The Time for Change is Now Its time to change how we do what we do. There is no sustainable reason why it is not commonplace for our elders in long term care settings to awaken in the morning when they desire, to eat what they want for breakfast when they want it, and to drive the decisions in their own lives. These are basic, inherent rights that have been violated for years in our facilities. Until now, we haven't had the objectivity or clarity to see clearly what our services do to people. P Legislators trust our profession so little that they impose more regulations on us than any other profession except nuclear power. P Our insurance rates are skyrocketing. P Lawyers hover at our doors waiting for an operational infraction. P Our staff turnover rates in long term care often are as high as 100 percent. P Two thirds of our target market would rather die than utilize our services. If we are looking for a sign that we need to change, well, I think there are signs in abundance. Most importantly, once embarking on the journey of change towards a model that is resident-directed in service by self-led work teams in community, the transformation in residents and staff...not to mention family, is a powerful testimony. I hope this collection of ideas will be a spark that creates your fire. Steve Shields, CEO, Meadowlark Hills Retirement Community, Manhattan, Kansas Contact list for Organizations Cited Aberdeen Village 17500 W. 119th Street Olathe, KS 66061 913-599-6100 Contact Person: Chuck Nigro e-mail: cnigro@pmma.org Apostolic Christian Home 511 Paramount Street Sabetha, KS 66534-2120 785-284-3471 Contact Person: Ed Strahm e-mail: achome@mewlan.com Brewster Place Retirement Community 1205 S.W. 29th Street Topkea, KS 785-274-3387 Contact Person: Angela Dailey e-mail: angelad@brewsterplace.org The Cedars 1021 Cedars Drive McPherson, KS 67460-2735 620-241-0919 Contact Person: Carla Lehman e-mail: clehman@thecedars.org Crestview Manor Nursing Home 808 N. 8th Street Seneca, KS 66538-1491 785-336-2156 Contact Person: Sara Sourk e-mail: sarasourk@galaxycable.net Cumbernauld Village 716 Tweed Street Winfield, KS 67156-1595 620-221-4141 Contact Person: Linda Voth e-mail: cv_village@hotmail.com Frankfort Community Care Home For information on the programs described, contact former administrator Evelyn Walters at Cornerstone Village. P.O. Box 1908 Pittsburg, KS 66762 620-235-0020 Contact Person: Evelyn Walters e-mail: Evelyn-Walters@via-christi.org Friendly Acres 200 SW 14th, P.O. Box 648 Newton, KS 67114-0648 316-283-4770 Contact Person: Nancy Law e-mail: nancyl@friendlyacres.org Golden Heights Living Center 101 N. Pine Street Garnett, KS 66032-1199 785-448-2434 Contact Person: Jon M. Covault e-mail: administrator-gar@vhsmail.com Kansas Masonic Home 401 S. Seneca Street Wichita, KS 67213-5597 316-267-0271 Contact Person: Stacy Allen e-mail: sallen@ksmasonic.org Lakeview Village 9100 Park Street Lenexa, KS 66215-3373 913-888-1900 Contact Person: Barbara Frank e-mail: bfrank@lakeviewvillage.org Larksfield Place 7373 East 29th Street North Wichita, KS 67226 316-636-1111 Contact Persons: Cindy Frey (nursing questions, DON) Diana Casebolt-Hayes (Dementia Unit Director) Valarie McGhee (administrative questions) Gretchen Teter (general questions) e-mail: vmcghee@larksfieldplace.org Liberal Good Samaritan Center 2160 Zinnia Lane Liberal, KS 67901-2042 620-624-3832 Contact Person: Tom Shumate e-mail: tshumate@good-sam.com Life Care Center of Wichita 622 N. Edgemoor Street Wichita, KS 67208-3602 316-686-5100 Contact Person: Diane DeLoach e-mail: elaine-mcdaniel@lcca.com Meadowlark Hills Retirement Community 2121 Meadowlark Road Manhattan, KS 66505 785-537-4610 Contact Person: Deanna Beins e-mail: deanna.beins@meadowlark.org Medicalodge of Gardner 223 Bedford Street Gardner, KS 66030-1167 913-856-6520 Contact Person: Rick Freeman e-mail: thbrown@medicalodge.com Mennonite Friendship Manor 600 W. Blanchard South Hutchinson, KS 67505 620-663-7175 Contact Person: Judith Wineland e-mail: winej@mennonitemanor.org Minneapolis Good Samaritan Center 815 North Rothsay Minneapolis, KS 67467-1622 785-392-2162 Contact Person: Dana Rice e-mail: gss3100@good-sam.com Olathe Good Samaritan Center 20705 W.151st Street Olathe, KS 66061-7222 913-782-1372 Contact Person: Vivian Crosby e-mail: vcrosby@good-sam.com Parsons Presbyterian Manor 3501 Dirr Avenue Parsons, KS 67357-2298 620-421-1450 Contact Person: Brenda Thornton e-mail: imbkt2001@yahoo.com Plaza West Regional Health Center 1570 SW Westport Drive Topeka, KS 66604-4030 785-271-6700 Contact Person: Nancy Benny e-mail: