| Dear Debbie: Archive #04 By Debbie Hommel, BA, CRA, ACC, Executive Director of DH Special Services |
| Also visit Debbie's ARCHIVES |
| Updated 29 DEC 2007 |
ABOUT DEBBIE Debbie Hommel, BA, CRA, ACC, is the Executive Director of DH Special Services. She is a Certified Activity Consultant on State and National level, with over twenty-seven years of experience in providing direct care and consultation to long term care, medical day care, assisted living, and ICF/MR facilities throughout New Jersey, New York, Maryland, and Pennsylvania. She is an experienced trainer and workshop presenter, conducting a variety of seminars throughout the Tri-State area for the Activity Professional, Administrator, and allied healthcare professional. Debbie Hommel is an active member of Activity Professional Associations on State and National levels. She is ACC certified through the NCCAP. She is a founding member of the New Jersey Activity Professionals' Association, serving terms as Vice President and President. She received the Weidner Lifetime Achievement Award in 1994 and the Monmouth & Ocean County Activity Professionals Life Achievement Award in 1999. |
| Have a question you'd like a professional Activity consultant to answer? Why not ask Debbie Hommel? |
| DEBBIE HOMMEL |
Home ACTIVITY DIRECTOR TODAY by Linda Lucas, AD Activity Ideas That Work The original website of Gina Salazar, AD Debbie Hommel's AD Tips and Dear Debbie: by Debbie Hommel Executive Director DH Special Services Current Activities in Longterm Care Page by Kate Lynch, Editor of Current Activities in Longterm Care The Alternative Solutions Page by Sandra Stimson Executive Director Alternative Solutions in Long Term Care Silvana's Practical Insights by Silvana Clark, Professional speaker www.silvanaclark.com silvanac@msn.com The NAAP Page National Association of Activity Professionals The NCCAP Page National Certification Council of Activity Professionals The Print Shop The Home of Activity Director Monthly* & Your Free Facility Newsletter* Robert Lucas, HFA Editor-in-Chief Free PDF Downloads* Poems, Jokes & Such Resource Links Prayer Requests * Adobe Acrobat software is required. Get it free at Adobe Acrobat Nursing Home Activities Defined Activity Professionals' Shopping Page ACTIVITY DIRECTOR TODAY Providing Internet Resources for Activity Professionals in Long Term Care Settings admin@theactivitydirectorsoffice. com Copyright 2004-Present The Activity Director's Office All Rights Reserved Disclaimer |
| Questions & Answers |
| ACTIVITY DIRECTOR TODAY Providing Internet Resources for Activity Professionals in Long Term Care Settings admin@theactivitydirectorsoffice.com Copyright 2004-Present The Activity Director's Office All Rights Reserved Disclaimer |
QUESTION: I live in NC near Fayetteville. I am wondering what the starting pay is for
Activities Director's in my area.
ANSWER: I would suggest you contact your State Association for that information. In
NJ, our State group collects that information periodically and makes it available to
membership. Possibly the North Carolina group does the same.
http://www.coap-nc.org
NCCAP did a salary survey in 2005 but it is not broken down regionally.
http://www.nccap.org/survey/2005_salary_survey/NCCAP%202005%20SALARY%20SU
RVEY%20RESULTS.pdf
_____________________
QUESTION: I work in a mental illness facility, and we have a range of ages from 23 to
89, I have asked the assessment questions as to what they all like to do with a variety
of answers such as listening to rap for the younger ones, or throwing horseshoes for
the older population. The problem is that when we actually start the activity depending
on their mood, they will not always participate, they will refuse. Is there a suggestion as
to how to entice them into the activity, most of them are all self directed when it comes
to group activities even if it was something they liked on their assessment, and they will
refuse to do anything but smoke, as I also pass cigarettes three times a day. Any
suggestions. Thanks
ANSWER: I have a personal bias against recreation/activity professionals distributing
cigarettes. Beyond the fact that I do not smoke - I think it affects the therapeutic
relationship. I was involved with a long term care facility a few years back where we
had a significant number of residents who had been discharged from a psych hospital
and they were conditioned with cigarettes also. In the nursing home, they gave the job
of cigarette distribution to the recreation department and we found that throughout the
entire activity, the residents were asking when they could have a cigarette (frequently,
like every minute). It really limited our ability to foster and develop therapeutic
programs because they associated us with the cigarettes. We finally got the duty of
cigarette distribution assigned to another caregiver and after a period of time, the
residents saw us differently. They knew we were recreation and we did other things.
Not sure if that answers your question or helps at all.
The second part of your question - about motivation, that is a tough one also. I think
more self directed individuals are more motivated if they feel a part of the program.
Giving them leadership roles or helping roles might make them more committed to the
process. Another suggestion is to introduce an alternate reward token than
cigarettes. For example, keeping a chart of how many activities they participated in or
giving them tickets for every activity attended. Then, at some point throughout the
month, have an auction or sale where they can cash in their tokens or tickets.
_____________________
QUESTION: I am having an Inservice in care planning and I need some case
scenarios if you have any and e-mail them to me. I would greatly appreciate it.
ANSWER: I am attaching one type of case scenario for care planning. Not sure of what
type you are looking for (click here to download). There are two ways to do this. One
way would be to have a description of the resident, including some key information
from the activity assessment. The participants would identify a problem/need, goal and
interventions. You can create the scenarios from residents in your building as the staff
would relate better to people they know. Another way to do it is to create "starter care
plans" which is what I have sent you with this email. The staff would discuss the care
plan and add to it as needed (strengthen the goal or add interventions).
_____________________
QUESTION: I just discovered your site and hope you can answer a few questions. I
am both a Volunteer and Employee in an Assisted Living facility in Maryland. On a
number of occasions, I was asked to conduct the Activities for the Seniors when the
Activity Director was away. The activities included: Sittercise, Bingo, Sing-A-Long,
Crossword Puzzle, What's the Question?, Arts & Crafts, Family Feud, Categories,
Devotional, etc. To-date, I have not received a negative reaction to my performance
from Director, Staff nor Residents. The Activity Director have given notice that she will
be leaving. I have been asked by several if I am going to apply for the position.
Although I have not had any formal training, and do not drive, I would love to apply for
this position. What is your advice? - Carolyn in Maryland
ANSWER: This does look like an exciting opportunity for you. I would think you should
first discuss your interest with the director who is leaving and also the administrator of
the community. They should be able to inform you of the application process. You
then need to find out what the requirements are for the position in Maryland. I know in
NJ, there are no regulations defining credentials for the activity director in assisted
living. You would have to find out what is required in Maryland. However, some
companies have policies defining credentials which exceed state regulation, so you
would have to ask your administrator that question.
Finally, if this a career path you are interested in - seek out formal training. The
National Certification Council of Activity Professionals has a class which prepares
activity professionals to be directors and certified. I suggest you contact one of the
instructors in your state to discuss course offerings in your area.
http://www.nccap.org/temp/PreApprovedInstructors.pdf
Good luck and welcome to the world of therapeutic activities.
Debbie
_____________________
QUESTION: I am currently working at a nursing facility. I am interested in getting a
certificate as a recreation aide. How do I go about acquiring one? Thanks - CD
ANSWER: To become a nationally certified activity assistant - you would need to apply
through the National Certification Council of Activity Professionals.
You can download their application at www.nccap.org The certification is a combination
of your work experience, continuing education and completion of the MEPAP course.
To find an instructor for the MEPAP course, check out the instructor page on the
NCCAP web site, as they list them by state. If you need any additional information, feel
free to email me back. Good luck, Debbie
_____________________
QUESTION: What are the rules concerning volunteers visiting the nursing facility and
receiving a TB skin test? Example: If you have a group of Girl Scouts, Church Group,
etc. who come once or twice a year to give out cards, etc. Should they be made to
receive a TB skin test? I need some documentation of the Guidelines for TB skin
testing. Thank You very much. I really enjoy your website.
ANSWER: I honestly do not know of any regulation where it says volunteers have to
have a TB test. The regulations state the facility is responsible for the protection of the
residents and minimizing exposure to risk. Exposing the residents to someone with TB
would be a risk. How the facility decides to protect the resident is a facility policy.
It reminds me of the signs facilities display - asking people not to visit when they have
signs of a cold. There is no regulation saying "if you have a cold or the flu - you are
not permitted in the building". There is no way you can check every person entering
the building to see if they have anything contagious - but the facility shows good effort
to protect the residents.
Having said that, many facilities have polices about volunteers having a TB screening
as a part of the volunteer orientation and prep. However, those volunteers are ones
who come in weekly and have a lot of direct contact with the residents. To make
children's groups or other groups get them - if they only visit once or twice a year
seems a bit much. I think it would discourage them from coming at all. Children should
be fine anyway - as they are screened as a part of their public schooling.
So, to answer your question - to my knowledge - there is nothing specific about
mandating volunteers and TB screening. It would be a policy decision your facility has
to make. You can read your state regs or ask your infection control nurse if he/she
knows of anything specific. But on a federal level, I am pretty certain there is nothing
specific referencing TB and volunteers.
Sorry I cannot be of any more help than that.
Debbie
_____________________
QUESTION: Hello, I have been skimming over the Internet, and found "ask Debbie",
So i thought that i would give it a try, My facility is located in Illinois and in the facility i
work at we recently opened the Alzheimer's wing and we are trying to implement
programs and activities that work for them, so far we have been working from scratch,
our unit has nothing. I am writing because I have run out of ideas. I am by the way a
C.N.A. with 15 years under my belt and this is my calling, yet I have been working with
my residents for about a month and a half now and my group is growing quickly, they
are asking what are we going to do today, I have implemented exercise and sing a
long. We have did some crafts, but like i said our resources are limited. I need advice
on where to look what to do and if the facility itself will pay for all the activities, I
appreciate all your help and am looking forward to hearing from you. Thank you from
the bottom of my heart.
