12 WORDS TO NEVER USE IN PERSON-CENTERED CARE
Appropriate language is crucial to ensuring Person-Centered Care in the Adult Day Center. Documentation describes the participant and, depending on the language used, will reinforce either a person-centered approach or a potentially condescending and staff-centered medical-model approach. Language reinforces behavior; by ensuring this type of language is used in all documentation, you are supporting Person-Centered care and thus, better outcomes for your participants.
Below are words often used in treatment planning or describing participants that are not Person-Centered and alternatives which are; constructive and/or neutral. Use them in good health!
- Instead of using the phrase “Behavior Problem”, use “Alternative Personal Action Pattern”
- Instead of using the word “Allow”, use “Invite”
- Instead of using the word “Unacceptable or Defiant” use “Challenging”
- Instead of using the words “Less Acceptable”, use “More Effective”
- Instead of using the word “Behavior”, use “Actions”
- Instead of using the word “Grasp”, use “Awareness”
- Instead of using the word “Complaints”, use “Feelings”
- Instead of using the word “Non-Compliance/Non-Adherence”, use “Challenges”
- Instead of using the word “Deficient”, use “Incomplete”
- Instead of using the word “Ordered”, use “Prescribed”
- Instead of using the word “Appropriate”, use “Successful”.
How to Find a Center Near You
Adult day care centers have been growing steadily in the recent years not only due to the aging population but also because of the wide range of services that cater to each individual’s situation. The right adult day care for your loved one will help foster a sense of community and may decrease the impact of any sudden medical changes that may occur. Participants also report feeling socially alert and look forward to going to adult day care when they are engaged in uplifting planned activities.
Adult day care centers act as a bridge between long-term care and assisted living. In comparison to assisted living or nursing homes, adult day care services are much more affordable. The average price for one day of adult day care is about $61, while the cost of a semi-private room in a nursing home is $198. While adult day care services provide some respite for the caregiver, the main advantage is the cost involved.
First and foremost, determine what your ultimate needs are in finding an adult day care that works for you.
What are your non-negotiable items?
Do you need a location close to your workplace? Do you need enhanced or specialized care? Are you more concerned about the quality of the social activities and the meal offerings? Will your loved one need transportation to and from the adult day care center? Or are you more interested in the ratio of specialists to participants? Each one of these questions will ultimately play into the overall cost of the adult day care program.
Adult day care centers that provide purely basic help and assistance are more affordable than specialized adult day care centers that work with dementia or Alzheimer’s. Location also plays an integral role in the cost of the program. Some adult day care centers focus on recruiting industry leaders to create a cutting edge approach to their services which may increase the cost and level of care. Ultimately, finding the right adult day care for your needs is a personal choice involving concerned family members and the participant.
To search for the adult day care centers within your area, utilize referrals, internet searches, or online review and association sites which have directories of adult day care centers. Compile the list of your top picks based on your non-negotiable items and place appointments to view the facilities. Some centers, depending on their level of expertise, may have a waitlist.
Find out as much as you can about the adult day care center while you are on site. Take in the energy of the room. Is it a positive environment for the participants? How do the specialists interact with each individual? Does the level of care provided match or exceed the cost of the program? If possible, find out what the turnover rate is of the facility you are visiting. How long have the managers served in their positions? When searching for the right adult day care center, consistency should be a top consideration. Your loved one will have an easier time adjusting to the adult day care facility if the program is consistent and dependable.
Once you determine your top priorities and non-negotiable items, your list of adult day care centers will be much more focused and easier to sort through allowing you to find the right adult day care.
As we age, we experience an increase in body fat, reduced muscle mass, strength and endurance, and diminished balance and aerobic capacity. Normally these deficits result in slowly diminished levels of our functional ability. The resulting loss of functional ability can result in susceptibility to falls, inactivity, and depression. This in turn can exacerbate existing conditions or contribute to new, chronic diseases such as diabetes, stroke, cardiac infarction, or cancer.
The advice we hear usually involves “exercise and diet.” But there might be more to this than meets the eye.
The benefits of dancing, for example, exceed mere physical exercise. One can easily see the primary benefits include improved balance and a reduced risk of falls. Dance has also been shown to have considerable physical benefits for older adults with arthritis, osteoporosis, and neurological conditions.
As early as 1989 Robert Katzman and Joe Verghese (2004) from the Albert Einstein College of Medicine were researching other benefits from dancing. In a 21-year study of older adults, 75 years and older, they examined the extent to which physical or mental recreational activities influenced brain health. They studied mental activities such as reading books, writing for pleasure, doing crossword puzzles, playing cards and playing musical instruments. And they studied physical activities like playing tennis or golf, swimming, bicycling, dancing, walking for exercise and doing housework. One of the surprises of the study was that almost none of the physical activities appeared to offer any protection against dementia with one important exception: frequent dancing. Mental activities that offered similar protective benefits included playing an instrument and playing board games.
Music and dancing are becoming central features of healthy longevity. Perhaps dancers and musicians are more resistant to dementia as a result of having greater cognitive reserve. They have more ways of thinking. We have a word for this–neurogenesis–where our brain constantly rewires its neural pathways through dancing and playing music.
Gerontologists still argue why dancing shows benefits and playing tennis for example, does not. Research using computer exercises show that engaging in unique events stimulates the brain to react and develop. Unstructured dancing, which requires instant reaction to your partner’s movements, stimulates the connectivity of your brain. Unique and even frustrating classes have better results, as they create a greater need for new neural pathways. Dancing also makes your gait look better and you become more attractive.
In a study in 2005 William Brown and colleagues at Rutgers University found that people appear to be able to pick desireable partners based on the way they dance. The researchers analyzed 183 young dancers by attaching infrared markers and filmed the markers for one minute. Then they asked peers to evaluate how well the computer-generated figures danced. They found that skillful dancing is associated with desirability and attractiveness.
Dancing simultaneously involves movement, social engagement, musical appreciation, emotional expression and makes you more desirable. Repeating the poet Edwin Denby, “There is a bit of insanity in dancing that does everybody a great deal of good.“