ATX21A- “Exploring Ethics, Values, Morals and Truth”
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  • 1. (What I like to call the “Duck Dynasty Principal”)
  • 2. This upbeat program will offer a review of moral principals and standards for human “conduck” in healthcare. Looking at a variety of ethical principals and responsibilities we will identify why certain actions are the right things to do and how elders who have entrusted us with their care are directly affected by our decisions and actions. You will leave feeling good!
  • 3. At the conclusion of this session, participants should be able to:  Identify at least four ethics/values/truths relevant to healthcare  Identify at least four opportunities to positively affect care to elders with your ethical beliefs and resulting actions.
  • 4. Simply put… …It is doing the RIGHT thing! Every Time and All the Time
  • 5. Ethics The Right Thing Truth Values Morals
  • 6. all runs together – the lines are often blurred  They overlap  It
  • 7.  Tolerance  Respect  Passion  Teamwork  Family  Fun
  • 8. In this big and ever changing world we continue to see advancements in healthcare and eldercare. People are living longer and richer lives. But, many face life challenging illnesses and disease. Cancer, strokes, Alzheimer’s, complications of diabetes, etc.
  • 9. As caregivers and providers we have a responsibility to offer the best care technically and medically. But just as important we must provide compassionate care with respect, justice and beneficence to those we care for.
  • 10. This presentation is not about the legal and moral debates of end of life, birth control, disaster preparedness in healthcare, etc. but more about who we are and how we treat those we work with and care for. This is a lesson and reminder of the Golden Rule “Do unto others as you would have them do unto you”
  • 11.  Diversity • Respect all people from all walks of life • Respect personal, moral and religious views  Honesty • Truthful communication
  • 12.  Integrity • Being honorable and trustworthy • A commitment to do the right thing all of the time
  • 13.  Compassion • Recognizing others needs • Helping others • Being empathetic • Small actions to ease suffering
  • 14.  Be Helpful • Look for ways to help even before you are asked  Be the Change • If you want to be treated with more compassion and kindness then let it begin with you
  • 15.  Excellence • Being passionate • Going above and beyond what is expected
  • 16.  Teamwork • Committed to others professionally • Respect each other • Share success • We can conquer anything together • We are working towards a common goal
  • 17.  Stewardship • Responsibility and care of all that has been entrusted to us • Materials and supplies • Fiscal • Our reputation
  • 18. In Duck Dynasty they recognize each persons individual contributions.  Value your employees  Value Customers/Vendors/Families  Value Residents
  • 19.  Listen to ideas • We all want to talk, but very few of us want to listen! Take the time to listen!  Address grievances immediately  Celebrate successes  Create a culture of acceptance  Do not tolerate offensive language and actions  Provide opportunities for education and training
  • 20.  Provide the tools to do their job  Praise in Public and correct in Private  Have FUN  Recognize and reward a job well done  Stop Criticism! Learn to interact in a Positive way  Say Thank You!
  • 21.  Education attained  Wisdom and knowledge  Experience  Your CNA knows your residents better than anyone else
  • 22.  Listen to ideas  Address grievances immediately  Celebrate milestones and Birthdays on the day  Create a culture of acceptance  Provide opportunities for varied cultures and religious experiences
  • 23.  Your residents have chosen your center for their home • Close to home/family/friends • Economical • Good reputation • Past connection
  • 24.  Your employees have chosen your center for their employment • Close to home • Recommended by friends • Past connection • Good reputation
  • 25. How do you show your appreciation for their choice? By providing excellent care and service
  • 26.  Support local business  Support local schools • Support teams & Music Programs • Provide learning and volunteer experiences • Develop Adopt-A-Grandparent Programs  Support philanthropic organizations  Support the arts within your community  Support local fairs and festivals
  • 27.  Be a valuable partner to groups and organizations  Host Health Fairs  Participate in Relay for Life and Memory Walks, etc.
  • 28. Are you creating a culture for change and resident choice? This is doing the right thing!
  • 29.  Over schedules  Things that are important to the resident  Daily waking, napping  Eating, when and what, where to sit  Bathing, kind, time  What to wear  Going to bed at night  ACTIVITIES of INTEREST to the RESIDENT
  • 30. • Are we accommodating the environment to each of their needs and preferences? • Are we creating a more homelike environment? • Including access for visitors? • Are we “de-institutionalizing” the physical environment?