n_benney@plazawestcare.com Rossville Valley Manor 600 Perry, Box 787 Rossville, KS 66533 785-584-6104 Contact Person: Wendy Read e-mail: not available Sandstone Heights 440 State Street, Box 50A Little River, KS 67457-9632 620-897-6266 Contact Person: Karen Halbert e-mail: sandstone@lrmutual.com Schowalter Villa 200W. Cedar, P.O. Box 5000 Hesston, KS 67062-2095 620-327-0400 Contact Person: Lillian Claassen e-mail: lillianc@schowalter-villa.org Wesley Towers 700 Monterey Place Hutchinson, KS 67502-2248 620-663-9175 Contact Person: Dawn Veh e-mail: dveh@wesleytowers.com Wheatridge Park Care Center 1501 S. Holly Drive Liberal, KS 67901 620-624-0130 Contact Person: Rodney Whittington e-mail: administrator-lib@vhsmail.com Windsor Place LLC 2921 W 1st Street Coffeyville, KS 67337-2441 620-251-5190 Contact Person: Monte Coffman e-mail: windsorplace@windsorplace.net Resources The following resources are only a few of those available to you. They have been collected to assist you as you work to change the culture of long-term care, and their inclusion does not imply any endorsement or recommendation by the PEAK-Ed staff or Kansas State University. Please note that web sites change rapidly, and that an address provided may have changed. In many cases, there will be automatic forwarding to the new address. If this is not the case, try the more general web site address. Many of the resources listed are useful for more than one of the objectives described in this booklet. Each resource is identified with symbols indicating some of the kinds of issues addressed: l Culture change and related issues / general topics related to long-term care m Resident and family needs n Staff empowerment, self-directed work teams, and communication skills o Leadership u Environmental design v Community and intergenerational involvement Literature and Organizations lv American Society on Aging and Pfizer, Inc. (2002). Healthcare and Aging Awards: Recognizing Innovation and Quality. This booklet describes winners of the 2002 Healthcare and Aging awards. First place was the "Voices of Ages Choir," an intergenerational music group of young people and nursing home residents in Philadelphia. More information about past recipients or applying for awards is at http://www.asaging.org/awards (click on Healthcare and Aging Awards). The Pfizer website contains a video clip of the choir: http://www.positiveprofiles.com m Baumeister, Bryan. Creating Better Lives in Nursing Homes. This booklet is targeted to family audiences and advocates creating "power teams." It is available through Elder Support Counseling. E-mail: Bbaumeister@eldersupport.com. n Becker-Reems, E. (1994). Self-Managed Work Teams in Health Care Organizations. American Hospital Publishing. One of the few resources specific to teams in health care organizations. o Blanchard, K. & Waghom, T. with J. Ballard. (1997). Mission possible. New York: McGraw- Hill. mu Brawley, Elizabeth. (1997). Designing for Alzheimer's Disease: Strategies for Creating Better Care Environments. New York: Wiley & Sons. Includes sections: Aging and Alzheimer's Disease, Sensory Environment, Special Care Settings, Implementing Effective Interior Design, and The Design Process. mn Calkins, M., Marsden, J., Briller, S., Proffitt, M., & Perez, K. (2001). Creating u Successful Dementia Care Settings (four volume set). Volume 1: Understanding the Environment through Aging Senses. 2: Maximizing Cognitive and Functional Abilities. 3: Minimizing Disruptive Behaviors. 4: Enhancing Identity and Sense of Home. This series discusses how to integrate the physical environment, staff care practices, and residents' needs into a complementary, holistic dementia-friendly approach. 4-Volume Set available from Health Professions Press. ISBN 1-878812-71-8. Companion videos available. o Greenleaf, R. (1991). The servant as leader. Indianapolis: The Robert K. Greenleaf Center. mv Greenstein, D., Buettner, L., & Coffman, C. (2000). Simple Gifts. This 82 page manual provides instructions for making 16 sensorimotor items for persons with dementia. The authors report increased family and friend visitation where these items were provided. Booklet available for a fee through the Cornell Cooperative Extension publications at http://www.cce.cornell.edu/publications/catalog.html no Hackman, J. R. (2002). Leading teams: Setting the stage for great performances. Boston: Harvard Business School Press. lo Holman, B. & Holman, L. (1998). Lessons in leadership from your neighborhood. Louisville: V. G. Reed & Sons. mv IDEAS Institute (2001). IDEAS for a better visit. Brief guide to facilitate