1) The document discusses the small house model for elder care, which aims to create a home-like environment rather than an institutional one.
2) In a small house, direct care staff are trained to take on flexible roles and work as a self-led team to maintain the home and meet residents' needs.
3) Nurses in a small house play more of an educator role rather than supervising staff. Their focus is on quality of care and supporting the daily rhythm of life in the home.
Everything You Wanted to Know About the Quality Measurement FrameworkNHSScotlandEvent
The Quality Measurement Framework provides a structure for us to think about how everything aligns to the Quality Ambitions. This session will help
delegates understand the three levels of the framework and help them understand how their work fits into this.
Everything You Wanted to Know About the Quality Measurement FrameworkNHSScotlandEvent
The Quality Measurement Framework provides a structure for us to think about how everything aligns to the Quality Ambitions. This session will help
delegates understand the three levels of the framework and help them understand how their work fits into this.
The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline.
Wellbeing Teams - a fresh approach to home careWellbeing Teams
Inspired by Buurtzorg, Wellbeing Teams are a new approach to providing care and support at home in partnership with Community Circles. They are small, neighbourhood-based self-managed teams.
Leadership is defined as the process through which an individual attempts to intentionally influence another individual or a group to accomplish goal . Building and sustaining oral health services that reveal the aspirations of the communities they provide has proved a most important confront all over the world. There is increasing demands on Dental professionals to identify and measure their individual impact on the outcome of patients as cost-cutting strategies have raised the thresholds for Dental hospitals to focus on patient satisfaction. This has increased the average acuity of Dental hospital patients, along with the increase in demand for Dentist leadership and patient outcomes. Dental Hospitals across the world have begun to see appropriate leadership of Dental professionals as an intervention for improving communication; collaboration skills to reduce Dental errors that direct to undesirable patient outcomes, hence Dental leaders are conscientious for creating a vision of where the Dental Hospital should go by implementing initiatives to achieve the vision of better patient outcomes. They create passion for goal accomplishment and converse employees’ roles in contributing to the Dental Hospital strategy.
Leadership practices of Dentist can positively or negatively influence outcomes for patients. Understanding the factors that contribute to leadership is fundamental to outcomes for patients. Important domains of association between Dentist leadership and patient outcomes. These are Dentist-patient relationships, Dentist-colleague relationships, Dentist-community relationships, and Dentists’ relationships to self. Relationship-centered oral health care recognizes the significance and exclusivity of each Dental staff relationship with every other, and considers these interaction to be central in sustaining high-quality care, a high-quality work environment, and better-quality organizational performance and improved patient outcomes.
Dentist leadership in the Genaral Dental practice setting is significant to ensure both best possible patient outcomes and consecutive generations of motivated and passionate Dental staff, but significant barriers to clinical leadership exist in Dental Hospital structures that preclude health care managers from clinical decision making and better patient outcomes.
Dental Hospitals and other healthcare organizations have flattened their structures with wide spans of control in an ongoing effort to reduce costs. When resources are limited, Dentist is required to share their attention across their patients, with their clinical decision to prioritize assessments and interventions. When understaffed units exist, Dentists are apparently required to reduce or skip over certain tasks, thereby rising the risk of harmful patient outcomes. The leadership relationship to patient outcomes in the work context has influence on Dentist behavior, which facilitates patient care and improved outcomes, hence strong re
Promoting Exchange, Enhancing Resources: How Connecting Organizations Improve...BCCPA
Improving workplace safety in continuing care often means undertaking significant culture change. Organizations often find themselves re-creating the same programs as neighbouring organizations, with similar outcomes. The PEER Resource Network was initiated by SafeCare BC to address two key issues raised by the continuing care sector:
1. Managers lack the resources to support the development of a safety culture within their organizations;
2. Continuing care organizations largely face the same root workplace safety issues.
In this workshop, participants will:
1. Learn about PEER’s innovative model and the preliminary results of the initiative (both quantitative and qualitative data).
