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FAQ

Frequently Asked Questions

Click on any of the questions to see the answer.

 
 

1) Why do I need a comprehensive system to provide one-to-one activities for people who won't participate in group programs?

   
 

2) As an administrator, with all the cutbacks in Medicare and Medicaid funding, how can I justify spending scant resources on a new activity program now?

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3) How does The Pleasure of Your Company® enable me to stay in compliance with Federal Interpretive Guidelines 248?

 
 

4) How does The Pleasure of Your Company enable me to stay in compliance with Federal Interpretive Guidelines 249?

   
 

5) What comes in the box when I buy The Pleasure of Your Company Program Manager's Edition?

   
 
"The Pleasure of Your Company has really simplified room visits"

   
 

6) There's a lot inside the box. What do I do first?

 
 
 

7) What's in each Visit Plan?

   
 

8) Why do you call activities "Visits"?

   
 

9) How can I use The Pleasure of Your Company to help both rehab and long term care residents to feel more "at home" in the environment?

   
 

10) How can I easily individualize a person's one-to-one activities program using The Pleasure of Your Company?

   
 

11) I understand that The Pleasure of Your Company has a form for documenting room visits. Our home has its own activity documentation form. Can I use our one-to-one documentation form and still use The Pleasure of Your Company?

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12) How do I put a Visit Corps team together to provide all the one-to-one activities that are required of me?

   
 

13) How do I train the Visit Corps members?

   
 

14) I am often busy or out of the home. How do I inform Visit Corps members about whom to visit and which visit plans to use?

   
 

15) I keep hearing about Culture Change as the wave of the future. How does The Pleasure of Your Company help me and my nursing home to "catch the wave"?

   
       
 

1) Why do I need a comprehensive system to provide one-to-one activities for people who won't participate in group programs?

   
 

Typically, one-third of all nursing home residents require one-to-one activities that must be relevant to each person's interests, life and needs. In a nursing home with 100 residents, approximately 30 residents require one-to-ones. Given three activities a week, that means the Activity Director must manage and customize almost 1,200 in-room programs a quarter. This is in addition to large and small group activities, holidays and outings, care plan conferences, daily stand-ups, meetings with staff, residents and family members.

The recent interpretive guidelines for F249 state that it is the responsibility for the whole home, including staff and volunteers, to participate in delivering individualized activities – including one-to-one programs. The Activity Director is responsible for organizing and training the staff and volunteers to deliver room visits. This occurs once the residents' needs are assessed and activities are tailored to each person. The activities must also be assigned, monitored and supervised. The best way to get the job done is with a whole systems approach as is featured in The Pleasure of Your Company.

Now with a system in place, you are able to involve the staff members, volunteers and families to provide your many in-room activities, thus allowing you to focus on everything else that is required of you to run your department.  

 
 
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2) As an administrator, with all the cutbacks in Medicare and Medicaid funding, how can I justify spending scant resources on a new activity program now?

   
 

The Pleasure of Your Company is actually a human resource system that provides the activity director with the resources to organize the whole home's staff into a Visit Corps to provide activities for the most isolated residents. By continually educating and engaging all staff in quality of life, they become more effective and are able to use their down time more productively. Additionally, The Pleasure of Your Company with its emphasis on providing custom tailored one-to-one programming and the Visit Corps are a strong selling point in marketing your home to families of potential residents who are room bound or there for short term rehab. 

 
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3) How does The Pleasure of Your Company enable me to stay in compliance with Federal Interpretive Guidelines 248?

   
 

F248 and the recent Federal Interpretive Guidelines require that each resident's program be person-appropriate. This means that you need to consider the resident as a whole person with history, personal needs, interests, identity and background. Each person's program needs to be individualized to promote well-being, pleasure, self esteem, comfort and optimal levels of function. Through delivering the one-to-one visits and the structured education provided by The Pleasure of Your Company, Visit Corps members –staff, community and resident volunteers, and family—learn to relate to the resident as a person who is capable of learning, growth and development, regardless of diagnosis. As the resident's needs changes, The Pleasure of Your Company Planning Toolkit helps you to quickly and efficiently adapt the program to the person's evolving needs.

 
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4) How does The Pleasure of Your Company enable me to stay in compliance with Federal Interpretive Guidelines 249?

   
 

The essence of F249 is to ensure that the Activity Director is a licensed and well qualified manager. As such, you are required to direct the development, implementation, supervision, and ongoing evaluation of activity programs that are specific to each individual's needs. The Pleasure of Your Company provides all the tools and resources to organize, delegate, monitor, evaluate and supervise the entire nursing home community as it meets the individualized quality of life needs of each isolated resident. It supports you in recruiting, retaining and organizing staff, volunteers and family members into a Visit Corps. It provides a system for assigning and assessing the quality of visits, as well as providing visitors with continuing education, monitoring and feedback.

 
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5) What comes in the box when I buy The Pleasure of Your Company Program Manager's Edition?

   
 

Everything you need to plan and provide customized one-to-one activities and build a staff and volunteer Visit Corps to deliver the programs. Please see What's In the Box.

 
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6) There's a lot inside the box. What do I do first?

   
 

It's all in the Professional Activity Director's Handbook  It explains everything about the program and how to put it to work for you.

 
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7) What's in each Visit Plan?

   
 

Each of the 41 Visit Plans is turn-key, ready to use and has two parts.

Part 1 is read before the Visit begins and helps the volunteer or staff member to understand what he or she is doing and why. It begins with Quality of Life Domains specific to the visit and continues with a Focus, that provides a snapshot description of the activity. Each plan has 10 Goals so that the visitor has a sense of what outcomes are possible. The Regenerative Foundation describes how the specific visit contributes to the resident's growth, renewal and sense of purpose. It concludes with a list of materials that will be needed.