successful visits for families, friends and volunteers. Its development was funded by Mt. Sinai Healthcare Foundation. Available in quantity, including the option of adding the ordering organization's logo. Web site: http://www.ideasinstitute.org l Institute of Medicine. (2001). Improving the Quality of Long-Term Care. Washington, D.C.: National Academy Press. This book reports on the state of long-term care at present and includes information about culture change reforms. o Kouzes, J. & Posner, B. (2000). The five practices of exemplary leadership: When leaders are at their best. New York: Jossey-Bass/Pfeiffer. l Langer, E. (1989). Chapter 6 on 'Mindful aging' in Mindfulness. Reading, MA: Addison-Wesley. A classic book proposing that age may be more a social concept than a biological one. lm Lustbader, W. (2000). Thoughts on the meaning of frailty. Generations, 23(4), 21-24. Lustbader, one of the founding Pioneer Network members, describes what it means to be dependent. l Lustbader, W. (2001). The pioneer challenge: A radical change in the culture of nursing homes. In Noelker, L. & Harel, Z. (Eds.), Linking Quality of Long Term Care and Quality of Life. New York: Springer Publishing Company. no McKenna, C. (1998). Powerful communication skills: How to communicate with confidence. Franklin Lakes, NJ.: Career Press. n Orsburn, J. & Moran, L. (2000). The new self-directed work teams: Mastering the challenge, 2nd ed. New York: McGraw-Hill. no Paraprofessional Healthcare Institute. Creating a Culture of Retention: A Coaching Approach to Paraprofessional Supervision. (2001). A 22 page booklet that is an introduction to coaching supervision: how coaching differs from traditional supervisory practice, the skills needed to become an effective coach, and the organizational structures that make coaching effective. Report is in Adobe Acrobat. http://www.paraprofessional.org/publications/PHICoaching.pdf o Peters, T. (1997). The circle of innovation. New York: Knopf. mn Regnier, V. (2002). Design for Assisted Living: Guidelines for Housing the u Physically and Mentally Frail. Lots of pictures and exemplars in this book; offers list of 100 design guidelines applicable to a variety of long-term care settings. mu Rothert, Gene. (1994). The Enabling Garden: A Guide to Lifelong Gardening. Dallas: Taylor Publishing. Rothert manages the Chicago Botanic Garden's "Learning Garden for the Disabled" program. Check libraries (out of print). o Scholtes, P.R. (1998). The leader's handbook: Making things happen, getting things done. New York: McGraw-Hill. no Scholtes, P.R., Joiner, B., & Streibel, B. (1996). The team handbook, 2nd edition. Madison, WI: Joiner Associates. lm Schwarz, B., & Brent, R. (Eds.) (1999). Aging, Autonomy, and Architecture: nu Advances in Assisted Living. The four parts of this book address issues that are pertinent to aging and long-term care: idealism and realism, attributes of place and behaviors of people, provision and consumption of care, and design: who cares? o Senge, P. M. (1990). The fifth discipline . New York: Currency Doubleday. o Spears, L. C. (1995). Reflections on leadership. New York: Wiley & Sons. o Spears, L. C., & Lawrence, M. (Eds). (2002). Focus on Leadership: Servant leadership for the twenty-first century. New York: Wiley & Sons. ln Stone, R. (2001). Research on frontline workers in long-term care. Generations, 25 (1), 49-57. l Stone, Robyn, (2002). Evaluation of the Wellspring model for improving nursing home quality. Available at either the Institute for the Future of Aging Service's web site: http://www.futureofaging.org or at the Commonwealth Fund's web site: http://www.cmwf.org Web Sites lm The Galichia Center on Aging's Mental Health and Aging site has extensive links to resources including general health issues, mental health issues, specific disorders, support organizations, and other helpful resources. It lists contacts for all Kansas Area Agencies on Aging and Community Mental Health Centers. http://www.oznet.ksu.edu/mhaging v Administration on Aging, Region VIII's Cyberspace Resources for Intergenerational Partnerships site has numerous links to intergenerational resources. http://www.aoa.dhhs.gov/regionviii/cyberig.htm lm American Bar Association (ABA) Commission on Law and Aging (COLA) is dedicated to examining law and policy issues affecting older persons. http://www.abanet.org/aging m Alzheimer's and mental health information. Offers free e-newsletter. http://www.athealth.com/Practitioner/Newsletter/FPN_4_34.html u American Society of Interior Designers with the University of Minnesota. This web site provides