2. Understand how PEER’s structure contributes to collaborative learning – and how this supports organizational excellence in workplace safety.
3. Engage with fellow participants in PEER-like exercises to glean insight into solutions for their organization’s own safety challenges.
4.Develop new connections to support the implementation of those solutions.
Presented by:
- Jennifer Lyle, Executive Director, SafeCare BC
- Saleema Dhalla, Workplace Health and Safety Programs Director, SafeCare BC
The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline.
Wellbeing Teams - a fresh approach to home careWellbeing Teams
Inspired by Buurtzorg, Wellbeing Teams are a new approach to providing care and support at home in partnership with Community Circles. They are small, neighbourhood-based self-managed teams.
Leadership is defined as the process through which an individual attempts to intentionally influence another individual or a group to accomplish goal . Building and sustaining oral health services that reveal the aspirations of the communities they provide has proved a most important confront all over the world. There is increasing demands on Dental professionals to identify and measure their individual impact on the outcome of patients as cost-cutting strategies have raised the thresholds for Dental hospitals to focus on patient satisfaction. This has increased the average acuity of Dental hospital patients, along with the increase in demand for Dentist leadership and patient outcomes. Dental Hospitals across the world have begun to see appropriate leadership of Dental professionals as an intervention for improving communication; collaboration skills to reduce Dental errors that direct to undesirable patient outcomes, hence Dental leaders are conscientious for creating a vision of where the Dental Hospital should go by implementing initiatives to achieve the vision of better patient outcomes. They create passion for goal accomplishment and converse employees’ roles in contributing to the Dental Hospital strategy.
Leadership practices of Dentist can positively or negatively influence outcomes for patients. Understanding the factors that contribute to leadership is fundamental to outcomes for patients. Important domains of association between Dentist leadership and patient outcomes. These are Dentist-patient relationships, Dentist-colleague relationships, Dentist-community relationships, and Dentists’ relationships to self. Relationship-centered oral health care recognizes the significance and exclusivity of each Dental staff relationship with every other, and considers these interaction to be central in sustaining high-quality care, a high-quality work environment, and better-quality organizational performance and improved patient outcomes.
Dentist leadership in the Genaral Dental practice setting is significant to ensure both best possible patient outcomes and consecutive generations of motivated and passionate Dental staff, but significant barriers to clinical leadership exist in Dental Hospital structures that preclude health care managers from clinical decision making and better patient outcomes.
Dental Hospitals and other healthcare organizations have flattened their structures with wide spans of control in an ongoing effort to reduce costs. When resources are limited, Dentist is required to share their attention across their patients, with their clinical decision to prioritize assessments and interventions. When understaffed units exist, Dentists are apparently required to reduce or skip over certain tasks, thereby rising the risk of harmful patient outcomes. The leadership relationship to patient outcomes in the work context has influence on Dentist behavior, which facilitates patient care and improved outcomes, hence strong re
Promoting Exchange, Enhancing Resources: How Connecting Organizations Improve...BCCPA
Improving workplace safety in continuing care often means undertaking significant culture change. Organizations often find themselves re-creating the same programs as neighbouring organizations, with similar outcomes. The PEER Resource Network was initiated by SafeCare BC to address two key issues raised by the continuing care sector:
1. Managers lack the resources to support the development of a safety culture within their organizations;
2. Continuing care organizations largely face the same root workplace safety issues.
In this workshop, participants will:
1. Learn about PEER’s innovative model and the preliminary results of the initiative (both quantitative and qualitative data).
2. Understand how PEER’s structure contributes to collaborative learning – and how this supports organizational excellence in workplace safety.
3. Engage with fellow participants in PEER-like exercises to glean insight into solutions for their organization’s own safety challenges.
4.Develop new connections to support the implementation of those solutions.
