic and modern songs and can appeal to a wide range of people. You can set up a CD player in a common area like an activity room or dining hall. Get your residents talking about their favorite holiday memories and songs, and see if you can find those songs for them. Encourage singing!

Other cultures and traditions
Do you have residents with non-American ethnic backgrounds? Ask their family members to share holiday music in their native language, or use the internet to learn about songs and traditions from other cultures. Also, sharing non-Christian traditions (like the celebration of Hanukkah) makes all residents feel included, and brings something new and fun to your facility's celebrations.

Live music
Look for local music groups that might be willing to perform in your facility. Most communities have choral groups either through a school, community college, or your local churches. Maybe you have a barbershop quartet or an instrumental ensemble available? Use the internet or a phone book to look for musicians in your area. Many will be listed alongside wedding and event planners, but would appreciate the chance to share their music with your residents.

cc licensed ( BY NC SD ) flickr photo shared by Bob_Collins

Holiday Hazard: Choking Risk Among the Elderly

2011-11-25T09:42:00.001-07:00

In this season of cookies and family meals, an often overlooked problem can rear its ugly head: choking hazards. Choking is an all too common problem among the elderly, and with so much emphasis on eating at this time of year, it's a good time to remind yourself to be vigilant.

Many elderly residents have difficulty swallowing (also known as dysphagia). As this article notes, "The act of swallowing requires the coordination of about 50 pairs of muscles and nerves." With that much going on, it's easy to see why things can quickly get out of control. In many facilities, mealtimes are very busy. You might be asked to care for ten or more residents, and it can be a real challenge to give everyone the attention they need. Also, with the holidays, you have a lot more visitors and that means more snacks and treats coming into resident's rooms. Hard candies and crumbly, bready cookies can be a real choking hazard.

What can you do? Aside from being as alert as possible to signs of choking, the best thing you can do is to make sure you're current with your CPR training. Whether your facility or job description requires it or not, it's always a good idea to know the latest information regarding CPR. If you need to brush up, check with your local chapter of the American Red Cross. You can find training in your area by clicking here. For more on avoiding choking hazards, visit www.parentgiving.com.

Attention Kansas Medication Aides

2011-11-22T23:12:00.001-07:00

Are you looking for a quick and easy way to keep your certification current? Have you lapsed and need to get re-certified? We Care Online can help! Our Medication Aide Update class requires only 10 hours of online learning and can be completed in the comfort of your own home. No need to spend all day at the community college, or find a babysitter, or take time off work. Take the class on YOUR schedule--you have a full week to complete the course, and all fees and materials are included.

Medication Aides are Certified Nursing Assistants with additional training that allows them to handle and distribute medications in nursing and long term care settings. By law, Aides must re-certify every two years. Medication Aides must be familiar with the major classes of medications, and know the potential side effects and signs of adverse reactions. It's a skill set above and beyond that of a Nurse Aide.

The course costs $117.50, takes no more than a week to complete, and can be done on your schedule. What are you waiting for? Medication Aide Update classes run monthly and the next class starts on December 5th. This will be the last Medication Aide Update class of 2011. (Please allow two weeks for KDHE to process your paperwork after completing the class). If you're not currently a Medication Aide, but would like to become one, we have a class for that, too. Take your career to the next level with advanced training from We Care Online!

Restorative Aide - A New Career Path for CNAs

2011-11-17T10:00:00.000-07:00

Recently, we've focused a lot on boosting your career options by improving or increasing your skills. Today I'm going to focus on a more specialized field that's in hot demand.

Many people come to We Care Online to start a career in a nursing home or long term care setting. One of the most common starting points is to train as a Certified Nursing Assistant (CNA). While that's a great way to begin a career, there is a lot more you can do once you have your certification. A popular option right now is Restorative Aide training. Restorative Aides (RA) are specialized workers that not only perform the duties of a CNA, but also assist patients with physical therapy and restorative care. RAs are particularly helpful in home care settings, or with individuals who need short term theraputic assistance after an injury or surgery. RA is a very flexible job description and covers everything from in-home care to facility-based therapies.

We Care Online's Restorative Aide training is available in all states and courses start monthly. The next session begins on December 5. The course costs $158.50 and requires 32 hours of online study. It's a very affordable way to pick up a whole new skillset and make yourself an even more valuable employee. If you're already a CNA and want to take the next step in your career, this is a fantastic place to start. If you're not a CNA, we can help with that, too. Check our website to find CNA training in your area!

cc licensed flickr photo shared by gaspi *yg

Managing Holiday Stress

2011-11-15T10:03:00.001-07:00

Halloween has come and gone and that means the fall holiday season is in full swing. For most people, the time from Thanksgiving through the new year is a blur. You're planning meals, shopping for gifts, welcoming relatives from out of town, or traveling to visit family. There are meals to coordinate, events to plan, and a house to keep tidy. All this while balancing your job and quality time with your family. It's enough to drive even the most organized person crazy!

There's a wealth of information on the internet for how to manage your stress, but who has time to sort through all the information? To save you some effort (and your sanity), I've linked to some of the best articles out there. Read on for some quick and practical tips on beating the annual holiday crush.

cc licensed ( BY SD ) flickr photo shared by Benson Kua

A Closer Look at CNA and HHA Workers

2011-11-11T10:04:00.001-07:00

Work in the healthcare field can be stressful and involve long hours or challenging working conditions, but it is also one of the most personally rewarding jobs. I hear this again and again from Certified Nursing Assistants, Home Health Aides, and others who work directly with the elderly or those needing special assistance. A common sentiment is "I didn't chose this work, it chose me." Healthcare workers have that unique blend of compassion and a strong work ethic that means that they give their very best effort to those in their care.

As part of the recent Patient Protection and Affordable Care Act of 2010, a study was conducted to get a better idea of the working conditions and employment trends among CNAs and HHAs. The report, Understanding Direct Care Workers: A Snapshot of Two of America’s Most Important Jobs: Certified Nursing Assistants and Home Health Aides, presents an interesting look at the CNA and HHA fields "by the numbers". A couple of things jumped out at me while reading this report. First was that companies are still struggling to find enough employees in these fields, and that turnover is very high. If you have a passion for working with people, healthcare is an excellent field to work in, and there is a lot of room for growth. The other thing I noticed was this: "The great majority of CNAs and HHAs become direct care workers because they want to help others, suggesting that these workers are not interchangeable with other low-wage workers." Choosing to work in healthcare is a significant decision, and not just anyone can do it. We Care Online provides training and continuing education to hundreds of healthcare workers a year, and we're proud to be able to assist such a diverse, motivated group of people.

It's Not Always About The Money

2011-11-08T15:13:00.000-07:00

In my last post, I offered some tips on asking for a raise, but what if that's not your goal? Sure, we can all use a little extra money, but sometimes there are other, more important issues. Negotiating a change in your work schedule, work group, or even your benefits can often be as good as getting a raise. Say you're a mother who wants to be home with the kids after school but you've been assigned a late afternoon work shift. Or you'd like to switch to a 4/40 work week (4 days of 10-hour shifts vs. the standard 5-day work week). Whatever your request, if it will improve your work life, it could be worth discussing with your supervisor.

Talking with a boss or supervisor can be intimidating. Many of us have come to work sick, or missed out on an important commitment because it was easier to say "no" than to ask for time off work. Asking for bigger changes--like a new schedule--can be even harder. Here's how to face the situation without losing your cool.

State your case with logic.

Maybe you need to take a personal day. Maybe you want to work a different shift. Maybe you want to work with a different team, or in a different division? Whatever your request, make sure you have sensible reasons for asking. If you're a morning person, but are working a late shift, you might not be at your peak while on the clock. Take a look at which people are working which shifts. Is there someone in your position that you could switch shifts with? If you can go to your boss and show him or her a simple way to accommodate your request, you'll have a much better chance of success. Make it easy for them. It'll show that you've done your homework and are looking out for the company and your residents' best interests as well as your job satisfaction.

Remember: Your boss is human, too.

Don't be intimidated. Yes, your boss or HR representative is the person responsible for signing your checks, but they're also a person, too. While you want to keep your interaction professional, it's ok to imagine that you're talking with a friend rather than a corporate stranger. As long as you have a reasonable request and can back it up with facts or logic, you'll be fine.

How to Ask for a Raise

2011-11-07T11:40:00.000-07:00

Unless you work in a government office with a fixed pay structure, chances are that you have room to negotiate with your salary. Many people complain about being overworked and underpaid, but how many of us take the time to do something about that? If you're feeling stuck in a salary rut, here are some tips to help you.

First off, know when the time is right. You've heard the phrase "strike while the iron's hot"? It applies very well to your career. If you've just wrapped up a big project, or pulled off a major accomplishment, that's the perfect time to state your case. This article from US News tells you the best time to ask (and when not to ask!) for a raise.

If the timing's right, take the next step.

1. Have courage
It's a well-known fact that most women earn less than men in the workplace, but what many people don't mention is that women are generally less likely to be assertive and ask for a raise. In other words, you have the power to bridge that salary gap! Focus on the value you bring to the position or your company, and be sure to present that information to your supervisor.

Several studies have shown that women hesitate to ask for raises, but if you want to get ahead in your career, you need to take charge.

2. Know what you're worth
Do some research. Are you really as underpaid as you think? Take a few minutes to look at what other people in your field are earning so that you can have numbers to back up your salary request. Sites like salary.com and payscale.com are a good starting point.

3. State your case
Do a little brainstorming. Make a list of all your accomplishments over the last week, month, or year. Focus on specific things that would matter to your boss or to the company. What sets you apart from everyone else in your division? You might always be on-time and never miss a day of work, but if you're making a case for a raise, you'll need to aim higher. What do you do that makes you unique and valuable? Can you name a specific time you went above and beyond your job description to help someone else? Have you taken any classes, or received training to help you be a better employee? What are you doing to demonstrate to your employer that you're worth the extra investment?

Even if you're not quite ready (or qualified) to ask for a raise, remember that you have the ability to get ready! Take the initiative and think of things you can do to stand out at work. Take a class or get some extra training (We Care Online can help!). A quick and inexpensive class like Spanish for Healthcare Providers is a perfect example of something you can do to boost your skills. It shows you're willing to work hard to improve yourself and be more valuable to your employer. Plus it gives you new skills that you can carry to any job in the future.

Ready to get started? Check out this step-by-step guide about "How to ask for a raise"...and good luck!

Broadening Your Job Search Horizons

2011-11-01T10:46:00.000-07:00

As many people struggle with unemployment or underemployment, I wanted to focus on a trend I've noticed among job seekers. It seems that people looking for work - especially those with specialized medical training or certifications - tend to get hung up on a job title and miss other employment options. A Certified Nurse Assistant might only focus on CNA jobs and not even notice job openings for related positions. The thing to remember is that skills are transferable! Your knowledge and training can apply to many more fields than you think.

In my hometown (Arizona), call centers are big business. They are one of the major employers in the region and offer some of the highest paying jobs plus benefits. A couple of weeks ago, a call center hosted a job fair to fill 100 positions. That's a fairly common occurrence around here, but what was unique about this job fair was that the call center was looking for trained Pharmacy Technicians to join their staff. This is becoming more and more common. People want 24/7 access to medical professionals and call centers fill that need. So while your local assisted living facility or pharmacy might not be hiring, your call center might. If you have knowledge as a Pharmacy Assistant, the job possibilities open up. Similarly, if you've trained as a Health Unit Coordinator, you're qualified to work in many office settings - not just a hospital or elder care facility. Have you considered a doctor's private practice or a chiropractor's office? Focus on your skills and not the job title and the possibilities open up!

Make a list of the skills you have, not just the job titles you've held, and compare that against the local help wanted ads. Look for key words in the job postings that relate to your skills rather than just browsing by job title. Need to brush up or boost your skills? Spanish for Healthcare Providers and Medical Terminology are both fast and affordable, and since they're open enrollment, you can start immediately. The jobs are out there - put your best foot forward, emphasize your skills, and you'll be all set.

cc licensed ( BY ND ) flickr photo shared by alanclarkdesign

Trends in Healthcare Hiring

2011-10-27T10:25:00.001-07:00

In these tough economic times the question on everyone's minds is "Where are the jobs?". We keep hearing that healthcare is among the fastest growing professions, but what does that mean for you? Right now, one of the biggest trends in the healthcare industry is a move away from hospitals and long-term care facilities and towards letting people receive care in their own homes. This applies to both the elderly needing assistance, and people of any age who need help recovering from injuries, long-term illnesses, or surgery.

A quick glance at the major job search websites confirms this trend. Monster.com says, "Home healthcare is hiring rapidly." Careerbuilder says, "Whether it's occupational therapists, speech therapists or physical therapists working with patients who require this type of medical support, the rehabilitation industry is in demand."

Over and over, I see Home Health Aides being the most in-demand workers. Related to this is the role of Mental Health Aides. Really, any sort of therapy or assistance position is popular. The more training you can receive in this area, the better you'll appear to an employer. We Care Online's training programs begin at $157.50, and with 20 hours of class time, you can be ready to enter this rapidly growing profession. Mental Health Aide training is a little more involved at 60 hours of class work and $292.50, but the need for skilled workers is great and the jobs are out there.

Here are a couple articles with more information on the trends.

Trends in At-Home Care

2011-10-25T10:00:00.000-07:00

While the majority of We Care Online students work in residential long-term care facilities (as Certified Nurse Aides, etc.), a growing number are choosing to work in the home health care field. The demand for in-home care is increasing, too, and with it, more people are paying attention to the unique issues that surround home care. One in particular is the issue of ensuring that home-care residents receive the same level of care as those in formal facilties, and that they receive the same protections from abuse and neglect. It's not a pleasant topic, but a very important one. Residents in long-term and assisted care facilities have many protections in place, but the relatively new field of home health care is not currently held to the same standards. This past week, Minnesota senator Al Franken introduced a bill that "would require states to pass a Home Care Bill of Rights that protects consumer rights, safety and access to information." It's a first step in the effort to ensure that all people are granted the same protections when receiving care and assistance.

Later this week, we'll take a closer look at the trends in home-health care. If you currently work as a Home Health Aide, or are considering a career in this field, check back here on Thursday for more on the subject!

A Little Piece of Inspiration

2011-10-20T10:00:00.000-07:00

I saw this video making the rounds online and just had to share it here. Anyone who works in the healthcare industry knows that the job is so much more than just punching the time clock and going through the motions. You're touching lives and providing comfort. We all have our bad days, but I hope this short video can give you a little inspiration and lift as you go about your day.

New class: Spanish for Healthcare Providers

2011-10-18T10:00:00.000-07:00

According to census data, the Hispanic and Latino population is one of the fastest growing groups in the United States. From 2000 to 2006, the Hispanic growth rate (24.3%) was more than three times the growth rate of the total population (6.1%). With this rapid population growth comes an increased need for people who can communicate in Spanish. It is particularly important for healthcare workers to be able to speak the language of their patients. To fill this need, We Care Online is pleased to announce the latest addition to our classes: Spanish for Healthcare Workers.