ANSWER: That is a pretty big question. I can think of two answers for you - to get you
started. An effective way to program on memory support units is to develop a daily
routine such as beginning with a morning coffee with some discussion (basic
reality/weather/reminiscing - depending on level of functioning); followed by exercise or
active game; followed by mental type activity; followed by setting up for lunch with
music. An afternoon routine should also be established. The routines would depend
on the level of functioning of your population. Within the established routines, you
would do different activities which focus on the type of activity being done. For
example, if 11 AM is your active time - there are a variety of active activities that could
be introduced at that time frame. Routines are important but you don't want to fall into
a rut. There are many resources for programming on the internet. I have some listed
on my web site. This is the link for all the activity web sites that I have found.
http://www.dhspecialservices.com/activitysites.htm
This is my link for a lot of the dementia based sites with ideas and resources.
http://www.dhspecialservices.com/dementiasites.htm
The facility should provide you with a budget of some kind. There needs to be some
funding for supplies. Many items can be sought through donations but some things
should be purchased. There are wonderful resources out there, but some cost money.
Hope that helps a little bit. If you have further questions, feel free to email me back.
Debbie
_____________________
QUESTION: I have a resident who is out of facility receiving dialysis 3 days a week, the
other days she is too tired to attend activities upon interviewing her, all the programs
she is interested in cannot be arranged at night (like the Rabbi, and some of the
entertainment ) I am afraid I am not meeting her needs, but changing her schedule at
dialysis isn't possible at this time.I offer in room visits, activities in room, 1:1 staff visits
for support, pet therapy/manicures, but she still seems lost in this health care system
we have no way of having in house dialysis, believe me I've explored every possibility.I
even taped a Cantor singing to fulfill her need to go to Sabbath Services. Any other
suggestions, and what about her care plan, any ideas how I can state this conflict?
ANSWER: It sounds like you are attending to her needs as best you can, considering
the limitations. The dialysis does knock them out and it is not uncommon
for them to be very tired during the non-dialysis days. Being that she is
in house - four of the seven days - can the entertainment schedule be changed to
coincide with one of her days in house? Even if you did schedule things that she would
do on her days in the building, she may not attend because she is tired. I would
document all your efforts to adjust the schedule and assist her to preferred programs
and any refusals that you get.
As far as the MDS - she probably doesn't trigger because she does not have that
much free time and you are providing 1-1's, etc. As far as care planning - I would
make sure you have interventions noted somewhere regarding her 1-1 program, noting
specifics of what you are doing.
What about contacting a Jewish youth groups? Possibily they could "adopt"
her and visit around her schedule, in the late afternoon and evening?
Do you have a closed circuit television system? In places that have that - a camera
can be set up at activities and the program can be viewed by those residents
remaining in room.
What about talking books? an old idea but still effective.
You might want to ask her if she is satisfied and content with what is being offered to
her. What we think they should be doing and what they want to do are sometimes two
different things. Some people are content to "just sit", especially if they have a complex
medical situation.
Sorry I am not much more help than that. Debbie
_____________________
QUESTION: I wrote to you in March 2007 regarding working in a facility that was
changing my job description as an Activity Professional, adding to my duties
housekeeping, wait-staff & laundry maven. Well, I quit my job, have gone on a number
of interviews and still have not been hired as an Activity Director since. I did as you
suggested and provided a strong resume and portfolio, which they are always
impressed by. I am not sure why I have not been hired. With over a decade of
experience, always exceeding expectations of my administrators, (their words), and the
joy and love I have brought to my residents, I just do not get it. What do you suggest I
do? I miss working with my seniors so very much. This is my true calling in life. Help! I
really need your advice. Kindest Regards, Medford, OR
ANSWER: I am sorry to hear of your difficulties. You have certainly taken a strong
stand, which is commendable. You also took a risk in resigning your
position prior to finding another position. People who are very qualified often hear they
are "over qualified" which sometimes means you are at the top of the pay scale. Could
it also be that your old facility is sharing negative information about you which is
keeping new jobs at bay? I would suggest contacting some of these jobs you have
applied for and have not gotten the position. I would ask them why you didn't get the
job - not asking in a confrontational way but asked in a way that is meant to help you
understand your situation. Most individuals, if asked in the right manner, would share
some insight.
_____________________
QUESTION: Can you please e-mail information about activity professional certification.
We are In AL and are interested in our AD to become certified.
ANSWER: You can access the application for the NCCAP certification on their web
site. www.nccap.org. Go to the "downloads" page and you can download and print out
certification standards and certification application.
_____________________
QUESTION: I am an Activity Director in a Nursing Home in Tennessee. I am
interested in becoming certified and I know there is a week long training coming up this
fall, but I am not sure of how to get information to sign up for this training... I would
appreciate any help you may be able to offer.
ANSWER: do not know anything about training in Tenn. (I am from NJ). I would
suggest you contact Vivian Steffen at 423-396-2182. She is the state representative
for NCCAP and she might know about this training you mention. You can also try to
call Tonia Hooker at 423-476-4004 as she is an instructor in your state as well.
_____________________
QUESTION: I have been an AD for 27 years. I recent changed job due to the facility
being sold. The new owner did not do much to help the department with a budget. I
found myself paying for supplies and entertainment and later quit. I loved my job but it
became to stressful. I am still certified with NCCAP until 2008. Have any thing changed
about recertification. I want to maybe start working again in Long-term Care as a
Director. I am planning on taking some hours on line.
ANSWER: As long as you maintain your certification by sending in hours to renew -
you should be fine. If you let it lapse, that is when it may get sticky. There are many
opportunities for on-line education available. If you need resources, feel free to email
me back. - Debbie
_____________________
QUESTION: I worked as an activity director for a nursing and hospital sub-acute unit
for about 10 years. I have been out of it for a while working at a home health company.
I am interested in getting back into this profession. I attend activities classes when I
first started and am interest to see if there is still something out there. If you can help
me I would appreciate it. (from Mississippi)
ANSWER: Hi, you should check with the person who is listed on the NCCAP site for
Mississippi. He should know the current regs and requirements for your state.
H.L. "Hank" Rainer Jr. Jackson (601) 366-3159
brurai@aol.com MEPAP 1 & 2
You can also check out this web site, as it lists all the state regs - by state - so you can
see the current requirements and how you fit in.
http://www.hsr.umn.edu/NHRegsPlus/ Good luck, Debbie
_____________________
QUESTION: Dear Debbie, I work in a 165 bed facility in Indiana I have been an activity
director for about 7 yrs. It was brought to my attention that it is only required to provide
15 minute room visits per week. Is this true for the state of Indiana and with the board
of health?
QUESTION: I do not know Indiana regulations but that doesn't sound right to me.
Here is a web site where you can read your state regs.
http://www.hsr.umn.edu/NHRegsPlus/
Most regulations state interventions and approaches need to be provided to the
resident based on individual need. I can think of many residents where one 15 minute
visit per week would not meet their needs. You also might want to network with other
Indiana activity professionals. The state association has a web site at
http://members.aol.com/iadassoc/ Good luck, Debbie
_____________________
QUESTION: I really want to become an activity director for long-term health facilities,
but I don't have five hundred or so dollars to pay for it. I am currently taking classes at
Randolph Community College and financial aide pays for it, but there want pay for the
activity director courses. Do you know if they is any financial assisting available
anywhere.
ANSWER: NCCAP offers some scholarships. You can check out the information on
their web site. www.nccap.org
http://www.nccap.org/about/educators/announcements.shtm
Very often the facility will support education of their staff. If you have a job as an
activity assistant - many facilities will pay for the staff to go or they will pay you after
you complete the course. You might also want to check into your State and Local
activity associations. I know - in NJ, we offer many scholarships to new activity
professionals to support training and education.
_____________________
QUESTION: Is there a way to receive a certification or license as an activity director
for assisted living type jobs over the Internet or do I need to find a class to attend?
ANSWER: On the NCCAP instructor page for the NCCAP site, they list all the
instructors who offer the course via Internet or independent study. You can contact
them directly through there. http://www.nccap.org/about/educators/index.shtm
_____________________
QUESTION: I missed last month's basics on writing therapeutic goals. Is there any way
to get the tips?
ANSWER: They are on the archives of the site.
http://theactivitydirectorsoffice.com/DebbiesADTips_archive200705.html
_____________________
QUESTION: I would like to have the seven hour recreation documentation course that
is required for my certification.
ANSWER: If you are looking to apply for certification under NCCAP Track 5, to my
understanding - that track and opportunity expired on June 30th. If you are just
looking for a documentation course, let me know where you reside or there are some
on line courses. Debbie
_____________________
QUESTION: I worked as an AD in long term care and left the field because I was
constantly forced to use my own money for activities. it took months to get reimbursed.
IS that a common practice? Thanks!
ANSWER: I wouldn't say it is common practice but it happens more often than it
should. I agree with you - it is unacceptable to be expected to spend your own money
(although we all do it) but to have to wait months to be reimbursed is even more
unacceptable. I think the best method is for the activity department to have a petty
cash fund ($100 or more). That allows cash to be available to the department and the
director spends it down - keeping receipts. When the money gets low, the receipts are
submitted and a check issued to the department. It is cashed and added back to the
petty cash. That is the system I used and it worked great. I also had a budget amount
for supplies purchased through purchase orders which did not affect the petty cash.
Petty cash was for small purchases made in dollar stores and places around town for
miscellaneous items.
_____________________
QUESTION: I'm an AD at the present time. I'm taking the Advanced 90hr course to
become National Certified. I write care plans for my facility, but I have to write 3 for my
course. Could you please send me a sample of one of your care plans to help me
along. Some things seem to have changed since the new regs last June. I want to
make sure that I'm writing them the correct way. Thank you
ANSWER: There are a number of resources for writing care plans on the Activity
Director Office web site. My most recent article focused on that topic.
http://www.theactivitydirectorsoffice.com/DebbiesADTips_archive200706.html
The month before that I wrote about writing goals.
http://theactivitydirectorsoffice.com/DebbiesADTips_archive200705.html
As far as providing you with "sample goals", that is kind of hard to do. I am not a fan of
"canned" care plans as care plans need to be developed based on the resident/clients
individual needs and problems. There are a number of books which offer sample care
plans. One of the best is the "Care Plan Cookbook" from Recreation Therapy
Consultants.
http://www.rec-therapy.com/index.html
_____________________
QUESTION: I'm 23 years old and going back to school to be a certified activity director
( I currently have a BAAS and AAS in Business)-I'm looking for a job in a nursing home
while I go to school. Can you help?
ANSWER: Would be happy to try and help but where do you live?
_____________________
QUESTION: I am a former Activity Director from Illinois. I moved 10 years ago to
Clarksville Tennessee and now that my kids are older I would like to get back into the
Activity Directors fields. I would like to know where I can find a Tennessee certification
course to attend? Thank You.