Presented by:
- Jennifer Lyle, Executive Director, SafeCare BC
- Saleema Dhalla, Workplace Health and Safety Programs Director, SafeCare BC
this ppt shares what synapses are and how information of one neuron is transmitted to other through the synapses. it also includes the properties and plasticity of synaptic transmission
San Diego Professional Palliative Care Conference - From Conversations to ActionVaneza Casimiro
Palliative Care Across the Continuum
FRIDAY JUNE 10, 2016
8 a.m. - 5 p.m. |Reception to Follow
REGISTER BY JUNE 6
www.csusm.edu/palliativeconference
Registration $175 (includes meals, reception and parking)
Registration + 7 CEU/CME Certificate $200
A description of culture change principles. Why culture change works, and why consumers will demand culture change communities as awareness grows.
A description of the Texas Culture Change Coalition's history, principles, and how it serves as a resource to spread culture change awareness and educational opportunities.
A great start to your culture change journey with a guide to culture change tools and resources.
Guest presenter Daniela Simmons offered the Texas Culture Change Coalition a description of her experiences providing person-centered care and developing self-managed work teams.
Joining the Eden Alternative Registry_TxCCC_1.20.12Christina Edwards
This presentation was provided by TxCCC steering committee member Suzette Molina at TxCCC's bi-monthly meeting on Jan. 20, 2012. Suzette described the Eden Alternative philosophy and registry process to all in attendance. Thank you Suzette!
Family Dining at Regal Nursing and Rehabilitation Center, LampasasChristina Edwards
Juannie S. Andrews, L.N.F.A. and Melissa Lancaster, Dietary Manager offered this presentation at one of TxCCC's steering committee meetings. Regal Nursing in Lampasas, TX proves daily that culture change principles in dining benefit the resident, the staff, and the facility. This presentation outlines their journey from institutional to family-style dining.
This presentation was developed by the Texas Culture Change Coalition to serve as a tool to inform others about the background and principles of culture change in long term care.
Please feel free to use it as a whole or in part to inform others about the benefits of culture change.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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A Visionary Path to Culture Change: Pearl Merritt & Debby Burgett
1. A Visionary Path to Culture Change Texas Coalition for Culture Change San Marcos, Texas September 23, 2011 Pearl Merritt, EdD., MSN, MS, RN Regional Dean Texas Tech Health Sciences and Debby Burgett, LNFA Member of Pivot Senior Living Experts
2. The Beginning of a Journey "Vision without execution is hallucination.” — Thomas Edison
Pearl will speak from slides 1-10 Debby will speak from slides 11-22 Pearl will speak from slides 23-29
Pearl to open/speak… Complement TXCCC for their efforts and vision for the symposium. How exciting you are to see so many care givers in the room. Thank them all for being here. 20+ of years in long-term care Knew there had to be something better Went to Tupelo, smelled the fried chicken Charlie and Pearl decide to build the first Green House homes in Longview Texas to complete the continuum of care. Recruited Debby from Sears Methodist to become the Guide and Administrator Opened in January 2008 with all 20 rooms spoken for. 3 million dollar project Exceeded our expectations
Questions that we will answer during the next hour…
This home represents the look of small house homes all over the country, and is located in Taylor Texas. The definition of a small house model can vary according to the model. There are different models that appeal differently to organizations. 3 Examples of different models: 1. 10-12 Elders, The Green House® Project 2. 14-20 Elders, Household/Neighborhood model 3. I am excited to introduce today a third model of care called My House Communities, My House is “Texas born” and has been designed by PI (“Pie”) architects from Austin, Texas. Greg, Mark and Pat have created a flexible model with a solid philosophy of elder centered care. It is designed to be home to 16-24 elders and works well for assisted living and nursing care. The flexibility of the design appeals to for profits and non-profits alike and can accommodate Medicaid, Medicare and private payer mixes.
