The Best Friends Staff

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ISBN: 9781878812636 | 1878812637
Cover: Paperback
Copyright: 3/1/2001

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Alzheimer's Association, Lexington, KY. Provides tools for training staff so they can achieve better outcomes and enjoy rewarding experiences. Includes ideas for implementing change, learning exercises and games, tips for making improvements, advice on staff training and retention, and case studies illustrating successful programs. Softcover.

Training Tool Kits (Contents)

viii

Acknowledgments

Dedication

xiii

Introduction

xiv

The Best Friends Model

(16)

Staff with Knack: Being Well Informed

(1)

Having Empathy

(1)

Respecting the Basic Rights of the Person

(3)

Maintaining Caregiver Integrity

(1)

Employing Finesse

(1)

Knowing It Is Easier to Get Forgiveness than to Get Permission

(1)

Using Common Sense

(1)

Communicating Skillfully

(1)

Maintaining Optimism

(1)

Setting Realistic Expectations

(1)

Using Humor

(1)

Employing Spontaneity

(1)

Practicing Patience

(1)

Developing Flexibility

(1)

Staying Focused

(1)

Remaining Nonjudgmental

(1)

Valuing the Moment

(1)

Maintaining Self-Confidence

(1)

Using Cues that Are Tied to the Life Story

(1)

Taking Care of Oneself

(1)

Conclusion

(2)

Staff Recruiting, Training, & Development

(30)

A Day in the Life of A Skilled Nursing Facility Administrator

(2)

Recruitment and Hiring: Potential Employees

(2)

When Staff Fail

(1)

Training and Retention: Training Programs that Do Not Work---The Old Idea Care Center

(2)

Training Programs that Work---The New Idea Care Center

(2)

Ideas for Training Programs that Work

(8)

Conclusion

(1)

Training Tool Kit

(13)

Medical & Scientific Basics

(18)

What Does the Word Dementia Mean? Is It the Same as Senility?

(1)

What Is Alzheimer's Disease?

(1)

What Is the Difference Between Alzheimer's Disease and Normal Age-Associated Memory Loss?

(1)

What Are the Related Irreversible Dementias?

(1)

What Are the Most Common Irreversible Dementias in Older Adults?

(1)

What Are the Related Reversible Dementias?

(1)

Should Everyone Who Has Symptoms Get a Thorough Diagnosis?

(1)

Are All Persons with Alzheimer's Disease Alike?

(1)

Can Alzheimer's Disease Be Inherited?

(1)

Can Alzheimer's Disease Be Prevented?

(1)

How Can Excess Disabilities Be Prevented?

(1)

Do Sudden Changes Suggest Problems Other than Alzheimer's Disease?

(1)

What Is the Role of Psychotropic and Other Drugs?

(1)

Resources for the Best Friends Staff

(1)

Conclusion

(1)

Training Tool Kit

(10)

The Experience of Alzheimer's Disease

(22)

When Staff Don't Get It

(1)

The Best Friends Way

(1)

To Know Someone, You Must Walk a Mile in His or Her Shoes

(1)

Person-Centered Care Is Central

(1)

Losses Caused by Dementia Can Evoke a Wide Range of Distressing Feelings and Emotions

(1)

Persons with Dementia Can Experience Joy, Love, and Happiness

(1)

The Feelings of Persons with Dementia Are as Real as Yours and Mine

(1)

Behaviors that Seem Out of Place Are Not

(1)

Feelings and Behaviors Can Be Changed by Meeting the Needs of the Person

(2)

Conclusion

(1)

Training Tool Kit

(13)

Assessment & Expectations

(24)

Why Existing Assessments Often Fail

(2)

The Best Friends Assessment: Review Physical and Mental Health

(1)

Review Cognitive Health

(1)

Assess Who the Person Is

(4)

Assess the Care Environment

(1)

Emphasize Remaining Strengths

(1)

Do Not Overemphasize Stages

(1)

Individualize Care Plans

(1)

Assess Frequently as a Caregiving Team---Persons Vary from Day to Day

(2)

Assess Combative Behavior Carefully

(1)

Set Realistic Expectations

(1)

Share Information with Families or Other Visitors

(1)

Conclusion

(1)

Training Tool Kit

100

(11)

Friendship

111

(22)

Friends Know Each Other's History and Personality

112

(1)

Friends Do Things Together

113

(1)

Friends Communicate

114

(1)

Friends Build Self-Esteem

115

(1)

Friends Laugh Together Often

115

(1)

Friends Are Equals

115

(1)

Friends Work at the Relationship

115

(1)

Friends Show Love and Affection

116

(1)

Friends Can Overcome Social Barriers

117

(1)

Conclusion

117

(2)

Training Tool Kit

119

(14)

The Life Story

133

(28)

Every Program Should Obtain a Person's Life Story Before Admission

135

(1)

The Life Story Should Be Accessible to Staff and Volunteers

136

(1)

Every Dementia Care Program Should Have on File a Written Life Story on Each Staff Member or Volunteer

