Upload
john-pitts
View
215
Download
0
Tags:
Embed Size (px)
Citation preview
2012 Summer Conference
The Small House State Veterans Home
The Journey began with a commitment to change…..
2012 Summer Conference
WATKINS-LOGAN-GARRISON TEXAS STATE VETERANS HOMETYLER, TEXAS
2012 Summer Conference
2012 Summer Conference
2012 Summer Conference
2012 Summer Conference
What..
So What..
Now What..
…has been done so far?
…have we learned?
…will we do with those lessons?
…have we unlearned?
2012 Summer Conference
So what have we learned?• Not all who have the desire can successfully make the
transition• Training is HUGE, retraining is required, and monitoring is
essential• Not all residents, family members and team members will
like it – some prefer the traditional nursing home pace
2012 Summer Conference
• “Do-overs” without keeping score of who is right or wrong encourages growth
• Family members have normal family interactions with residents
2012 Summer Conference
Clinical Outcomes
• No in-house pressure sores• No weight loss• Only one hospitalization or re-hospitalization
since February 21, 2012• Only one fall with injury (alert resident tripped
over another residents scooter)
2012 Summer Conference
Resident Successes
• One resident chooses to wash his own clothes• One resident helps with the dishes after every meal• One resident teaches Sunday School every week,
gardening and wood-working classes to the other residents
• Reclusive resident volunteers to deliver mail daily to all houses
• One resident monitors a fellow resident who wanders
2012 Summer Conference
The “Activity Program” looks and feels different
2012 Summer Conference
• Almost everyone gains weight…
Not just residents!!
2012 Summer Conference
So what have we “unlearned”?• The notion that this will be easy…we’ll just do what we’ve
always done on a small scale• Nurses will be happy to relinquish authority and control
over Nursing Assistants• Nursing Assistants will be eager to become leaders in each
home
2012 Summer Conference
Now what will we do with what we have learned?
• Modify hiring and training tactics• Involve team in hiring and
training as new team members join an established team; Nursing Assistants are excellent teachers
• Manage expectations for all stakeholders
2012 Summer Conference
One more thing we’ve learned….It’s worth the efforts involved to make the change!
Home – a place where everyone contributes in his or her own way, has value, and is respected by others
2012 Summer Conference
A Special THANK YOU to the Texas Veterans Land Board for taking the bold
initiative to create a State Veterans Home deploying the Small House model
in Tyler, Texas!!
2012 Summer Conference
Questions & Answers