  • 31.  De-institutionalization includes • Eliminate meals on trays • Eliminate noise from overhead paging, alarms and large nursing stations • Salt and pepper
  • 32.  Is more than changing the physical environment  It is striving for person-centered care that emphasizes individualization, relationships and a psychological environment that welcomes and offers comfort
  • 33.  Do you stop to consider what a resident gives up when they enter your center? • Privacy • Quiet • Choices • Their “stuff”
  • 34.  Respect all persons  Provide social welfare  Provide peace and security
  • 35.  All persons receive equal care • We all come from different backgrounds, have different needs and dreams • Learn to appreciate differences and look for commonalities
  • 36.  It is easy to get caught up in care and forget…our residents had lives, families, jobs, loves and passions before they entered our home  Acknowledge the residents wisdom and experience  Give dignity to residents by validating their past memories
  • 37. Help people feel needed, productive and independent  Give people control by • Giving them options • Working alongside of them • Saying “thank you”
  • 38.  Effective communication and interactions help residents to be successful  When residents feel successful their self esteem improves  When residents have high self esteem and feel safe you will have less unwanted behaviors, falls, exit seeking and they will sleep better at night
  • 39. Quality of Life Is just as Important as Quality of Care
  • 40. Activities are more than BINGO, Church and Birthday Parties!
  • 41. Meaningful Activity Is important to Quality of Life
  • 42. If it: Promotes self-esteem Provides pleasure Provides comfort Furthers education Inspires creativity Promotes independence …it IS an activity!
  • 43.  Activities must be meaningful • Teach me • Use my skills • Religious activities • Activities that contribute to my “home”
  • 44.  Workshops for individuals with same interest/background  Create a work environment! • Secretaries - paper, stapler, rubber bands • Teachers - books, lesson planners, pencils, papers • Assembly Line Workers – roll silverware, fold/staple/stuff • “Factory” workers – tear apart appliances or car parts – don’t forget the packed lunch & tool box!
  • 45. Sorting/Jobs Hair curlers – color and size, into same color container – put the lid on it! 3 complete steps Sweet & Low packets/Sugar packets Fill Salt & Pepper shakers Count Money Colored clothespins Tupperware & lids Bright colored straws into same color tumblers Barrettes Zippers Button box Lucky Charms or Chex Mix Baseball cards sort by team Poker chips into ice cube trays Roll change Tag clothing Magnetic Alphabet letters
  • 46.  Fact • As each goose flaps its wings it creates an “uplift” for the birds that follow. By flying in a “V” formation, the whole flock adds 71% greater flying range than if each bird flew alone.
  • 47.  Lesson • People who share a common direction and sense of community can get where they are going quicker and easier because they are traveling on the thrust of one another.
  • 48.  Fact • When a goose falls out of formation, it suddenly feels the drag and resistance of flying alone. It quickly moves back into formation to take advantage of the lifting power of the bird immediately in front of it.
  • 49.  Lesson • If we have as much sense as a goose we stay in formation with those headed where we want to go. We are willing to accept their help and give our help to others.
  • 50.  Fact • When the lead goose tires, it rotates back into the formation and another goose flies to the point position.
  • 51.  Lesson • It pays to take turns doing the hard tasks and sharing leadership. As with geese, people are interdependent on each other’s skills, capabilities and unique arrangements of gifts, talents or resources.
  • 52.  Fact • The geese flying in formation honk to encourage those up front to keep up their speed.
  • 53.  Lesson • We need to make sure our honking is encouraging. In groups where there is encouragement, the production is much greater. The power of encouragement (to stand by one’s heart or core values and encourage the heart and core of others) is the quality of honking we seek.
  • 54.  Fact • -When a goose gets sick, wounded or shot down, two geese drop out of formation and follow it down to help protect it. They stay with it until it dies or is able to fly again. Then, they launch out with another formation or catch up with the flock.
  • 55.  Lesson • If we have as much sense as geese, we will stand by each other in difficult times as well as when we are strong. • By Milton Olson, adapted by Angeles Arrien
  • 56. Connie Swearingen, BS, LPN, AC-BC, ACC-MC, CDP Director, Clinical Programs Diversicare Management Services 1621 Galleria Blvd Brentwood, TN 37027 615-771-7575 cswearingen@DVCR.com