This eight week beginner course is tailored to the needs of students with limited or no previous experience studying Spanish (and for those who have been without practice for a significant period of time). The class involves 24 hours of online learning and will introduce you to the basics of the Spanish language and provide information about the cultural differences you may encounter. The class gives you a focused introduction to healthcare vocabulary and will teach you basic phrases so that you can effectively communicate with Spanish speakers. It's an eight-week class and costs $157.50 (plus the cost of a textbook). In eight weeks you can boost your skills and make yourself an even more valuable employee. The class opens on October 24 and is open enrollment, so you may start at any time after the 24th. Sign up today!

cc licensed ( BY NC ND ) flickr photo shared by ::: Mer :::

Healthy Snacking Through the Holidays

2011-10-13T10:00:00.000-07:00

We're coming in to the holiday season and while it's great for cooler temperatures and fall colors, it can be a major strain on yourwaistline. Holidays mean social gatherings, and social gatherings always mean food. Halloween is one of the worst possible holidays for a health-conscious person. Candy, caramel apples, popcorn balls - what's a person to do?

Your best bet is to fill up on healthy snacks so that you can pass on the junk food altogether. Or, if you can't resist, you'll at leasthave a better chance at sticking to a smaller portion. There are so many healthy options out there, and almost all of them fit easily in a snack baggie or reusable plastic container. Skip the soda machine and stay away from the fast food joint around the corner. Yourwaistline--and your wallet--will thank you! Having your own snacks handy also makes it easier to take five minutes to stop and visit withthe people in your care.

Drinking water is always a good idea. Furnaces and heaters tend to dry out the air, so it's easy to get dehydrated even if you're notsweating a lot. Also, water blunts hunger and makes you feel a little more full, so you're less likely to eat a diet-busting portion of snacks.Need more ideas?

Check out these links:
10 Healthful Snacks That Won't Break The Calorie Bank

Super Snacks: 5 Best Snacks for Mood

The Best Snacks to Take to Work (50 recipes!)

cc licensed flickr photo shared by Juushika Redgrave

Job Skills: Health Unit Coordinator

2011-10-11T10:00:00.000-07:00

The demand for Health Unit Coordinators is growing, and while We Care Online has a class that can teach you the skills to be an effective HUC, none of that matters until you have a job offer. How can you get from training to employment? The first step is to have an eye-catching resume. A resume is your first impression with a potential employer, and you don't want a human resource manager to say "good enough", you want a "Wow"!

Many people turn to an internet search when it's time to write a resume. That's a good starting point, but unless you go further, you'll end up with a resume identical to everyone else.

Let's take this one for example:
http://www.samplesofresume.org/coordinator/health-unit-coordinator-resume.html

It's generally good (despite a few typos), but doesn't really have that wow factor. For starters, it's too long. All that contact information at the top? Far too much! These days most employers will contact you by phone or email, so lead with your name in a slightly larger font, then include your phone number and an email address below it.

Objective? Skip it! Your objective is to get the job you're submitting a resume for, so prove that you're the best candidate and don't waste the hiring manager's time with general goals or objectives. Skills? Yes, this is where it gets good. This is your one shot to tell the person reading your resume that you are the best candidate for the job. Start by reading the job posting carefully. Pay attention to the words they use and make sure those words are in your skill list. For example, if the post says "responsible for multi-line phone system" and you have experience with a switchboard, say so! You don't need to address every single point in a job posting, but the more you can show you're qualified for, the better.

The best way to stand out from the crowd is to give the hiring manager specific reasons why he or she should pick you. Anything you can do to quantify or put a number to your skills will help. Don't just say you managed the workflow for a busy front office. Say you managed calendars for a staff of 15. Don't say you have good time management skills. Give an example of several things you successfully juggled on a daily basis. Say just enough to get your point across, but don't overwhelm the reader with too many details.

Pick four or five of your absolute best examples and use those for your bullet points. Skip the generic responses ("good oral and written skills", "computer literate") and instead be specific. Good with computers? List software or operating systems that you know. Good with words? Mention how you wrote reports or a quarterly newsletter at a previous job.

Finally, if you're just entering the work force and don't have years of work experience to draw on, don't panic. Many of the skills essential to the Health Unit Coordinator position are skills anyone uses while in school. Time management, computer tasks, formal writing, etc. Focus on the unique skills and talents that set you apart from every other candidate and you'll really boost your chances at getting a callback.

Photo credit: cc licensed ( BY NC ND ) flickr photo shared by MBayTeenPrograms

It's Flu Shot Season

2011-10-06T10:00:00.000-07:00

cc licensed flickr photo shared by USACE Europe District

If you're anywhere near a pharmacy or a television, you've probably been bombarded with flu shot messages. From late summer through the winter everyone from public health officials to commercial pharmacies are clamoring for your attention. Despite (or maybe because of) all the media coverage, there are still a lot of misconceptions about the pros and cons of influenze vaccination. As a health care worker, it's in your best interest to have the latest and most accurate information. Here are a few things to remember about the much-hyped flu shots.

1. It is important to get a new flu shot every year.

A shot from last year won't protect you anymore. Why? There are many different strains of influenza. Health officials predict the most common or virulent strains and create a new vacciene each year to target these strains. Also, immunity fades over time, so while a flu shot might have kept you healthy last year, it won't offer much protection this year.

2. It's important for everyone to get a flu shot.

While at-risk populations like the elderly and pregnant women are highly encouraged to get vaccinated, the best way to prevent the spread of influenza is for as many people as possible to get a flu shot. The flu is spread when one individual becomes sick and passes on the virus to another. If you boost your immunity with a flu shot, you are less likely to contract the flu, and your body won't have any flu germs to pass along. More vaccinations mean fewer people will harbor and spread influenza, and that's good news for everyone!

3. It's important to get your shot as soon as possible.

Since the vacciene works by triggering an immune response, you need to allow time for your body's natural defense system to get up to speed. A flu shot can take up to two weeks to reach its full effectiveness. The sooner you're vaccinated, the sooner your body can get to work at protecting you.

For more information, please visit the Center For Disease Control and Prevention's Seasonal Flu information page.

Have you gotten your flu shot yet?

New Trends in Long-Term Care: Home Care vs. Nursing Homes

2011-10-04T10:00:00.000-07:00

Assisted living facilities are often thought of as the place where people go when they can no longer live independently. While this is largely true, a recent series on National Public Radio brought attention to the fact that assisted living residents can be a much more diverse population than previously thought. Instead of the stereotype of frail, elderly residents, many people are simply "short timers" in need of a little extra assistance before they can return home.

While it's true that many people come to nursing homes when they are unable to take care of themselves due to age-related issues, there are many other people who are only meant to be temporary residents. Among this group are people needing physical therapy and those recovering from major surgeries. As this series shows, nursing homes are not always a final desination. Many people only need temporary 'round-the-clock assistance, and are fine with returning to independent or semi-independent living once their immediate needs are met. In addition, residents have a right to live at home and to have a say in where and how they will receive care.

This shows, more than ever, the need for skilled Home Health Aides who can provide the necessary part-time home care. More and more studies are showing that it is not only more comfortable for individuals to remain in their homes, but that it is much more cost effective. As the article notes, "One study by the AARP Public Policy Institute found that nearly three people can get care at home for the same cost of one in a nursing home." Three times the care for the same cost! Because long-term health care is often funded through government programs, keeping costs down is in everyone's best interests.

In addition, a growing number of skilled nursing facility residents are petitioning for the right to return to home or apartment living. There are many sides to this issue, but it's of great importance to anyone working in the healthcare field. To learn more about the issues facing residents and those who care for them, you can find the entire NPR series here: http://www.npr.org/series/131105200/home-or-nursing-home

Certified Nurse Aides: FAQ's

2011-09-22T10:00:00.000-07:00

Part 2 of our Frequently Asked Questions regarding CNA's in Kansas:

Q. What happens if Idon’t pass this course?

If you do not pass the course successfully the instructorwill submit a written notification to the state of your name and you will notbe eligible to sit for the state test. You would then have to retake the entire CNA course again.

Q. What happens once Icomplete the course successfully?

Once you complete the course your instructor will send yourname into the state. Once the instructorreceives the “Approval to Test Notice” your instructor will contact you and getyou the Approval letter. The “Approvalto Test Notice” will assign the test date, location, and time.

Q. What if I am unableto take the test on the date scheduled?

If you are unable to take the test on the date assigned youmust contact Health Occupations Credentialing (HOC) at 785-296-1250 to requesta rescheduling form to submit along with a $20 application fee.

Q. Tell me more aboutthe state test.

The state test is timed and contains 100 multiple-choicequestions. You are given 2 hours inwhich to complete the test. The score of75% or greater constitutes a passing score.

Q. What do I need totake to the state test?

You must provide the following at the test site when you goto test:

Original photo ID
Test fee
Approval letter to test

You need to be extremely punctual for the state test. This test is timed and there are otherstudents testing as well. The testingsites are very prompt on delivering the test. The testing sites will not accept any students who walk in the doorafter the testing has begun. I recommendyou arrive at least 30 minutes ahead of schedule to get seated for your statetest.

You WILL NOT be admitted if you are not listed as eligibleon the site schedule, or are late, or do not provide required ID

Q. What if I have adisability?

Any candidate who has a:

Physical disability
Learning disability
Psychological disability

If you require a reasonable accommodationto take the state test you need to complete a request form. As a student you must have performed in asatisfactory manner in both the classroom and lab/clinical settings of thecourse, and successfully completed the Skills Competency Checklist.

Q. Is the state testgiven in more than one language?

The state test is read in only the English language. If English is your second language may use abilingual language dictionary during the state test. Computer dictionaries and medicaldictionaries are prohibited.

Q. What happens when Ipass the state test?

If you pass the state test, a certificate will be mailed toyou at the address in which you provided. On average it takes 3-4 weeks fromthe time the state test has been taken until the department received and entersthe test score. You should allow 30days to lapse from the date the test was taken before calling the department tocheck on the status of the certificate. 785-296-1250.

Q. What happens if Ifail the state test?

You will receive a letter that includes the score. The information on your performance in thecategories will help you prepare to retake the test. A rescheduling form, if you are eligible,will be included. You should completethis and send it to HOC with the non-refundable $20 application fee.

Q. How long do I have toretake the test?

The state test must be passed within one year from the beginningdate of the nurse aide training course. You are eligible to retake the test a maximum of 3 times within thatyear. If the test is not passed withinone year from the starting date of the course, the entire course must beretaken to be eligible to take the test again.

Q. What is KNAR?

KNAR is the Kansas Nurse Aide registry which is federallymandated program to track the employment and training for aides in Kansas. A unique identification number is issued toyou if you have successfully completed the state nurse aide course and passedthe test.

What are recordchecks?

The KNAR will be checked for reports of abuse, neglect, orexploitation, prohibited offenses, or misappropriation of residentproperty. Each adult care home mustcontact the registry prior to hiring you as a nurse aide. A criminal record check will be requested bya facility to determine your eligibility to work. A facility may NOT employ any person with anyof this on record after April 1, 1992. You can see prohibited offenses under the tab “Course Information”.

Q. KNAR should never becontacted to:

Inquire about test results. The results are mailed to you within 30 daysfrom the test date. The test resultscannot be given over the phone. Call 785-296-1250.
Inquire about test sites. Instead call 785-296-1250
Request replacement copies of certificates. Instead call 785-296-1250
Report abuse complaint about a CNA or otherpersonnel. Instead call 800-842-0078
Inquire about the CNA and competency evaluationInstead call 785-296-0058
Inquire about employment verification proceduresor issues. Instead call 785-296-1250
Locate course offerings. Instead call 785-296-1250 or access websiteat www.kdheks.gov/hoc

Q. Does my CNAcertificate expire?

CNA certificates do not expire therefore you will notreceive new certificates automatically. As a CNA you will be eligible for employment for 24 months following thedate the certificate is issued. In orderfor you to extend the eligibility period, you as a CNA must be employed toperform nursing or nursing related tasks for at least 8 hours in the 24 monthperiod.

Q. What if my employment was not receivedby KNAR?
If you worked 8hr in a 24 hr period and the information was not receivedand noted on the CNA”s KNAR record, the CNA should request the EmploymentVerification Form from HOC.

Q. What happens if Ihave not been employed in a 24 month period for 8 hrs?

IF a CNA has not been employed to perform nursing or nursingrelated duties in the past 24 mo you can have a licensed, registered nurse mayelect to administer the Kansas Nurse Aide Task Checklist-For EmploymentVerification. The checklist may be donein an adult care home, hospital, or laboratory setting. The checklist shall not be given to theaide. Or the CNA may take a refreshercourse, if available, instead of having a nurse administer the taskchecklist. Once completed and submittedto HOC, the eligibility period is extended by 24 months. It is not necessary to work for “40 hrs” inorder to complete the checklist for employment purposes. The amount of time it takes to perform eachtask will vary.

Q. What if I have lostmy CNA certificate?

If you have lost your CNA certificate, an application formis available and a new certificate will be sent upon receipt of the form and afee.

Q. What if there is achange in name, address, phone number as a NAT or CNA?

Whenever there is a change in your mailing address,telephone number, or name you need to contact HOC so the department can keepyour information updated. 785-296-0060.

To take a We Care Online CNA Class - Click Here

Kansas Nursing Assistants: FAQ's

2011-09-20T10:00:00.000-07:00

Thinking about taking a CNA course in Kansas? I'm sure you have lots of questions about Kansas requirements and employment issues. We've accumulated our most asked questions and will address them over our next few blogs.

Q. Can an employerrequest that I work for them for a period of time if they pay for my CNAtraining?

The use of contracts relating to training for employment isprohibited under federal regulations. Anadult care home cannot require a Trainee II or a CNA to enter into eitherverbal or written contracts to work for a specified period of time at thefacility or else reimburse the facility for the cost of the training.

Schools however may require students to enter into verbal orwritten contracts stating terms of payment. However, a contract must not state that the student will be deniedaccess to the state test.

Q. Can I work for anadult care home as a Nurse Aide Trainee I?

A Nurse Aide Trainee I (NAT1) may not be employed by afacility in DIRECT care duties. Direct, individual care refers to nursingactivities that are resident oriented. It involves personal contact with the resident by the trainee, andprovides assistance in grooming, feeding, toileting, or ambulating theresident.

Q. What happens once Icomplete Part 1 of the CNA Course?

Once you have completed Part 1 of this nurse aide trainingcourse, your clinical instructor will evaluate you on your performance usingthe Task Checklist provided by the State of Kansas. The Task Checklist is used to evaluate your initialcompetence in performing basic nursing tasks. Your clinical instructor must observe completion of each task in asatisfactory manner. When you havesuccessfully demonstrated each task successfully to your clinical instructor,he/she will fill out the Task Checklist and the original is given to you. Once you have completed this Task Checklist successfully,you are now classified as a Nurse Aide Trainee II (NATII)

Q. Can I also become aPaid Nutrition Assistant with the CNA course?

Part 1 of your CNA training also include the instruction andcompetency evaluation required to for you to be an employee as a Paid Nutrition Assistant (PNA).