ANSWER: Hi, you can try and call Tonya Hooker. She is a consultant in your area
who does the MEPAP course. She may be able to direct you to something local.
She can be reached at 423-476-4004.
_____________________
QUESTION: Dear Debbie, do you have any articles/comments about the co-relation
between activity professionals and social workers? Thanks
ANSWER: I don't have any articles at my fingertips - regarding the correlation between
activities and social workers. However, since we are both helping professionals who
focus on the psycho-social well-being of the resident/client, we have a natural alliance.
In in my experience, the social worker has always been someone who we can easily
coordinate care issues with.
Not sure what other information you are looking for. If you provide further details, I can
see if I have anything further.
_____________________
QUESTION: Hi my name is AD and I have been a Activity Director for over 24 years
now. So I am from the old school I guess you could say and these RAPS and MDS are
really getting me down I don't feel I'm doing them the way they should be and I have
look for inservices I can go to and try and learn to do them in a better way. If you can
give me any tips that would help me a great deal .Thank you.
ANSWER: Hopefully, you have the manuals for the MDS and the RAP's. Using them
as a reference tool is helpful. I think practice is part of the solution also.
The more you do them, the easier they become. Workshops are also helpful, if you
can find one in your area (not sure where you are from so I can't direct you there).
There are two good books on the subject for activity professionals. One is the Activity
Care Plan Cookbook and one is the Activity RAP book. You can get them from most of
the catelogs or from the author's web site.
http://www.rec-therapy.com/index.html or I sell them from my site as well.
http://www.dhspecialservices.com/bookstore.htm
If you have a specific question, feel free to email me back, Debbie
_____________________
QUESTION: You mention new regs 6/1/2006 where can I get a copy of this for
the long term care?
ANSWER: Technically, they are not new regs but a new guidance to surveyors for the
F-248 which was not changed. You can download them from the following web site.
http://www.rec-therapy.com/index.html it is a document titled Activities Guidance
Document.
_____________________
QUESTION: Dear Debbie,In response to your article, "To Care Plan, Or Not To Care
Plan", I think it is very important to consider the region in which you are working. I
worked for 13 yrs. in the Manhattan area and have been in Northern NJ for 4yrs. I
thought that when I moved I could read the regulations and adapt to the changes in
documentation. The regulations for NY & NJ are very close, but the expectations for
NY and NJ are very different. In NY you write a care plan for everyone. In NJ This is
not the expectation of the surveyors. In fact they will complain if they feel you are over
care planning. Truthfully, I prefer to write a care plan for everyone. It helps me
organize my work and place residents in categories of function. I of course include
recreation interventions on other care plans, but I like to have my own plan of care in
the chart. It helps me avoid logistical errors, Like dietary or nursing DCed a care plan
with out informing me and I no longer have interventions in the chart.
I also like the practice of writing Long Term and Short Term Goals. For Example my
Long Term Goal might be, "Resident will increase program participation." and my short
therm goal might be resident will join one 30 minute program per wk." I then increase
the short term goal until the resident has reach their potential. Th resident is then
placed on a maintenance program to help the resident maintain their current level of
function. I know this practice is often considered old fashion, but it really helps me
provide care for my residents. I find that this practice is frowned on in NJ as over
CPing. What do you think. Sincerely, YD
ANSWER: I agree with your comment about regional differences and that is mentioned
in the last paragraph of the article. As activity/recreation professionals, we need to
document as we see appropriate according to regulation and our own professional
standards. Writing long and short term goal is a particular technique and if that is what
you are comfortable, so be it. I would encourage you to include some measurable
component to the short term goal - more than activity attendance. It is better to note a
behavioral response, task completed or action within the activity as the measure -
rather than attendance at specific activities. As far as "over care planning", I would
agree there was a trend to streamline care plans and focus on individualized needs
rather than standard of practice issues. But with the new guidance for F-248, all care
plans should be re-evaluated to ensure they meet the new standards.
_____________________
QUESTION: I am looking for a program to start a newsletter in my facility. I would
greatly appreciate the help! Thank you!
ANSWER: Most computers have programs already built in. I have Microsoft Works and
within the Task Launcher section - there are many templates. There are several for
newsletters. They are not hard to use. They have the columns worked in, titles,
available clip art, etc. Not sure what kind of computer or program you have, but check
out the pre-installed programs to see what you have.
_____________________
QUESTION: I am a nursing home administrator for a transitional care unit in acute
care hospital. Our resident are short term resident usually 10-14 days. I am interested
in making sure our activities program is not only effective and compliant with f-tags but
one that is enjoyed by all our residents. What do you suggest i do to educate and
prepare our activity director who works only 20 hours a week?
ANSWER: I wrote an article for the Activity Director's office a few months back on this
subject. There are several suggestions listed in the article. Hope that helps,
http://theactivitydirectorsoffice.com/DebbiesADTips_archive200603.html
_____________________
QUESTION: Dear Debbie, My nursing home residents do not pay any attention to the
activity calendar I put up in their rooms. I recently decided to put up tent cards with
each day's activities on their tables. I also print out and post a calendar of the weeks
activities in a prominent place. Is this sufficient enough for regulations? I live in Kansas.
Thanks, SMD
ANSWER: Most regulations indicate the programs and events need to be
communication but don't offer specifics. When we post calendars, posters and
additional means to communicate the schedule - that is our way of communicating to
the residents. But, in spite of all our efforts - it does seem the calendars don't get the
attention or notice we hope.
Probably the best means to encourage participation is a personal invitation and
encouragement. So, in addition to your posted schedules involve the team in
informing the residents and encouraging them as well as assisting them to programs is
the way to go. The Federal guidance for F-248 specifies the team approach to
assisting and encouraging residents to attend. I am not familiar with Kansas
regulations but I am sure what you are doing regarding the posted calendars is
acceptable. I looked at the Kansas NH regs and did not see any reference to
calendars, how many should be posted and where. You can see them at this web site
http://www.hsr.umn.edu/NHRegsPlus/regulation_pages/kansas_regulations.htm
_____________________
QUESTION: I am the AD for a 99 bed rehab. The opportunity I have is that only the
long term residents participate. The short term that are in Therapy only want to go
there get well and go home, have nothing to do with activities. Help.
ANSWER: What you are experiencing is not unusual and most short term residents
don't want to get too comfortable as they do plan to go home. In addition, they are
often tired from their active re-hab schedule. They may be interested in activities but
not the ones we plan for the long term care residents. I wrote an article for the Activity
Director's Office a while back on this subject and it offers some ideas.
http://theactivitydirectorsoffice.com/DebbiesADTips_archive200603.html
_____________________
QUESTION: Where can I find an activity calendar program so I can do my calendar on
the computer along with graphics?
ANSWER: A lot of people use calendar creator. I have also heard good things about
Printworks and Microsoft Publisher. All those programs have calendar programs
with graphics and clip art. The biggest challenge is getting all the activities we do
within the squares.
_____________________
QUESTION: I was wondering what the expected salary range of activity directors is in
the Pacific Northwest. Where is a good source of this information? I am beginning to
interview for this type of position, and I am always asked what my expected salary is. I
have a BA in Therapeutic Recreation, as well as a Special Education teaching degree.
ANSWER: This is the only one I know of for TR degrees but as you can see it is from
2004 and not regionally defined.
http://www.recreationtherapy.com:80/salarysurvey2004a.htm Sorry I cannot provide
better information on this. I would suggest contacting some of the colleges in that
area that may offer a TR degree. Maybe they have some data. Also, this is a page
from my web sites of activity organizations. Maybe if you check with the ones in the
area that you are interested in - they can help,
http://www.dhspecialservices.com/associations.htm - Debbie
___________________
QUESTION: I work in an Assisted Living facility as an Activity Director. I love and adore being an
activity professional. It is my absolute calling in life. Recently things have changed at my facility,
including my job description. I am on the clock for 24 activity department hours per week. Recently
the facility has told all department heads, including myself, that they are having financial dificulties
and that we all must work dietary wait staff for one shift per week and they have also placed me in
housekeeping for one hour per day plus 7 hours on Friday. I gave a two week notice when this was
announced and the Administrator was upset and said as a department head I need to give her at
least one month, so I did. A week later, I felt I could not leave my residents, as you know, we grow
very attached to them, so I asked to stay and was told that I may.
After just a few weeks of these new duties I realize that my body is not physically capable to work the
hours on my feet and the arthritis pain in my hands from cleaning & folding laundry.
I have also noticed that the residents no longer treat me with the same warmth and love that they did
when I was working as solely an Activity Director. Even other staff members bark commands at me
regarding bathrooms overflowing etc. I plan on giving my notice again immediately.
My questions to you: Is it reasonable or "the norm" for Activity Professionals to have their job
descriptions changed without notice and to positions not hired for? I would have never applied for
either of these new duties. My job title is " Activity Director".
Can this company really expect me to provide a month's notice again? When I gave notice before
management insisted that I would still have wait staff and housekeeping duties. I simply cannot do
this type of work and am going to my doctor today to receive documentation. Will I ever be hired again
in activities if I have to walk off the job? This is my love in life. What is reasonable? And how do I
explain this to potential employers without bad mouthing my current employer?
PS: I an a Certified Activity Professional with 10 years under my belt. I have worked in LTC, AL, with
AD and semi-coma and head injury residents, I have worked as Activity Director of a Hospital
Transitional Care Unit. This is not my JOB, it is my JOY. This is what I am meant to do with my life. Of
that I am certain. Please help me. Kindest Regards, Medford OR
ANSWER: As an activity professional, it is hard to fathom what we do as a "business" but long term
care is a business. The management's decision to consolidate services and get more out of current
staff is a "business decision". Is it fair? Is it normal? Sometimes when a facility is on the verge of
failing (closing their doors), it is hard to be "fair" or "normal". Having said that, I understand your
frustration as would most activity professionals.
We have worked hard to acquire that "professional" status and to be assigned another task - out of
our realm - is frustrating as well as less professionally satisfying as our original assignment.
Activity departments are often asked to assume additional - interdisciplinary responsibilities. We
help with meals, distributing nourishments, walking programs, and a number of other IDC tasks.
