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 ThingTruthValuesMorals 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, Alzheimers, 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. BeHelpful Look for ways to help even before you are asked Bethe Change If you want to be treated with more compassionand 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 beenentrusted to us Materials and supplies Fiscal Our reputation 18. In Duck Dynasty they recognize each persons individual contributions. Valueyour employees Value Customers/Vendors/Families Value Residents 19. Listen to ideas We all want to talk, but very few of us want tolisten! Take the time to listen! Addressgrievances immediately Celebrate successes Create a culture of acceptance Do not tolerate offensive language and actions Provide opportunities for education and training 20. Providethe 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. Educationattained Wisdom and knowledge Experience Your CNA knows your residents better than anyone else 22. Listento 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. Yourresidents have chosen your center for their home Close to home/family/friends Economical Good reputation Past connection 24. Youremployees 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. Supportlocal business Support local schools Support teams & Music Programs Provide learning and volunteer experiences Develop Adopt-A-Grandparent Programs Supportphilanthropic organizations Support the arts within your community Support local fairs and festivals 27. Bea 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. Overschedules 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 eachof their needs and preferences? Are we creating a more homelike environment? Including access for visitors? Are we de-institutionalizing the physical environment? 31. De-institutionalizationincludes Eliminate meals on trays Eliminate noise from overhead paging, alarms and largenursing stations Salt and pepper 32. Ismore 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. Doyou stop to consider what a resident gives up when they enter your center? Privacy Quiet Choices Their stuff 34. Respectall persons Provide social welfare Provide peace and security 35. All persons receive equal care We all come from different backgrounds, havedifferent needs and dreams Learn to appreciate differences and look for commonalities 36. Itis easy to get caught up in care and forgetour 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. Effectivecommunication 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. Activitiesmust be meaningful Teach me Use my skills Religious activities Activities that contribute to my home 44. Workshopsfor 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 dont 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 & lidsBright 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 upliftfor 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 senseof 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 suddenlyfeels 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 information 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 theformation and another goose flies to the point position. 51. Lesson It pays to take turns doing the hard tasks andsharing leadership. As with geese, people are interdependent on each others skills, capabilities and unique arrangements of gifts, talents or resources. 52. Fact The geese flying in formation honk to encouragethose up front to keep up their speed. 53. Lesson We need to make sure our honking isencouraging. In groups where there is encouragement, the production is much greater. The power of encouragement (to stand by ones 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 standby 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