Also upon completion of Part I and the Task Checklist, WeCare On-Line will award you a certificate of completion for PNA training. Once you have successfully completed the TaskChecklist for Part 1, the online CNA instructor will notify you and issue you acertificate by email. This certificateis permanent evidence that you have completed the PNA training and you shouldkeep this for your records. Once youhave successfully completed Part 1 and the Task Checklist you may seekemployment as a PNA if you choose, whether or not you complete the rest of thecourse. You are to provide a copy of thePNA certificate to the facility of employment.

Q. What are myemployment options once I am a NATII?

Once you are a NATII, you are eligible to provide direct,individual care to residents in an adult care home under the direction of alicensed nurse. You may work as a paidnutrition assistance if you choose.

As a NATII, you should not be expected to perform nursingtasks that have not yet been adequately covered during the classroom training hoursand you should respectfully decline to provide the service that is asked ofyou.

Q. How long am Iconsidered a NATII?

You are considered a NATII for 4 months from the beginningdate of the course. If you areunable to fully meet the certification requirements within 4 months from thebeginning date of the course, you are no longer eligible to provide directresident care services. A second 4 monthtrainee period is not allowed.

To be continued. . . .

To register for We Care Online's online or in house CNA class Click Here.

Physical Aspects of Aging -- Part 4 of 4

2011-09-15T10:00:00.000-07:00

Teeth and Mouth

Older adults are more likely to lose teeth to gum disease than to problems with the teeth themselves. However, with proper personal care, regular checkups, and improved dentistry methods, older people are more able to retain their natural teeth throughout their lives. Older people who do lose their teeth may now expect and demand comfortable, well-fitting, and durable dentures.

Digestion

The digestive system is very sensitive to emotions. An older person may experience an upset stomach or lack of appetite when lonely, depressed, or worried. Regular contact with friends and relatives, through visits and telephone calls, can help prevent these problems.
It is fairly common for older people to have less frequent bowel movements and to suffer from constipation. This is due to changes in tissue and muscles and reduced thirst. Regular exercise, such as a daily walk, can prevent constipation. A well-balanced diet that includes adequate fiber and fluid intake also encourages normal bowel function and minimizes the need for laxatives. In contrast, self-prescribed laxatives are an expensive substitute for foods that naturally keep the gastrointestinal system running smoothly, such as bran cereals, fruits, and vegetables. Overuse of laxatives can interfere with the availability of nutrients for healthy body functioning.

Adequate fluid intake is essential for maintaining proper body temperature and functioning of the digestive system. However, some older people make the mistake of limiting their fluid intake in order to avoid frequent urination. Dehydration is a serious problem for the elderly. This is due to their decreased sense of thirst and reduced capacity to conserve water. In addition, laxative abuse, diuretic therapies, infections, immobility, or excessive use of alcohol or caffeine tend to promote dehydration.

Caregivers and older adults should follow the guidelines below to assure proper gastrointestinal functioning.

Get some form of regular exercise that is appropriate to the level of physical ability.
Maintain a well-balanced diet that includes natural sources of fiber such as whole grains, fruits, and vegetables.
On a daily basis, drink eight cups of water and other fluids.
Watch for signs of dehydration, such as mental confusion, decreased urine output, constipation, nausea, lack of appetite, dryness of lips, and elevated body temperature.
Pay special attention to fluid intake during hot weather.
Monitor the fluid balance in older people with special medical problems, such as congestive heart failure or kidney disease. Discuss the appropriate methods to monitor fluid intake and output with your doctor.

Circulation

The older heart slows down and is less able to pump blood through the body than the younger heart. This results in older people having less energy and stamina for physical work. Decreased circulation also contributes to cold sensitivity, particularly in the hands and feet. Because oxygen necessary for proper physical and cognitive functioning is carried through the blood, the elder with poor circulation may experience forgetfulness and other symptoms of poor cognition.

Blood vessels, which play an important role in the circulation of blood throughout the body, lose elasticity as we age. This causes blood to tend to "pool" in the feet and legs. This means that swelling (edema) may occur in the extremities. Consequently, the heart, which undergoes muscle changes as we age, must pump harder in order to carry the blood to all parts of the body.

Changes in circulation make the older person more susceptible to the development of "little strokes" (TIAs) than when younger. Symptoms of such episodes include headache, vision disturbances, loss of balance, confusion, and dizziness when standing quickly from a sitting or reclining position. Because "little strokes" can be harbingers of a larger stroke, consult with the older person's primary health care provider, should these occur.

Many older people are on medications that impact circulation. Be familiar with these medications, and their side effects. This may prevent complications, which may arise from their use.

Pressure ulcers, a skin problem found in people with limited mobility, are due to impaired circulation. When an older person is unable to move about, tissue may die due to lack of an adequate blood supply to the skin. Areas particularly susceptible to these ulcers are those over bony prominences such as hips, shoulders, elbows, knees, ankles, and the heels of the feet.

To facilitate proper circulation and its effects:

Prop the feet on a footstool or other appropriate stable object when sitting.
Change the person's position at least every two hours to prevent pressure ulcers of the skin.
Develop an activity routine which conserves energy and yet includes opportunities for movement.
When the elder is sitting, rotate her or his feet at the ankles frequently to promote circulation.
When the elder is rising from a reclining position, help her or him sit on the edge of the bed for a few moments before standing.
Be familiar with the older person's medications and their side effects to prevent falls and other complications.
Be alert to sensitivity to cold in the older person. Make certain there are sweaters, blankets, and other warm materials available.

Learn more in our Restorative Aide course! For more information click here!

Physical Aspects of Aging -- Part 3 of 4

2011-09-13T10:00:00.001-07:00

Vision

Even though changes to the eye take place as a person ages, many older people have good-to-adequate vision. Nevertheless, beginning in the late 30s and early 40s, an individual may begin to notice some changes. She or he may have to hold the paper farther away to read it due to changes in the ability of the lens to change its shape to accommodate to distance.

With aging, peripheral vision is reduced. A person may need to turn her or his head to see to the sides. The flexibility of the eye decreases and it takes an older person more time to accommodate to changes in light. Adaptations in lifestyle and behaviors must be made to cope with this change. An individual might give up driving at night. Placing more lights evenly around the room so that the entire room is lit is also helpful.
Degeneration of eye muscles and clouding of the lens are associated with aging. Several changes in vision result from this. Older people tend to have trouble focusing on near objects, but eyeglasses may correct this problem. In addition, the ability to see colors changes with age as the lens yellows. Red, yellow, and orange are easier to see than blue and green. This is why fabrics in warmer shades may be more appealing to the older person.

Serious vision impairments such as cataracts, glaucoma, and blindness affect between 7% and 15% of older adults. If someone you know must learn to cope with blindness or near blindness, you can play a critical role in helping them maintain their independence.

To help a person with any visual impairment, or to make your own life brighter:

Light the room brightly and use more than one non-glare light in a room.
Use blinds or shades to reduce glare.
Keep a night light on in the bedroom, hallway, and bathroom to maintain an equal level of light.
Increase lighting on stairwells and steps.
Use concentrated light for sewing and reading.
Turn lighting away from the television to avoid glare.
Provide printed materials with high contrast between the background and lettering.
Use contrasting colors in the home, such as colors between the doors and walls, and between the dishes and table coverings.
Mark the edge of steps with a brightly colored tape or different colored paint, and paint the handrails.
Provide audiotaped books and music for the elder's cognitive stimulation, entertainment, and relaxation.
Wear a hat with a wide brim and sunglasses while outside. This will protect the eyes against too much sunlight, which can lead to cataracts.
Know the warning signals of possible vision problems, including pain in or around the eyes, excessive tearing or discharge, double vision, dimness or distortion of vision, flashes of light, halos or floating spots, swelling of the eyelids or a protruding eye, changes in eye color, and changes in vision or movement of one eye.
Make sure the older person has regular eye exams, including a glaucoma screening, at least once every 1-2 years.

Unfortunately, people who experience vision problems may avoid activities that require good vision and become isolated. Work with a professional to explore ways to help the older person maintain a normal lifestyle. With today's technologies and medical care, individuals don't have to accept limitations from declining vision as an inevitable part of aging.

Taste and Smell

Some loss in taste sensitivity takes place with aging. However, the loss is minor and does not seem to occur in most people until well after 70. There is also a loss of smell, but this is not severe.

Nevertheless, older people often complain that their meals are tasteless or that they no longer like their favorite foods. Most experts feel that these complaints are caused by a sense of loneliness at meals, or an unwillingness or inability to cook. Also, older persons may not buy more enjoyable foods when they have difficulty chewing due to poor dentures or dental problems, or are stretching their food dollars due to a limited budget.

To help the older person enjoy mealtime:

Offer familiar, well-liked foods.
Invite or encourage the elder to share meals with friends and family, in his or her home or at congregate meal sites.
Experiment with different seasonings and flavorings.
Prepare a variety of foods each day.
Make the table colorful and inviting with bright napkins, mats, and flowers.
Encourage exercise, when possible, which stimulates the appetite.

Learn more in our Restorative Aide course! Click here for more info

Physical Aspects of Aging -- Part 2 of 4

2011-09-08T10:00:00.001-07:00

Touch

The skin serves a protective function by buffering us from the environment. Skin changes leave the older person vulnerable to discomfort and harm. Due to reduced sensitivity, heat sources such as heating pads, hot water bottles, and pot handles can hurt the skin before the elder realizes that damage is occurring.

An older person may develop a greater sensitivity to cool temperatures and drafts. This is caused by a decline in sweat gland activity, a decrease in the ability to maintain a normal body temperature due to poorer circulation, and a thinning of the skin. Wrinkling, drying, and scaling also occur. The skin tears and breaks more easily, increasing the chance of injury and infection.

To cope with these changes, the older person should:

Avoid extreme exposure to sun and wind, which speed up the aging of the skin.
Avoid daily baths or showers, as these tend to dry out the skin.
Moisturize the skin with body oil after a bath, gently patted on with a washcloth.
After bathing, pat the skin dry.
Drink one to two quarts of fluid daily to maintain normal body temperature and functioning.

The sensation of touch connects us with others no matter what our age. Thus, touch is important in maintaining the elder's emotional well-being. Use touch to communicate that you are there for support and that you care.

Changes in Bones and Muscles

Aging adults, especially the very old, are vulnerable to broken bones. In addition, joints stiffen and connecting ligaments between bones lose their elasticity. Hand and foot pain may result.
Although there is no known way to prevent sometimes painful changes in aging muscles, bones, and ligaments, regular exercise helps to assure continuing mobility in old age. Most physicians feel that walking, along with adequate rest and a nutritious diet, are tremendously valuable for maintaining mobility and fitness in the later years.
Health professionals advise middle-aged and older adults to:

Eat a well-balanced diet with the proper amount of calcium and other essential nutrients.
With a physician's guidance, start or continue a regular exercise program.

It is very important to prevent falls. Due to changes in bone mass and strength, falls often result in injury, hospitalization, and continued declines in health.

The suggestions covered under vision and hearing, as well as those listed below, will help the older person take the necessary precautions to prevent falls.

A no-slip bath mat and grasp rails are installed in the shower or tub.
A seat is placed in the shower if standing is difficult.
If scatter rugs are used, they should have no-slip backing or mats underneath.
Chairs are sturdy and do not wobble, break, or tip over.
A safe, sturdy step stool is available to reach high places.
The telephone is placed in a convenient location.
Chairs and sofas are at a height that permits easy sitting.
Floors and stairs have non-skid surfaces.
Railings line all staircases.
Staircases and walkways are uncluttered.
Front and back steps, and inside flooring and carpeting are in good condition.
Instructions for the proper use of medications are followed carefully, as improper types or dosages often cause falls.

You can find this and other great information in our Restorative Aide class! Click here for more info

Physical Aspects of Aging -- Part 1 of 4

2011-09-07T14:47:00.000-07:00

Physical Changes of Aging

It is important to recognize that people age differently, so what is presented here may not be exactly what you or your loved one experience. Also, even though there are many challenges of aging, these can often be addressed through simple steps that improve communication and make the environment safer and easier for the older person to navigate. These steps may also help to make it easier for the older person to live independently for as long as possible.

Sensory Changes

Humans receive and process information from the environment through hearing, vision, taste, smell, and touch. With aging, these senses are often diminished and incoming information may be distorted or difficult to understand. As a result, the older person may give up some enjoyable activities or lose contact with friends and family who are important sources of support. These problems can be reduced or overcome by following the suggestions described in the sections below.

Hearing

About 30% of people over 60 have a hearing impairment, but about 33% of those 75 to 84, and about half of those over 85, have a hearing loss. Hearing loss affects the older person's ability to talk easily with others. For example, older people often have trouble hearing higher pitched tones. They also may not be able to make out sounds or words when there is background noise. Conversations may be difficult to hear, especially if the speaker has a high voice or there is background interference.

Older persons may be frustrated or embarrassed about not being able to understand what is being said. They may have to ask people to repeat themselves, or endure shouting when a speaker tries to be heard. Older persons may hold back from conversation out of a fear of making inappropriate comments. They may tire from concentrating and straining to hear. As a result, the older person may withdraw from friends and family and outside activities.

Hearing loss doesn't have to cause social isolation and emotional distress. Simple changes in behavior and the home environment can increase the elder's ability to carry on a normal conversation.

Speak clearly and in a normal tone of voice. Don't speak too fast or too slow. Hold your head still. Do not shout.
Get the older person's attention before speaking.
Look directly at her or his face and at the same level.
Stand or sit with the light above or toward you, not behind you. Keep your hands away from your mouth.
Eliminate background noise from radio and television.
Try using different phrases with the same meaning if you are not getting your point across.
Build breaks into your conversation.
Use facial expressions or gestures to give useful clues.
Repeat yourself if necessary, using different words.
Ask how you can help.
Include the hearing-impaired person when talking, do not exclude them.

There are many different devices that can be used in the home to help a hearing-impaired person. Special phones work with hearing aids and ring louder than a standard phone. There are alarm clocks, smoke detectors, and doorbells that have flashing lights and vibrations to alert the hearing-impaired.
Older adults need routine hearing exams by qualified professionals. Have hearing checked by an audiologist to be sure that another problem is not causing the hearing loss. If a hearing aid is needed, work with the audiologist to find the right brand and fit. If you are a caregiver, provide plenty of support and encouragement to the person who is adjusting to the hearing aid.

Learn more in our Restorative Aide course! Click here for more info

An Excerpt From Our Social Service Designee Course

2011-08-25T11:25:00.000-07:00

Elisabeth Kubler-Ross

Understanding Death and Dying

Preparing for death often means finishing a life's work, setting things right with family and friends, and making peace with the inevitable. Spiritual and religious issues are important to many dying people and their families. Members of the clergy are part of the care team in some hospice and hospital facilities, and professional caregivers can help people and their families find appropriate spiritual assistance if they do not have a relationship with a minister or other spiritual leader.