We often turn them into social experiences and "activities". It is being "part of the team". But helping
out in housekeeping and doing laundry is a stretch.
I think most of us would agree - it isn't that we are "above" such tasks but that job takes us away
from what we were hired to do. Even as you say - the resident's perception of you has changed as a
result of your role change. Their changed perception of you affects your ability to be effective as an
activity professional. I once worked with a facility where it was the responsibility of the activity
department to distribute cigarettes at "smoking times". (This was a facility where many residents
were discharged patients from a psychiatric setting and smoking was a big thing for them). It was
such that these residents frequently (constantly) asked the activity staff when they were having their
next cigarette - even during groups. I felt it was disruptive and it conflicted with the activity
department's ability to conduct therapeutic approaches. We gave the cigarette distribution job to
someone else and the resident's perception of the activity staff did eventually change and it allowed
us to distract and divert these residents more effectively with therapeutic activities.
If you resign again - I am sure they would expect you to give a months notice. Even if you or they do
not honor the month's notice, with your previous work history - I am sure you could find another
position. No matter what the circumstances, it is not good practice to "bad mouth" previous
employers. It is better to simply say a change in policy or change in assignment conflicted with your
ability to do your work as an activity professional - causing to you to re-think your employment there.
When going on interviews, it is good practice to have a portfolio of your work history. If you have ten
years of a good employment - prior to this experience - focus on those ten years and the positives in
your career. This last experience is one bump in the road and hopefully you will get back on track
soon. Good luck!
_____________________
QUESTION: I need an activity to provide for the elderly in a health care facility. Would you suggest
something I could do in about thirty to forty minutes.
ANSWER: Depending on the level of functioning of the resident, a wide variety of activities could be
conducted within the time frame you mention. If it is a higher functioning group of residents -
exercise combined with an active game (ball toss, basketball, target toss); bowling; word games
(word find, crossword puzzles); trivia programs; craft programs; reminiscent programs; discussion
groups - all would work within a 30-40 minute time frame. Using props would encourage response
and keep the activity going if you have difficulty keeping their interest. With a more impaired group of
residents, with a shorter attention span, conducting two groups within the time frame might be better.
Starting with something active and going into something cognitive would work. There are many
cognitive games for the cognitively impaired such as Penny Ante, Shake Loose a Memory and such.
For the very impaired resident, a sensory program would be appropriate. The time frame
would need to be a balance of active stimulation approaches and periods of passive stimulation.
Hope that helps, Debbie
_____________________
QUESTION: I am ADC and would like to know what the rules are for California. Are they still
holding a 36 hour course? If so who do I contact to have a class in my area? I have the instructors,
the place to hold the class. I just want to make it legal so I can give out certificate's of completion. I
need the curriculum and who would I report to? Thanks in advance
ANSWER: You can go to this web site and look at the California Regulations.
http://www.hsr.umn.edu/NHRegsPlus/regulation_pages/california_regulations.htm
Under Article 3 - required services - page 51 - it cites the requirements for an activity leader. It does
mention a 36 hour course approved by the Department of Health. I do not know what the curriculum
is. You would have to contact the California DOH personally to find out what they want and what
the approval process is.
California Department of Health Services
Licensing and Certification
MS 3000
P.O. Box 997413
Sacramento, CA 95899-7413
Tel: (916) 440-7360
Website: http://www.dhs.ca.gov/lnc/default.htm
_____________________
QUESTION: I need a sample form to have residents sign asking that we contact their doctor for
permission to consume alcohol while they are in a long term care facility. It needs to contain a
liability waiver for the facility. If you have one or know someone who does please help thanks.
ANSWER: Is this for assisted living or nursing home? If it is a nursing home, usually alcohol
consumption is defined on the physician's orders and you do not need the permission of the
resident to seek this approval. It is automatically a part of the medical plan of care and orders. If you
are concerned about liability, I would recommend your facility seek an appropriate form from your
facility attorney.
_____________________
QUESTION: Could you tell me what salary range I should expect with and AAC and an ADC? I live
in Texas.
ANSWER: NCCAP (the National Certification Council for Activity Professionals) completed a salary
survey in 2005. You can download it from their web site. http://www.nccap.org/about/downloads.shtm
It is a nation wide survey and it looks like only one person from Texas replied. My other suggestion is
to contact the state representative for NCCAP from Texas. She might be better able to give you a
salary range for the state. Her name is Natalie Davis and her email is Natalieteach@aol.com . Good
luck, Debbie
_____________________
QUESTION: I am doing a report for school and i need information on anything you are willing to
give. I have just a little information and i need some help; just your everyday routine would be fine.
Thanks so much..
ANSWER: What kind of report? Not sure what you need?
When you say daily routine - do you mean the daily routine of an activity
professional?
_____________________
QUESTION: I am looking to put together a quality assurance check for our activity department. Do
you have any suggestions?
ANSWER: Depends on what you are looking for. There are several types and ways to
evaluate the program. Group observation, chart audit, program review, specific program review. To
create your own form - you define the standard (what you hope to find) and then create measurable,
observable tasks/criteria and turn them into sentences. Then you observe the issue you want to
evaluate and measure what you see against the standards you defined. For example, the standard
is for the group to start on time. The form would have: Group started on time. yes/no
_____________________
QUESTION: I manage a 1,666 home senior community in Tucson AZ. We have two large
recreation halls, pools golf etc. This fall we will be in need of a seasonal activities director for the
purpose of booking theatre, dances, entertainers and some craft and exercise activities. Our
residents own their own homes and are independent underline independent. My question is how do
I post this position? Most websites are focused on rehab and nursing facilities. A semi-retired Activity
Director from the mid-west, NW etc.; could spend winter in AZ and get paid for it? This is a new
position for us as most activities are resident generated now. There were 2,300 meetings and
activities held here last year! No kidding! See our community at www.tucsonestates.com any
suggestions would be appreciated.
ANSWER: You can post the job on various activity based job sites. I have one on my web site.
http://www.dhspecialservices.com/jobboard.htm
But, I would also suggest going through the National Recreation and Parks Associations
http://www.nrpa.org/ ; or event planner associations.
http://www.eventplannersbusinessassociation.com/
_____________________
QUESTION: Hi! My name is T.S., and I am taking the courses to become an activity director. I am
wondering if you know of any web site that has resources for activities. I am looking for a philosophy
for activities.
ANSWER: Congrats on taking the course. Good luck! You can often find a philosophy for service
within your facility policy and procedure book. Also, if you are a member of NAAP, they provide a
definition of activities, scope of practice and standards of practice for our profession. You can join
NAAP through their web site http://www.thenaap.com/
Here is a web site that has some definitions also
http://www.housing.ufl.edu/RA/Activity%20Planning.htm
_____________________
QUESTION: Debbie I am in Tn & want to know if you have to write a care plan on each resident.
ANSWER: The new guidance (implemented 6/1/06) says each resident who is assessed as
having a need should have a care plan. That does not mean that we should have a separate care
plan for activities. We should be a strong part of the interdisciplinary care plan for all residents. This
means any activity concerns can often be addressed through interdisciplinary issues. For example,
a resident's participation is often limited by other issues (cognitive loss, behaviors, physical
limitations). If that is the case, then the activity concern should be integrated into those issues. If the
main care plan does not allow for activity issues to be suitably addressed, then the activity
professional should initiate a care plan to address the issue.
_____________________
QUESTION: I am an Activity Coordinator at an Adult Day Service. We are getting some new
volunteers from the local collage as part of their service learning. What are some good ideas for
doing a orientation to working with dementia/alzheimers, and stroke. I'm looking for ways to get the
point across about what these people are going through. Thanks for your great site.
ANSWER: Since they are college age, taking a more academic approach might not be a bad idea.
The ADEAR (Alzheimer's Disease Education and Research) web site has some great training
materials. Free pamphlets and there is a wonderful Powerpoint you can download for free. It has
excellent visuals of what happens to the brain, etc. You can access that info here.
http://www.nia.nih.gov/Alzheimers/AlzheimersInformation/AboutUs.htm
But, if you are looking for empathy type approaches...one approach is to have them write down five
things they love about their life. Then, to start your program - go around and take some of the things
away. Then ask them how they might feel. That sometimes provokes discussion of loss and how
hard it is to deal with things. Hope that helps, Debbie
_____________________
QUESTION: I have a lot of younger residents, what can be done with them that is exciting enough
and doesn't make them feel old?
ANSWER: Programming for the younger set is a popular challenge for activity professionals. I
think you have to look at it as like any other "special needs" population. Some younger folks are
functioning cognitively but have many complex medical issues which are limiting. Others are very
impaired cognitively and physically. Plus, the age group may vary. Do you mean young in their 50's
or younger than that. All of this has an impact upon what to offer. But generally speaking, offering
them more current programs is one way to go. Current trivia from Trivial pursuit and some of those
other current guessing games that you might play in your own family is one idea. Special trips to
places they may choose to go. More challenging or current craft projects such as scrap-booking,
paper making, stamping, ceramics or other things you might see in a Michaels craft store. Defining
a special place to "hang out", if you have a larger group. One facility I work with - created a special
lounge for them which was decorating by their choosing, had a juke box in there and space that was
more appealing to them.
Some facilities do a fast food lunch group where they pick a place (pizza, subs, Chinese, or burgers)
and have a meal while watching a more current movie. Getting volunteers, more around their age, to
help with the groups would also be appropriate. Hosting support group meetings in the facility
with their particular diagnosis (MS, etc.) might also be of interest. Computer with Internet access is
almost a must for this age group. The best approach is to ask them. If they are cognitively aware, they
should be able to tell you what they want. Good luck, Debbie
_____________________
QUESTION: I am currently out of the loop as a activity director but would really like to obtain
another job in this field. I am just worried that my qualifications are no longer up to date. I worked as
an Activity Director from 1999 to 2002. I completed the " Health Care Activity Director Training" course
at Central Piedmont Community College in Charlotte NC on 11/16/2000. I had my first Child in 2002
and became a stay at home mom. I am starting to feel the urge to return to work but I don't know if I
am still qualified as an activity Director after being out of the field for so long. What do you think I need
to do in order to obtain a job again in this field?! Thank you
ANSWER: I would suggest checking with the North Carolina activity association. Contact Kathy
Wright Moore at wrightmoore@aol.com for more information. I do not know NC state standards for
Activity Director. You might qualify for Track 5 for NCCAP. It is a temporary track until June 2007. If you
have six years experience within past ten years and have taken an activity class between 1991 and
2001and have 30 hours of continuing education (six hours being in activity documentation). You can
check out the track (download application, etc.) at www.nccap.org go to download page. But, check
with the contact for the North Carolina group as to specifics for your State. Good luck and welcome
back to activities, Debbie
_____________________
QUESTION: Should the recreation assessment of a resident be completed just upon admission
or annually and after a significant change? I have always thought they should be done regularly but
my supervisor says no. Some of our assessments have been in the charts for 10-15 years without
being done over. Please reply. Thanks
ANSWER: In the Federal regs, it states the assessment should be done upon admission,
annually and after significant change. But when they reference assessment - they mean the MDS,
not individual department assessments.
