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Content

Long Term Care

Long Term Care


FIGHTING FOR DIGNITY: A FILM ON INJURIOUS AND FATAL RESIDENT-TO-RESIDENT INCIDENTS IN LONG-TERM CARE HOMES

"The phenomenon of resident-to-resident incidents is now recognized as an international public health problem." - From the film

A large number of injurious resident-to-resident incidents in long-term care settings are not recognized, reported, nor prevented. Through the graphic and deeply painful experiences of three families whose vulnerable loved ones were either physically or sexually harmed, this powerful 20-minute film encourages care providers to improve care practices that would help prevent such episodes.

As it sheds light on the under-studied and under-recognized phenomenon of injurious and deadly resident-to-resident incidents, the film also emphasizes the need to understand that behavioral expressions labelled as "aggressive" in the context of dementia, typically occur when the "fighting" resident's own emotional and physical needs are not being met.

Fighting for Dignity provides a much-needed framework in which to:

1. recognize the potential consequences of serious incidents on residents (psychological distress, falls, physical injury, and death), and the profound emotional impact on their family members,

2. improve the safety of vulnerable and frail elders by recognizing the emotional cues and situational frustrations that can help prevent harmful incidents, and

3. offer a professional and timely response to harmful incidents, including the provision of adequate emotional support to family members.

The film is accompanied by an informative 76-slide PowerPoint that identifies:
  • Unmet human needs that often underscore behavioral expressions in persons living with dementia
  • The definition and prevalence of Distressing and Harmful Resident-to-Resident Interactions
  • Contributing factors, causes, and situational triggers
  • The effect of these episodes on residents and families
  • Persistent barriers for change in addressing these episodes
  • A series of psychosocial strategies for prevention and de-escalation

    • It also pinpoints the critical role of adequate staffing levels, specialized dementia-specific staff training programs, and the importance of personally meaningful engagement of residents living with dementia. Finally, it describes screening and assessment instruments that should be used as an integral part of all prevention efforts aimed at reducing these incidents and keeping residents with dementia safe.

    A must-see training resource for all health care professionals, managers, administrators, and owners of nursing homes and assisted living residences, as well as, culture change advocates and policymakers.

    DVD / 2020 / 20 minutes

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    "BOB, I'M REALLY BUSY": THE IMPACT OF IMPERSONAL CARE ON THE WELL-BEING OF PERSONS LIVING WITH DEMENTIA

    Through five short trigger scenarios involving assistance for a person living with dementia, this DVD presents care situations that will open up discussion on how best to provide resident-specific support and assistance. Each brief scenario is designed to demonstrate the impact of a caregiver's tone, actions, and level of sensitivity to the resident's needs. This up-close-and-personal look at caregiving will give caregivers a chance to dissect and analyze how they provide care, and foster a deeper understanding of how to interact positively with persons living with dementia.

    DVD / 2015 / 12 minutes

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    "I'LL BE THERE FOR YOU" - PROVIDING PERSON-CENTERED DEMENTIA CARE

    By Jett Jousma

    Learn how person-centered care can positiviely impact each day for persons with dementia...

    This DVD shows how to make a hands-on shift to person-centered dementia care that engages the whole person and creates a support system based on each resident's needs and preferences.

    From natural wake-ups to music therapy, the DVD looks at the benefits of involving residents in their care as much as possible, finding ways to help them to "continue" living life the way they prefer, and engaging them in personalized activities that boost self-esteem and interaction. It also empowers nursing assistants to act upon (and communicate to other team members) their first-hand knowledge of each resident to ensure a better understanding of their care needs.

    DVD / 2013 / 28 minutes

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    PERSON-CENTERED DEMENTIA CARE: STORIES AND EXAMPLES

    "Who is this person - without dementia? If we can tap into who this person is, we can help their adjustment, and the process that they go through." - from the DVD

    Through hands-on stories and examples, this chaptered DVD shows the positive impact of person-centered care. When caregivers meet persons with dementia "where they are" and find creative and engaging ways to connect with each individual, based on their needs and preferences, life is better for both residents and staff.

    The DVD includes the case study of Elaine, a resident who, for extended periods of time, attempts to leave the facility and go home. By pinpointing the importance of knowing the resident, it shows how her "exit-seeking" behavior is addressed and managed in the context of who she is and what she needs at that particular time.

    The DVD also shows how to make life richer for the residents who have dementia by

  • personalizing their dining experience
  • encouraging use of remaining abilities
  • engaging them in creative activities
    •

    DVD / 2013 / 29 minutes

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    MORE THAN WORDS: A NEW CULTURE OF CARE AND COMMUNICATION WITH PERSONS WHO HAVE DEMENTIA

    This culture-changing DVD demonstrates (though real interactions) how person-centered care and knowledge of the resident can reduce dementia-related episodes, such as, sundowning and aggressive-protective reactions when bathing, and wanting to leave.

    As it pinpoints the crucial role of the CAN as caregiver and friend, it also shows the importance of communicating directly, and creating a true "relationship" with persons with dementia. Caregivers will learn valuable tips to redirect and lessen anxieties for persons with dementia while preserving their personal autonomy and dignity.

