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DB 2A

Paper details SEE ASSIGNMENT INSTRUCTIONS.

LINKS TO THE ARTICLES THAT ARE NEEDED FOR THE ASSIGNMENT:

1. WHAT DOES RACISM HAVE TO DO WITH LEADERSHIP? COUNTERING THE IDEA OF COLOR-BLIND LEADERSHIP: A REFLECTION ON RACE AND THE GROWING PRESSURES OF THE URBAN PRINCIPALSHIP.
EJ968818.pdf (ed.gov)

2. LEADERSHIP IS LIKE ENGINEERING: YOU NEED TO START WITH WHY by GIRISH PANCHA
https://www.entrepreneur.com/article/359403

3. NINE WAYS LEADERS SHOULD REACT TO UNEXPECTED FEEDBACK by FORBES COACHES COUNCIL
https://www.forbes.com/sites/forbescoachescouncil/2021/02/19/nine-ways-leaders-should-react-to-unexpected-negative-feedback/?sh=68bd3ad22921

4. The 6 Commandments of Learning to Accept Criticism by Eduardo Scheffer Zawadzki
https://www.entrepreneur.com/article/366221

IF YOU NEED FOR ME TO UPLOAD THEM, PLEASE LET ME KNOW

Writing assignment 5

Paper details Your weekly papers must explain/summarize the major findings and themes from the assigned readings in an essay formatted to APA standards to include a reference page.

In summarizing the readings, areas you should consider addressing include 1) What research question(s) were the author(s) addressing?; 2) Why was the research question relevant?; 3) How did the author(s) test their research question(s)?; 4)Where did the data come from?; 5) What variables were involved in their research?; 6) What did the author(s) find?; and, 7) What was important about the research findings? You do not need to touch on each of these issues, but they are examples of ones you could address in your paper.

At a minimum, your papers must address all assigned readings for this week. Do not include directly quoted material in your papers. All information in your papers must be paraphrased and properly cited in APA format in the text of your response and reference section.

MUST USE SOURCES FROM READINGS

ASSIGNED READINGS
Kane, R. J.,

The importance of documentation

Paper details ASSIGNMENTS

6. Perform an Initial Assessment Documentation .There are four case studies and 4 assessments that will need to be completed.

7. Complete a MDS form on each of the 4 case studies.

8. Complete a Care plan including the problems of each case.

9. Design a facility monthly calendar:
10. Write out a monthly budget. List each activity requiring funds and the amount
that is needed

11.Establish three quality indicators for the activity department.