a section of summaries of research articles about older adults and environments. http://www.informedesign.umn.edu lm Brown University Center for Gerontology and Health Care Research. Facts On Dying: Data on care at the end of life. http://as800.chcr.brown.edu/dying u Center for Health Care Design includes a section on current applied research as well as other resources. http://www.healthdesign.org mn Central Plains Geriatric Education Center (University of Kansas Medical o Center): Provides access to interdisciplinary educational modules (available for CEUs), curriculum resources, calendar of educational opportunities, and links to useful web sites for consumers, caregivers, and healthcare professionals. http://coa.kumc.edu/gec mv Computer artwork and life stories by Anne Eldredge Harris. A site that suggests a variety of activities. http://www.art.net/Studios/Visual/Anne/home.htm lmn Culture Change Now, created by ActionPac, has pictures and stories about ouv facilities committed to culture change. http:www.culturechangenow.com lmu The Eden Alternative's official website: http://www.edenalt.com lm Essential Lifestyle Planning / M.W. Smull's writings. ELP is a specific structure for person centered planning that focuses on finding out what is important to someone, what health, safety, and risk means to the person and to those who know and care about him/her; and figuring out how someone can be supported in having a balance between happy and safe while making the best use of public dollars. General interest articles: http://www.elpnet.net/elpgeneral.html Web site: http://www.allenshea.com/friends.html E-mail: mwsmull@cs.com mu Gardening for Good is a national non-profit organization that reaches out to v professionals, individuals and caregivers with ideas and programs that help older adults continue to enjoy gardening and nature. http://www.gardening4good.org v Generations Together. University of Pittsburgh, 121 University Place, Suite 300, Pittsburgh, PA 15260. Contains many links. http://www.gt.pitt.edu/igpsites.htm v Generations United (GU) is a national organization promoting intergenerational programs and policies. Contains many links. http://www.gu.org/links.htm lm Guide to non-commercial links to mental health, aging well and eldercare. http://www.helpguide.org lmn Galichia Center on Aging, Kansas State University has a variety of aging and uv long-term care related information and links, as well as materials on intergenerational programs and training: http://www.ksu.edu/gerontology lm IDEAS Institute focuses on applied research on the physical, social and nu organizational environment for frail and impaired older adults. Resources include a bibliography and short articles. Articles (March, 2003) include What is your Building Saying?, Using Color as a Therapeutic Tool, Home is Where the Heart Is: Designing Home-like Settings, Designing Bathing Rooms that Comfort, Experiential Learning and Physiological Changes, The Building as a Therapeutic Intervention, The Secret To Happier Meal Times, Being There, and The Nursing Home of the Future: Are You Ready? Web site: http://www.ideasinstitute.org u Institute on Aging & Environment, University of Wisonsin-Milwaukee: The Consulting Services and Projects section contains illustrated descriptions of projects, including research-based design objectives. The Research and Publications section lists a variety of applied research reports and bibliographies related to therapeutic design for older adults. http://www.uwm.edu/Dept/IAE v Kansas Intergenerational Network (KIN). The Intergenerational Network's mission is to connect people, offering everything needed for intergenerational work including information, resources, and expertise. http://www.kinheart.org v Memories shared by "The Panel of Elders" at Hesston College. Students interview elders and results are written as a story from the perspective of the elder. http://www.hesston.edu/academic/FACULTY/DWIGHTR/SOC203/Panel.htm n National Network of Career Nursing Assistants are members of Career Nurse Assistants' Programs, Inc., a non-profit educational organization promoting recognition, education, research, advocacy and peer support development for nursing assistants in long term care settings: http://www.cna-network.org n Nursing Assistant Resources on the Web supported by the Paraprofessional Healthcare Institute. Web site: http://www.nursingassistants.net n Paraprofessional Healthcare Institute (PHI) is a national nonprofit health care employment development and policy organization, whose goal is creating quality jobs for direct care