There are different elements to small house design and philosophy, but you will find many similarities such as Small scale in design Fewer elders living in one area Access to the outdoors Residential in look and feel You will find a full kitchen or at minimum a warming kitchen or buffet style dining Elimination of long hallways Private rooms and baths Inviting outdoor spaces The design is good for Assisted Living, dementia care and nursing care. Organizations all over the country are on a journey to create small house living and promote elder centered care. Next is an example of a retirement community here in Texas.
USE POINTER LASER TO HIGHLIGHT THE DIFFERENT HOMES. This community is planning for a full continuum of care and has the infrastructure currently in place to support the work of the small house. This is for profit home located here in Texas. PI Architects has redesigned the traditional home to meet the requests of the owners as well as the demand of the consumers. This traditional nursing home (highlighted in yellow) is being redesigned internally to accommodate four different small houses or also known as a “neighborhoods.” In addition, this community has been designed to accommodate 2 small house homes (My House E/F red). 16 Elders will live in each home joined by a common shared areas that include laundry, and a community room. Each home is designed to have a fully equipped kitchen and its own dining and common areas. House A will be a home for 30 elders House B will be a home for 30 elders House C will be a home for 30 elders House D will be a home for 30 elders. House E will be a My House home for 16 Elders House F will be a My House home for 16 elders.
The small house design is one LARGE factor in creating elder-centered care. The outcomes of small house homes have been studied by researchers for the past several years. One of the first studies of the small house home was of first Green House homes located in Tupelo began in 2003. Dr. Rosalie Kane spearheaded the research on this project and is a well known researcher of the small house design. Two of her well known publications are… Effects of Green House® Nursing Homes on Residents’ Families Terry Y. Lum , M.S.W., Ph.D., Rosalie A. Kane , M.S.W., Ph.D., Lois J. Cutle r, Ph.D., and Tzy-Chyi Yu , M.H.A., Ph.D. 2. Resident Outcomes in Small-House Nursing Homes: A Longitudinal Evaluation of the Initial Green House Program Rosalie A. Kane , PhD, Terry Y. Lum , PhD, Lois J. Cutler , PhD, Howard B. Degenholtz, PhD, and Tzy-Chyi Yu, MHA, Journal of the American Geriatrics Society, 55 (6) :832–839, 2007. Since then many other researchers have looked closely at elder centered care and the small house design. Sharkey , S. S., Hudak , S., Horn , S. D., James , B. and Howes , J. ( 2011 ), Frontline Caregiver Daily Practices: A Comparison Study of Traditional Nursing Homes and The Green House Project Sites. Journal of the American Geriatrics Society , 59: 126–131. doi: 10.1111/j.1532-5415.2010.03209.x Dr. Barbara Bowers University of Wisconsin Madison studied the relationship of the shahbazim, nurses, the models of care and communication. We are expecting her publication this fall, but have begun to learn of some the research findings. Green House ® elders to comparison group of nursing home residents. Research has shown that families are more satisfied with general amenities, meals, housekeeping, physical environment, privacy, autonomy and health care. In addition fewer elders experienced depression, being bedfast and having little or no activity. Quality of life improved for elders in areas of privacy, dignity, meaningful activity, relationships, autonomy, food enjoyment, individuality and emotional well-being. Green House ® homes relative to nursing home comparison sites. Small House staff reported higher job satisfaction and direct care staff reported less job related stress. Staff spent 23-31 minutes more per resident per day on direct care activities A fourfold increase in staff time spent engaging with elders outside of direct care activities. Additional Outcomes Due to the high level of familiarity with elders, direct care workers were able to identify very early changes in elders’ conditions and facilitate timely intervention
CMS has a long history of supporting culture change in long-term care that began back in the Fall of 2002 with satellite broadcast to all surveyors entitled “Innovations in Quality of Life – the Pioneer Network.” The broadcast taught surveyors about common culture change innovations that might be encountered and how compliance with federal requirements might be maintained within culture changed. This support has continued with Thomas Hamilton, Karen Schoeneman and Leslie Norwalk to just name a few. CMS funded and co-developed a well known tool called the Artifacts of Culture Change and made it available to the public April of 2006. The great State of Texas is in support of culture change and has endorsed it whole heartedly. We currently have Green House homes located in two different cities in Texas operating very successfully. In addition, TDADS just supported a very well attended Culture Change Symposium in Austin. In addition, small house design has the support of Fred Worley and he is working hard to provide this model with the support it needs to succeed.