Part 2 is brought into the resident's room. It begins with Getting Ready, which orients the visitor to what is happening with the resident that day and includes tips to build rapport and trust. A brief section follows about how to adapt the visit for residents who are passive or vision impaired. The heart of Part 2 is detailed Step-By-Step Instructions which includes language to be used by visitors who are not yet comfortable speaking with nursing home residents. It then explains how to End the Visit. Each visit concludes with Variations on the theme.

 
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8) Why do you call activities "Visits"?

   
 

It's simple. This is the resident's home. When a person comes into a resident's room to provide an activity, whether a staff member, family member or volunteer, he or she is a visitor. The idea of "making home" is a fundamental concept of the Culture Change  movement.

 
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9) How can I use The Pleasure of Your Company to help both rehab and long term care residents to feel more "at home" in the environment?

   
 

Among the biggest obstacles to achieving a comfort level for long-term residents and short-term rehab patients is not knowing how the nursing home works, how to get one's needs met and who to go to when there's a problem. There are seven Visit Plans specifically concerned with helping the resident understand how to be "at home" in the environment. These are: 1) Touring the Home; 2) Monthly Activity Calendar; 3) The Daily Menu; 4) Care Plan Conference; 5) Your Day; 6) Resident Rights; and 7) Quality of Life. The benefit to the resident of experiencing these visits is that she or he feels empowered and is free to focus fully on the rehab experience and/or making a meaningful life in the home.

 
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10) How can I easily individualize a person's one-to-one activities program using The Pleasure of Your Company?

   
 

You can quickly update a resident's one-to-one activity program on a quarterly basis or when a resident's condition changes. Based on your knowledge of a resident's individual needs, you can select from four approaches to create the resident's program; we call these approaches Rotations. The Pleasure of Your Company provides you with a Planning Toolkit  that helps you choose the appropriate Rotation and create an individualized program in about 15 minutes.

Briefly, the four Rotations are:

  1. Provide the resident with a wide variety of programs.

  2. Address the resident's expressed likes and dislikes.

  3. Continue life-long or pre-admission activities, using the Special Resident Visit Plan .

  4. Address special resident problems or needs, especially those identified by the Multidisciplinary Care Plan Team. The Domain and Visit Plan Reference Flow Chart makes it easy to identify the right activities for these problems or needs.

By using The Pleasure of Your Company in this way you are not only meeting each resident's needs for a custom tailored program, but also you have a documentation trail that shows specifically how the program is indivualized.

 
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11) I understand that The Pleasure of Your Company has a form for documenting room visits. Our home has its own activity documentation form. Can I use our one-to-one documentation form and still use The Pleasure of Your Company?

   
 

Of course you can. At the same time, the Resident Room Visit Documentation Record that comes with the Pleasure of Your Company is a useful tool. It is filled out by the staff member, volunteer or family member immediately after the activity is completed. Using our form, you can quickly see trends that alert you to changes of condition. The brief notes enable you to enter information into your quarterly progress notes that is not rote, but that specifically illustrate each resident's participation.

 
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12) How do I put a Visit Corps team together to provide all the one-to-one activities that are required of me?

   
 

The Visit Corps is comprised of staff members, volunteers, residents and family members committed to deliver at least one room visit per week. The team of visitors makes it possible for you to provide individualized one-to-one programming to all residents who need it and to be in compliance with both F248 and F249.  Members receive recognition as the home's Quality of Life Champions. A Quality of Life Champion is a Visit Corps member who promotes the philosophy that all residents can grow, learn and develop regardless of diagnosis. The Professional Activity Director's Handbook teaches you how to recruit, train and manage a Visit Corps, beginning with the administrator and other department heads.

 
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13) How do I train the Visit Corps members?

   
 

The most effective training involves continuing learning experiences . The Pleasure of Your Company provides both structured and informal learning and training. The Professional Activity Director's Handbook provides two Lesson Plans for you to use in training Visit Corps members. Each Visit Corps member is provided a 10-Minute Handbook for Visit Corps Members  to take home for review and reference. Additionally, there are monthly seminars for Visit Corps members so you can build an informal learning community. The Pleasure of Your Company program is designed to provide learning-through-doing. Each Visit Plan teaches the goals, quality of life outcomes and specific how-to's for program delivery and the Visit Corps member is continually educated in communication skills, relationship building and meeting the activity needs of residents.

 
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14) I am often busy or out of the home. How do I inform Visit Corps members about whom to visit and which visit plans to use?

   
 

There is an easy system for managing assignments. Each Visit Corps member has a Visit Corps Assignment Log sheet under her or his name in the Unit III, Visit Corps Log binder that explains who to visit and the activity to be provided. You can fill out the assignment log sheets in advance at your convenience and it's always available to the Visit Corp member. There is room on the log sheet for the visitor to report back to you that the visit was completed, the materials were returned and about any situation that may have occurred in dealing with the home and its staff.

 
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15) I keep hearing about Culture Change as the wave of the future. How does The Pleasure of Your Company help me and my nursing home to "catch the wave"?

   
 

Fundamentally, Culture Change requires a shifting in the roles and responsibilities of everyone within the home to support such core person-directed values as choice, dignity, respect, self-determination, pleasure, and purposeful living for all residents. Relationship is the fundamental building block of Culture Change. The Pleasure of Your Company was created in a nursing home setting by a team from Live Oak Institute which is widely acknowledged for its work in pioneering culture change since 1977.  The core values of culture change are embedded in every aspect of the The Pleasure of Your Company.   It places the Activity Director at the center of the nursing home's culture change journey by organizing the whole home to meet the individualized activity needs of the most isolated residents.  When everyone's role in the home is expanded to serve not just the "quality of care" needs of residents, but also the "quality of life" of each person, the culture change process flourishes.

 
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