12. Complete an OBRA Form and summarize your findings.

13. Write one policy and procedure .

14. Access the certification web sites. Print out the specific process for certification for an
Activity Director

15. Write a one page letter asking for support from an outside organization

DOCUMENTATION
BASIC REQUIREMENTS FOR THE CLINICAL RECORD
• The health care record is owned by the long term care facility
• All information is confidential ( HIPPA Law)
The purposes of the health care record:
1. Primary care- whoever is caring directly for the resident has access to the record
2. Continuity of Care- the record is the written communication among the health care team and it documents the residents response to interventions
3. Proof that care was given and their response to that care (this is examined by outside reviewers)
4. Provides a record for research
5. Used for billing and reimbursement for services rendered
DOCUMENTATION PRINCIPLES
• Permanent
• Legible ( Black ball point pen)
• Timely ( Never backdate, write between lines or document in advance)
• Accurate – objective and descriptive language is used
• Document within your scope and education . use your personal credentials
• Authenticated- sign all documents and include your title
REQUIRED DOCUMENTATION
• INITIAL ASSESSMENT: MDS
• RESIDENT ASSESSMENT INSTRUMENT (RAI)
• CARE PLAN
• Progress Notes
• DISCHARGE PLANNING
• REASSESSMENTS AND UPDATES
ACTIVITY DOCUMENTATION
1. Initial Assessment: Identifies needs, strengths, and lifestyle of each resident
2. MDS- section F to assess their interests, environmental preferences, and need for change in daily routine.
3. RAI = MDS and Resident Assessment Protocol ( This is the comprehensive interdisciplinary assessment of the newly admitted resident by day 14)
4. The activity director has the responsibility for section F
5. If triggered an activity RAP and summary are completed
6. Quarterly MDS forms are completed every 90 days
7. Full MDS annually and upon significant changes in resident status.
8. Care Plan is started upon admission.
9. Care Plan is due upon 21 days from admission
10. Care Plan is based on the MDS assessment
11. You have to document what the resident does in response to your activity interventions
12. You provide daily documentation of the residents participation to prove your provision of activities for that specific resident.
13. You have to set goals for each resident to measure progress
14. Quarterly you evaluate their response to your goal and reestablish a new set of goals
15. If the residents status changes then you need to indicate a new care plan for their new condition
16. Finally , you will need a discharge note if they leave the facility.
I know it seems overwhelming but each facility that you are in will have a method to get all the above done.
If you are starting from scratch, you need to remember that the MDS in the most important because the
reimbursement for care is connected to this document.
It is always filed electronically.
You will have to have an assessment and a care plan format.
We will be doing many case Studies and practicing all this documentation.
Taken from Long term care for activity professionals by Martini,Weeks,Wirth
HIPPA regulations
• Case study #1
Mr. Eddie Perkins is a 84 year old male, with a history of mild dementia, diabetes, and a right CVA resulting in his left side being paralzed.s
Vision is okay with glasses, hearing is okay with a hearing aid.
Birthdate 1/13/1932 Birthplace: Mississippi
He ambulates with a hemi-walker with minimal assistance. ( He needs someone to hold him because he often losing his balance)
His left arm is partially functional.
He is continent.
He can communicate and understands others.
He needs assistance in new situations.
He is oriented to person and objects.
His short term memory is poor. Long-term memory is good.
He is cooperative and interested in activities in general.
He is widowed with one daughter and two grandchildren. His daughter’s name is Beth
He is a veteran
He would like to vote
He has a high school education
He speaks English.and his speech is clear.
He was a home builder .
He enjoyed going to a Baptist church where he was active.
He likes to exercise, music, trips, watching TV , talking and parties.
He prefers participating in scheduled activities in the afternoon.
He seems to like to be in the day room.
He is a registered voter and wants to go out to vote.
He gets up to eat breakfast but takes a morning nap.
The reason he is in the home is that his daughter works and he requires supervision for walking and assistance with daily care.
He is most happy when he is singing at church.
He is most proud of his only daughter and two grandchildren.
His favorite time of year is summer because he likes to be outside.
If he could do anything ,he would have taken his wife on a cruise before she died.
He is hesitant to participate in the activities He requires reminding to come and requires assistance to ambulate to the day room.
He needs cues to participate and to attend .
He prefers to be out of the room in small groups.
He gets disoriented to time of day and where things are located in the facility.
He has been in the facility 7 days.

Case study # 2
Case study # 2
Case study # 2
Mrs. Peggy Jones.
Diagnosis: Severe COPD ( Oxygen dependent). Recent right leg amputated below the knee due to diabetes, early stage of Alzheimers.
Age: 70 Birthdate is 10-1-1940
Alcohol Use: Occasional wine at night
Tobacco Use : yes a pack a day
Living prior to admission: Home with husband and one adult child
Married with 6 children spouses name is George
High school education
Catholic and attends mass regularly
She is not registered to vote and doesn’t want to.
Arms are functional , hand function is full .
She is continent.
She needs assistance in this new situation to make decisions.
Her short term memory is slightly impaired but her long term memory is good.
She requires reminders and cues for activities.
Her vision is poor but sees okay with glasses . hearing is good,
Wheelchair dependent
She speaks english and her speech is clear.
She is oriented to person, place and objects.
The reason she is here is to rehabilitate , her family works and can’t provide care. She intends to transfer to a rehab facility and be fitted for a prosthesis.
She is withdrawn and is grieving the loss of her leg .
She likes to nap in the afternoon for a couple of hours.
She gets up around 7:00 a.m. and retires at 9:00 p.m.
Her favorite time of the year is spring , she loves to see things grow.
She wants to see her great grandchildren this year at the family reunion.
Her husband is alive and used to work as a engineer.
She likes to make things and play games.
She enjoyed shopping in the past and was an excellent cook.
She used to garden .
She watches TV and listens to the radio.
She prefers being in her own room in the morning but with much coaxing will come out in the afternoons ,
She is in a lot of pain and wants to focus on rehabilitation and wants to return home.
The reason she is in your nursing home is because she needs to be functional at the wheelchair level .
Her therapy schedule is occupational therapy at 8:00 for an hour to help her learn to dress and do personal care from a wheelchair level
She has physical therapy at 10:00 .a.m. for an hour.
She is most proud of her children.
Section F of the MSDS sheet
Daily Preferences
She thinks it is very important what she wears and that she take care of her personal belonging. Her family needs to be involved in her care because she plans to go home with them after rehabilitation. She is diabetic so it is important to her to have snacks and to chose her own bedtime.
The rest of the items in F0400 she doesn’t think is important.
F0500
She feels that it somewhat important to read and wants her books, she likes to listen to her radio . This is somewhat important. Right now it isn’t improtant to have a pet. It isn’t at all important to keep up with the news. She is not interested in groups. She wants to go home and doesn’t want to do any activities even if she likes them. She thinks it important to go outside and her religious practices are very important.

