BEEFS & BOUQUETS PROGRAM

Report
Vista Park Lodge’s
“BEEFS & BOUQUETS
PROGRAM”
The focus of this program was to increase
the input of our 2nd floor Residents, many
with mild to moderate cognitive impairment.
The name was derived from the long
standing radio show on C.J.O.B.
We thought by using this name it may spark
some familiarity since many Residents still
maintain some long term memory.
Our Resident Council on the 1st floor were
very active and often their decisions could
impact 2nd floor programming. We needed
an avenue of fairness. Beefs and Bouquets
provided that opportunity.
The purpose of this program was to
empower Residents by facilitating the
success of simple decision-making. For
example choices of meals, entertainment
and programming.
The areas of discussion in this
presentation will cover:
 Why we determined this program was necessary
 Developing the Terms of Reference
 Meeting Plan
 The Agenda
 Follow Through
 Evaluation Outcomes
WHY WE DETERMINED THIS
PROGRAM WAS NECESSARY
 It would provide 2nd floor Residents
with some input into their daily lives.
 It would allow them to express feelings
and opinions in a non-judgmental
environment.
WHY WE DETERMINED THIS
PROGRAM WAS NECESSARY
con’t
 It would provide an avenue for
residents suggestions and requests to
be incorporated into Resident Council
decision making.
 It would promote a feeling of
community and comradery in a less
structured, non-demanding
environment.
2nd FLOOR BEEFS AND BOUQUETS
GROUP MEETINGS
PURPOSE
 Empowerment: To facilitate the success of simple
decision making regarding choices of meals,
entertainment and programming.
 Communication: To provide an opportunity for 2nd floor
Residents to voice their opinions regarding their likes and
dislikes.
 Improvement: Opportunity for staff to gather information
from Residents and implement changes to improve and
enhance quality of life and support the Continuous
Quality Improvement process.
OBJECTIVES
 Empowerment: The Beefs and Bouquets group
will have input that facilitates changes based on
Residents feedback.
 Communication: Recreation staff will encourage
input by providing a loosely structured casual
forum in a simple format.
 Improvement: Residents will be empowered by
having their suggestion followed up on.
MEMBERSHIP
 Open to all Residents
 Open to family members
 Chairperson / Secretary (Recreation Staff)
FREQUENCY OF MEETINGS
 Monthly meetings
REPORTING STRUCTURE
 Recreation staff will review minute meetings
with Recreation Manager to ensure areas
identified are followed up on.
 All members of the Leadership & Partnership
Team will receive meeting minutes.
 Minutes will be posted for Residents, families
and staff.
MEETING PLAN
 To begin the meeting, we introduce ourselves
and the Residents and thank them for coming.
 To center Residents as to why they are in the
room, we review the minutes of the previous
meeting.
 Meetings take place in the morning when
Residents are most alert.
MEETING PLAN con’t
 During the meeting we introduce one agenda
item at a time offering two or three selections,
then we ask for feedback and suggestions.
 A vote is taken by a show of hands to express
preferences.
 When the meeting is ended, we thank the
Residents for coming and providing their
suggestions.
MEETING PLAN con’t
 All of the above is recorded in the
minutes and must be followed up by the
next meeting.
 There are always two (2) staff members
at the meetings, one acts as the
facilitator while the other one is the
secretary.
THE AGENDA
 Provide a set agenda but you should be open,
flexible and sensitive to individual’s input.
 The agenda items are generally made up of but
not limited to the following topics:




Programs
Food Choices
Entertainment
Outings
FOLLOW THROUGH
 Minutes are completed. Recreation
manager and recreation staff meet
regarding requests.
 Programs and choices are incorporated
in the monthly recreation calendar.
 It is critical to ensure that what Residents
have requested actually happens.
EVALUATION
 Observation of program and Resident’s
interaction.
 Feedback at the event from Residents,
family and staff. Often Residents may
make a comment at a later time that is
brought to our attention by staff or family
members.
EVALUATION con’t
 Review and evaluate the minutes from
last month’s meetings.
 Monitor these programs through our
Continuous Quality Improvement
Indicator (CQI) on an ongoing basis.
OUTCOMES
 Resident was all smiles when a program
she had suggested was successful.
Several family members came up to her
after the program to thank her for her
suggestion.
OUTCOMES con’t
 Due to Residents input the following
changes have occurred:




milkshakes and ice wafer cookies for 2nd
floor birthday parties have become
standard fare due to Resident input
increased entertainment on 2nd floor
pureed meals-breakfast (eggs Benedict)
lunch (hamburgers)
increase in special events on 2nd floor ie.
Birthday Parties and Pub Night
OUTCOMES con’t
 Dinner Party – Resident’s spouse commented
that she was not able to take her husband out
and having a special dining experience was like
going out to a restaurant.
 Residents chose specific food items like donuts
or Tim Bits. Success of the program was
evident since all the donuts and Tim bits were
gone while the cookie tray was still ½ full.
The Beefs and Bouquets Program has
had a positive impact of the whole
culture of the facility.
The 1st floor Residents were reluctant to
join any 2nd floor events. Due to the Pub
Night and Birthday Parties on the 2nd
floor, these Residents have become
more accepting and now readily attend
programs up there.
Many of us assume we know what’s best for the
Residents.
We make assumptions that Residents with
cognitive impairment can not contribute or
make simple decisions regarding their choices
or daily activities.
By doing so we fail to empower Residents.
As staff, we tend to take over.
Our Beef and Bouquets Program requires us to
step back and allow Resident decision making.
This program has not been an easy one for
recreation staff to facilitate. Some meetings
have been more difficult than others.
Participation at meetings can range from
minimal to maximum. Most importantly we
never assume that the Residents are not
capable.
Staff have been taken aback by how adamant
the Residents are when it comes to their likes
and dislikes. Resident responses are often
quite different than what staff have anticipated.
When dealing with cognitively impaired, some
Resident’s family members have said, I don’t
know why I come here, my mother/father
doesn’t even know I’m here.
Our answer to them is you know you’re here
and that is the most important thing. Even
though there are times when Residents may not
know or realize they are being empowered, we
know that we are facilitating it. The greater
crime would be not to try.
Vista Park Lodge’s
“BEEFS & BOUQUETS
PROGRAM”

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