Grieving is a normal process that usually begins before an anticipated death. According to Elisabeth Kubler-Ross, a pioneer in death and dying, the dying person typically experiences five emotional stages, often in the following order: denial, anger, bargaining, depression, and acceptance. A person in denial may act as if, talk as if, or think that he is not dying. Denial is caused by fears about loss of control, separation from loved ones, an uncertain future, and suffering. Talking to a doctor or other health care member can help the dying person understand that he can remain in control and that his pain and other symptoms will be controlled. Anger may be expressed as a sense of injustice: "Why me?". Bargaining can be a sign of reasoning with death, that is, seeking more time. When the person realizes that bargaining and other strategies are not working, depression may develop. Acceptance, sometimes described as facing the inevitable, may come after discussions with family, friends, and care providers.

Preparing for death is hard work, with many emotional ups and downs. However, for most people, it is a time of new understanding and growth. By dealing with past hurts and mending relationships, a dying person and family members can achieve a profound sense of peace.

Preparing for approaching death can be terrifying if you have no idea what to expect both physically and emotionally. As the dying process enters its final stages there are two different dynamics at work.

The physical aspect concerns the body as it begins its final process of shutting down; this ends the physical systems' functioning.

The other dynamic is the emotional/mental and spiritual area which is a different process. This is where the spirit of the dying individual begins to slip away from its immediate environment and attachments. This release tends to follow its own priorities when it comes to letting go; of family members, unfinished business of a personal nature and/or unreconciled problems. You have all heard people tell how someone on their death bed refused to let go until a certain member of the family was able to get there. Even when the body is trying to shut down the spirit hangs on until a resolution is reached. It is as though the dying person needs permission to go; needs to feel that he has achieved the support and acceptance of his fate by those he leaves behind. This way he can slip into the next dimension of life with grace and dignity.

Acceptance is coming to terms with reality. It is accepting that the world will still go on without you. Death is after all, just a part of life.

The EKR Foundation: Click Here

Elisabeth Kübler-Ross: Click Here

As a Social Service Designee, you may spend one on one time with dying residents. You may just want to read aloud or hold their hands. Some residents enjoy reading a passages from the Bible (or their preferred holy book) that are comforting (Psalm 23, in particular). Know your residents’ likes and dislikes. This will help you to know what residents would want you to do during this time. You can also get information from family members.

20 Things Nurses Wish They Never Had to Say

2011-08-23T11:23:00.001-07:00

The title---borrowed from a nurses' desk calendar---is self-explanatory. The situations that give rise to these sayings, however, are not.

OK, I'll have to admit that I got the idea for this piece from a desk calendar my sister gave me for Christmas last year. It's 365 pages of nursing funnies, some of which really aren't, but the rest of them range from the mildly amusing to rolling-on-the-floor-with-tears-squirting-out-of-your-eyes HILARIOUS. And after having the kind of Hell Week I just went through, I needed the comic relief of "How in the world did THAT get in THERE??!"

Here, for your enjoyment, are twenty more things nurses wish they never had to say:

1) To the CNA: "Uh-oh........it looks like Mrs. Chambers hasn't had a BM in nine days."
2) To the patient with Munchausen's Syndrome: "No, I can't give you any more pain medicine," when what you'd really like is to swack him up with enough Dilaudid to shut him up about his manufactured miseries for a few hours.
3) To co-workers, upon seeing a frequent flyer coming up in the elevator: "Oh, Lordy......look at what the cat dragged in."
4) To the MD: "You want me to do WHAT?"
5) To your best friend's 10-year-old: "No, Eric, you're not a dork. Everybody gets their big toe stuck in the bathtub faucet at least once."

Read the rest...

How Nurse Aide Beat the Odds to Head Up Department

2011-08-08T10:00:00.002-07:00

“A very important member of staff,” is how Dr Denis Ogolla, the managing director of Nairobi’s Avenue Healthcare, describes Irene Kaberere. She is the head of support services at the hospital.

Over the years, she earned trust due to her dedication to work which saw her rise through the ranks.

On her way up, she maintained a close relationship with both staff and patients.

“She is the sort of person that all staff members want to talk to, not only regarding official matters but also personal issues,” said Dr Ogolla.

“She spreads that motherly feeling to all of us at the hospital.” Ms Kaberere was employed at Avenue Healthcare in 1978, two years after the hospital was established. She is among the hospital’s eldest employees.

She served as a nurse-aide, assisting senior nurses and doctors with duties in the wards, a task she performed for four years.

Read the rest of the article here: http://www.businessdailyafrica.com/How+nurse+aide+beat+the+odds+to+head+department/-/539444/1212236/-/ki2ygez/-/

What to Expect Working as a Nurse Aide

2011-08-03T10:00:00.000-07:00

The increasing elderly population combined with advances in technology in the medical field is increasing the demand for nurse aides. In fact the U.S. Bureau of Labor Statistics predicts a 28 percent growth in nurse aide positions between 2006 and 2016. People looking for an entry-level position in the healthcare field may find this is the right position for them once they learn about a nurse's aide information and salary.

Job Responsibilities
The main function of a nurse aide is to provide personal care to residents in a medical facility, and this can include assisting them with bathing, eating, dressing or going to the bathroom. They also transport patients to different departments by aiding them in walking through a medical facility or pushing them in a wheelchair. Since the job of a nurse aide is considered entry-level in the healthcare field, people in this position assist nursing staff, who serve as their supervisors, with setting up equipment and obtaining supplies.

Working Environment
Nurse aides can work in any medical facility where there is a need for assistance, but they are most commonly found in nursing homes, assisted living centers and hospitals. These facilities house patients with the greatest need for assistance and personal care services. Since care is needed for patients 24/7, nurse aides may work in the evenings, at night or on weekends to meet the demands of the facility.

Read more here: http://www.infobarrel.com/What_to_Expect_Working_as_a_Nurse_Aide

New Font Could Help Dyslexic Readers

2011-08-02T08:43:00.000-07:00

It might not be pretty, but a Dutch graphic designer believes that a new font he's developed can help people with dyslexia read more easily.

Graphic designer Christian Boer developed the typeface, called Dyslexie, back in 2008. And while it isn't the first font created specifically to help dyslectics, it may be the first backed up by some scientific evidence that suggests it works.

A recent study by researchers at the University of Twente in the Netherlands found the font helped to decrease the number of errors dyslectics made when reading.

Millions of people worldwide are affected by dyslexia, a language-based learning disability that causes problems in reading, spelling, writing and even pronouncing words.

There is no consensus on how many people have the condition, but estimates range from 10 to 20 per cent of the population.

Many people mistakenly believe that those with dyslexia read words backwards. In fact, what they are more likely to do is mix up and switch letters, especially ones that look similar.

For the average dyslectic, many of the letters in the Latin-based alphabet look frustratingly alike. At least eight letters, for example, are based on the letter "o" with various "tails." The letters "b," "d," "p," "q," "g," "a," and even "c" and "e" can be easily mixed up by someone with this learning disability.

Read the rest here: http://www.ctv.ca/CTVNews/TopStories/20110729/new-typeface-font-dyslexic-readers-110730/

Move To Improve Residents' Quality of Life a Welcome Development

2011-07-28T10:00:00.000-07:00

As growing numbers of Americans age and need extended care, long-term care organizations have sought to better meet both the healthcare and social needs of their residents. Those who reach the point in life where nursing home care is necessary do not want to live in an environment that feels like a hospital instead of a home.

Over the past several years, alternatives to institutional environments such as the Green House Project, the Pioneer Network and the Eden Alternative have all aimed to encourage genuine homes for the disabled elderly. And, with the Centers for Medicare & Medicaid Services' recent call for a culture change in nursing homes, the focus on resident-centered care places a priority on residents' rights.

CMS' new rules will encourage long-term care organizations to improve the quality of residents' lives by moving away from the institutional environment. For example, a resident's preferences for a daily schedule should be respected. Also, institutional overhead paging systems, alarms and large nursing stations, and meals served on institutional trays, should be eliminated..

Read more here: http://www.mcknights.com/move-to-improve-residents-quality-of-life-a-welcome-development/article/141159/

Will music improve MDS 3.0 scores?

2011-07-27T12:09:00.000-07:00

Neuroscience research during the past 10 years has made great strides in documenting the relationship between music and the brain. The New York Academy of Sciences Music, Science and Medicine conference recently brought together leading researchers to share what we now know about music and its impact on Alzheimer's disease, pain, Parkinson's, coma and autism.

Optimally, every long-term care facility would benefit from the expertise of a music therapist. Short of that level of expertise, long-term care facilities have an inexpensive tool that can have a positive impact on resident quality of life, which, in turn, should be reflected in an important subset of MDS 3.0 scores.

Using iPods to reconnect residents with their favorite music is a simple intervention with great upside potential and no side effects. According to the New York State Department of Health, individualized music reduces dementia-related agitation by up to 80%. Feedback from hundreds of residents (and staff) is that behavior and mood improves, and residents are more cooperative, attentive and engaged.

Why this works for long-term care:

It breaks through the group activities hurdle

Just think about the top five ways we like to spend our own free time. How many of those are group activities? The answer is typically very few. We tend to think nothing of our anytime access to music. Yet we provide all manner of group activities while we look for ways to be more person-centered. Little is more personally meaningful than our own music.

Read more here: http://www.mcknights.com/will-music-improve-mds-30-scores/article/205919/

My Twinkling Star

2011-07-22T14:25:00.000-07:00

As the social services and activity director in a 92-bed skilled nursing facility, I am fortunate to share in a precious season of residents' lives. For most of them, this is the final "home" that they will have this side of heaven. It is our motto that they don't come here to die but to live.

As social service / activity staff, we have the opportunity to catch a unique glimpse of the individual because we assess their likes, preferences and learn about their backgrounds. We are entrusted with them. The residents share their histories and life lessons with us — if we are quiet enough to listen and observe.

Read more here: http://www.mcknights.com/my-twinkling-star/article/208031/

A Little Humor

2011-07-20T12:29:00.002-07:00

AARP Finds Toll On Family Caregivers Is 'Huge'

2011-07-19T10:29:00.001-07:00

A new study by the AARP estimates that for the more than 40 million Americans caring for an elderly or disabled loved one, the value of their work is $450 billion a year.

That's a good deal for society. But for the family members doing the work, the study finds they need a lot more help.

Take Cymando Henley, 36, whose mother was diagnosed with multiple sclerosis when he was starting college. She now must use a wheelchair, and Henley has been taking care of her for nearly two decades.

Henley does have help. Montgomery County, Maryland, where they live, and the MS Society pay for a combined 35 hours of home health aides each week — though that's threatened by budget cuts.

But every day, Henley must help his mom in and out of bed and onto the toilet. He even rolls her over in the middle of the night if she becomes uncomfortable.

Read the rest...

Ten Highest Paying Nursing Specialties

2011-07-18T08:49:00.000-07:00

Nurses make up the largest number of healthcare professions -- there are over 2.6 million registered nurses in the US. Here are the ten nursing specialties that earn the highest pay.

Read More Here...

Post Job Interview Strategy

2011-07-05T10:41:00.000-07:00

Ever feel awkward about leaving your job interview and what to do next? Here's some good advice on how to leave your prospective employer with a good impression.

The way in which you follow up after a job interview can be as important to your job search success as the interview itself. After a job interview, it is critical that you make it known to your potential employer that you are enthusiastic about the job for which you interviewed and the company itself.

Leaving the Interview

Before you exit your interview, ask the interviewer what the typical protocol is for hiring--ask what the next steps are in the hiring process and when you might expect to hear from them. Also be sure to get a business card from every person you meet during the course of the interview process. You will need this contact information later on to complete your follow-up.
Thank You Note--Timing

Write a thank you note as soon as you can after your interview. Both email and regular mail are acceptable. If you choose to send an email, wait at least an hour or two before you send it--sending an email too soon after an interview (10 minutes later from your phone, for example) can make you appear somewhat desperate and your thanks will not come across as being completely genuine....Read more: Post Job Interview Strategy

Health Unit Coordinator Responsibilities and Duties

2011-06-30T11:43:00.001-07:00

Creating a resume to apply for your Health Unit Coordinator position can be a little tricky. One of the important parts of the resume is listing what you can or have done as a Health Unit Coordinator.

Get to know about the Roles, Tasks, Duties and Responsibilities of Health Unit Coordinator. Below is a generic list of the HUC's Responsibilities and Duties that you might consider listing on your resume.

Transcribe and communicate health physician orders on time.
Manage unit communication to promptly answer telephones and activating paging system and unit mail.
Document and manage medical records as per policy.
Support physicians by transcribing orders and managing patient charts.
Incorporate vision, values, missions and critical goals into job performance.
Manage Hospital standards by engaging in health committees and in-services.
Precept new associates as assigned by department manager.
Prioritize work and manage multiple emergent demands by working independently.
Tabulate data log sheets, receive payment, make receipt and follow billing procedures.
Prioritize and transcribe written doctor’s order under RN supervision.
Manage patient medical records as per hospital and unit policy.
Develop and achieve unit goals on health, safety, cost and quality.
Attain customer service excellence by satisfying customer needs.
Transcribe health physician order under RN’s directions.
Handle patient activities on and off nursing unit such facility transfers.

See more about Great Resumes - Click Here

Interview with an Health Unit Coordinator

Information regarding certification with NAHUC

More information about certification

Take an online HUC class to prep you for the HUC Exam!

Working Women's Wardrobe Guide

2011-06-29T09:26:00.000-07:00

Understanding the rules and etiquette that applies to business attire can be the difference between success in a job interview or job placement and failure. Women's business attire should be understated, good quality, body-appropriate and comfortable. Tight-fitting, translucent, bright and worn-looking clothes are not acceptable business attire and will translate badly in a business environment.

Suits are the staple of proper business attire. The Pasadena Independent School District business etiquette website states that for women, wool suits are the best choice in winter, fall and spring. Summer suits can be made from cotton or linen. Proper fitting is essential for business attire, so suits should be professionally fitted, if possible--this will give the most professional look to business attire and will also provide optimum comfort. Avoid tight suits, bright colors and bold patterns that may be too distracting--black, gray, navy, taupe, dark green and burgundy are colors that work in a business environment. Pinstripe and, to a lesser degree, houndstooth patterns are acceptable.

What Is A Social Service Designee?

2011-06-24T08:00:00.001-07:00

The Social Service Designee usually works in a Long Term Care environment. They work under a Social Worker. Social Service Designees are the voice of the resident when the resident has lost the capacity to speak for his or herself.

An SSD should:

Express a philosophy of person-centered, long-term care based on individual resident needs, preferences and choices.
Demonstrate a basic knowledge of the aging process, including misconceptions, physical changes and psychosocial aspects.
Demonstrate knowledge of applicable state and federal regulations.
Show understanding of the rights of individuals who reside in long-term care facilities.
Demonstrate knowledge of the admission and discharge process.
Demonstrate an understanding of the principles of documentation.
Demonstrate ability in basic performance skills, such as teamwork, communication skills and working with administrative staff and other disciplines.
Discuss issues involved in the management of internal support staff, budgeting, supplies, and outside resources.
Show understanding of methods of identifying resident interests and needs and the use of assessment in care plan development.
Evaluate a care plan for effectiveness.

Acing the Interview Once You Have the Training

2011-06-23T17:11:00.000-07:00

Interviewing for that job you really want can be both exciting and nerve-wracking. However, there are some tricks to keep your nerves from getting the best of you during an interview and make that first impression a memorable one. A job interview can result in the elusive job offer so it is crucial to head into every interview feeling confident and well prepared. Read the rest of the blog - click here.