Small house homes across the country are reporting… Increase in overall campus census since opening a small house home Operating a small house home is cost neutral compared to a high quality traditional home 3. It is beneficial to have an existing campus to support the work of a small house home to spread the cost
“How can you say we’re not behaving like a team? We’re all wearing the same color shirts, aren’t we?” Let’s take a look at “real” teamwork and how you get there.
The care givers in a small house home must operate as a team. They must work together each day to not only provide the needs of the elders, but maintain a home for the elders..
They are charged with many different tasks such as cleaning, cooking, scheduling, prioritizing, decision making, care giving and they are succeeding in homes all over the country
They are often host and hostesses in the home arranging family get togethers, celebrating birthdays, anniversaries and arranging for entertainment.
Most would conclude that their most important work is that of care givers and companions to those that have been left in the care.
A beautiful well designed home is certainly an added plus in developing a culture of elder centered care, but it is not the “silver bullet.” A beautiful well designed home must be led by team members who have ownership in their work, who are trustworthy, trained and talented. They are educated and understand what it means to place decision making at the level of the elder to create a home that thrives in choice, dignity and autonomy. They are guided on mentored by a professional that believes in empowerment and building trust.
A self-led team just doesn’t happen by chance, but through thoughtful planning, education and training you will begin to see your teams come together. Direct Care Staff, Clinical support staff, organizational leaders, other department mgrs, family members and even residents to participate in appropriate areas.
The method in which the information is delivered can and should be fun! Learning is about seeing, hearing and doing! The goal is for individual insecurities to decrease and for trust to begin to rise among the team.
Training is challenging, interactive and informative. It will challenge our current thinking, guide us to interact and learn from others and provide us with information so that we can be our very best. Participation from the VP of Operations Charlie Wilson, Executive Director, DON, Administrator, Nurses and Nurse aides.
Strengths, Weaknesses, Opportunities, Threats Plan, Do , Study, Act The leadership in the organization should participate in the direct care training, but it is also necessary for the leadership of the organization to review the organizations mission and vision statements to ensure that they line up with the philosophy that is being taught in the home. In addition, the leadership of the organization with input from other key stakeholders to go through a SWOT analysis to develop a strategic plan for implementation
When all else fails… My new approach to effective team development will take a bit longer. In my plan, we raise them from birth.”
Nurses working in a small house home are in an environment that is designed to allow them to be nurses and not managers or bosses or scheduling coordinators, etc… Let’s take a look at and discuss some of the nursing features in a small house home.
Traditional nursing stations are institutional. All three of these areas can serve the functions of a nursing station in a small house home. Point out the features that “hide” the fact that they serve as nursing stations. Use Red laser pointer Top Left: French style doors, office look. Bottom Left. This area was installed with a computer monitor that displayed the nurse call system. Every room was viewable from this location. A secondary fire alarm panel can be found on the wall to the behind the desk and to the left. Bottom Right: PI architects is using a desk area like this one to serve as ancillary nursing stations. This area can easily be utilized for charting and a nurse call system. All three of these stations can easily serve as a nurses stations meeting regulatory requirements in Texas.
A nurse in a small house home utilizing electronic medical records A nurse aide in a small house home showing the pharmacy consultant how she utilizes care tracker.
The functions of the med cart remain, but the institutional look of med carts have been removed.
Nursing Students from nearby college are exposed to elder-centered care in a small house home. There are opportunities for clinical training of nurses and CNA’s. Don’t forget other clinical support team members such as therapists and social work practicum work.
Thank the audience for their time and ask for questions.