    The DVD covers:
  • Building and maintaining a relationship
  • Dealing with difficult situations
  • Communicating to show respect
  • Accepting their reality
  • Respecting the person's preferences
  • Encouraging use of remaining abilities
    •

    DVD / 2011 / 25 minutes

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    FULMER SPICES: AN OVERALL ASSESSMENT TOOL FOR OLDER ADULTS

    Developed by Terry Fulmer, PhD, RN, FAAN, at New York University College of Nursing, Fulmer SPICES is an efficient tool designed to guide critical thinking and overall assessment in the approach to care for older adults. This preventive-minded resource can be used in home and professional settings, and analyzes six specific areas of concern:

    1. sleeping problems
    2. problems with eatting and feeding
    3. incontinence
    4. confusion
    5. evidence of falls
    6. skin breakdown

    DVD / 2009 / 20 minutes

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    KATZ INDEX OF INDEPENDENCE IN ACTIVITIES OF DAILY LIVING

    The Katz Index is a direct-observation assessment tool that measure a patient's ability to independently perform six basic activities of daily living in the following areas:

  • bathing
  • dressing
  • toileting
  • transferring
  • continence
  • feeding

    • This DVD encourages maximizing the person(s) functional status, while evaluating their actual capabilities to safely perform these daily tasks. It also identifies multiple factors that can affect older adult functioning, and discusses limitations in performing ADL's in community and instituational settings.

    DVD / 2009 / 28 minutes

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    LAWTON INSTRUMENTAL ACTIVITIES OF DAILY LIVING SCALE, THE

    Used to assess independent living skills that are considered more complex than the six basic Activities of Daily Living, the Lawton Instrumental Activities of Daily Living Scale (IADL) gives care providers a reliable tool to objectively evaluate an older adult's ability to live and function independently and safely. The IADL measures skils in the following areas:

  • telephone use
  • shopping
  • food preparation
  • housekeeping
  • laundry
  • transportation
  • medication management
  • financial management
    •

    DVD / 2009 / 40 minutes

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    MODIFIED CAREGIVER STRAIN INDEX, THE

    Caring for a family member can bring on a gamut of emotional and physical strains that affect the health of the caregiver and the quality of care they are able to provide. The Modified Caregiver Strain Index (CSI) is an assessment tool designed to both measure the stress of caregiving, and to highlight areas that the family caregiver should address. It explores the 4 Domains of Caregiving - physical, psychological, financial, and personal, and provides a framework in which care professionals can help family caregivers to acknowledge and address these specific areas.

    DVD / 2009 / 32 minutes

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    PITTSBURGH SLEEP QUALITY INDEX, THE

    The lack of adequate sleep can have adverse effects on an older person's health and overall sense of well-being. The Pittsburgh Sleep Quality Index (PSQI) is a valuable aid to investigate areas that can affect the quality and quantity of sleep. It includes a careful measurement of bedtime, time to get to sleep, wake-up time, hours of sleep, barriers to getting or staying asleep, and the use of sleep medications. The results gathered from the assessment can help care providers to start a dialogue that leads to an effective care plan with appropriate, individualized interventions. This assessment test can be self-administered or completed through an interview process.

    DVD / 2009 / 32 minutes

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    PREDICTING PRESSURE ULCER RISK (BRADEN SCALE)

    This DVD shows how to administer and interpret the Braden Scale for predicting pressure sore risks in home, hospital, and long-term care environments. Encouraging a visual-and-touch skin assessment in conjunction with the Braden scale, it specifies what to look for, how to prevent pressure ulcers, and how to assist patients with maintaining skin integrity after discharge. Covers the 6 dimensions of the Braden Scale: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

    DVD / 2009 / 39 minutes

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    SHORT MICHIGAN ALCOHOLISM SCREENING TEST, THE - GERIATRIC VERSION (SMAST-G)

    Screening for alcohol abuse can often be overlooked in a general health assessment for older adults, due to other physical or more visible conditions.

    The Short Michigan Alcoholism Screening Test (SMAST-G) is a practical tool to help care providers recognize early warning signs of alcohol abuse. The DVD provides information on the effects of alcohol on the aging body, and factors that often lead to an abuse or dependence on alcohol. Also shows how to apply motivational interviewing skills that sensitively help older adults to recognize the existence of unhealthy behavior patterns, and/or come to terms with a potential need for treatment.

    DVD / 2009 / 41 minutes

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    TRANSIENT URINARY INCONTINENCE IN OLDER ADULTS

    Failure to identify transient urinary incontinence may result in established urinary incontinence, a problem which affects over 17 million adults, and puts older adults at risk for further complications, such as, skin breakdown, falls, and placement in long-term care settings. Using an actual case study, this DVD demonstrates the best practices for assessing and treating transient urinary incontinence, a skill which all healthcare providers can develop and apply within their practice setting.