Helping Others: Residents Like It Too

2011-06-02T11:06:00.000-07:00

"Excuse me," I said to the lady sitting across from the nursing station. "We've been saying hello for a while. I'm Dr. Barbera, the psychologist. You're Ms. Patel, right?"

"Yes, that's right." She looked up at me from her wheelchair and smiled. "Nice to meet you."

"You too. Listen, I wanted to ask you a favor. It's perfectly okay if you say no, because not everyone is comfortable with this, but I'm trying to find a place to meet in private with a neighbor of yours and her roommate is in her room. I was wondering if I might be able to sit and chat with her for a few minutes in your room, since you're out here. We wouldn't touch anything, we'd just sit and talk."

Read more at My Better Nursing Home - Click Here

Ever Wondered About the How's and Why's of Scrubs??

2011-06-01T11:27:00.000-07:00

See what Wikipedia says about the history of scrubs. Interesting!

"Scrubs are the shirts and trousers or gowns worn by nurses, surgeons, and other operating room personnel when "scrubbing in" for surgery. In the United Kingdom, they are sometimes known as Theatre Blues. They are designed to be simple with minimal places for dirt to hide, easy to launder, and cheap to replace if damaged or stained irreparably. The wearing of scrubs has been extended outside of surgery in many hospitals. Originally issued as replacement clothing if street clothing was contaminated, scrubs are now worn by any hospital personnel in any clean environment. The spread of Methicillin-resistant Staphylococcus aureus (MRSA) has increased the use of scrubs but can give wearers a false sense of security that they are 'clean' when in fact are as easily contaminated as any other clothing.^[1] They have also been mandated in some American prisons as a prison uniform.^{[citation needed]} The television show Scrubs is named for the medical garments worn by hospital personnel."

Read the rest of Wikipedia's information: Click Here

50 Web Resources Every Nurse Should Have

2011-06-01T11:19:00.000-07:00

Pretty much every link you need to have, being a nurse. Check this out! Click Here

30 Useful Web Apps You Need to Bookmark

2011-05-17T14:15:00.000-07:00

FillAnyPDF

FillAnyPDF is a fairly simple web app which allows you to upload a PDF file, then easily write on it wherever you want. This allows you to easily fill out any form, even if they’re not in an editable PDF form. You can also share your blank form with others, so you can collect forms from a group easily. FillAnyPDF also supports electronic signatures and has a repository of free forms.

Google Wave

Job Description As a CNA Restorative Aide

2011-05-16T08:59:00.000-07:00

A CNA restorative aide is a health-care professional who has earned certification as a certified nursing assistant and works with patients trying to return to regular, daily functioning after an illness or injury.

Function
- CNA restorative aides work alongside registered nurses as well as occupational and physical therapists, setting up necessary supplies and cleaning equipment and assisting as needed. For patients, CNA restorative aides help with exercises, such as walking, that do not need the direct supervision of a therapist or nurse.

Celebrate Residents' Rights - National Residents' Rights Month 2011 Packet of Materials Available Online

2011-05-05T08:56:00.000-07:00

From the National Long Term Care Ombudsmen Resource Center:

May 3, 2011

We are pleased to announce Residents' Rights Week has been expanded to Residents' Rights Month. This gives us the entire month of October to call attention to the very important topic of residents' rights.
Residents' Rights Month is an annual event designated by the National Consumer Voice for Quality Long-Term Care and is celebrated in October to honor residents living in all long-term care facilities, including nursing homes, sub acute units, assisted living, board and care and retirement communities. It is a time for celebration and recognition offering an opportunity for every facility to focus on and celebrate awareness of dignity, respect and the value of each individual resident. The theme for Residents' Rights Month 2011 is, "Welcome Home: Creating Connections Between Residents and the Community" with the goal of educating the community about residents' rights and to increase community involvement with residents.

2011 Residents' Rights Month Packet of Materials

Each year, the Consumer Voice develops a packet to help you plan your Residents’ Rights events. The packet is completely downloadable and features ready-to-use items, including promotional materials, activities to celebrate Residents' Rights Month, training tools and resources. Access the packet online.

A Few Great Links for Activity Directors

2011-05-04T14:43:00.000-07:00

If you're like me, you're constantly online Googling different ideas to make your job more fun and interesting. Here are a few good links with great activity ideas that came across our Activity Director course Discussion Board last month.

Have fun!

http://www.notjustbingo.com/

http://www.theactivitydirectorsoffice.com/Gina_ActivityIdeasThatWork_Home.html

http://www.birdsandblooms.com/

http://www.funtrivia.com/

Pharmacy Associations, Technicians and Settings for Technicians

2011-05-03T07:57:00.002-07:00

An excerpt from our Pharmacy Technician course. We have one starting on May 23rd!

...In this chapter, you will be introduced to the qualifications, skills, and nonjudgmental duties required of pharmacy technicians in various job settings. You will also have the opportunity to learn about pharmacy technician certification. In addition to learning about the traditional settings for technicians, you will explore industry trends, such as e-pharmacies, and ways in which technicians can combine their knowledge of pharmacy with other skills and move into other positions.

Watch the Presentation "Pharmacy Associations, Certification, and Settings for Technicians"
You can download instructor notes to go along with the presentation by clicking here.

Links for Pharmacy Technician jobs and information:

CareerBuilder, www.careerbuilder.com
Craigslist, www.craigslist.org, select the nearest metropolitan area from the list on the right
Monster, www.monster.com
Pharmacy Tech Certification Board (PTCB): National Statistics, www.ptcb.org/About/statistics.aspx
Pharmacy Tech Certification Board (PTCB) News: State Boards, www.ptcb.org/News/stateboards.aspx
Yahoo Hot Jobs, http://hotjobs.yahoo.com

Gardening Leads to Better Eating Habits and Quality of Life

2011-05-03T07:39:00.001-07:00

Older adults who spend time gardening are more likely to eat healthier foods, and report better quality of life and higher energy levels than other seniors who don't garden.

Texas A&M and Texas State University conducted a survey of nearly 300 adults age 50 and over.

Respondents who spent time gardening were more likely to be energetic, healthy and optimistic about the future.
84% said they had made plans for things they will be doing in one month or one year, while only 68% of non-gardeners had made similar plans

Tips and Time Savers For CNA's

2011-04-28T10:59:00.001-07:00

So, you’re brand new and a little nervous? Thats ok and natural. Being a CNA is a rewarding career, but there are LOTS to learn and lots of cover in those first few days at work! Don’t be surprised if you feel a bit overwhelmed and anxious. Someday–soon- you will be an “old pro” at this stuff. The first part of this is for the new CNA…

The Basics
I remember my first few weeks as a CNA- it was hard to get to know all the residents as well as staff as well as the facility policies and procedures. I was very overwhelmed and looking back now- there were certain things I should have done that would have made my life much easier then! Live and learn….

First, it is a good idea to bring a little notebook to work with you. In here you can write down info you need about everything from phone numbers to resident issues. Jotting down info is a way to remember it! At periodic times during the day check the little book to see if there are things you still need info about. When you think of questions and no one is around to answer them- write them down. Later you can refer back to the book.

See the rest - Click Here

History of the Health Unit Coordinator

2011-04-28T08:59:00.000-07:00

Prior to World War II, hospitals were staffed by physicians, nurses, specialists such as laboratory technicians, and a few support personnel such as cooks and janitors. World War II brought about massive changes in the staffing of health facilities. These changes were first felt in England in the late 1930s as the immense number of casualties put an intolerable strain on physicians and nurses. First, the nurses took over some of the physicians' "duties," such as taking blood pressures and starting intravenous therapy. This meant that the nurse needed someone to take over some of her duties. (The vast majority of nurses at that time were women.)

It had always been noted by nurses that "desk" duties such as answering the telephone or going on errands frequently interrupted the giving of nursing care. So an individual was added to the staff to do these duties. This person was designated a "floor clerk." As the war went on, more and more responsibilities, such as copying diet lists and condition reports, were assigned to the "floor clerk" position description.

The first recorded unit coordinating history was found in an article, "In Favor of Floor Secretaries," published in 1940 in a journal, The Modern Hospital, written by a hospital administrator. In the article, the author, Abraham Oseroff, outlined the implementation of unit coordinating at Montifiore Hospital in Pittsburgh, Pennsylvania. He described how "a new helper was introduced to the nursing unit to take care of the many details of a secretarial nature that formerly made demands on the limited time of the nurse." The new helper was called a "floor secretary." Mr. Oseroff further said," that the idea of a floor secretary was first met with skepticism, but it proved to be worthwhile from the beginning."

See the rest of this article on NAHUC.org - Click Here

More about the Health Unit Coordinator

2011-04-27T13:05:00.003-07:00

A shortage of health care workers continue to rise as the baby boomer generation retire and increase their use in the health care system. The Registered Nurse relies heavily on the health unit coordinator to perform the delegated tasks. Students learning skills in health unit coordinating will be prepared to work in a variety of health care settings.

To begin the class please read Chapters 1-8 in your textbook. Complete the questions at the end of each chapter. You do not need to send the answers to your instructor. This will help you pass the unit test.

I found a video clip on you tube from a Wisconsin University showing what a unit coordinator's job can consist. Take a look; I thought it was pretty interesting.

Knowing your medical terminology is absolutely a must if you want to become a health unit coordinator. We have included a basic Medical Terminology course with our Health Unit Coordinator content.

Click here to read the history of the Health Unit Coordinator: http://www.nahuc.org/nahuc_hi.htm

NAHUC is a professional association for health unit coordinators. It's mission is to promote health unit coordinating as a profession through education and certification. All are encouraged to join. One does not need to be certified to be a member nor does one need to be a member to be certified.

To join NAHUC, all one has to do is complete and submit the membership application and fee. This website is a good resource as a unit coordinator. You may become certified after completion of We Care Online's course by clicking here: http://www.nahuc.org/Certification/cb_exam.htm.

The requirements for taking the test for certification are that you have completed a course or you are currently working as a health unit coordinator and you have a high school diploma or GED. You will need to pass the test you schedule with the association to become certified. The certification would benefit you in finding a good job as a Health Unit Coordinator, but is not required.

Click Here to find out what is included in the NAHUC exam.

NAHUC has some scholarship money available for testing should you qualify. Click here to see what is required if you desire.

When You're Visiting A Loved One In A Nursing Home

2011-04-19T21:30:00.000-07:00

When you have a loved one living in a nursing home or assisted living facility, it’s important to visit as often as you reasonably can. The stress of moving to a new environment often compounds medical problems and can make recovery more difficult. Staying active and socially engaged is an important part of healthy living, and you can help your loved one stay positive when you visit.

Nursing homes typically have visitation schedules that you should be aware of as you plan your visit. Dropping by unannounced can be a stressor instead of providing the comfort and pleasure you intended.
You should not visit when you have a cold, flu, or other virus, as other residents may have immune deficiencies which make them more susceptible to illness.
Call ahead to find out if your loved one is in need of any personal items, clothing, or other necessities. Ask what time of day would be best to avoid mealtimes and medication times.

We Care Online Newsletter

2011-04-01T07:28:00.000-07:00

http://myemail.constantcontact.com/News-from-We-Care-Online.html?soid=1102207116045&aid=6HUG18X-bm8

Mental Health Aides

2011-03-28T14:48:00.000-07:00

Today's class spotlight focuses on two of our lesser known but popular classes: Medical Terminology and Mental Health Aide. Medical Terminology is the backbone to any career in the health care field, and can be an invaluable part of your education. It's also a great bargain at $92.50 (plus a textbook) for a 10-hour class. Whether you work in a front office or are on the floor passing medications, having a working knowledge of Medical Terminology can make a big difference in your day-to-day work. The course is the perfect for people just beginning their health care education, or for working professionals who wish to brush up their skills. You'll learn the meaning and pronunciation of specific medical terms and come out of the course knowing how and when to use those terms. The textbook is also a good reference that you can look back on and review any time you want to refresh your memory. Medical Terminology is an open enrollment class, available in all 50 states, so there's no wait once you're ready to start. You have 30 days to access the class and use the study materials.

If you already have a CNA license but want to expand your skills, consider a Mental Health Aide class. Like Medical Terminology, this class has open enrollment and is available in every state. Mental Health Aides, also known as psychiatric aides, do everything a CNA does, but have the added training to work with mentally impaired or emotionally disturbed individuals. This career path is perfect for people with a great deal of empathy and patience, and those who have a sincere desire to make a positive difference in a patient's life. It's
a challenging position, but one that builds on the skills most nurse aides already possess. A U.S. Department of Labor report (http://www.bls.gov/oco/ocos327.htm) adds that, "Because they have such close contact with patients, psychiatric aides can have a great deal of influence on their outlook and treatment." As with the other
career paths we have profiled, the need for Mental Health Aides is growing and job prospects are good. The DOL report adds that, "There is a long-term trend toward treating psychiatric patients outside of hospitals, because it is more cost effective and allows patients greater independence. Demand for psychiatric aides in residential facilities will rise in response to increases in the number of older persons, many of whom will require mental health services."

The Mental Health Aide class requires 60 hours of learning and costs $292.50 plus the cost of a textbook. You will have a full 90 days to complete the class, and you can access the lessons at any time that is convenient to your schedule. In a little less than an hour a day, you can add a whole new dimension to your health care education. Get started now!

Salman Khan: Let's use video to reinvent education | Video on TED.com

2011-03-10T08:31:00.000-07:00

Great ideas on changing education to fit the student.

Salman Khan: Let's use video to reinvent education | Video on TED.com

Want To Add On To Your CNA? Take A Look At Home Health Aide

2011-02-23T10:48:00.000-07:00

Several career paths open up when you become a Certified Nurse Aide, and this week we're taking a closer look at one of the most in-demand positions, the Home Health Aide (this course is only available in KS for now.)

Home Health Aides fill a valuable role in the personal care spectrum. A Home Health Aide performs all the duties of a Certified Nurse Aide, but does so in a client's home. Tasks generally include assistance with personal grooming, meal preparation, and assistance with transportation for errands and doctor appointments. Because of the relative isolation of home-based clients, a Home Health Aide can also be called upon to provide companionship and entertainment to clients. This often involves reading aloud, playing a game, or simply being available to talk and listen to the client. HHAs can also assist with light laundry and housekeeping duties, child care, and medication administration.

Contrary to popular belief, Home Health Aides do not work exclusively with the elderly. Thanks to outpatient surgical procedures, and the fact that recovery is often more effective and less expensive in the home, HHAs are often employed to help clients recover from surgery or changes in mobility. They also assist those recovering from the physical and cognitive impacts of strokes. HHAs even work with new mothers and assist with infant care and household chores so new parents can adjust to the unique challenges a baby brings.

While Nurse Aides generally work at a facility, Home Health Aides make house calls and work with clients one-on-one in the home. Because of this, a Home Health Aide's work is varied and challenging, and may include more interaction with the client's family and neighbors than you would generally find in a care facility. If you like an ever-changing work environment, and prefer a close patient-caregiver relationship, HHA may be the perfect career for you. It is also great if you want flexibility in work shifts and locations. An HHA career is perfect if you are courteous, punctual, and comfortable reporting in and keeping careful records. It's a great opportunity to exercise independent judgment while respecting the policies of an employer and the persons in your care.

