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Healthcare Training Institute - Quality Education since 1979

Instructor’s Guide
for DVD Inservice Training

Table of Contents | NCCAP/NCTRC CE Booklet | Administrator Post Test

Part A
Activity, Staff, and Volunteer Training

DVD TRACK 1

IMPORTANT NOTE: Since this DVD was recorded in a hotel meeting room, and not a studio, the audio and video have been digitally optimized as much as possible.  However, the features of the speaker’s face will appear blurry at times.  This will not hamper your learning experience. The quality of the content speaks for itself.

How Residents Manipulate

How do residents dominate and control a program?
Residents dominate and control a program by complaining, or asking frequently for an activity.

QUESTION #1: In the anecdote about Earl, how did the speaker stop Earl’s manipulation of Activities?
The speaker confronted Earl about his motivation for always asking about Bingo, and after Earl admitted he just wanted more Bingo games, he stopped persistently asking for Bingo.

DVD TRACK 2
How Domineering Residents can Damage Your Program

What are seven other ways residents attempt to dominate?

QUESTION #2: According to the speaker, how are domineering residents damaging to Activities programs?
Even though they are your friends, they are vocal and may be damaging to your Activities program because they are very controlling or manipulative.  

DVD TRACK 3
Explaining Program Changes to Domineering Residents

Step I: List the activity to be cancelled, rescheduled, or combined.

What two things should you carefully explain to a domineering resident when making a programming change?
1. What the change is, and
2. The reason behind it

Step II: Identify a specific resident who will be affected by this program change.
            Resident affected by schedule change________
            Description of personality characteristics_________

QUESTION #3: What is the first step in dealing with a domineering resident?
After deciding to change an activity, explain point-blank what the program change is going to be and the reason.

DVD TRACK 4
Planning an Independent Activity for your Domineering Resident

Step III: Favorite activities or special interest ______

QUESTION #4: When planning an independent activity for a domineering resident, what did the speaker say are the three requirements for the activity?
The independent activity must 1. not be dangerous,2. not be expensive, and 3. not be messy.

DVD TRACK 5
Motivating Domineering Residents to Work Independently

Step IV: Motivation to do independent activity __________

 How might you help motivate a domineering resident to do an independent activity?
By giving him or her a choice of independent activities.

QUESTION #5: What is the ideal situation in regards to resident needs?
When residents can meet other residents’ needs is the ideal situation.

DVD TRACK 6
Being an Opportunity Provider, not a Make-Them-Do-er

What attitude did the speaker have about her role as an Activity Director that led to her feeling burnt out?
The speaker thought that her role as an Activity Director was to make the residents do things.

What did the speaker suggest as an alternate conception of her role as an Activity Director?
An opportunity provider.

If a resident becomes angry or upset, what is important to remember?
It is the resident’s choice to be angry or upset.

QUESTION #6: What can be two motivating criteria for a successful activity for a resident?
The activity needs to be at the resident’s interest level and ability level.

DVD TRACK 7
Avoid Spending Extra Time with your Domineering Resident

What is something you want to avoid when introducing an independent activity to your Phyllis?
It is important not to create an additional time segment that you are spending with the resident.

How might you avoid this problem?
Introduce the independent activity to your Phyllis during a time segment which you are already spending with the resident.

Why is it important to tell other Staff about program changes that affect your Phyllis?
Other staff members will be directly affected by the resident’s behavior during the independent activity time.

QUESTION #7: What is the reason why it is important to incorporate the demonstration of a new independent activity into an already scheduled activity?
The domineering resident should not be allowed to spend an extra time segment with Activities, since the goal is to reduce the time spent with that one resident.

DVD TRACK 8
Dealing with Attention-Seeking Domineering Residents

According to the speaker, what is the goal of a ‘yes-butter’?
According to the speaker, a good ‘yes-butter’ does not want a solution.  They want to be told that their problem is unsolvable, and that they have done all that they can do.

What are three ways to deal with an attention-seeking resident?
1. Ignore them. 
2. Give the resident attention when he or she is not actively seeking attention
3. Positively reinforce the resident with attention when he or she does what you want them to.