workers. Web site: http://www.paraprofessional.org lm Pioneer Network. This is the website for the founders of long-term care culture no change. http://www.pioneernetwork.net lm Providence Mt. St. Vincent has information about resident-directed care: http:// www.providence.org/Long_Term_Care/Mount_St_Vincent/e75Resident.htm m Therapeutic Touch / Nurse Healers-Professional Associates International, Inc. (NH-PAI) sets standards for the practice and teaching of Therapeutic Touch and facilitates the exchange of research findings, teaching strategies, and new developments in this area. http://www.therapeutic-touch.org/default.asp lo WAI Continuum: http://www.waicontinuum.com/homepage.asp. The u environment: There's no place like a neighborhood. Call 651-227-0644 for free copy. Dana Rice of our advisory group described this as a beginner's tool to culture change. A link provides photos of various projects they have designed. http://wai.blueturtle.net/Experience/projects/LTC/Default.asp lm Wellspring Innovative Solutions, Inc., 607 Bronson Road, Seymour, WI 54165. Mary Ann Kehoe, CEO, Phone: 920-833-1833. http://www.wellspringis.org o Zimmerman Lehman Services: Web site has an essay on working with boards on capital fund raising projects. http://www.zimmerman-lehman.com/capital.htm Videotapes m Abuse: The Resident's Perspective. Filmed on location, residents give staff their perspective of what it's like to be on the other side of care. They report what they feel is unacceptable from their perspective. (20 minute video). Produced by University of Maryland Video Press. http://www.videopress.org mn Bon Appetit! How To Create Meaningful Mealtimes In Long-Term Care. Presents a mealtime program focusing on principles of resident autonomy and person centered care, with attention to identifying the needs of people with dementia. It includes: effects of dementia on communications, behavior and eating, creating dining experiences with less distraction, and preparing and serving food to facilitate residents eating as independently as possible (two 20 minute videos and a manual). Terra Nova Films: http://www.terranova.org m Compassionate Touch: Benefits And Effects In Long Term Care. This award-winning video discusses the physical and psychological benefits of therapeutic massage and attentive touch in residential care (23 minute video). Compassionate Touch: Benefits And Effects In Alzheimer's Care shows the use of attentive touch and gentle message in caring for and relating to those who have Alzheimer's Disease (26 minute video and manual). Produced by Allen Touch Associates. Available from Terra Nova Films: http://www.terranova.org n Communicating with Oriented Older Adults demonstrates techniques of empathy, listening, nonverbal communication, questioning and information. In Communicating With Moderately Confused Older Adults experts use footage of people with Alzheimer's disease and related disorders to show most effective approaches for understanding and helping these individuals. Communicating With Severely Confused Older Adults demonstrates characteristics and intervention techniques with actual older adults experiencing severe confusion. These videos are part of a series on mental health and older adults (each a 20 minute video and program guide). Produced by Mental Health Outreach Network; available from Terra Nova Films, Inc: http://www.terranova.org mn Conflict Resolution In The Nursing Home - The Series. I. Conflicts Involving Residents and Families provides specific suggestions for handling conflicts between staff and residents, staff and residents' families and between residents, including interviews with administrators, nurses and nursing assistants. II. Personnel Conflicts provides ideas to help diffuse problems before they escalate and to promote cooperative, positive work environments. (20 and 16 minute videos, available separately or as a set). Produced by University of Maryland Video Press. http://www.videopress.org/Geriatrics/Conflict_Rez.html mn Creating Successful Dementia Care Settings. Companion videos for Maximizing u Cognitive and Functional Abilities, Minimizing Disruptive Behaviors, and Enhancing Identity and Sense of Home. Series discusses integrating physical environment, staff care practices, and residents' needs into a complementary, holistic dementia-friendly approach. Information is useful for caring for all residents, not just those experiencing dementia. Available from Health Professions Press. Web site: http://www.healthpropress.com mn The Geriatric Nursing Assistant: The Most Important Team Player - The Series. In The Most