As more and more people opt to stay in their homes rather than move to a managed care facility, the demand for Home Health Aides is growing. According to the US Department of Labor, "Employment of home health
aides is projected to grow by 50 percent between 2008 and 2018, which is much faster than the average for all occupations...The elderly and other clients, such as the mentally disabled, increasingly rely on home care." (source: http://www.bls.gov/oco/ocos326.htm).

The WeCareOnline Home Health Aide class is offered at least quarterly. The 20 hour course costs $157.50 and there is no additional textbook. In two weeks you could be on your way to higher pay, schedule flexibility, and greater job security in a growing field. Our next class starts on March 14th--sign up now!

What is a Restorative Aide?

2011-02-10T09:55:00.000-07:00

We started a new Restorative Aide class start yesterday so this seems a good time to turn our focus to this class. Like the CMA (Medication Aide), a Restorative Aide is a skill and a job classification that builds on a CNA (Certified Nurse Aide).

Restorative Aides work with individuals who need physical therapy or other restorative treatment. Their primary duty is to address range-of-motion and mobility issues that can impact a person's life and lifestyle. Because Restorative Aides work with everything from rehabilitation after surgery to strokes, clients are not limited to the elderly or residents of long term care facilities.

Under the guidance of a therapist, Restorative Aides assist with therapy activities and are responsible for documenting their clients' progress. The Aide is an active part of a client's recovery, and works as part of a care team. Like CNAs, Restorative Aides often serve as the first point of patient contact and spend a significant part of their time working closely with clients. It is a very hands-on job and requires patience and a genuine interest in the well-being of clients.

Our class is specifically aimed at CNAs currently working in (or interested in) an elder care setting such as a nursing home or assisted living facility. The class addresses the following topics:

What a rehabilitation unit is and how it functions.
Effects of aging, inactivity, and disability.
Basic anatomy and how the body moves.
Medical problems that will interfere with functional independence.
How to help residents in ways that will promote independence.
What to look for when helping someone walk.
How to help someone perform basic exercise.
Common equipment used in rehabilitation.
Basic balance responses and activities to improve balance.
Ways to interact with residents.

According to the US Department of Labor, "Employment of occupational therapist assistants and aides is expected to grow by 30 percent from 2008 to 2018, much faster than the average for all occupations. Demand for occupational therapist assistants and aides will continue to rise because of the increasing number of individuals with disabilities or limited function." (source: http://www.bls.gov/oco/ocos166.htm). They
also point out that our growing elderly population has an ever increasing need for therapeutic services, and that these services are most often provided by Aides.

Our Restorative Aide class is available in most states and requires 32 hours of online learning. There is no additional textbook--all class materials are online. The only prerequisite is that one must already be a licensed CNA. New classes begin on the first Monday of every month and tuition is a flat $158.50. The Restorative Aide class is a fast, easy way to expand your knowledge, increase your employability, and bring a whole new set of skills to your job.

The Medication Aide

2011-02-01T10:43:00.003-07:00

Continuing our look at career options for students of our classes, we're taking a closer look at the Medication Aide class this week.

Medication Aide is one of our only classes that requires any previous training. Students must already be a licensed Certified Nurse Aide/Assistant before starting the Medication Aide class. The class is currently available in Kansas and South Dakota.

Medication Aides are authorized to pass medications to residents of nursing homes, a skill that can increase both your job options and your salary. This is in addition to Nurse Aide duties, so the work still involves a great deal of patient care beyond just passing medications. The Kansas class consists of 75 hours of learning (50 online and 25 lab/clinical) and covers everything from the major body systems to how medications impact those systems. The class is approved by the Kansas Board of Regents. In South Dakota there is a 20 hour class and a more in depth 100 hour class (60 online and 40 clinical.) Both are approved by the South Dakota Board of Nursing.

While passing medications sounds simple there are many things a Medication Aide must know to be effective at his or her job. Along with knowing the major classes of medications and major modes of administration, Medication Aides must also be able to do mathematical computations to determine dosages and administration frequency. Medication Aides must also be very detail oriented and able to keep careful records in facility and patient files. In addition, Medication Aides must be observant. They are a doctor's eyes and ears and spend much more time with residents than a doctor. Therefore, Medication Aides are the people who are most likely to spot an adverse reaction to medication, or to notice when a course of treatment is or is not working for a resident.

Job prospects for Medication Aides are excellent and the US Department of Labor reports that this is a field that is growing much faster than average. They anticipate up to 20% or more growth in this field between now and 2018. "Employment for nursing aides, orderlies, and attendants will grow 19 percent, faster than the average for all occupations, predominantly in response to the long-term care needs of an increasing elderly population." (source: http://www.bls.gov/oco/ocos327.htm). The need for long term care is also on the rise as Americans are living longer and often need managed care in their later years. If you love working with people, and enjoy the challenge of assessing needs and working to fulfill those needs, this is the career for you.

In Kansas, the course costs $452.50 and that covers the KDHE and State Testing fees. For South Dakota students, the 20 hour class is $142.50 and the 100 hour class is $242.50. Both classes require a textbook in addition to the tuition fees.

Kansas Certified Medication Aide

South Dakota 100 hour Medication Aide

South Dakota 20 hour Medication Aide

Your Employees Should Be Begging To Do This

2011-01-28T14:04:00.000-07:00

This afternoon I had the pleasure of delivering an impressive Valentine's Day arrangement to a resident. She had been quietly enjoying her Saturday, which consisted mostly of sitting in her recliner watching television and waiting for dinner. Suddenly, though, I popped around the corner holding a lovely bouquet from the local florist. It was an event, and one we both enjoyed.

I work with a great Director who sometimes laments that she misses the days when she was able to work more directly with the residents. You've heard your managers voice similar concerns, reflecting on their former roles in direct care positions and supervisory roles. As a department leader or Administrator in a CCRC setting though, these daily opportunities are rarely included in your job description. You must seek them out; they probably won't just come to you. Even as a leader, as a manager, as a Director, you must connect with the residents you serve. Especially as a leader.

So I grab these flowers from the reception desk as I scoot in this morning. Sure, they probably already called down to the nurses station when the flowers arrived, and someone on the other end said they'd be down when they had a moment. I may even pass them on the way down. But c'mon, this is no chore! I'm heading that way anyways, so I'll just take those flowers, Nancy!

Read the rest of this blog here: http://nursinghomeguy.blogspot.com/2010/02/your-employees-should-be-begging-to-do.html

The Social Service Designee

2011-01-25T09:29:00.002-07:00

This week, we continue our look at career options for students of our classes, we're taking a closer look at the Social Service Designee class this week.

Social Service Designees work to make sure that the social, spiritual, and emotional needs of long term care residents are being met. In a large facility with a social worker on staff, the Social Service Designee will assist the social worker. In a small facility the Social Service Designee may fill all the social work roles. The first
priority of the SSD is to do an assessment of incoming residents, and to work with residents and their families to develop a plan of care for each resident. SSDs also work as advocates for residents, especially when cognitive or emotional issues prevent residents from representing themselves.

SSDs learn to apply the principles of "person centered care", and need to understand the aging process and the cognitive and physical issues that long-term care residents can face. An SSD's work also involves budgeting, staff management, admission and discharge processes, and a great deal of interaction with families, residents, staff, and social service agencies. SSDs need to have good time management skills, be comfortable working with people, and know how to balance compassion with efficiency.

The WeCareOnline Social Service Designee class is currently available in 13 states, and more are coming soon. Students have four weeks to complete the class, and must accomplish 45 hours of work in that time.
Since the class is available 24/7, many students finish before the four weeks are up, and all appreciate being able to study on their own schedule. The class consists of four units which cover the basics of person-centered care, the aging process, cognitive issues, and psychosocial needs. The class also covers the business end of an SSD's job. In four weeks or less, students are ready with the skills they need to work as a facility's Social Service Designee. There is no other required training or certification needed to work in the states
where this class is approved.

Job prospects for Social Service Designees are excellent and the US Department of Labor reports that this is a field that is growing much faster than average. They anticipate 20% or more growth in this field between now and 2018. Need for long term care is also on the rise as Americans are living longer and often need managed care in their later years. If you love working with people, and enjoy the challenge of assessing needs and working to fulfill those needs, this is the career for you.

Four weeks, $231.50 (no textbook required), and 45 hours of your time is all it takes to get started.

Become a Social Service Designee in Kansas, Oklahoma, Missouri, All other states.

The Activity Director

2011-01-07T11:12:00.000-07:00

This is the first of an ongoing series that explores the career options for students of our classes. To begin, we'll take a closer look at the Activity Director class.

Activity Directors are the people who plan group and solo activities for residents of nursing homes and long term care facilities. State licensing requirements for nursing homes almost always require a facility to have an Activity Director on staff, or at least available to the residents part-time. An Activity Director must be able to plan and run a variety of activities that will appeal to residents of all ages and cognitive/physical abilities--no easy task! He or she must also be able to budget, direct staff, and coordinate events both inside and outside of a facility. The job requires skills in many areas, but most of all, a person must truly love working with people.

The WeCareOnline Activity Director class is currently available in nine states, and more are coming soon. Students have four weeks to complete the class, and must accomplish 45 hours of work in that time. Since the class is available 24/7, many students finish before the four weeks are up, and all appreciate being able to study on their own schedule. The class consists of four units which cover the basics of person-centered care, the aging process, cognitive issues, and psychosocial needs. The class also covers the business end of an Activity Director's job, and students learn how to work with facility budgets, how to manage internal and external resources, and how to plan and provide activities to best meet the residents' needs. In four weeks or less, students are ready with the skills they need to work as a facility's Activity Director. There is no other required training or certification needed to work in the states where this class is approved.

Job prospects for Activity Directors are good, and the US Department of Labor reports that this is a field that's growing faster than average. They anticipate 14-19% growth in this field between now and 2018. Need for long term care is also on the rise as Americans are living longer and often need managed care in their later years. If you love working with people, and enjoy the challenge of planning activities to meet a diverse set of needs, this is the career for you.

Four weeks, $236.50 (plus the cost of a textbook), and 45 hours of your time is all it takes to get started.

WeCareOnlineClasses.com

The New Old Age - Getting to Know You

2010-12-17T15:41:00.000-07:00

(Note from WCO: The article from the New York Post, below, quotes one of our associate facilities, Meadowlark Hills' Steve Shields, Manhattan, KS.)

If you have a relative in a nursing home, you’ve probably had variants of these conversations:

Visitor: How’s my father doing today?
Aide: Which one is your father?

Or:

Visitor: Is my mother’s appetite better today?
Aide: I’m not sure; I wasn’t here yesterday.

Or:

Visitor: How’s my aunt getting along with her new roommate?
Aide: I’m sorry, I don’t know. I usually work on the third floor.

Read the rest of "The New Old Age" article - click here

How to Give Without Stretching Yourself Too Thin

2010-12-15T15:53:00.000-07:00

As the holidays draw near, we're inundated with requests for giving. Stores want your money, family and work want your time, and it seems there's never quite enough of either to go around. There are the parties, the school and church functions, and a hundred other things competing for your attention. You want to do something special in this season of giving, but don't have any time or money to spare, so what can you do?

How about trying something smaller?

There are plenty of big things you can do at this time of year--volunteering at a soup kitchen or donating toys to needy children--but how about a few things that won't stress you out or break your budget?

Think small. Really small.

Let that car cut in front of you.

Pick up an item that's fallen off the shelf at the store.

Smile at a frazzled store clerk.

Offer to help carry a bag of groceries.

All of these are small gestures that add up to a lot of good will. It's free, doesn't cost more than a minute of your time, and makes someone's day a little brighter. What's not to like?

Have a little more time or energy to spare?

If you're out shoveling your sidewalk, why not do some (or all!) of your neighbor's too?

Like to knit or crochet? Consider making an item or two for Carewear or a similar charity. These groups provide clothing and blankets for infants and children in hospitals. It's a great way to share the "warmth" of the season.

Some people (like me) cook and bake to relax. If you've got a knockout bread recipe, or a family-favorite batch of cookies, consider making extra and donating to a church or food bank that could use some help. Homemade goods are always the best.

Clean your closets. Many charities, like Goodwill, are in need of blankets and warm clothing at this time of year. If you've got an extra bed set that the kids have outgrown, or a pile of sweatshirts that never get worn, pass them along to people who could put them to good use. You'll weed out some clutter, and help someone else in the process.

Love to sing? Round up a group of friends and family and go caroling. It could be at a nursing home, or just around your neighborhood, but sharing your gift of music with others is fun and free.

Giving doesn't have to be about dollar signs or stacks of presents. Little acts of kindness have the biggest rewards. Making someone's day a little easier can do so much more to lift spirits than the latest gift or gadget, and isn't that what this season of giving is all about? You can feel good about making life a little easier for another person, and you won't have to spend a dime to do it!

Addictions and The Workplace

2010-12-03T11:13:00.000-07:00

Addictions come in many forms, and bear many different levels of social stigma. While needing a jolt of caffeine in the morning might be seen as a mild annoyance, a prescription drug addiction can be devastating. Addictions run the gamut from substances to experiences--overeating and gambling can be just as addictive as hard drugs, and just as damaging to people and families. Addiction is an unpleasant topic, and one most people would rather avoid than face head on, but as stress levels rise with the coming holidays, it's important to take a moment and talk about this crucial issue.

With caregiving comes stress, and most caregivers are surrounded by a wide variety of prescription and over-the-counter medications. It can be all too easy to fall into the habit of using cigarettes or alcohol to deal with stress, if not harder substances. Prescription drug abuse has risen dramatically in recent years due to the ready availability of drugs, and the perception that because they're FDA-approved, they're safe. When it comes to recreational substance use, an occasional drink after work is not necessarily a bad thing, but can you tell if it's becoming a problem? What about mood-altering pills, or sleep aids? It's hard to be objective about these things sometimes, so the folks at Johns Hopkins University created a simple quiz you can take to assess your usage: http://www.intervention.com/defns.html#addsd

Prescription drug abuse is a serious issue among health care workers, and the only way to change this trend is to be vigilant for signs of abuse. If you pass medications, you're already familiar with the laws and regulations for medications, but the US Department of Justice offers these reminders:

You have a legal and ethical responsibility to uphold the law and to help protect society from drug abuse.
You have a professional responsibility to prescribe and dispense controlled substances appropriately, guarding against abuse while ensuring that patients have medication available when they need it.
You have a personal responsibility to protect your practice from becoming an easy target for drug diversion. You must become aware of the potential situations where drug diversion can occur and safeguards that can be enacted to prevent this diversion.

