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  • 1. Sierra View Homes: A Retirement Community
    By Christy Griffith
    By Christy Griffith
  • 2. Organizational Structure
    Sierra View Homes is a not-for-profit community founded by the First Mennonite Church in Reedley, CA designed for senior living
    There are three different levels of care on the same campus
    Independent Apartment Living
    Assisted Living Facility/Residential Care
    Skilled Nursing Facility
  • 3. Levels of Care
  • 4. Organizational Structure: Interdisciplinary Staff
  • 5. Community Context
    SVH is located in Reedley, CA
    Reedley is a small town of 4.5 square miles and 25,000 residents located right on the edge of Fresno County
    The surrounding community is known for its agriculture
  • 6. Community Context
    The members of the Sierra View community are all retired seniors
    There are more females than males in each facility
    Most of the residents are English-speaking, Caucasian, and Christian
    Other ethnic backgrounds are also present (Asian, Hispanic, African American) but they are a small minority
    The demographics of the community reflect the larger demographic of Reedley, with the exception of age
  • 7. Population-at-Risk
    Broadly speaking, this agency serves the elderly population. More specifically, they serve the seniors that reside on their campus in one of the three environments.
    .
    The elderly population is often abused and oppressed. Because they often have to rely on others for so many tasks in daily living, there are many opportunities for people to take advantage of them. SVH exists to provide quality care and Christian love to its residents.
    Source: http://www.ruralhealth.utas.edu.au/padv-package/module2-5.html
  • 8. Population-at-Risk
    • Another factor that makes this elderly population an at-risk group is their increased rate of depression and suicide.
    About two-thirds of the residents in either assisted living or skilled nursing are on a psychotropic drug regimen
    Most of these prescriptions are antidepressants
    Some of the life situations that could compromise their quality of life and happiness include:
    Loss of independence
    Suffering from memory loss or other diseases and chronic illnesses
    Grieving for loved ones who have passed away
    Inability to do many of the activities they used to enjoy
    Loneliness
  • 9. Agency Missions and Aims
    “Our mission is to maximize the quality and enjoyment of the lives we serve through the Christian ministry of healing, hospitality, and community created and maintained within the tradition of the First Mennonite Church of Reedley.”
    Lifestyle options for seniors at Sierra View Homes make it possible to have valued independence without the worry or fear of being alone
    Sierra View’s Activities and Social Service staff work hard to provide several different activities for residents of every level of functioning.
    These activities engage the residents physically, socially, mentally, and spiritually
  • 10. Agency Practices
    Because SVH has three individual services available on one campus, the practices of the facility are varied.
    Common to all levels of care is a commitment to safety and quality of life
    Each level offers the highest degree of independence and self-determination that it can, without causing harm to the resident
    Source: http://wisdom.unu.edu/en/active-aging/
  • 11. Agency Practices
    Apartment Living offers the most freedom and independence while allowing residents to remain free of many of the responsibilities of home ownership
    There are several different sizes and floor plan options for the apartments . The variety makes this lifestyle a viable option for seniors who are looking for affordable housing, and also for those who want a more spacious, modern living space.
  • 12. Agency Practices
    Residents have access to the facility’s Wellness Center. The Wellness Center has exercise machines and a heated pool and spa. They offer water aerobics classes and the help of a trained instructor.
    Meal plans are also available for the residents. They are free to make their own meals if they live in the apartments, or they can sign up to come into the dining room and eat their meals there.
    Residents in Assisted Living or Skilled Nursing are all on a meal plan
  • 13. Agency Practices
    Another great service that Sierra View provides is a program specifically for seniors with memory impairment.
    The Special Needs Program is for residents with late stage Alzheimer’s or other kind of dementia. People with Alzheimer’s disease (AD) have different needs than other seniors because they are usually easily confused and prone to wandering
    The Special Needs Program is a specific room in the Skilled Nursing facility where the memory impaired residents spend their days.
    People with AD benefit from a consistent daily routine and surroundings with limited distractions
  • 14. Agency Practices
    SVH has an activities staff that takes a personal interest in the residents’ psychosocial well-being.
    Activities made available to the residents on a regular basis are movies and popcorn, reminiscing, Bible studies, church services, music programs, tabletop cooking, arts and crafts, Bingo, puzzles, and other games
    • Residents are encouraged, but not obligated, to come out of their rooms and participate
  • Significance
    Sierra View Homes offers services and opportunities for a vulnerable population of seniors. Residents of Sierra View are treated with dignity and worth, without regard to their age or level of functioning.
    Residents are made aware of their rights to privacy and self-determination when they are admitted. We strive to create an environment in which the residents can live in an active and joyful community with a staff that is conscientious of their age appropriate needs and concerns.
  • 15. Significance
    • According to Maslow’s Hierarchy of Needs, people have certain needs that they need to have met before they can feel secure and develop self-actualization
    • 16. Sierra View Homes strives to meet all of these needs. We acknowledge that our residents need to have their physiological needs met before they can feel safe and secure.
    Source:http://quangkhoi.net/learningcenter/2009/05/maslows-hierarchy-of-needs/
    • Understanding this hierarchy is important because if we strive to help our residents function at their highest level of functioning and quality of life, then we need to know that there are underlying conditions that must be met before we can see their self-esteem improve.
  • Significance
    Sierra View Homes understands and practices the social work value of the importance of human relationships
    This facility is run in a way that feels more like family than business
    The staff is encouraged to take the time to get to know each resident and not simply rush through the day
    The residents in assisted living and skilled nursing are cared for by the same nurses and staff every week. This consistency shows the commitment to building relationships