Important Eyes, nursing assistants discuss important physical, emotional and cognitive changes they look for when interacting with residents. In Becoming An Extended Family Member, nursing assistants discuss knowing and spending time with each resident, allowing residents to have choices, encouraging participation in activities, and becoming an advocate for residents. (20 and 23 minute videos, available separately or as set). Produced by University of Maryland Video Press: http://www.videopress.org/Geriatrics/nursing_assistant.html mn Harriett's People. In a documentary filmed on location, nurses, nursing assistants and a physician team to provide the best possible care during the final months and days to residents in a nursing home (22 minutes). Produced by University of Maryland Video Press: http://www.videopress.org/Geriatrics_home.html n Heartworks:A Video Celebrating the Lives of Direct-Care. This video chronicles the development and presentation of this original theater piece performed by women who work as nursing assistants. Available at the KDHE library or order from: http://www.paraprofessional.org . n One East. This video, filmed on location at the Johns Hopkins Geriatric Center, demonstrates positive interactions with residents experiencing dementia. It is an award-winning documentary (29 minutes) produced by University of Maryland Video Press: http://www.videopress.org/Geriatrics_new.html mn Partners In Care: Care Planning And Care Conferences. This video, which explains care planning conferences, may be useful for staff, family members and residents. It includes specific information about the care planning process, care conferences, the resident's role in planning and monitoring his/her own care, and family involvement that is consistent with the resident's wishes. (20 minute video and presenter's guide). Produced by Caresource Healthcare Communications, Inc. and Terra Nova Films, Inc. Web sites: http://www.caresource.com/video16.htm or http://www.terranova.org lmn Pioneer Network / CMS Video (2002). Innovations in the Quality of Life. (2 « hours). This video is from a satellite broadcast on September 27, 2002. Topics covered include: the Pioneer Network, what is culture change, what does a transformed culture look like, and how regulations and culture change can work together. "I" format care plans and new techniques in bathing are discussed and demonstrated. Video is available at the KDHE library or may be purchased from the Pioneer Network: http://pioneernetwork.org mn Residents Rights Today: Respectful Care in Changing Times. This video presents an overview of residents' rights in the long term care context, including how they can be affected by cultural, ethnic, language and age diversity, more work-flow pressures and outside stressors on staff, why residents' rights are so important in the culture of a long term care facility, and what staff, residents and family members should know about dealing with concerns and complaints early and effectively (20 minute video and presenter's guide with in-service lesson plan and various handouts/worksheets). Produced by Caresource Healthcare Communications, Inc. and Terra Nova Films, Inc. Web sites: http://www.caresource.com/video1.htm or http://www.terranova.org mn Saying Good-bye: Being a Professional Caregiver. In this video, nursing staff share their experiences including accepting families' decisions about treatment; talking with a person who is terminally ill; knowing how to facilitate conversation between the resident and the resident's family; sharing family concerns with the health care team; minimizing family stress; helping friends and roommates understand; dealing with emotional issues of saying good-bye; and finding support at work (20 minutes; one of three videos in a series). Produced by University of Maryland Video Press. http://www.videopress.org/Geriatrics_new.html mn Seven Days A Week. Filmed over a nine month period, this video provides a behind the scenes look at a teamwork and resident-centered approach to providing long term care (30 minutes). Terra Nova Films, Inc. http://www.terranova.org Retired Senior Volunteer Programs in Kansas Barton County RSVP 1125 Williams Great Bend, KS 67530-4445 620-792-1614 Contact Person: Mary Lou Warren e-mail: warrenma@barton.ccc.edu Butler County RSVP 510 E. Augusta Augusta, KS 67010-2100 316-775-0500 Contact Person: Connie Rausch e-mail: crausch@bucoks.com Finney County RSVP 907 N. Tenth Street Garden City, KS 67846-5209 620-275-5566 Contact Person: Marty Dinkel e-mail: rsvp2@gcnet.com Ford County RSVP 2401 N. 14th Street Dodge