    DVD / 2009 / 40 minutes

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    WANDERING IN HOSPITALIZED: OLDER ADULTS WITH DEMENTIA

    This DVD shows caregiver staff how to integrate best practices in the prevention of wandering and elopement (wandering away), specifically in older adults with dementia. Potential triggers for these behaviors are outlined, along with proper screening of patients for risk factors. Emphasis is placed on preventive aids to reduce wandering, and the importance of understanding why patients tend to wander. The DVD provides an informative discussion on staff awareness of relevant security and HIPAA policies, if an elopement should occur.

    DVD / 2009 / 42 minutes

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    RESIDENTS' RIGHTS TODAY: RESPECTFUL CARE IN CHANGING TIMES

    This program presents a contemporary overview of residents' rights in the long term care context. It covers how residents' rights can be affected by other characteristics of today's long term care environment, including:

  • Increased cultural, ethnic, language and age diversity
  • More time and work-flow pressure on staff
  • The impact of outside stresses on staff, especially for single parents and employees working two jobs
  • What residents' rights are and why they are so important in the life and culture of a long term care facility
  • The specific rights everyone in a nursing home must understand and uphold
  • What staff, residents and family members should know about dealing with concerns and complaints early and effectively
    •

    DVD / 20 minutes

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    BALANCING ACT: YOUR FALL PREVENTION PROGRAM

    Each year, approximately half of all residents in nursing care and assisted living facilities will fall, with over 40% falling more than once. This program will help you and your staff maintain an effective fall prevention program in your facility. The program will teach staff:

  • The factors and conditions that increase the risk of a resident fall
  • The importance of assessing each resident for risk of falling
  • Interventions relating to environmental, medical and behavioral causes of falls
  • The role of a creative and problem-solving approach in matching appropriate interventions to a specific resident's situation
  • The importance of good communications within the care team, so that everyone has a clear picture of the interventions in use and everyone gives their support
  • The importance on investigating and adjusting interventions promptly whenever a fall happens
  • What to do during and immediately after a resident fall
    •

    DVD / 24 minutes

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    BON APPETIT! HOW TO CREATE MEANINGFUL MELATIMES IN LONG-TERM CARE

    This DVD training program presents a comprehensive mealtime program that focuses on principles of resident autonomy and person centered care. Special attention is devoted to identifying the needs of people with dementia.

    The program covers:
  • The effects of dementia of communications, behavior and eating.
  • Creating dining experiences with less distraction.
  • How to prepare and serve food in a way that enables the resident to eat as independently as possible.
    •

    DVD / 40 minutes

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    FIRE SAFETY IN LONG TERM CARE

    This proactive training program will equip all levels of staff to recognize and correct potential fire hazards, and apply the proper emergency procedures in the event of a fire. The program is divided into 5 modules with breaks in between each module for staff interaction, and focuses not only on emergency response to a fire, but equally on fire prevention awareness. What sets this program apart from others on this topic is its use of vignettes that show a sample fire safety plan in action which will enable you to compare and evaluate the effectiveness of the fire emergency procedures at your facility.

    DVD / 43 minutes

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    I'M PRETTY OLD

    This program is made up exclusively of the reflections and comments of several older residents in a long term care facility talking about what it is like for them to give up a certain amount of independence as they experience increased physical frailty.

    This program is an excellent resource for professionals who work with residents in long term care facilities. It is also valuable for viewing by older adults themselves.

    DVD / 20 minutes

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    LONG TERM CARE SURVEY PROCESS, THE: A FRONTLINE GUIDE

    What are your staff's responsibilities during a state survey? How should staff communicate with surveyors? This video will answer these questions as it explains the goal of the state survey, and what happens before, during, and after a survey. The video lists the top deficiencies found in most facilities to staff can pay special attention to those specific areas. The video also documents how to address concerns during the Deficiency Review Process, how to develop a Plan of Correction, and how to prepare for the next survey.

    DVD / 14 minutes

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    SUPERVISORY TECHNIQUES FOR CHARGE NURSES IN LONG TERM CARE FACILITIES

    This program takes a 'work smarter' approach to leadership as it empowers anyone in a supervisory role to communicate effectively with others, lead by example and set the tone for improved staff performance and accountability across the board. The video gives practical solutions to resolving conflict, gaining and giving respect, organizing time and creating well-organized strategies that benefit the residents as well as the entire staff. The hands on techniques shared in this video will help supervisors take a realistic look at themselves as role models and enable them to identify areas where they excel or may need an alternate approach.

    DVD / 20 minutes

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    SUSTAINING COMPASSION WHILE EXPERIENCING GRIEF DEALING WITH REPEATED LOSS IN LONG TERM CARE

    Grief...Loss...and Caregivers....

    Sustaining Compassion While Experiencing Grief provides a much-needed outlet to help caregiving staff address and learn how to manage grief in an environment of repeated loss. Giving life to the very real concepts of 'compassion fatigue' and 'repetitive grief', the program looks at the emotional dynamics of caregiving, and will help staff to talk about and work through their grief individually and within a group setting, allowing for better self-care and ultimately, better resident care.

    In addition to outlining the 4 steps to 'Healthy Grieving', the program notes the benefits of staff-only memorial services that enable staff to acknowledge their grief through positive and practical avenues.

    An ideal resource for staff motivation and morale, as well as, improved resident care!

    DVD / 25 minutes

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