Not sure which state you are in, so I can't cite state regs for you. But, I would think - it might be good
practice to update some of the old assessments. Especially with the new Federal guidance
emphasizing more thorough assessments. What I suggest is to review the initial assessment when
completing the annual MDS. If it is incomplete or not meeting the current standard, entering an
updated assessment would be appropriate. Besides that, during the annual review - a more
thorough note is often entered to update assessment information for all disciplines.
Hope that helps
Activities Director's in my area.
ANSWER: I would suggest you contact your State Association for that information. In
NJ, our State group collects that information periodically and makes it available to
membership. Possibly the North Carolina group does the same.
http://www.coap-nc.org
NCCAP did a salary survey in 2005 but it is not broken down regionally.
http://www.nccap.org/survey/2005_salary_survey/NCCAP%202005%20SALARY%20SU
RVEY%20RESULTS.pdf
_____________________
QUESTION: I work in a mental illness facility, and we have a range of ages from 23 to
89, I have asked the assessment questions as to what they all like to do with a variety
of answers such as listening to rap for the younger ones, or throwing horseshoes for
the older population. The problem is that when we actually start the activity depending
on their mood, they will not always participate, they will refuse. Is there a suggestion as
to how to entice them into the activity, most of them are all self directed when it comes
to group activities even if it was something they liked on their assessment, and they will
refuse to do anything but smoke, as I also pass cigarettes three times a day. Any
suggestions. Thanks
ANSWER: I have a personal bias against recreation/activity professionals distributing
cigarettes. Beyond the fact that I do not smoke - I think it affects the therapeutic
relationship. I was involved with a long term care facility a few years back where we
had a significant number of residents who had been discharged from a psych hospital
and they were conditioned with cigarettes also. In the nursing home, they gave the job
of cigarette distribution to the recreation department and we found that throughout the
entire activity, the residents were asking when they could have a cigarette (frequently,
like every minute). It really limited our ability to foster and develop therapeutic
programs because they associated us with the cigarettes. We finally got the duty of
cigarette distribution assigned to another caregiver and after a period of time, the
residents saw us differently. They knew we were recreation and we did other things.
Not sure if that answers your question or helps at all.
The second part of your question - about motivation, that is a tough one also. I think
more self directed individuals are more motivated if they feel a part of the program.
Giving them leadership roles or helping roles might make them more committed to the
process. Another suggestion is to introduce an alternate reward token than
cigarettes. For example, keeping a chart of how many activities they participated in or
giving them tickets for every activity attended. Then, at some point throughout the
month, have an auction or sale where they can cash in their tokens or tickets.
_____________________
QUESTION: I am having an Inservice in care planning and I need some case
scenarios if you have any and e-mail them to me. I would greatly appreciate it.
ANSWER: I am attaching one type of case scenario for care planning. Not sure of what
type you are looking for (click here to download). There are two ways to do this. One
way would be to have a description of the resident, including some key information
from the activity assessment. The participants would identify a problem/need, goal and
interventions. You can create the scenarios from residents in your building as the staff
would relate better to people they know. Another way to do it is to create "starter care
plans" which is what I have sent you with this email. The staff would discuss the care
plan and add to it as needed (strengthen the goal or add interventions).
_____________________
QUESTION: I just discovered your site and hope you can answer a few questions. I
am both a Volunteer and Employee in an Assisted Living facility in Maryland. On a
number of occasions, I was asked to conduct the Activities for the Seniors when the
Activity Director was away. The activities included: Sittercise, Bingo, Sing-A-Long,
Crossword Puzzle, What's the Question?, Arts & Crafts, Family Feud, Categories,
Devotional, etc. To-date, I have not received a negative reaction to my performance
from Director, Staff nor Residents. The Activity Director have given notice that she will
be leaving. I have been asked by several if I am going to apply for the position.
Although I have not had any formal training, and do not drive, I would love to apply for
this position. What is your advice? - Carolyn in Maryland
ANSWER: This does look like an exciting opportunity for you. I would think you should
first discuss your interest with the director who is leaving and also the administrator of
the community. They should be able to inform you of the application process. You
then need to find out what the requirements are for the position in Maryland. I know in
NJ, there are no regulations defining credentials for the activity director in assisted
living. You would have to find out what is required in Maryland. However, some
companies have policies defining credentials which exceed state regulation, so you
would have to ask your administrator that question.
Finally, if this a career path you are interested in - seek out formal training. The
National Certification Council of Activity Professionals has a class which prepares
activity professionals to be directors and certified. I suggest you contact one of the
instructors in your state to discuss course offerings in your area.
http://www.nccap.org/temp/PreApprovedInstructors.pdf
Good luck and welcome to the world of therapeutic activities.
Debbie
_____________________
QUESTION: I am currently working at a nursing facility. I am interested in getting a
certificate as a recreation aide. How do I go about acquiring one? Thanks - CD
ANSWER: To become a nationally certified activity assistant - you would need to apply
through the National Certification Council of Activity Professionals.
You can download their application at www.nccap.org The certification is a combination
of your work experience, continuing education and completion of the MEPAP course.
To find an instructor for the MEPAP course, check out the instructor page on the
NCCAP web site, as they list them by state. If you need any additional information, feel
free to email me back. Good luck, Debbie
_____________________
QUESTION: What are the rules concerning volunteers visiting the nursing facility and
receiving a TB skin test? Example: If you have a group of Girl Scouts, Church Group,
etc. who come once or twice a year to give out cards, etc. Should they be made to
receive a TB skin test? I need some documentation of the Guidelines for TB skin
testing. Thank You very much. I really enjoy your website.
ANSWER: I honestly do not know of any regulation where it says volunteers have to
have a TB test. The regulations state the facility is responsible for the protection of the
residents and minimizing exposure to risk. Exposing the residents to someone with TB
would be a risk. How the facility decides to protect the resident is a facility policy.
It reminds me of the signs facilities display - asking people not to visit when they have
signs of a cold. There is no regulation saying "if you have a cold or the flu - you are
not permitted in the building". There is no way you can check every person entering
the building to see if they have anything contagious - but the facility shows good effort
to protect the residents.
Having said that, many facilities have polices about volunteers having a TB screening
as a part of the volunteer orientation and prep. However, those volunteers are ones
who come in weekly and have a lot of direct contact with the residents. To make
children's groups or other groups get them - if they only visit once or twice a year
seems a bit much. I think it would discourage them from coming at all. Children should
be fine anyway - as they are screened as a part of their public schooling.
So, to answer your question - to my knowledge - there is nothing specific about
mandating volunteers and TB screening. It would be a policy decision your facility has
to make. You can read your state regs or ask your infection control nurse if he/she
knows of anything specific. But on a federal level, I am pretty certain there is nothing
specific referencing TB and volunteers.
Sorry I cannot be of any more help than that.
Debbie
_____________________
QUESTION: Hello, I have been skimming over the Internet, and found "ask Debbie",
So i thought that i would give it a try, My facility is located in Illinois and in the facility i
work at we recently opened the Alzheimer's wing and we are trying to implement
programs and activities that work for them, so far we have been working from scratch,
our unit has nothing. I am writing because I have run out of ideas. I am by the way a
C.N.A. with 15 years under my belt and this is my calling, yet I have been working with
my residents for about a month and a half now and my group is growing quickly, they
are asking what are we going to do today, I have implemented exercise and sing a
long. We have did some crafts, but like i said our resources are limited. I need advice
on where to look what to do and if the facility itself will pay for all the activities, I
appreciate all your help and am looking forward to hearing from you. Thank you from
the bottom of my heart.
ANSWER: That is a pretty big question. I can think of two answers for you - to get you
started. An effective way to program on memory support units is to develop a daily
routine such as beginning with a morning coffee with some discussion (basic
reality/weather/reminiscing - depending on level of functioning); followed by exercise or
active game; followed by mental type activity; followed by setting up for lunch with
music. An afternoon routine should also be established. The routines would depend
on the level of functioning of your population. Within the established routines, you
would do different activities which focus on the type of activity being done. For
example, if 11 AM is your active time - there are a variety of active activities that could
be introduced at that time frame. Routines are important but you don't want to fall into
a rut. There are many resources for programming on the internet. I have some listed
on my web site. This is the link for all the activity web sites that I have found.
http://www.dhspecialservices.com/activitysites.htm
This is my link for a lot of the dementia based sites with ideas and resources.
http://www.dhspecialservices.com/dementiasites.htm
The facility should provide you with a budget of some kind. There needs to be some
funding for supplies. Many items can be sought through donations but some things
should be purchased. There are wonderful resources out there, but some cost money.
Hope that helps a little bit. If you have further questions, feel free to email me back.
Debbie
_____________________
QUESTION: I have a resident who is out of facility receiving dialysis 3 days a week, the
other days she is too tired to attend activities upon interviewing her, all the programs
she is interested in cannot be arranged at night (like the Rabbi, and some of the
entertainment ) I am afraid I am not meeting her needs, but changing her schedule at
dialysis isn't possible at this time.I offer in room visits, activities in room, 1:1 staff visits
for support, pet therapy/manicures, but she still seems lost in this health care system
we have no way of having in house dialysis, believe me I've explored every possibility.I
even taped a Cantor singing to fulfill her need to go to Sabbath Services. Any other
suggestions, and what about her care plan, any ideas how I can state this conflict?