City, KS 67801-6205 620-227-7077 Contact Person: Marge Blattner e-mail: blattner@dc3.edu Harvey County RSVP Harvey County Courthouse P.O. Box 687 800 N Main Street Newton, KS 67114-0687 316-284-6881 Contact Person: Rosa Barrera e-mail: rbarrera@harveycounty.com Johnson County RSVP Metcalf South Mall 9707 Metcalf Ave., Third Floor Overland Park, KS 66212-2219 913-341-1792 Contact Person: Danielle Palmer e-mail: vcjc@vcjc.org RSVP of Lyon County 618B Commercial Emporia, KS 66801 620-342-6119 Contact Person: Brenda Holmes e-mail: lyon_county_rsvp@yahoo.com McPherson/Sedgwick/Butler RSVP P.O. Box 48109 219 N. St. Francis Wichita, KS 67201-8109 316-290-8877 RSVP of NE Kansas, Inc. 111 S. Eighth, Room 1 Marysville, KS 66508-1800 785-562-2154 Contact Person: Joni Spellmeier e-mail: rsvpneks@bluevalley.net Northwest Kansas RSVP PO Box 803 165 Fike Park Colby, KS 67701-0803 785-462-6744 Contact Person: Laura Withington e-mail: rsvp@colby.cc.ks.us Pratt County RSVP 619 N. Main Street Pratt, KS 67124-1661 620-672-7811 Contact Person: Nancy Badders e-mail: rsvp@pratt.net Reno County RSVP c/o HCC 1300 N. Plum Hutchinson, KS 67501-5884 316-665-4960 Contact Person: Debra Berndsen e-mail: berndsend@hutchcc.edu Riley County RSVP 205 S. Fourth Street, Suite 1K Manhattan, KS 66502-5923 785-776-7787 Contact Person: Lori Bishop e-mail: rsvp@interkan.net Saline County RSVP 239 N. Santa Fe Ave. Salina, KS 67401-2317 785-823-3128 Contact Person: Nancy Klostermeyer e-mail: rsvp@salhelp.org Southeast Kansas RSVP P. O. Box 518 3740 S. Santa Fe Chanute, KS 66720 620-431-3902 Contact Person: Maggie Harrod e-mail: mharrod@tvds.org Wichita RSVP 200 S. Walnut Wichita, KS 67213 316-267-0196 Contact Person: Jacqueline Lugrand e-mail: jackiel@seniorservicesofwichita.com Wyandotte County RSVP PO Box 17-1042 434 Minnesota Ave. Kansas City, KS 66117-0242 913-371-3674 ext. 322 Contact Person: Lori Smith e-mail: lsmith@unitedway_wyco.org References Altus, D., Engelman, K., & Mathews, R. M. (2002). Using family-style meals to increase participation and communication of persons with dementia. 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Clip Art Credits Pg. 6 Dragon Microsoft Word 2002, Microsoft Corp.(2001) file: x.asp Pg. 9 Schooner WordPerfect Office 2002, Corel Corp.(2001) file: dfsg.wpg Pg. 10 Cup ClickArt Image Pak 65,000, T/Maker Co.(1996) file: FOODBV126 Pg. 10 Toast WordPerfect Office 2002, Corel Corp.(2001) file: toast2.wpg Pg. 10 Newspaper WordPerfect Office 2002, Corel Corp.(2001) file: newspaper.wpg Pg. 10 Girl ClickArt Image Pak 65,000, T/Maker Co.(1996) file: PPLGL038 Pg. 11 Showerhead WordPerfect Office 2002, Corel Corp.(2001) file: hhsi006m.wpg Pg. 11 Book WordPerfect Office 2002, Corel Corp.(2001) file: book7.wpg Pg. 11 Slowcooker ClickArt Image Pak 65,000, T/Maker Co.(1996) file: H-HAP072 Pg.11 Frames ClickArt Image Pak 65,000, T/Maker Co.(1996) file: HHOT115 Pg. 11 TV ClickArt Image Pak 65,000, T/Maker Co.(1996) file: H-HEL310 Pg. 18 Cat ClickArt Image Pak 65,000, T/Maker Co.(1996) file: AMMPT029 Pg. 18 Sun ClickArt Image Pak 65,000, T/Maker Co.(1996) file: NATSN301 Pg. 19 Plant ClickArt Image Pak 65,000, T/Maker Co.(1996) file: NATFL296 Pg. 20 Chess game WordPerfect Office 2002, Corel Corp.(2001) file: games010.wpg Pg. 25 Bathtub Microsoft Word 2002, Microsoft Corp.(2001) file: x.asp Pg. 29 Two people Microsoft Word 2002, Microsoft Corp.(2001) file: x.asp Pg. 30 Picture Microsoft Word 2002, Microsoft Corp.(2001) file: j0257422.wmf Pg.30 Roses Microsoft Word 2002, Microsoft Corp.(2001) file: x.asp Pg. 32 Woman/girl Microsoft Word 2002, Microsoft Corp.(2001) file: x.asp Pg. 35 Handshake Microsoft Word 2002, Microsoft Corp.(2001) file: j0240345.wmf Pg. 41 Ice cream Microsoft Word 2002, Microsoft Corp.(2001) file: j0290740.wmf Pg. 43 Four hands Microsoft Word 2002, Microsoft Corp.(2001) file: x.asp Pg. 47 Flag Microsoft Word 2002, Microsoft Corp.(2001) file: j0290082 Pg. 53 Dog Microsoft Word 2002, Microsoft Corp.(2001) file: j0345523.wmf Pg. 53 Basket Microsoft Word 2002, Microsoft Corp.(2001) file: x.asp Pg. 67 Dog ClickArt Image Pak 65,000, T/Maker Co.(1996) file: ANMPT106 Pg. 68 Pool table WordPerfect Office 2002, Corel Corp.(2001) file: pool352.wpg Pg. 74 Garage sale ClickArt Image Pak 65,000, T/Maker Co.(1996) file: HEDB3318 Pg. 74 Van ClickArt Image Pak 65,000, T/Maker Co.(1996) file: TRNGR087 Pg. 76 Knight/book Microsoft Word 2002, Microsoft Corp.(2001) file: j0281200.wmf Pg. 78 3-head dragon Microsoft Word 2002, Microsoft Corp.