137

(1)

Use the Life Story to Greet the Person and Improve Recognition

137

(1)

Use the Life Story to Introduce and Reintroduce Residents to Individuals Around Them

138

(1)

Use the Life Story to Reminisce About the Person's Life

138

(1)

Use the Life Story to Provide One-to-One Comforting Care

139

(4)

Use the Life Story to Improve Communication Through Clues and Cues

143

(1)

Use the Life Story to Improve Activities

143

(1)

Use the Life Story to Point Out Accomplishments

144

(1)

Use the Life Story to Prevent Challenging Behaviors

144

(1)

Use the Life Story to Incorporate Past Daily Rituals

145

(1)

Use the Life Story to Broaden the Caregiving Network with Volunteers

145

(1)

Conclusion

146

(2)

Training Tool Kit

148

(13)

Communication

161

(22)

Check the Environment

162

(1)

Remember the Basics of Good Communication

163

(1)

Use the Person's Preferred Name

163

(1)

Make A Good First Impression

164

(1)

Keep Language Simple

164

(1)

Ask Questions Using Discretion

165

(1)

Employ Good Timing

165

(1)

Be Conscious of Nonverbal Communication

165

(1)

Do Not Argue With or Confront the Person

166

(1)

Remember that Behaviors Communicate a Message

166

(1)

Treat the Person as an Adult

167

(1)

Use the Life Story Often

167

(1)

Maintain Caregiving Integrity

168

(1)

Respond to the Person's Emotional Needs

168

(1)

Screen Out Troubling Messages or News

169

(1)

Speak Using Positive Language

169

(1)

Employ Humor

170

(1)

Turn ``No'' into ``Yes,''

170

(1)

Do Most of the Work

170

(1)

Conclusion

171

(1)

Training Tool Kit

172

(11)

Being Together Using Best Friends Activities

183

(30)

An Activity Philosophy

185

(1)

Purpose of Activities

185

(1)

The Art of Activities Is Not in What Is Done; It Is in the Doing

186

(1)

Activities Should Be Individualized and Tap into a Person's Past Interests and Skills

186

(1)

Activities Should Be Adult in Nature

187

(1)

Activities Should Include Pets and Other Animals

187

(1)

Activities Should Recall a Person's Work-Related Past

188

(1)

Activities Should Stimulate the Five Senses

189

(1)

Doing Nothing Is Actually Doing Something

189

(1)

Activities Should Tap into Remaining Physical Skills

190

(1)

Activities Usually Are Initiated by Others

190

(1)

Activities Should Be Voluntary

191

(1)

Everyone Can Still Engage in Some Form of Activity

191

(1)

Intergenerational Activities Are Especially Desirable

192

(1)

Activities that We Think Will Never Work Sometimes Do

192

(1)

Activities Should Appeal to the Staff as Well as to the Person

193

(1)

Personal Care Is an Activity

193

(1)

Activities Can Be Short in Duration

194

(1)

Activities Can Happen Day or Night

194

(1)

Activities Can Fill a Spiritual Need

195

(1)

Activities Are Everywhere

195

(1)

Conclusion

196

(2)

Training Tool Kit

198

(15)

Caregivers as Members of the Best Friends Team

213

(20)

The No-Clue Day Center

213

(1)

The Best Friends Way

214

(1)

Understand that the Definition of ``Family'' Is Changing

214

(1)

Remember that Each Family's Response to Alzheimer's Disease Is Unique

215

(1)

Realize that Placement Does Not Always Make Things Easier, Only Different

215

(1)

Share a Defined Philosophy of Care with Families

216

(1)

Believe that Most Families Are On Your Side

217

(1)

Create a Care Plan for Families

218

(1)

Never Give Advice

218

(1)

Involve Families in Care Decisions and in the Program

219

(1)

Develop Honest, Effective Dialogue

219

(1)

Handle Conflict Appropriately

220

(1)

Encourage Use of Services

220

(1)

Help Families Recast Relationships

221

(1)

Conclusion

222

(1)

Training Tool Kit

223

(10)

Conclusion

233

(6)

Invest in Staff

233

(1)

Treat Staff with the Same Respect that Good Programs Give Their Residents or Participants

234

(1)

Recognize that Staff Have a Desire to Be Part of a Caring Community

234

(1)

Give Staff the Tools that They Need to Build Effective Job and Life Skills

234

(1)

Involve Staff in Decision Making

234

(1)

Recognize that Leadership Is Vital to a Program's Success

235

(1)

Encourage Staff to Be Involved with Residents and Participants Through Group and Individual Activities

235

(1)

Assign a Best Friend to Each Staff Member

235

(1)

The Best Friends Model as a Tool for Change

235

(4)

Notes and References

239

(2)

Appendix A Programs Featured in The Best Friends Staff

241

(10)

Appendix B Professionals Featured in The Best Friends Staff

251

(8)

Appendix C Suggested Resources for Trainers

259

(6)

Index

265

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The Best Friends Staff

Summary

Table of Contents

Supplemental Materials