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Walk A Mile In My Shoes

By Cathy Richards-Rivers, ADC

I am an Activities Director at a skilled nursing facility. I play games, have parties, go out to lunch with the residents, decorate the building, do crafts, and have FUN, FUN, FUN, all day long!

Is that what the staff perception is in your facility? Do you have such a smooth operation in your department that everyone thinks you are simply "having fun all day long"? If this is the case, then you are doing a great job! When we make it look easy and fun we are doing exactly what we are supposed to do. Perhaps you say, "I don't get the respect that other departments get and I am a professional". Yes, you are a professional! I am a professional too! However respect is earned not demanded. Here are some suggestions for earning respect for the fun job that you do.

Invite the Administrator, Director of Nursing, or Assistant Director of Nursing to "Walk A Mile In My Shoes" by attending the Lunch Outing in place of the CNA or Activity Assistant that usually accompanies you. Be sure to assign them some of the duties of assisting a resident with ordering their food (staying within the amount of money the resident has with them), transferring to the restaurant chair and/or arranging the furniture in the restaurant to accommodate the residents in wheelchairs, and safely getting everyone from the vans to the restaurant. Don't forget to allow them to visit the restroom with a wheelchair resident while you are there. And don't forget separate checks for everyone!! Then next time they see you leaving for a Lunch Outing I wonder if the statements as you are leaving with your thicken liquid powder, extra pads, and hand cleaner will be, "Have Fun"!

Invite the Restorative Nurse or the Restorative CNA to "Walk A Mile In My Shoes" by leading the Morning Music and Exercise Program, we call it Morning Stretch in my facility, in which we gather 35 residents (mostly in wheelchairs) on our own to the dining room area, set up the room by moving the tables out of the way (don't seat people next to each other that don't get along, and don't bring anyone in the area that needs supervision until the last minute), this preparation must be done in 30 minutes because residents can't be left unattended. You can't leave the room once you've begun, so be sure you have all the instruments and supplies for this program. Everyone in the group needs to be involved and if there are various levels of abilities in the program you must involve them without drawing attention to the adaptive techniques you are using. This is a "range of motion" program; I do believe the Restorative Staff would have FUN! Don't you? Wait . . . the program is over but the room still has to be rearranged and left the way you found it.

Invite the Maintenance Department to "Walk A Mile In My Shoes" by leading the Men's Lunch Party and allow them to set up the "games" and arrange with the Dietary Department the food, present the list to the nursing, and dietary staff of who will be attending as well as set the room up for the program. That program is just "having lunch and playing games". It will be a welcome change from the repair jobs they do on a daily basis. They will have such FUN!

Invite a CNA or Housekeeper to "Walk A Mile in My Shoes" by leading a craft program. They will come up with the idea, supplies, and gather the residents as well as give instructions. Observe the residents in the group for safety (watch that no one eats the beads, glue, etc.) And be sure to take into consideration vision and dexterity limitations to decrease frustration for the residents involved. It will be a change from the way they usually interact with the residents as well as being FUN!

Invite the Admissions/Marketing/Office Managers to "Walk A Mile in My Shoes" by decorating for the Christmas Season. They will need to go out to storage and bring in all of the decorations, sort to the location the decorations will be going, determine the time of day to decorate (can't interfere with meal times, activities must continue as scheduled, and arrange some resident involvement in the "Decorating Party"). They must be aware of the fire regulations and rules from the maintenance department for hanging decorations (no staples, nails, pushpins, etc.). They must also complete their regular duties. We can't just "decorate" all day, after all that would be FUN!
Encourage all departments to be on a planning committee for your next big party, for instance a casino/Las Vegas Night. It will be fun with games, entertainment, refreshments, decorations, and a party! They will need to work with maintenance for the extra chairs and tables to be set up and housekeeping for the area to be cleaned as well as dietary for the refreshments and activities for the entertainment and nursing for the residents to be ready and front office for reservations. Families will need to be notified of the event, as well as activities to host and publish on the calendar of events. Don't forget about the budget for prizes, decorations, and entertainment. It will be FUN, FUN, FUN!

I know that NCCAP members are professional, and because we are professionals we have a true commitment to the work that we do as well as appreciation and respect for the other department's contribution to the Quality of Life for our residents/clients. We also know that respect is earned not expected and that educating others to the job we do is also a responsibility we are entrusted as a professional.

I challenge you to use your creative ability to invite others to "Walk A Mile In Your Shoes" and when you do, you will gain the respect that can only be earned that you so very much deserve.
NN


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