They have assembled a very helpful guide that helps you spot the signs of drug impairment in coworkers, and lets you know when and how to become involved if you suspect abuse. You can read the full guide here: http://www.deadiversion.usdoj.gov/pubs/brochures/drug_hc.htm

What if you suspect a friend, family member or coworker might have a problem with addiction? First, take this quiz to help you analyze the symptoms: http://www.intervention.com/defns.html#addop

If you still think there may be a problem, this article shows you what you can do to help someone dealing with addiction: http://bit.ly/doynp3

Finally, if you or someone you know needs help immediately, WebMD has a helpful list of crisis resources: http://www.webmd.com/help/crisis-resources

Stay safe this holiday season!

Is It Depression, Or Just The Blues?

2010-11-01T15:24:00.000-07:00

There are many factors that can cause depression. Moving from an independent setting to managed care is a big step, and despite the best efforts of staff and family members, the change of circumstance can bring on a strong case of the blues. Seniors are also more prone to experience the loss of close friends or family members (due to age and illness), deal with chronic pain, and be faced with some loss of independence and mobility. A period of adjustment is to be expected, but if those blues stick around, depression could be to blame. Depression differs from sadness in that it is persistent, long-lasting, and can be far more than just a state of mind.

There are many clues that a person may be suffering from depression. Some of the most obvious are a loss of interest in activities, lethargy, and a general disinterest in things going on around the person. Depressions symptoms are long-lasting and strong enough to interfere w/ daily life. Take a moment and get to Know the signs: http://www.caring.com/articles/depression-signs

How is depression different from general sadness or grief? It's more serious. Don't assume a depressed person can or will snap out of it. As a friend or caregiver, it's up to you to intervene and be proactive. Depression can affect a person's immunity, stress body systems, and cause physical pain. Unfortunately, depression is still misunderstood by many people, and carries a strong negative stigma. People are taught to hide their feelings and mask symptoms, so it can be hard to address the issue before it becomes severe and interferes with a person's daily functioning.

As a caregiver, you might need to go above and beyond to help a resident cope with depression. It's not so simple as telling someone to cheer up and smile. In fact, that can be one of the most frustrating and insulting things you can say. What can you do? If possible, involve the resident's family or friends. A depressed person is often too down to ask for help or realize how far his or her condition has progressed. Support from friends and family can help a person pull out of the crippling sadness and start to participate in social activities again. If a person in your care makes any mention of suicide, seek help from your facility's social worker, or the resident's doctor, immediately. Even without the risk of suicide, it is essential that family members, a social worker, or a doctor be alerted to the resident's condition.

Treatment options

In many cases, simply getting the depressed person out of isolation and into social activities can make a big difference. The change of scenery from a residential room to a facility's common areas (or outdoors, if possible) can pull a person out of dwelling on sadness. Group therapy and support can make a difference. Cognitive or "talk" therapy is a common first step in addressing depression. In Cognitive Behavioral Therapy (CBT), the depressed person is taught how to break the cycle of negative thoughts and learns coping skills. Sometimes it's enough to talk with a family member or trusted friend, but it might be beneficial to bring in a professional counselor. Your facility's Social Service Designee should be able to arrange for counseling or therapy, if it's needed.

If a resident has a religious affiliation, it could help to bring in members of that person's faith to visit or pray with them, or make it possible for the resident to attend religious services with others of the same faith. Fellowship is a strong way to combat the loneliness and isolation that can lead to depression.

Some medications can cause or exacerbate depression, so get in touch with the resident's doctor, or the person overseeing his or her care, and ask them to review medications for possible negative interactions or side effects. Hormonal issues could also be to blame, so bring up that possible cause when speaking with the doctor.

No matter what the causes, it's important to take depression seriously, and learn to spot the signs before they get out of control. Even though a person's reasons for being sad might sound silly or petty to you, please remember that they are significant to the depressed person and should be respected. Try not to judge, and do what you can to be a good listener and get the resident the help he or she needs.

5 Simple Steps To Help A Lonely Resident

2010-10-21T10:03:00.000-07:00

As we move into the holiday season, and the days grow shorter and grayer, many residents may find themselves feeling a bit down an lonely. Here are five simple things you can do to brighten a resident's day and keep the loneliness at bay.

1. Take the resident on an outing.
Something as simple as a trip to a coffee shop, going to see a matinee movie, or taking a short drive in the country can do so much to lift a person's mood. Ask questions and encourage your guest to share stories from his or her life. Be a good listener and you can really make someone's day. If a resident is not able to leave the facility, bring the outing to him or her. Get a take-out treat from a favorite local restaurant, or have a meal wrapped take-out style from your facility's cafeteria. Pick up a red and white checked tablecloth at the discount store to add a festive, picnic element. Brightly colored plates, cups, or utensils add a nice touch, too.

2. Be a friend.
As caregivers, we do the best we can for each of our residents, but some days a resident needs you to go above and beyond. There are those awful days when pain is worse than usual, or they're just feeling blue. Maybe personal issues are getting them down. See if you can free up a few moments in your schedule and sit down and visit with the resident. Let them know that, sure, you have other things you could be doing, but you choose to spend time with them. It could be as simple as chatting about the weather, or as involved as being a sounding board for whatever is worrying or bothering the resident. Think about a time when you were lonely, and how nice it would have been if someone had come along and said "I'm here for you." Schedule a regular visiting time, or give the resident a specific time when you'll be back to visit again. The lonely times go a lot faster if you've got something to look forward to.

3. Help your resident connect with others.
Arthritis and failing eyesight can make it hard for seniors to do things we take for granted, like writing a letter or making a phone call. Help a resident write a letter or email. Is your resident having trouble with a phone or cell phone? Offer to help w/ dialing, or write or type up a list of important phone numbers in large numbers.

4. Small gifts
Bring the resident a small gift like fresh flowers or a small potted plant. A little gesture can both brighten up their room and make their day. But--and this is important--Don't just gift and run. Take a few minutes to visit with the resident. Let them know you were thinking of them and that you genuinely care about them. Then, when they look up and see your gift, they'll remember your visit with a smile, and look forward to the next time you're able to stop by.

5. Make contact
This suggestion takes a little more care and effort than the previous ones. If you can do so without violating HIPPA or your resident's privacy, reach out to others on behalf of the resident, and see if you can arrange for friends or family to visit. Some residents are too proud to ask for help, or too upset or distracted to take the initiative on their own. Ask your facility's SSD to contact the resident's family or friends. Arrange a surprise visit. No family? Drum up a volunteer, pet visit, or something w/ local scouting troop or school. Sometimes it's not so important who is visiting, but that the resident has visitors, period.

Finally, If you have several residents who are dealing with loneliness, try arranging a group activity. A movie night (or ongoing movie club) is a great way to bring people together and get them talking. Invite family members and volunteers, if possible, too. Get the group together and watch a classic movie with an upbeat theme like Singin' in the Rain. Musicals are great because of the lively music and lavish dance scenes! Provide snacks, dim the lights, and let everyone enjoy a movie together. Afterward, lead a discussion about the movie. Encourage everyone to talk about their favorite songs or scenes, or reminisce about other favorite movies and actors from that time period. If the movie had dancing, bring in a volunteer to teach everyone a simple dance based on a song from the movie. Or lead a sing-a-long or karaoke with songs from famous movie musicals.

Sometimes the smallest gestures can have the biggest impact. If you see someone looking down, or who hasn't had visitors in a while, a little attention from you can make a huge difference.

You're a CNA, Now What?

2010-10-13T09:59:00.000-07:00

Americans are living longer than any previous generation and the need for long-term and nursing care is growing by leaps and bounds. This is the perfect time to enter a health care career, and achieving Certified Nurse Aide (Assistant) certification is a great start. This year alone, we've had over 500 students in our Kansas and South Dakota Nurse Aide classes. If you really want a competitive edge in the jobs marketplace, though, your best bet is to broaden your skills and make yourself even more appealing to an employer. Many students use the CNA class as a stepping stone to Registered Nurse training, but there are several other options for additional skills.

So, where do you go from CNA?

One good starting point is to train as a Restorative Aide. RAs assist with physical, occupational and speech therapy under the supervision of a specialist. RAs work with individuals recovering from injuries or operations, and are not limited to elder care. Jobs are available in facilities and with outside agencies, so having RA skills can be a great option for people who like to work in a variety of settings. Our Restorative Aide class is offered every month and involves 32 hours of coursework. It's a two week course and it can mean an extra $0.50 an hour (or more!) in your paycheck, according to payscale.com.

Another great option is to train as a Home Health Aide. Not only will this make you more employable, it will greatly increase your employment options. While CNAs generally work in long term care facilities, a CNA with HHA training can work with a Home Health Care agency and have the opportunity to work with clients in their own homes. The current trend is to keep elders in their homes with assisted care rather than moving them into facilities, so demand for qualified Home Health Aides is growing rapidly. As a Home Health Aide, you will help people live comfortably and with dignity in their own homes. HHA is the perfect option for working parents, or people who need flexible hours since you can sometimes schedule home visits around your other commitments. Our Home Health Aide class involves 20 hours of coursework, and is offered quarterly. Is it worth 20-32 hours of your time to boost your earning potential?

Activities for Fall Holidays

2010-10-06T09:44:00.000-07:00

Fall is here and that means cooler days, turning leaves, and a long, festive holiday season. Holidays provide many opportunities for long-term care residents and staff to decorate, dress up, and celebrate. The next big holidays are Halloween and Veteran's Day, so here are some ideas you can use in your facilities.

October 31 - Halloween

Halloween is one of the best holidays for decorating. Almost anything orange, black, or purple will do, and there are countless images and motifs you can use. Children in masks, full moons, pointy witch hats, and grinning jack-o-lanterns. On thing to consider, though--Some people are bothered by the death and monster imagery in some Halloween decorations.

Skip the skeletons and tombstones and play up the fun side of the holiday with colorful, non-threatening decorations. Suggestions include creative jack-o-lanterns, festive candy treats, and "safe" images like black cats and haunted houses. Decorations can be as simple as crepe paper around a window, or as elaborate as transforming a room into a spooky scene.

Pumpkin carving is also a Halloween tradition, and don't forget to save the seeds for roasting! There are several recipes for pumpkin seeds, but two of my favorite are here. The first is for lightly salted seeds, and the other is for a more spicy, savory variation.

If working with real pumpkins is too challenging for some residents, provide them with orange construction paper pumpkins and black or yellow paper to create their spooky faces. You can even cut out some shapes ahead of time and give your crafters a selection to chose from. Pumpkin painting is an easy option, too. The mini pumpkins and gourds you can find at the grocery store are just the right size for everything from a reception desk to a resident's room. You can find several pumpkin carving patterns online, or visit Nursing Home Activity Resource for a long list of halloween recipies and craft ideas.

Since parties are always a big hit, consider scheduling a day when residents, staff and visitors can show off their Halloween costumes. For even more fun, encourage families to bring their children in costume and have them go trick or treating at the resident rooms. Residents could even prepare popcorn balls or cookies beforehand. It's a great activity to bring all generations of residents and visitors together.

November 11th - Veteran's Day

This is the perfect opportunity to celebrate the service of any military servicemen and women in your facilities. Encourage residents to show off their military uniforms, medals, stories and photographs. Ask residents and families to contribute pictures of themselves while they were enlisted and display the pictures on an "Honor Wall" that everyone can see. If your residents have children or grandchildren currently in the service, ask for those pictures, too. Residents can write letters to those currently serving, or assemble care packages. Three great websites are Operation Gratitude, Soldiers Angels, and Adopt a Platoon.

Have idea we haven't covered here? Feel free to leave a comment below.

Considering a Pharmacy Career? We Have You Covered!

2010-09-21T15:25:00.000-07:00

As we noted earlier this week, the Kansas Board of Regents has approved our Pharmacy Technician class and we're accepting student applications now. The course is available nationwide. Pharmacy jobs are growing by leaps and bounds, and entry level salaries and benefits can be quite generous. It's also a stable profession and with continuing education opportunities (usually paid by an employer), you can expect to make a career in the field. Our inaugural class starts October 18th, so sign up now to jump start the next stage of your career!

If you're not quite ready to take the plunge as a Pharmacy Technician, we also offer Pharmacy Assistant training. This 45-hour class will prepare you for an entry-level job in a pharmacy setting. It's a great way to test the waters and see if pharmacy work might be something you would enjoy. It's also a good stepping stone to the Pharmacy Technician class. The Pharmacy Assistant class is open enrollment, so you can start as soon as you order your textbook and are ready to begin. From that point, you'll have 90 days to complete the course, and you may access it any time that is convenient for you. This is perfect for full-time workers or parents who want to increase their earning potential and need the flexibility of an online class.

Both Pharmacy classes make you eligible to take the Pharmacy Technician Certification Examination (PTCE.) Candidates that pass the PTCE are permitted to use the Certified Pharmacy Technician credential, "CPht." The PTCB certification program is the only pharmacy technician certification program accredited by the National Commission of Certifying Agencies (NCCA). What are you waiting for? Get started on a pharmacy career today!

cc licensed flickr photo shared by RambergMediaImages

Pharmacy Technician Course Now Approved!

2010-09-20T11:54:00.000-07:00

Good things come to those who wait, right? Well, our Pharmacy Technician program is now approved by the Board of Regents!

The Pharmacy Technician course offers a comprehensive introduction to the knowledge and skills pharmacy technicians need for successful practice. Key areas of concentration include the role of the pharmacy technician in the pharmacy setting, an overview of medications used to treat specific body systems, a breakdown of the different classifications of drugs, and a review of the basic sciences at the core of pharmacy practice. It also offers helpful PTCB examination review, as well as information on career opportunities for pharmacy technicians with advice on getting a job and advancing in the profession.

This is a 160 hour course with 16 hours of externship. All to be completed in a 3 month period. The course is taught by Amanda Quelland, who received her doctorate in Pharmacy at the University of Arizona in 2000. She spent a year in residency at the University of Arizona to gain some teaching and clinical experience then worked at the University Medical Center on the University of Arizona campus after completing her residency. She has also facilitated case discussions, given lectures and evaluated students at the university.

The median expected salary for a typical Pharmacy Technician I in the United States is $32,011. This basic market pricing report was prepared using our Certified Compensation Professionals' analysis of survey data collected from thousands of HR departments at employers of all sizes, industries and geographies. (from salary.com)

Residents' Top 5 Complaints About Nursing Homes: #4

2010-09-10T15:46:00.000-07:00

Thank you My Better Nursing Home for the great blogs! Visit her blog for more great posts!

Complaint #4: Nighttime disturbances

The main culprits:

TVs blaring into the wee hours
Agitated neighbors
Loud conversations between workers

Steps toward improved sleep hygiene:

Implement a TV curfew and require night owl viewers to use headsets past the curfew
Encourage night shift workers to report resident sleeplessness so sleep/wake cycle disturbances can be reversed and medications adjusted if necessary.
As part of inservice training, address ways in which night staff can communicate with each other to avoid disturbing sleeping residents.

Good sleep hygiene on an individual basis can reduce irritability, improve memory, and promote healing. Good sleep hygiene on a unit-wide basis is good customer service that can benefit the physical and mental health of residents and reduce conflict between residents (it's hard to be friendly toward someone who's kept you up all night).