(2001) file: x.asp Pg. 110 Dragon-shaped old ship Clip art licensed from the ClipArt Gallery, on Discovery.School.com, Copyright 1998 Mark A. Hicks. Winners 2002 Pioneer Awards The Cedars McPherson Cumbernauld Village Winfield Frankfort Community Care Home Frankfort Meadowlark Hills Retirement Community Manhattan Mennonite Friendship Manor South Hutchinson Minneapolis Good Samaritan Center Minneapolis Windsor Place Coffeyville For information about the current PEAK recognition program, please contact the Kansas Department on Aging at: New England Building 503 S. Kansas Ave. Topeka, KS 66603-3404 785-296-4986 or visit their web site at http://www.agingkansas.org/kdoa KDOA's PEAK AWARDS The Kansas Department on Aging's Promoting Excellent Alternatives in Kansas (PEAK) Nursing Homes initiative takes a dual approach. In addition to the educational initiative, KDOA created an awards program to recognize changes in the culture of care that are exemplary. First Medicaid-certified nursing homes in Kansas were surveyed to establish a baseline for culture change. Next, providers self-nominated their homes for the PEAK Nursing Home Award. A committee consisting of staff from KDOA, KDHE, the State LTC Ombudsman Office, and an ex-officio member from PEAK-ED at KSU identified finalists to whom site visits were made. Those organizations were recognized with PEAK Pioneer Awards in 2002 for their initial steps in their journeys in culture change. Each organization demonstrated strengths in one or more of the following areas: Resident-Centered Care, Staff Empowerment, Home-like Environment, and Community Involvement. An award fund was established by KDOA for presentation to the recipient organizations to use for celebrating receiving the award. The PEAK Awards are supported solely through KDOA and businesses sponsors; no Title XIX funds nor matching funds from any of the organizations supporting the educational initiative were used for this recognition program. Sponsors supporting the PEAK Awards for 2002 are shown in this section. Heartland Sales & Chemicals, Inc. Claflin, Kansas heartland@hbcomm.net 1-620-587-3928 Heartland Sales and Chemicals, Inc., in business since 1986, specializes in the commercial laundry equipment business and chemical supply systems for commercial laundries, housekeeping and dietary. It prides itself by fulfilling the promise of prompt, professional service. KDOA PEAK AWARD FUND SUPPORTERS FOR 2002 SYSCO Food Services of Kansas City www.sysco.com 1-800-827-9726 Since the initial public offering in 1970, SYSCO - an acronym for Systems and Services Company - has grown to $23.4 billion in sales for fiscal year 2002. SYSCO is assisting foodservice operators with solutions for meals consumed away from home. (Information supplied by Kansas Department on Aging) 212 S.W. 8th, Ste. #100 Topeka, KS 66603 www.ingretirementplans.com 1-800-232-0024 ING is one of the largest financial services companies in the U.S. ING offers its clients a comprehensive array of financial products and services, including life insurance, fixed and variable annuities, defined contribution retirement plans, and mutual funds. ING maintains a top five position in all of its key product lines, with the exception of mutual funds. ING makes it easy for companies to offer a competitive, attractive plan to their employees and executives, with 401(k), 403(b) or 457 retirement programs. ING offers financial solutions that work for companies, organizations, institutions and individuals and is committed to helping their clients manage their retirement programs. www.centralsolutions.com 1-913-621-6542 Founded in 1925, Central Solutions is an FDA and EPA registered formulator and manufacturer of personal care and infection control products for the health care industry.Gardner & White, Employee Benefits Manhattan, KS www.gardnerwhite.com 1-800- 875-0755 Gardner & White has been actively working with Kansas health care providers since 1969. During that time, we have provided clients with benefits consultation as the core of our service. When clients reach a conclusion about their overall benefit needs, we provide affordable solutions. Part of our service is to provide administrative assistance ongoing, to assure clients receive the values from benefits they have integrated into their overall benefit package. PEAK-ED: The PEAK Education Initiative is supported by Kansas Department on Aging Kansas Department of Social and Rehabilitation Services through a Title XIX contract and through matching funds provided by Kansas State University Kansas Association of Homes and Services for the Aging Kansas Health Care Association We wish you well on your explorationsVolunteers from the Long-Term Care Profession