Page 45 - Ombudsman Participant Manual Optimized_Neat
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Pioneer    Principles                          •   Emphasize    the  relationship  between  the

                                                                          resident   and resident assistant as central to




          •   Know each person                                            quality    of  life  for  both;  Create  opportuni-







          •   Each person can   and does make a difference                ties    for  relationships  between  hands-on



                                                                                     and  residents  by  using  consis-

                                                                          caregivers
                            the fundamental building block of
          •   Relationship is                                             tent assignment of staff
             a transformed culture                                    •   Hold    weekly  meetings  or  regular  learning




          •   Respond to spirit, as well as mind and body                 circles   with staff concerning knowing each






          •   Risk taking is a normal part of life                        resident, team   building, and seeking staff’s
                                                                          opinions;
          •   Put the person before the task                          •   Give    staff  a  voice  in  managing  their  own




          •   All   elders are entitled to self-determination, wher-      time and schedules;



             ever they live



          •   Community is the antidote to institutionalization       •   Accept    without  judgment  the  resident’s
                                                                                              community and team;

                                                                          family as part of the





          •   Do   unto others as you would have them do unto         •   Base   toilet use schedule on the individual’s







             you –   yes, the Golden Rule                                 bowel and bladder patterns;
          •   Promote the growth and   development of all             •   Teach    and  model  good  communication,



          •   Shape and use the potential of the environment in           especially staff listening   skills;
             all its aspects: physical, organizational, psycho/       •   Mix   the presence of children into daily life
             social/spiritual




          •   Practice   self-examination, searching for new crea-    •   Welcome    and  provide  for  residents’  ani-




                                                                          mals
                                                                               for companionship, meaning, and de-

             tivity   and opportunities for doing better                  light;
          •   Recognize that culture change and trans-                •   Maintain   plenty of living plants inside and




             formation are not destinations, but a journey, al-           out to
                                                                                enable daily contact with the natural
             ways a work in progress                                      world;



                                                                      •   Encourage    creative  ideas  from  staff,  resi-
                                                                          dents, and families;



                                                                      •   Continuously    educate  staff  on  culture
                                                                          change;
                  Person-Directed        Practices                    •   Provide    resident  assistant  training  which





            •   Establish   resident direction in goal setting and        includes mentorship and   support;


                care;                                                 •   Use      a  resident  assistant  career  ladder  in











            •   Re-organize    and  empower  staff,  focusing  on         which    wages  are  tied  to  performance  and


                responsibility,  accountability    and  strong  sup-      education;



                port to direct care workers (resident assistants);    •   Design   and  organize in-service training to

            •   Enable   resident choice in aspects of daily life         make it person (resident)   centered;




                significant to                                        •   Support strong, active family   councils;
                             the resident, such as time getting
                up and   going to bed; eating; naps; times out-of-    •   Develop small units of 10 to 15 residents;





                doors;   favorite pastimes; times and methods of

                bathing;   content of meals and the ways meals        •   Include child day-care facilities in design.




                are served;                                           •   © Nursing Home Pioneers

                                                                                       Office of the LTC Ombudsman
                                                                                       Office of the LTC Ombudsman
                                                                                         Version 1.0 September 2020
                                                                                         Version 1.0 September 2020
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