Dance Therapy Improves Seniors' Balance

2010-09-07T15:39:00.000-07:00

From Who Moved My Dentures? Essential Information for Boomers on Healthcare, Aging and Caregiving

Two recent studies conducted by University of Missouri researchers found that participation in dance-based therapy can improve balance and gait in older adults. Improved functionality among seniors can decrease their risk of falling and reduce costly injuries.

The researchers used a dance-therapy program called The Lebed Method (TLM), which includes a combination of low-impact dance steps choreographed to music. Sessions were led by certified TLM instructors and adjusted to fit the specific needs of the seniors who participated. The study included 18 dance sessions offered throughout a two-month period. Participants reported that they enjoyed the sessions and wanted to continue the program.

Read the rest of Anthony's blog: Click Here .

Other links:
Healthy Steps Home
Seniors in Motion
Dance and Therapy for Elders
Dance Therapy Improves Seniors Gait and Balance

HIPAA For Activity Directors

2010-09-01T09:52:00.000-07:00

In the past year and half, one of the scariest words for activity directors has been… HIPAA! Throughout my travels, I have seen many of my colleagues shudder at the thought of a new set of rules and regulations.

Relax…

The good news is that HIPAA is not as scary as it has been made out to be. I have written this article specifically for activity directors and activity personnel. Since most of us are the makers of calendars, newsletters, banners, bulletin boards, etc., we need to know about the HIPAA policies.

The following article will hopefully ease your mind about HIPAA regulations. That way, you will be able to have your calendars, banners, bulletin boards and posters, while being in full compliance with all of the regulations.

What is HIPAA?

Read more at the Activity Directors Network Blog - click here...

Residents' Top 5 Complaints About Nursing Homes: #3

2010-08-31T14:16:00.001-07:00

The patient lift is a machine used to transfer a resident from their bed to their wheelchair and back. No resident I've met likes using one, and I suspect the reason is the combination of loss of control, the frightening feeling of being suspended, helpless, in midair, and a lack of training which makes the procedure more alarming and uncomfortable than it needs to be.

When I was in grad school, all psychologists-in-training were required to undergo psychotherapy. Similarly, aides could gain perspective from a ride in the lift as part of their orientation or ongoing training.

Read the rest of the My Better Nursing Home Blog - Click Here.

Using the Internet to Your Advantage - In Your Facility

2010-08-26T09:09:00.000-07:00

While most of us use the internet in our personal lives, it doesn't always occur to us to share it with people outside the home. For long-term care residents, the facility is their home, but how many enjoy the same internet access we all take for granted? Does your facility have internet-connected computers available for the residents, or high speed internet connections in resident rooms? If not, you're missing out. The internet can be a great source of entertainment, learning, and human interaction. Wait - human interaction? Yep. Read on!

Generally speaking, older residents are less likely to be computer literate than facility staff or volunteers. The adage "if you don't know how to use electronics, ask a teenager" is popular because it's true, and pairing teenagers with residents can bring a lot of life and vitality into your facility. Many high schools encage their students to volunteer, sometimes offering school credit for volunteer hours. For our purposes, though, any computer literate, patient volunteers will do. Got your volunteers? Great! Here are some ideas for how volunteers can help residents enjoy all the fun and entertainment the internet holds.

Email and Communication
To the mobile phone generation, email can seem pretty dated, but it's still one of the fastest, best ways people have to stay in touch with others. Everyone loves to receive mail--whether it's a paper letter or an email note--and helping residents access email is a simple but rewarding task. If a resident has limited mobility, a volunteer can take dictation and type letters. For visually impaired residents, a volunteer reader can be a big help.

A common problem for residents is that their family members live too far away to visit frequently. Various internet services can help bridge the gap between visits. At the most basic level, email is a great way for residents to stay in touch with relatives, and to exchange pictures and web links. If you have a headset with microphone available, residents can also use Skype to make video or audio phone calls. It's free to contact other Skype users, and less expensive than traditional long distance service to contact users outside of Skype. Even sites like Google now allow video chat for free. You just need a web camera, speakers, and a microphone (or an inexpensive all-in-one headset). There's nothing quite like chatting with long distance friends or family to put a smile on a resident's face.

Fun and entertainment
Many seniors enjoy doing research on their ancestors and the internet has several resources for genealogy research. This is also a great activity to share with volunteers. Ancestry.com is one of the most popular genealogy sites. It requires subscription fees, but offers a 2-week free trial to new members.


Google Maps Street View

Another fun activity is to take a virtual vacation by browsing photos online. Photo sharing sites like flickr.com and photobucket.com make it very easy to search for images by location. Take a tour of sun-soaked Greece, or help a resident take a stroll down main street in his or her home town. Google earth and google street view images give you the perspective of walking or driving down a street, and I have yet to meet anyone who doesn't get excited about zooming in on their home or residential facility on a satellite map.

We can't forget the internet's most popular options: movies and games. Most of the major TV networks allow you to stream recent shows on their web sites. This is a great way for residents to keep up with their favorite shows without having to stick to a viewing schedule. hulu.com is a great place to find the last three or four episodes of current series, and full runs of older shows. For movies, Netflix is the best deal. DVDs can be delivered directly to residents through the mail, and there is no need to run down to the local kiosk or rental store. Also, Netflix has a huge collection of movies and TV series available for instant viewing online. You'll need to pay for a monthly subscription to access Netflix's services (after a free trial), but the fees are modest and there are no contracts. A subscription could make a great gift for a nursing home resident.

When it comes to games, there are hundreds of game web sites and many are free. Unfortunately, many of the free sites are supported by advertising, so the pages can be flashy and annoying. Certainly not a fun experience when all you want to do is play some solitaire. Even worse, some of these game sites prey upon their visitors by packing the games with spyware and privacy- invading tracking programs. Please be cautious when looking for games, and do not download anything from a site you're not familiar with, or a name you do not trust.

Luckily, more sites are realizing that older players don't want all the bells and whistles, and are developing games that will appeal to this demographic. AARP is a good starting point to find user-friendly games on a trusted web site. All the favorites--sudoku, solitaire, mah jong--are here: http://games.aarp.org/

No matter what you choose, the more you get volunteers or family visitors involved, the more personal interaction your residents will have, and that's good for everyone.

Nursing home resident's say 'we love our staff!'

2010-08-25T08:52:00.000-07:00

Balloon Man Visits The Nursing Home

2010-08-24T08:00:00.001-07:00

Using the Internet to Your Advantage

2010-07-29T14:16:00.002-07:00

Work in a medical or long term care facility is very hands on and person-centered, so most people don't think of bringing the internet into the mix, but you'd be surprised how internet resources can make your working life easier. Web sites and search engines make it easy to find information and answers in a hurry, and there are many online tools that can help you stay organized.

One of the easiest tools is Google's calendar. Here, you can list events from both your work and personal life and have them on one page. You can also mix in calendars for family members, roommates, or anyone else with whom you share your time. Since it's online, you can access it from any computer with an internet connection. A mobile phone with internet or a data plan can also be used to view Google calendars.

Remember the Milk is another great tool for keeping your day in order. It works online or on most mobile phones. RTM lets you set up a simple "to-do" list so that you never forget an appointment, or forget to pick up milk on your way home from work. It's the perfect way to jot down a quick reminder, or to make sure you don't miss an important meeting.

A calendar is great for keeping your tasks organized, but how do you take care of the day to day home tasks that pile up while you're at work? FlyLady to the rescue! FlyLady is a web site that teaches you how to manage every day tasks (like cleaning the bathroom, decluttering a closet, or squeezing in a workout) without losing your mind. FlyLady gives you tips and tricks to keep your house tidy and your stress levels low.

When it comes to on-the-job resources, there are many web sites available. Med Aides and Pharmacy Assistants can use the internet to stay current on medications and their uses. Try http://www.pharmacychoice.com/ (click the Resources tab) the next time you need fast information about a medication. Online classes are also a wonderful way to renew your Med Aide licence or pick up new skills.

Also, most Federal and State regulations and documents are posted online. Find the forms or statutes you use most often and save them in your web browser (Favorites in Internet Explorer, Bookmarks in Firefox). That way you'll always have what you need at your fingertips. No need to rummage through file drawers or stacks of paper on a desk.

Home Health Aides can benefit from online calendars and sites like Remember the Milk to make sure home visits stay on schedule. The National Association for Home Care and Hospice web site also has many resources. If you've had a rough day and need some support or guidance, the forums at http://forums.agis.com/ let you connect with other caregivers. Share your advice when you can, and learn from others when you need some help.

Activity Directors probably have the most internet resources available. You can find almost limitless ideas for activities online. Try these web sites for ideas and support: http://www.activitydirector.net/ and http://www.activitydepartment.com/

Finally, Nursing Assistants have many online resources to choose from. If you want to brush up on a particular skill or technique, this website has several video lessons: http://deptets.fvtc.edu/nursing/index.htm. Nursingassistants.net is chock full of information and tips to make your work easier.

Since most of our students live and work in small communities, it can be hard to find people who understand your work and can offer valuable advice. The sites above let you connect with people around the country (and even the world), and give you access to information you'd never be able to find locally. Take a few moments to search for information, or explore the sites in this article, and see how much the internet can help your working life.

In our next blog post, we'll discuss ways you can use the internet to help your residents and people in your care.

Ready To Run Away When The Surveyors Come?

2010-06-30T15:55:00.003-07:00

Work in a long term care facility is filled with hundreds of little stresses, but every now and then one comes along that throws you into a panic. For many employees, survey time can be the worst. You know the drill: A state employee shows up with a clipboard and puts your facility under the microscope. Suddenly you're worried about every little thing, and unable to concentrate on your work. Is your paperwork in order? Did you remember to wash your hands after helping Ms. Jones with her eyedrops? Did Mr. Morris get his lunch in a timely manner?

Ok, stop. Take a deep breath. I'm going to let you in on a secret about surveys. Ready?

Survey days are the same as ANY OTHER DAY.

That's right. Whether you're the DON, a CNA, or facility's Activities Director, it's up to you to do you very best for your residents every day you come to work. If you're doing your job properly, everything will run smoothly and survey day won't be any different than any other day on the job.

Want to make survey as painless as possible? Do a mental run-down of everything the surveyors look for and make sure you could pass inspection with flying colors. Is your workflow in order, or are you always scrambling to take care of things when they pop up? Checklists can be a great help for both directors and employees. Rather than having to juggle everything in your head--and deal with interruptions and distractions--you can just refer to your checklist and keep things running smoothly. It's the easiest way to make sure you never forget something important, and it'll help you get back on track when all those little distractions pop up. If your records are up-to-date and neatly organized, you'll sail right through that part of the survey.

Next, take a moment to pretend that you're visiting your facility for the first time. Look around you and take note of what you see. Are the residents happy and involved with activities, or are they sitting alone in silence? Does everyone look well groomed, or is hygiene lacking? How does the air smell? When you work in a place day after day, you can get accustomed to smells, but it's important to take a moment to pay attention. If anything seems off, or if there are issues with the residents, take care of them now. That way, when it's survey time, you can relax and be confident that everything is in order.

Stand in the entrance to the dining hall, or in the facility's entry. How would your coworkers appear to a stranger? Are people stressed and short tempered, or do you see lots of smiles and pleasant interactions? Are residents addressed by name? If there is anything discourteous or disrespectful occurring, take care of it immediately. It might require a staff meeting or a memo, but clearing up any issues now will make survey a breeze.

Finally, remember that surveyors are just people doing their jobs, like you. They aren't there to cause trouble or make your life difficult. Yes, a lot of things are riding on a survey, but if you're working safely and conscientiously already, you have nothing to worry about. Help inspectors get their work done and get the information they need, and you'll be able to get back to your work that much more quickly. If you're doing a good job every day, survey day will be a breeze. Smile, take a deep breath, and go about your business without worrying.

https://www.cms.gov/manuals/downloads/som107c07.pdf

How to Be a Good Online Student

2010-06-14T15:34:00.000-07:00

In my last post, I gave an overview of whether or not online learning is for you. Now I'd like to focus on what it takes to succeed in online learning. If you've decided that an online class sounds just right for you, this list can help you not only survive, but thrive in your class.

1. Take care of all the required busywork up front. If the class requires a book or workbook, make sure you leave plenty of time to get it. If you're ordering the book from an online store (or even a regular bookstore), the book might be out of stock or backordered. Leave enough time for the post office to get your book to you before class starts, or you could find yourself falling behind. Also, make sure you have submitted all the required paperwork for your class. Here at We Care Online, several of our Kansas classes require students to include a copy of a Nurse Aide or Social Security card as part of the registration. If your class has a clinical component, make sure you know where and when the class will meet, and make any arrangements for transportation or child care.

2. Get familiar with your computer. If you only use your computer for checking email or watching videos, take some time to play around online and get comfortable with how your web browser works. Ask your questions and get familiar with how the computer works before you're under the pressure of class deadlines. It's much easier to get over nerves when you're just surfing for yourself versus when you're in the middle of a class and assignments are due.

3. Start your class promptly and stay on track. If possible, get a little bit ahead on assignments so you'll have a cushion of time later on in the class. A lot of people assume that online classes are easier and take less time than traditional classes, but this is rarely the case. Don't assume you can take it easy in the beginning and make up for lost time at the end.

4. Manage your time. When your class starts, take a look at the class outline, and at the assignments for all chapters or units. Get a feel for how long it will take you to work through each section and set up a schedule for yourself so you'll stay on track. There can be a lot of variation in the length of individual learning units, so don't assume that each one will take the same amount of time to complete.

5. Be sociable. Online classes have a discussion board when you can talk to your fellow students. There are generally some assigned questions related to the class material, but don't be afraid to start a new topic or to stray a little off topic to get to know your classmates better. You're all just names on a screen to each other until you write a message and let your personality come through. Share experiences you have had in your working life that might help your other students, such as how a technique is performed at your facility, or something you have learned on the job. But always be mindful of patient confidentiality issues! It's ok to change names or details to protect someone's privacy.

Unfortunately, it's easy to get too comfortable online and share more than you should. Always be mindful of over-sharing. It's fine to mention if you have kids, or where you work, but be wary of giving out personal information like phone numbers or birthdates. Think of it this way: if you're chatting with someone in line at the grocery store, you might tell a funny story about your toddler, but you're not going to tell that person where you live or where your kids go to school. If you're not comfortable sharing it with that person in the grocery store line, you probably shouldn't share it online either. Be open with your knowledge of class topics--you're here to learn, and learn from others--but keep the personal information personal.

Finally, always be mindful of the fact that when you're online, humor and sarcasm are not always obvious, so jokes can fall flat and people might misunderstand what you are trying to say. Always take a moment to pause and read over your discussion board comments, or email messages, before sending them. Do your best to use good grammar and proper spelling, and to project a professional image at all times. Leave a good impression on your classmates--you never know when you might bump into them in your working life. A student might someday be your co-worker, boss, or employee, or a reference on a job application. Make sure your words reflect the best you have to offer.

The Virginia Adult Learning Resource Center has a wonderful tutorial about online learning. Some of the items are specific to VALRC students, but the majority of the information applies to any online class. The sections on time management and internet terms are particularly good. If you are new to computers, or hesitant online, this tutorial could set your mind at ease.

Start here: http://www.valrc.org/tutorials/onlinelearner/introduction.htm