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Friday, September 28, 2012

The Art of Finesse




By Steven Mattingly

At our daily meeting recently our team was reviewing our staff’s concerns about a particular resident’s behavior.  We discussed various strategies and different approaches that we might use to help this somewhat new resident more easily adjust to the daily rhythm of our community.  Our Culinary Service Director chose an unexpected and interesting word to describe his suggestion. That word was finesse.

I was amazed to observe how quickly our discussion took on a totally different tone.  Prior to this brilliant word use, the focus had been on preventative and outcome driven strategies.  By thinking how we might finesse our interactions with this individual, a much more caring attitude was immediately apparent.  The team began to examine how our approach and actions would affect the resident’s response.  Instead of taking actions that we thought would give the desired result quickly; we began to think in terms of building a multi-step process with individual small results.  The small successes would allow us to build toward the bigger goal that we hoped to achieve.  When we thought about it even more we realized that this approach would offer continual positive reinforcement to the resident.  As we all have heard more than once, success breeds success.

I recently downloaded a dangerous new “app” for my smart phone that may take over my life as it once did when I was in college, Bridge.  Why could that happen?  Both my mother’s and my father’s families whenever they gathered for any family event, inevitably a card game of some type would break out.  Eucher (sp), Hearts, Canasta, Spades, Tripoli, numerous Poker variations, or Buckpitch were just a few of the games I learned to play.  It seemed perfectly normal at both of my parent’s funerals to have extended family members playing various card games in the side rooms of the funeral home.  I think it may be a Southern thing. 

When I arrived at college I was introduced to Bridge and for a good portion of my freshman year I along with other card playing friends from my college days, ate dinner early and retired to Parrish Parlors for an hour or two or three of competitive bridge.  We used rotating dummies so you learned to play various styles of bridge quickly.  I found that my card playing days with my family pre-college served me well.  If you are a regular reader, at this point you are asking yourself “where is he going with this?”.
Back to the art of finesse.  When our Culinary Director used finesse to describe a resident care strategy it just seemed so obvious.  Card games like Bridge use finesse to overcome missing trump or face cards in order to win the required number tricks to meet the bid amount.  It was the classic “aha” moment.  Using a bit of finesse when working with residents allowed us as well as the resident to overcome missing trump cards and make the bid.

This meeting also produced a flood of memories for me that included the places and the faces of my past bridge playing time so many years ago.  It is after that meeting that I searched out the Bridge app that now seems to have taken over my spare time.  Each and every time I celebrate a Bridge finesse I am reminded of how one simple but out of context word produced a significant change in thought for our team.
There are obvious challenges for those of us who care for seniors face on a routine basis.  I can see now how using a little finesse every now and then can produce great results.


Contributing author Steven Mattingly is the Executive Director of Pacifica Senior Living in San Leandro CA.


Wednesday, September 19, 2012

That's Amore



By Rebecca Weitzel


Pacifica Belleair was entertained and delighted by the Fun Time Singers who came to perform for us a couple of weeks ago.  Singing many songs including Patsy Cline’s “Crazy” and Elvis’ “Love Me Tender”, our residents and care givers alike were  clapping and tapping along with the music.  The highlight for me was when one of our residents opened up and belted out the refrain to “That’s Amore”.   Perhaps this isn’t so exciting, but when you consider that this lady hardly speaks anymore, it was quite a surprise to hear her lovely voice belting out “When the moon hits your eye like a big pizza pie, that’s amore”!  Her face was beaming, her hands were waving in expression to the words and when I asked her if she liked the music, she lit up into a big smile and said, “Yes, I was remembering!”  It made me think of how hearing a certain song can sweep us all back in time. Pat Benatar whisks me back to my freshman year in college, The Eagles, well that’s high school and of course there is that special song that takes me back to my minivan, loaded with my school age kids, all of us singing at the top of our lungs to Billy Ray Cyrus’, “Achy Breaky Heart”!  Even today, when that song comes on, each of us will start singing (yes, at the top of our lungs!), inharmoniously, but loudly and enthusiastically nonetheless.  Now, thanks to the Fun Time Singers and a lovely lady, another memory has been cemented; from now on, when I hear “That’s Amore”, I will be reminded of the sweet woman who lives at Pacifica and wonder what memory she relives as she’s transported back in time and hears “When the moon hits your eye like a big pizza pie….that’s amore”!


Contributing author Rebecca Weitzel is the Community Relations Coordinator for Pacifica Senior Living Belleair in Clearwater, Florida. 

Age In Place....Really?


by Rebecca Weitzel


When introducing families to our community, I explain that our residents enjoy "Aging in Place".  This is a popular buzz phrase that’s currently misused, misunderstood and incorrectly offered by many assisted living providers.  Saying that mom can “Age in Place”….sounds nice, but what exactly does it take to make (and keep) this promise? 

Regrettably it is important to understand and anticipate that a person suffering from dementia declines over time.  As conditions worsen, care levels increase, frequently to the point of becoming acute.
Most Tampa Bay AL’s operate with a Standard License and provide routine personal care services to their residents.  Florida guidelines specifically define these services, which are quite limited in scope, as they do not permit delivery of the higher care needs required of more progressed residents.

Pacifica Senior Living Belleair has earned and been awarded a Specialty License called an Extended Congregate Care License (ECC License).  This permits us to legally give and manage higher acuity care needs than can other communities.  Having this designation allows residents to live here without the threat of one day having to move into a skilled nursing home.  Therefore when speaking to families, I legitimately offer “aging in place, here in our cottages, because we are licensed to provide for the increasing healthcare needs of our residents. 

We are one of few dementia care communities in Pinellas County to hold an ECC license.  Having been awarded this specialty license by the State of Florida, Pacifica Senior Living Belleair offers "Aging in Place" ....really!  From the earliest stage of memory care need through the entire journey, our residents remain here, at home, with us. This is one more promise we make (and keep) that makes Pacifica “just the right place” for many Bay Area families.


Contributing author Rebecca Weitzel is the Community Relations Coordinator at Pacifica Senior Living Belleair in Clearwater, Florida.