ANSWER: It sounds like you are attending to her needs as best you can, considering
the limitations. The dialysis does knock them out and it is not uncommon
for them to be very tired during the non-dialysis days. Being that she is
in house - four of the seven days - can the entertainment schedule be changed to
coincide with one of her days in house? Even if you did schedule things that she would
do on her days in the building, she may not attend because she is tired. I would
document all your efforts to adjust the schedule and assist her to preferred programs
and any refusals that you get.
As far as the MDS - she probably doesn't trigger because she does not have that
much free time and you are providing 1-1's, etc. As far as care planning - I would
make sure you have interventions noted somewhere regarding her 1-1 program, noting
specifics of what you are doing.
What about contacting a Jewish youth groups? Possibily they could "adopt"
her and visit around her schedule, in the late afternoon and evening?
Do you have a closed circuit television system? In places that have that - a camera
can be set up at activities and the program can be viewed by those residents
remaining in room.
What about talking books? an old idea but still effective.
You might want to ask her if she is satisfied and content with what is being offered to
her. What we think they should be doing and what they want to do are sometimes two
different things. Some people are content to "just sit", especially if they have a complex
medical situation.
Sorry I am not much more help than that. Debbie
_____________________
QUESTION: I wrote to you in March 2007 regarding working in a facility that was
changing my job description as an Activity Professional, adding to my duties
housekeeping, wait-staff & laundry maven. Well, I quit my job, have gone on a number
of interviews and still have not been hired as an Activity Director since. I did as you
suggested and provided a strong resume and portfolio, which they are always
impressed by. I am not sure why I have not been hired. With over a decade of
experience, always exceeding expectations of my administrators, (their words), and the
joy and love I have brought to my residents, I just do not get it. What do you suggest I
do? I miss working with my seniors so very much. This is my true calling in life. Help! I
really need your advice. Kindest Regards, Medford, OR
ANSWER: I am sorry to hear of your difficulties. You have certainly taken a strong
stand, which is commendable. You also took a risk in resigning your
position prior to finding another position. People who are very qualified often hear they
are "over qualified" which sometimes means you are at the top of the pay scale. Could
it also be that your old facility is sharing negative information about you which is
keeping new jobs at bay? I would suggest contacting some of these jobs you have
applied for and have not gotten the position. I would ask them why you didn't get the
job - not asking in a confrontational way but asked in a way that is meant to help you
understand your situation. Most individuals, if asked in the right manner, would share
some insight.
_____________________
QUESTION: Can you please e-mail information about activity professional certification.
We are In AL and are interested in our AD to become certified.
ANSWER: You can access the application for the NCCAP certification on their web
site. www.nccap.org. Go to the "downloads" page and you can download and print out
certification standards and certification application.
_____________________
QUESTION: I am an Activity Director in a Nursing Home in Tennessee. I am
interested in becoming certified and I know there is a week long training coming up this
fall, but I am not sure of how to get information to sign up for this training... I would
appreciate any help you may be able to offer.
ANSWER: do not know anything about training in Tenn. (I am from NJ). I would
suggest you contact Vivian Steffen at 423-396-2182. She is the state representative
for NCCAP and she might know about this training you mention. You can also try to
call Tonia Hooker at 423-476-4004 as she is an instructor in your state as well.
_____________________
QUESTION: I have been an AD for 27 years. I recent changed job due to the facility
being sold. The new owner did not do much to help the department with a budget. I
found myself paying for supplies and entertainment and later quit. I loved my job but it
became to stressful. I am still certified with NCCAP until 2008. Have any thing changed
about recertification. I want to maybe start working again in Long-term Care as a
Director. I am planning on taking some hours on line.
ANSWER: As long as you maintain your certification by sending in hours to renew -
you should be fine. If you let it lapse, that is when it may get sticky. There are many
opportunities for on-line education available. If you need resources, feel free to email
me back. - Debbie
_____________________
QUESTION: I worked as an activity director for a nursing and hospital sub-acute unit
for about 10 years. I have been out of it for a while working at a home health company.
I am interested in getting back into this profession. I attend activities classes when I
first started and am interest to see if there is still something out there. If you can help
me I would appreciate it. (from Mississippi)
ANSWER: Hi, you should check with the person who is listed on the NCCAP site for
Mississippi. He should know the current regs and requirements for your state.
H.L. "Hank" Rainer Jr. Jackson (601) 366-3159
brurai@aol.com MEPAP 1 & 2
You can also check out this web site, as it lists all the state regs - by state - so you can
see the current requirements and how you fit in.
http://www.hsr.umn.edu/NHRegsPlus/ Good luck, Debbie
_____________________
QUESTION: Dear Debbie, I work in a 165 bed facility in Indiana I have been an activity
director for about 7 yrs. It was brought to my attention that it is only required to provide
15 minute room visits per week. Is this true for the state of Indiana and with the board
of health?
QUESTION: I do not know Indiana regulations but that doesn't sound right to me.
Here is a web site where you can read your state regs.
http://www.hsr.umn.edu/NHRegsPlus/
Most regulations state interventions and approaches need to be provided to the
resident based on individual need. I can think of many residents where one 15 minute
visit per week would not meet their needs. You also might want to network with other
Indiana activity professionals. The state association has a web site at
http://members.aol.com/iadassoc/ Good luck, Debbie
_____________________
QUESTION: I really want to become an activity director for long-term health facilities,
but I don't have five hundred or so dollars to pay for it. I am currently taking classes at
Randolph Community College and financial aide pays for it, but there want pay for the
activity director courses. Do you know if they is any financial assisting available
anywhere.
ANSWER: NCCAP offers some scholarships. You can check out the information on
their web site. www.nccap.org
http://www.nccap.org/about/educators/announcements.shtm
Very often the facility will support education of their staff. If you have a job as an
activity assistant - many facilities will pay for the staff to go or they will pay you after
you complete the course. You might also want to check into your State and Local
activity associations. I know - in NJ, we offer many scholarships to new activity
professionals to support training and education.
_____________________
QUESTION: Is there a way to receive a certification or license as an activity director
for assisted living type jobs over the Internet or do I need to find a class to attend?
ANSWER: On the NCCAP instructor page for the NCCAP site, they list all the
instructors who offer the course via Internet or independent study. You can contact
them directly through there. http://www.nccap.org/about/educators/index.shtm
_____________________
QUESTION: I missed last month's basics on writing therapeutic goals. Is there any way
to get the tips?
ANSWER: They are on the archives of the site.
http://theactivitydirectorsoffice.com/DebbiesADTips_archive200705.html
_____________________
QUESTION: I would like to have the seven hour recreation documentation course that
is required for my certification.
ANSWER: If you are looking to apply for certification under NCCAP Track 5, to my
understanding - that track and opportunity expired on June 30th. If you are just
looking for a documentation course, let me know where you reside or there are some
on line courses. Debbie
_____________________
QUESTION: I worked as an AD in long term care and left the field because I was
constantly forced to use my own money for activities. it took months to get reimbursed.
IS that a common practice? Thanks!
ANSWER: I wouldn't say it is common practice but it happens more often than it
should. I agree with you - it is unacceptable to be expected to spend your own money
(although we all do it) but to have to wait months to be reimbursed is even more
unacceptable. I think the best method is for the activity department to have a petty
cash fund ($100 or more). That allows cash to be available to the department and the
director spends it down - keeping receipts. When the money gets low, the receipts are
submitted and a check issued to the department. It is cashed and added back to the
petty cash. That is the system I used and it worked great. I also had a budget amount
for supplies purchased through purchase orders which did not affect the petty cash.
Petty cash was for small purchases made in dollar stores and places around town for
miscellaneous items.
_____________________
QUESTION: I'm an AD at the present time. I'm taking the Advanced 90hr course to
become National Certified. I write care plans for my facility, but I have to write 3 for my
course. Could you please send me a sample of one of your care plans to help me
along. Some things seem to have changed since the new regs last June. I want to
make sure that I'm writing them the correct way. Thank you
ANSWER: There are a number of resources for writing care plans on the Activity
Director Office web site. My most recent article focused on that topic.
http://www.theactivitydirectorsoffice.com/DebbiesADTips_archive200706.html
The month before that I wrote about writing goals.
http://theactivitydirectorsoffice.com/DebbiesADTips_archive200705.html
As far as providing you with "sample goals", that is kind of hard to do. I am not a fan of
"canned" care plans as care plans need to be developed based on the resident/clients
individual needs and problems. There are a number of books which offer sample care
plans. One of the best is the "Care Plan Cookbook" from Recreation Therapy
Consultants.
http://www.rec-therapy.com/index.html
_____________________
QUESTION: I'm 23 years old and going back to school to be a certified activity director
( I currently have a BAAS and AAS in Business)-I'm looking for a job in a nursing home
while I go to school. Can you help?
ANSWER: Would be happy to try and help but where do you live?
_____________________
QUESTION: I am a former Activity Director from Illinois. I moved 10 years ago to
Clarksville Tennessee and now that my kids are older I would like to get back into the
Activity Directors fields. I would like to know where I can find a Tennessee certification
course to attend? Thank You.
ANSWER: Hi, you can try and call Tonya Hooker. She is a consultant in your area
who does the MEPAP course. She may be able to direct you to something local.
She can be reached at 423-476-4004.
_____________________
QUESTION: Dear Debbie, do you have any articles/comments about the co-relation
between activity professionals and social workers? Thanks
ANSWER: I don't have any articles at my fingertips - regarding the correlation between
activities and social workers. However, since we are both helping professionals who
focus on the psycho-social well-being of the resident/client, we have a natural alliance.
In in my experience, the social worker has always been someone who we can easily
coordinate care issues with.
Not sure what other information you are looking for. If you provide further details, I can
see if I have anything further.
_____________________
QUESTION: Hi my name is AD and I have been a Activity Director for over 24 years
now. So I am from the old school I guess you could say and these RAPS and MDS are
really getting me down I don't feel I'm doing them the way they should be and I have
look for inservices I can go to and try and learn to do them in a better way. If you can
give me any tips that would help me a great deal .Thank you.
ANSWER: Hopefully, you have the manuals for the MDS and the RAP's. Using them
as a reference tool is helpful. I think practice is part of the solution also.
The more you do them, the easier they become. Workshops are also helpful, if you
can find one in your area (not sure where you are from so I can't direct you there).