Case study # 3
Case study # 3
Case study #3
Name : Mrs.. Roberta Stevens
DOB: 6-14- 1945
Place of birth: San Antonio, TX
She lived at home with family
She speaks English
Religion: Not specified
Education: College graduate
Marital status: Married Her spouses name is Fred
Diagnosis: Brain aneurysm
Medication: Anti-seizure
Diet: Tube fed and has begun a puree diet
Her vision and hearing are good.
She is continent.
Oriented to person, place and situation and object.
Her short term and long term memory are good. It is hard to asses due to limited communication
Mobility Information: Wheelchair bound and dependent, only able to move left side of body.
Leisure interests: Music, family visits, watching TV, and plants
Admitted to long-term care after acute hospital. Family unable to care for her due to total care needs.
Previous Lifestyle: She worked as an office manager for a law firm. She is a paralegal professional. Her husband is a prominent attorney.
They have no children. She was socially well-known. She entertained, attended social clubs and service organizations.
She was president of the garden club in town.
She was politely active and is a registered voter who can’t vote now due to cognitive status.
Current functioning: She is dependent for all mobility, non-verbal, wheelchair bound and dependent, uses communication board for yes/no responses. She is alert and will attend to your face and will lift her left hand for gestures but this isn’t consistent.
She prefers her own room , the activity room, and off the unit as well as outside the facility.
She likes to get up at 6:00 a.m. and returns to bed late after the evening news.
F0400 She thinks it is very important to choose her clothes, have a shower and choose her own bedtime. She feels like it is very important to have her husband involved in all discussion about her care. All the rest it not important at all.
F0500
It is very important to have her magazines ( especially her gardening books) , listen to the news and music. She doesn’t think it’s important to be involved in a group or participate in religious activities. She doesn’t like pets . It is somewhat important to get fresh air . It is somewhat important to do her favorite activities

Case study # 4
Case study # 4
Case study # 4
Mr Robert Brown
DOB: September 12, 1920
Place of Birth: Dallas, Texas
Religion: Pentecostal
He loves country cooking.
Education: High school
Diagnosis: Alzheimers’s disease, depression and anxiety disorder
Former occupation: Laborer
Marital status: Divorced
Medications: Antidepressants, antianxiety
He isn’t a registered voter, nor is he interested
Diet: He is on a regular diet.
His vision and hearing are good.
He ambulate with no assistance, paces continuously and cries out ” I want to go home”
His arm and hands are fully functional.
He makes himself understood but the content is inappropriate and he is not oriented to what is around him, or time, or situation.
He is oriented to person and objects.
He is cooperative. He is interested in activities.
He worked most of the time and enjoyed drinking bear and playing dominoes.
He was retired and lived in an apartment until he was found wandering late at night by the police .
The crying out as become more frequent but he can be easily redirected . He passively attends activities but can’t attend without maximal structure.
He prefers to be out of room in any scheduled activities in the morning, afternoon, and evening. He likes being outside and in the day room.
He gets up at 6 a.m. and doesn’t go to be until 11:00 p.m.
He can’t answer the quotes regarding placement. He just repeats that he wants to go home.

Writer’s Choice

Paper details There have been many people who have helped shaped America under the Articles of Confederation, the Constitution of the United States as well as those who were fighting during the Revolution and the Civil War.

I want you to choose a person from the Civil War era. It can be a woman, a slave, a freed slave, a soldier, or a politician. The person you choose can be Confederate or Union. You are to become that person. I want you to talk about the Civil War from their perspective. You can talk about any aspect of the Civil War, but you must look at it from your character’s perspective. In other words, you are no longer living in the 21st century, but have been transported back to the 1860s.

I want the paper to be wrote in the perspective from Robert E. Lee.

Writer’s Choice

Paper details There have been many people who have helped shaped America under the Articles of Confederation, the Constitution of the United States as well as those who were fighting during the Revolution and the Civil War.

I want you to choose a person from the Civil War era. It can be a woman, a slave, a freed slave, a soldier, or a politician. The person you choose can be Confederate or Union. You are to become that person. I want you to talk about the Civil War from their perspective. You can talk about any aspect of the Civil War, but you must look at it from your character’s perspective. In other words, you are no longer living in the 21st century, but have been transported back to the 1860s.

I want the paper to be wrote in the perspective from Robert E. Lee.

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