QUESTION #8: What are two crucial actions to take with an attention-seeking resident?
1. Give the resident attention when he or she is not actively seeking attention.
2. Positively reinforce the resident with attention when he or she does what you want them to do

Notes:

Part B
Activity and Social Services Staff Training

DVD TRACK 9
Preparing Staff for the Elimination of a Group Activity

What are the first two steps in preparing staff for the elimination of some group activities?
1. Talk to your administrator.  2. List staff affected directly or indirectly by program change.

According to the speaker, what is one important thing to remember when dealing with Administrators and Surveyors?
Don’t expect administrators or surveyors to know your job.  Be able to explain your programs to them.

QUESTION #9: When working with Martha, a Stage-3 Alzheimer’s resident, why did the speaker have to take the Approach of not speaking to the resident during the Block-Stacking Activity?
The speaker found that, if she directed the activity verbally, Martha would repeat words and talk to herself, distracting herself from the original task.

DVD TRACK 10
A Two-Step Approach to Conflict with Staff

What is the two step process used by the speaker when approached with a conflict with a staff member?

1. Find a legitimate, sincere point of agreement between yourself and the other person.
2. Invite the other person to offer advice.

When confronted by an individual who thinks that it is demeaning for a resident to be ‘playing with children’s blocks,’ what is one phrase you might use to create a sincere point of agreement with that person?
You might say, “I agree; I hope that when I am 80 or 90 years old, I will still be in possession of my faculties enough to do senior center type activities.”

QUESTION #10: When confronted in a conflict about an Activities issue, what are the two steps in the process to resolve the conflict?  See notes above for answer.

DVD TRACK 11
Taking the Time to Communicate

What mistake did the speaker make when implementing her One-to-One program?
She did not take the time to communicate her program changes to the Director of Nursing, the nurse aides, and the Administrator.
QUESTION #11: What is the problem regarding changing the Activities program without talking to the administrator and other staff members first?
Any change in the program can affect other staff. These staff members may complain to the administrator about any unexpected problems they are having resulting from the program change, of which they were uninformed.

DVD TRACK 12
The Ripple Effect

What is meant by an Activities ripple effect?
The ripple effect means that as staff see you working with all of the resident population, they may become more supportive and receptive to your program.

QUESTION #12: How can problems with nursing, like transporting residents and getting cooperation, be solved?
Nursing can be resentful of the fact that Activities can pick and choose whom they work with, while Nursing has to attend to every resident. If Activities works to spend time with all of the residents, Nursing may be more responsive.

DVD TRACK 13
Holding an Inservice

When is a good time to hold your first staff Inservice training regarding your One-to-One activity program?
Three to four months after you have started the program.

QUESTION #13: What were two examples of staff misuse of Activities materials that may indicate the need for an Inservice training program?
1. Brown paper bag taped to the nightstand used as a trash bag. 2. Materials, like an inner tube, thrown away.

DVD TRACK 14
Where to Start

Whom should you speak with first about your One-to-One activity program?
The Nursing Home Administrator.

QUESTION #14: What is the main reason why communication with other staff members is so important for Activities?
One-to-One activities are invisible to most people outside of the Activities Department, and other staff members need to be aware of those activities when they do not see a large group.

DVD TRACK 15
Photos with Commentary

Travel
If only one tenth of your residents can benefit from a Travel Club, how much programming time should you spend with these residents?
You should spend one-tenth of your programming time with these residents.

Card Holder
How might you adapt card games for a High Functioning resident who has some difficulty grasping a hand of cards?
You might make the resident an adaptive card holder out of two butter tub lids attached together with a metal brad.

Nuts and Bolts
What are two reasons why threading Nuts onto bolts is a good activity to use with domineering residents?
1. Nuts and bolts may be especially appealing to alert male residents, who can be the hardest residents to program for.
2. Nuts and bolts can be worked on independently.

Painting
What is a constructive way to respond to a resident like Vera, who wants you to stay and talk during his or her independent activity time?
You might say, “Vera, I am hired to provide activities for 150 residents; I need to work with others as well.  We have our scheduled time to talk on Wednesdays at 2:00.”

QUESTION #15: What are four steps based on Rational Emotive Therapy you might use when dealing with your domineering residents?
1. Recognize the resident’s feelings.
2. Make a factual statement in a factual tone.
3. Draw a conclusion.
4. The next time the resident asks, make a neutral one-line statement in a neutral tone.