There are two good books on the subject for activity professionals. One is the Activity
Care Plan Cookbook and one is the Activity RAP book. You can get them from most of
the catelogs or from the author's web site.
http://www.rec-therapy.com/index.html or I sell them from my site as well.
http://www.dhspecialservices.com/bookstore.htm
If you have a specific question, feel free to email me back, Debbie
_____________________
QUESTION: You mention new regs 6/1/2006 where can I get a copy of this for
the long term care?
ANSWER: Technically, they are not new regs but a new guidance to surveyors for the
F-248 which was not changed. You can download them from the following web site.
http://www.rec-therapy.com/index.html it is a document titled Activities Guidance
Document.
_____________________
QUESTION: Dear Debbie,In response to your article, "To Care Plan, Or Not To Care
Plan", I think it is very important to consider the region in which you are working. I
worked for 13 yrs. in the Manhattan area and have been in Northern NJ for 4yrs. I
thought that when I moved I could read the regulations and adapt to the changes in
documentation. The regulations for NY & NJ are very close, but the expectations for
NY and NJ are very different. In NY you write a care plan for everyone. In NJ This is
not the expectation of the surveyors. In fact they will complain if they feel you are over
care planning. Truthfully, I prefer to write a care plan for everyone. It helps me
organize my work and place residents in categories of function. I of course include
recreation interventions on other care plans, but I like to have my own plan of care in
the chart. It helps me avoid logistical errors, Like dietary or nursing DCed a care plan
with out informing me and I no longer have interventions in the chart.
I also like the practice of writing Long Term and Short Term Goals. For Example my
Long Term Goal might be, "Resident will increase program participation." and my short
therm goal might be resident will join one 30 minute program per wk." I then increase
the short term goal until the resident has reach their potential. Th resident is then
placed on a maintenance program to help the resident maintain their current level of
function. I know this practice is often considered old fashion, but it really helps me
provide care for my residents. I find that this practice is frowned on in NJ as over
CPing. What do you think. Sincerely, YD
ANSWER: I agree with your comment about regional differences and that is mentioned
in the last paragraph of the article. As activity/recreation professionals, we need to
document as we see appropriate according to regulation and our own professional
standards. Writing long and short term goal is a particular technique and if that is what
you are comfortable, so be it. I would encourage you to include some measurable
component to the short term goal - more than activity attendance. It is better to note a
behavioral response, task completed or action within the activity as the measure -
rather than attendance at specific activities. As far as "over care planning", I would
agree there was a trend to streamline care plans and focus on individualized needs
rather than standard of practice issues. But with the new guidance for F-248, all care
plans should be re-evaluated to ensure they meet the new standards.
_____________________
QUESTION: I am looking for a program to start a newsletter in my facility. I would
greatly appreciate the help! Thank you!
ANSWER: Most computers have programs already built in. I have Microsoft Works and
within the Task Launcher section - there are many templates. There are several for
newsletters. They are not hard to use. They have the columns worked in, titles,
available clip art, etc. Not sure what kind of computer or program you have, but check
out the pre-installed programs to see what you have.
_____________________
QUESTION: I am a nursing home administrator for a transitional care unit in acute
care hospital. Our resident are short term resident usually 10-14 days. I am interested
in making sure our activities program is not only effective and compliant with f-tags but
one that is enjoyed by all our residents. What do you suggest i do to educate and
prepare our activity director who works only 20 hours a week?
ANSWER: I wrote an article for the Activity Director's office a few months back on this
subject. There are several suggestions listed in the article. Hope that helps,
http://theactivitydirectorsoffice.com/DebbiesADTips_archive200603.html
_____________________
QUESTION: Dear Debbie, My nursing home residents do not pay any attention to the
activity calendar I put up in their rooms. I recently decided to put up tent cards with
each day's activities on their tables. I also print out and post a calendar of the weeks
activities in a prominent place. Is this sufficient enough for regulations? I live in Kansas.
Thanks, SMD
ANSWER: Most regulations indicate the programs and events need to be
communication but don't offer specifics. When we post calendars, posters and
additional means to communicate the schedule - that is our way of communicating to
the residents. But, in spite of all our efforts - it does seem the calendars don't get the
attention or notice we hope.
Probably the best means to encourage participation is a personal invitation and
encouragement. So, in addition to your posted schedules involve the team in
informing the residents and encouraging them as well as assisting them to programs is
the way to go. The Federal guidance for F-248 specifies the team approach to
assisting and encouraging residents to attend. I am not familiar with Kansas
regulations but I am sure what you are doing regarding the posted calendars is
acceptable. I looked at the Kansas NH regs and did not see any reference to
calendars, how many should be posted and where. You can see them at this web site
http://www.hsr.umn.edu/NHRegsPlus/regulation_pages/kansas_regulations.htm
_____________________
QUESTION: I am the AD for a 99 bed rehab. The opportunity I have is that only the
long term residents participate. The short term that are in Therapy only want to go
there get well and go home, have nothing to do with activities. Help.
ANSWER: What you are experiencing is not unusual and most short term residents
don't want to get too comfortable as they do plan to go home. In addition, they are
often tired from their active re-hab schedule. They may be interested in activities but
not the ones we plan for the long term care residents. I wrote an article for the Activity
Director's Office a while back on this subject and it offers some ideas.
http://theactivitydirectorsoffice.com/DebbiesADTips_archive200603.html
_____________________
QUESTION: Where can I find an activity calendar program so I can do my calendar on
the computer along with graphics?
ANSWER: A lot of people use calendar creator. I have also heard good things about
Printworks and Microsoft Publisher. All those programs have calendar programs
with graphics and clip art. The biggest challenge is getting all the activities we do
within the squares.
_____________________
QUESTION: I was wondering what the expected salary range of activity directors is in
the Pacific Northwest. Where is a good source of this information? I am beginning to
interview for this type of position, and I am always asked what my expected salary is. I
have a BA in Therapeutic Recreation, as well as a Special Education teaching degree.
ANSWER: This is the only one I know of for TR degrees but as you can see it is from
2004 and not regionally defined.
http://www.recreationtherapy.com:80/salarysurvey2004a.htm Sorry I cannot provide
better information on this. I would suggest contacting some of the colleges in that
area that may offer a TR degree. Maybe they have some data. Also, this is a page
from my web sites of activity organizations. Maybe if you check with the ones in the
area that you are interested in - they can help,
http://www.dhspecialservices.com/associations.htm - Debbie
___________________
QUESTION: I work in an Assisted Living facility as an Activity Director. I love and adore being an
activity professional. It is my absolute calling in life. Recently things have changed at my facility,
including my job description. I am on the clock for 24 activity department hours per week. Recently
the facility has told all department heads, including myself, that they are having financial dificulties
and that we all must work dietary wait staff for one shift per week and they have also placed me in
housekeeping for one hour per day plus 7 hours on Friday. I gave a two week notice when this was
announced and the Administrator was upset and said as a department head I need to give her at
least one month, so I did. A week later, I felt I could not leave my residents, as you know, we grow
very attached to them, so I asked to stay and was told that I may.
After just a few weeks of these new duties I realize that my body is not physically capable to work the
hours on my feet and the arthritis pain in my hands from cleaning & folding laundry.
I have also noticed that the residents no longer treat me with the same warmth and love that they did
when I was working as solely an Activity Director. Even other staff members bark commands at me
regarding bathrooms overflowing etc. I plan on giving my notice again immediately.
My questions to you: Is it reasonable or "the norm" for Activity Professionals to have their job
descriptions changed without notice and to positions not hired for? I would have never applied for
either of these new duties. My job title is " Activity Director".
Can this company really expect me to provide a month's notice again? When I gave notice before
management insisted that I would still have wait staff and housekeeping duties. I simply cannot do
this type of work and am going to my doctor today to receive documentation. Will I ever be hired again
in activities if I have to walk off the job? This is my love in life. What is reasonable? And how do I
explain this to potential employers without bad mouthing my current employer?
PS: I an a Certified Activity Professional with 10 years under my belt. I have worked in LTC, AL, with
AD and semi-coma and head injury residents, I have worked as Activity Director of a Hospital
Transitional Care Unit. This is not my JOB, it is my JOY. This is what I am meant to do with my life. Of
that I am certain. Please help me. Kindest Regards, Medford OR
ANSWER: As an activity professional, it is hard to fathom what we do as a "business" but long term
care is a business. The management's decision to consolidate services and get more out of current
staff is a "business decision". Is it fair? Is it normal? Sometimes when a facility is on the verge of
failing (closing their doors), it is hard to be "fair" or "normal". Having said that, I understand your
frustration as would most activity professionals.
We have worked hard to acquire that "professional" status and to be assigned another task - out of
our realm - is frustrating as well as less professionally satisfying as our original assignment.
Activity departments are often asked to assume additional - interdisciplinary responsibilities. We
help with meals, distributing nourishments, walking programs, and a number of other IDC tasks.
We often turn them into social experiences and "activities". It is being "part of the team". But helping
out in housekeeping and doing laundry is a stretch.
I think most of us would agree - it isn't that we are "above" such tasks but that job takes us away
from what we were hired to do. Even as you say - the resident's perception of you has changed as a
result of your role change. Their changed perception of you affects your ability to be effective as an
activity professional. I once worked with a facility where it was the responsibility of the activity
department to distribute cigarettes at "smoking times". (This was a facility where many residents
were discharged patients from a psychiatric setting and smoking was a big thing for them). It was
such that these residents frequently (constantly) asked the activity staff when they were having their
next cigarette - even during groups. I felt it was disruptive and it conflicted with the activity
department's ability to conduct therapeutic approaches. We gave the cigarette distribution job to
someone else and the resident's perception of the activity staff did eventually change and it allowed
us to distract and divert these residents more effectively with therapeutic activities.
If you resign again - I am sure they would expect you to give a months notice. Even if you or they do
not honor the month's notice, with your previous work history - I am sure you could find another
position. No matter what the circumstances, it is not good practice to "bad mouth" previous
employers. It is better to simply say a change in policy or change in assignment conflicted with your
ability to do your work as an activity professional - causing to you to re-think your employment there.
When going on interviews, it is good practice to have a portfolio of your work history. If you have ten
years of a good employment - prior to this experience - focus on those ten years and the positives in
your career. This last experience is one bump in the road and hopefully you will get back on track
soon. Good luck!
_____________________
QUESTION: I need an activity to provide for the elderly in a health care facility. Would you suggest
something I could do in about thirty to forty minutes.
ANSWER: Depending on the level of functioning of the resident, a wide variety of activities could be
conducted within the time frame you mention. If it is a higher functioning group of residents -
exercise combined with an active game (ball toss, basketball, target toss); bowling; word games
(word find, crossword puzzles); trivia programs; craft programs; reminiscent programs; discussion
groups - all would work within a 30-40 minute time frame. Using props would encourage response
and keep the activity going if you have difficulty keeping their interest. With a more impaired group of
residents, with a shorter attention span, conducting two groups within the time frame might be better.
Starting with something active and going into something cognitive would work. There are many
cognitive games for the cognitively impaired such as Penny Ante, Shake Loose a Memory and such.
For the very impaired resident, a sensory program would be appropriate. The time frame
would need to be a balance of active stimulation approaches and periods of passive stimulation.
Hope that helps, Debbie
_____________________
QUESTION: I am ADC and would like to know what the rules are for California. Are they still
holding a 36 hour course? If so who do I contact to have a class in my area? I have the instructors,
the place to hold the class. I just want to make it legal so I can give out certificate's of completion. I
need the curriculum and who would I report to? Thanks in advance
ANSWER: You can go to this web site and look at the California Regulations.
http://www.hsr.umn.edu/NHRegsPlus/regulation_pages/california_regulations.htm
Under Article 3 - required services - page 51 - it cites the requirements for an activity leader. It does
mention a 36 hour course approved by the Department of Health. I do not know what the curriculum
is. You would have to contact the California DOH personally to find out what they want and what
the approval process is.
California Department of Health Services
Licensing and Certification
MS 3000
P.O. Box 997413
Sacramento, CA 95899-7413
Tel: (916) 440-7360
Website: http://www.dhs.ca.gov/lnc/default.htm
_____________________
QUESTION: I need a sample form to have residents sign asking that we contact their doctor for
permission to consume alcohol while they are in a long term care facility. It needs to contain a
liability waiver for the facility. If you have one or know someone who does please help thanks.
ANSWER: Is this for assisted living or nursing home? If it is a nursing home, usually alcohol
consumption is defined on the physician's orders and you do not need the permission of the
resident to seek this approval. It is automatically a part of the medical plan of care and orders. If you
are concerned about liability, I would recommend your facility seek an appropriate form from your
facility attorney.
_____________________
QUESTION: Could you tell me what salary range I should expect with and AAC and an ADC? I live
in Texas.
ANSWER: NCCAP (the National Certification Council for Activity Professionals) completed a salary
survey in 2005. You can download it from their web site. http://www.nccap.org/about/downloads.shtm
It is a nation wide survey and it looks like only one person from Texas replied. My other suggestion is
to contact the state representative for NCCAP from Texas. She might be better able to give you a
salary range for the state. Her name is Natalie Davis and her email is Natalieteach@aol.com . Good
luck, Debbie
_____________________
QUESTION: I am doing a report for school and i need information on anything you are willing to
give. I have just a little information and i need some help; just your everyday routine would be fine.
Thanks so much..
ANSWER: What kind of report? Not sure what you need?
When you say daily routine - do you mean the daily routine of an activity
professional?
_____________________
QUESTION: I am looking to put together a quality assurance check for our activity department. Do
you have any suggestions?
ANSWER: Depends on what you are looking for. There are several types and ways to
evaluate the program. Group observation, chart audit, program review, specific program review. To
create your own form - you define the standard (what you hope to find) and then create measurable,
observable tasks/criteria and turn them into sentences. Then you observe the issue you want to
evaluate and measure what you see against the standards you defined. For example, the standard
is for the group to start on time. The form would have: Group started on time. yes/no
_____________________
QUESTION: I manage a 1,666 home senior community in Tucson AZ. We have two large
recreation halls, pools golf etc. This fall we will be in need of a seasonal activities director for the
purpose of booking theatre, dances, entertainers and some craft and exercise activities. Our
residents own their own homes and are independent underline independent. My question is how do
I post this position? Most websites are focused on rehab and nursing facilities. A semi-retired Activity
Director from the mid-west, NW etc.; could spend winter in AZ and get paid for it? This is a new
position for us as most activities are resident generated now. There were 2,300 meetings and
activities held here last year! No kidding! See our community at www.tucsonestates.com any
suggestions would be appreciated.
ANSWER: You can post the job on various activity based job sites. I have one on my web site.
http://www.dhspecialservices.com/jobboard.htm
But, I would also suggest going through the National Recreation and Parks Associations
http://www.nrpa.org/ ; or event planner associations.
http://www.eventplannersbusinessassociation.com/
_____________________
QUESTION: Hi! My name is T.S., and I am taking the courses to become an activity director. I am
wondering if you know of any web site that has resources for activities. I am looking for a philosophy
for activities.
ANSWER: Congrats on taking the course. Good luck! You can often find a philosophy for service
within your facility policy and procedure book. Also, if you are a member of NAAP, they provide a
definition of activities, scope of practice and standards of practice for our profession. You can join
NAAP through their web site http://www.thenaap.com/
Here is a web site that has some definitions also
http://www.housing.ufl.edu/RA/Activity%20Planning.htm
_____________________
QUESTION: Debbie I am in Tn & want to know if you have to write a care plan on each resident.
ANSWER: The new guidance (implemented 6/1/06) says each resident who is assessed as
having a need should have a care plan. That does not mean that we should have a separate care
plan for activities. We should be a strong part of the interdisciplinary care plan for all residents. This
means any activity concerns can often be addressed through interdisciplinary issues. For example,
a resident's participation is often limited by other issues (cognitive loss, behaviors, physical
limitations). If that is the case, then the activity concern should be integrated into those issues. If the
main care plan does not allow for activity issues to be suitably addressed, then the activity
professional should initiate a care plan to address the issue.
_____________________
QUESTION: I am an Activity Coordinator at an Adult Day Service. We are getting some new
volunteers from the local collage as part of their service learning. What are some good ideas for
doing a orientation to working with dementia/alzheimers, and stroke. I'm looking for ways to get the
point across about what these people are going through. Thanks for your great site.
ANSWER: Since they are college age, taking a more academic approach might not be a bad idea.
The ADEAR (Alzheimer's Disease Education and Research) web site has some great training
materials. Free pamphlets and there is a wonderful Powerpoint you can download for free. It has
excellent visuals of what happens to the brain, etc. You can access that info here.
http://www.nia.nih.gov/Alzheimers/AlzheimersInformation/AboutUs.htm
But, if you are looking for empathy type approaches...one approach is to have them write down five
things they love about their life. Then, to start your program - go around and take some of the things
away. Then ask them how they might feel. That sometimes provokes discussion of loss and how
hard it is to deal with things. Hope that helps, Debbie
_____________________
QUESTION: I have a lot of younger residents, what can be done with them that is exciting enough
and doesn't make them feel old?
ANSWER: Programming for the younger set is a popular challenge for activity professionals. I
think you have to look at it as like any other "special needs" population. Some younger folks are
functioning cognitively but have many complex medical issues which are limiting. Others are very
impaired cognitively and physically. Plus, the age group may vary. Do you mean young in their 50's
or younger than that. All of this has an impact upon what to offer. But generally speaking, offering
them more current programs is one way to go. Current trivia from Trivial pursuit and some of those
other current guessing games that you might play in your own family is one idea. Special trips to
places they may choose to go. More challenging or current craft projects such as scrap-booking,
paper making, stamping, ceramics or other things you might see in a Michaels craft store. Defining
a special place to "hang out", if you have a larger group. One facility I work with - created a special
lounge for them which was decorating by their choosing, had a juke box in there and space that was
more appealing to them.
Some facilities do a fast food lunch group where they pick a place (pizza, subs, Chinese, or burgers)
and have a meal while watching a more current movie. Getting volunteers, more around their age, to
help with the groups would also be appropriate. Hosting support group meetings in the facility
with their particular diagnosis (MS, etc.) might also be of interest. Computer with Internet access is
almost a must for this age group. The best approach is to ask them. If they are cognitively aware, they
should be able to tell you what they want. Good luck, Debbie
_____________________
QUESTION: I am currently out of the loop as a activity director but would really like to obtain
another job in this field. I am just worried that my qualifications are no longer up to date. I worked as
an Activity Director from 1999 to 2002. I completed the " Health Care Activity Director Training" course
at Central Piedmont Community College in Charlotte NC on 11/16/2000. I had my first Child in 2002
and became a stay at home mom. I am starting to feel the urge to return to work but I don't know if I
am still qualified as an activity Director after being out of the field for so long. What do you think I need
to do in order to obtain a job again in this field?! Thank you
ANSWER: I would suggest checking with the North Carolina activity association. Contact Kathy
Wright Moore at wrightmoore@aol.com for more information. I do not know NC state standards for
Activity Director. You might qualify for Track 5 for NCCAP. It is a temporary track until June 2007. If you
have six years experience within past ten years and have taken an activity class between 1991 and
2001and have 30 hours of continuing education (six hours being in activity documentation). You can
check out the track (download application, etc.) at www.nccap.org go to download page. But, check
with the contact for the North Carolina group as to specifics for your State. Good luck and welcome
back to activities, Debbie
_____________________
QUESTION: Should the recreation assessment of a resident be completed just upon admission
or annually and after a significant change? I have always thought they should be done regularly but
my supervisor says no. Some of our assessments have been in the charts for 10-15 years without
being done over. Please reply. Thanks
ANSWER: In the Federal regs, it states the assessment should be done upon admission,
annually and after significant change. But when they reference assessment - they mean the MDS,
not individual department assessments.
Not sure which state you are in, so I can't cite state regs for you. But, I would think - it might be good
practice to update some of the old assessments. Especially with the new Federal guidance
emphasizing more thorough assessments. What I suggest is to review the initial assessment when
completing the annual MDS. If it is incomplete or not meeting the current standard, entering an
updated assessment would be appropriate. Besides that, during the annual review - a more
thorough note is often entered to update assessment information for all disciplines.
Hope that helps
| The Activity Director Community is a gathering place for LTC Activity Professionals. Feel free to express yourself and respond to submissions from other AD's. This is an important community and you need to be part of it. Membership is FREE so Join Today This site is moderated by Robert & Linda Lucas, Owners of The Activity Director website. |
| ACTIVITY DIRECTOR TODAY |