“Depression”
The focus of this presentation is on the definition and co-morbidities that make it difficult
to detect depression in the elderly. We will also discuss the suicide risk and treatment modalities for these residents.   At the end of the inservice, we will do a crossword puzzle, which you may also use for staff that weren’t able to attend.  

“Incontinence”
This presentation includes the causes of incontinence, the assessment of incontinence; including record review, in a four-step program to decrease the incidence.  Time saving strategies are included, as well as catheters, UTI’s and related skin problems. 

“Pain Management”
Pain is an unrecognized, overlooked symptom.  Many caregivers don’t understand that this isn’t a normal process of aging, or that pain is subjective.  We do not decide who hurts.  This presentation shows different ways to assess pain based on knowing your resident function and mannerisms; as well as management vs treatment of pain.  Forms and handouts are included to assist with setting up systems.  The WHO ladder is briefly discussed, as well as new research relating to Opiod dosing.

“Pressure Ulcer Prevention”
This is a presentation for using systems and “scales” for prevention of pressure ulcers.  This will be a good presentation for your community if you don’t have good systems in place for risk, nutritional and skin assessment; preventative skin care and positioning; documentation; physician communication; or use of support surfaces.  It can be geared for nursing staff or scaled down some to frontline caregivers as the “Maintaining Skin Integrity Workshop”.

LIST OF INSERVICE TRAININGS FOR NON-LICENSED STAFF:

“Depression for CNA’s”
Depression is an underdiagnosed condition in the elderly and effects 50 percent of them.  This is a scaled-down version so non-licensed staff can understand depression and be an effective member of the team.  

“Maintaining Skin Integrity”
This is an inservice designed especially for non-licensed staff using guidelines for integrating prevention, early detection, incontinence care, nutrition,  positioning and pressure relieving devices into their daily care.

“Pain Management for CNA’s”
Pain is an unrecognized, overlooked symptom.  Many caregivers don’t understand that this isn’t a normal process of aging, or that pain is subjective.  We do not decide who hurts. This inservice recognizes the importance non-licensed staff play in pain management without including the details of medication use and pain assessment.

"Restorative-Preventing Mobility Decline”
 The many aspects of a good restorative program are discussed.  We attempt to get caregivers to “think outside of the box” and provide hands on activities for them to try.  There are a few communities in the county that have excellent restorative programs that I have used as a pattern to change.

“Person-Directed Care/Culture Change”
This is a series of inservices provided by CMS that we present to assist communities in their road to culture change.  CMS has a series on individualized care that we have studied so we can better assist the communities with their care.  It is based on the HATCH approach (holistic approach to transformational change).  “Care Practices in Person Directed Care” by Rebecca Lea is the PowerPoint I have chosen to use.  It has change ideas that are excellent for frontline staff.  We have added a preferences worksheet to it for staff to complete to give them a real understanding of resident choice.  There are also interview questions that can be shared for care scenerios.

“Behavioral Symptoms Associated with Dementia”
This inservice encourages you to rethink the way you interact with residents and involves some simple brain anatomy.  It is based on the understanding that behaviors are caused by unmet needs.  End of life issues are also discussed.    It includes quick quizzes, a behavioral checklist, and informative websites for further reference.  It is for all facility staff.

“Incident, Accident Prevention”
This is a very popular presentation which we have updated to include an alarm elimination program. Accident prevention for staff as well as residents is discussed. The important theme is: accidents can easily be determined abuse or neglect, especially if not investigated properly. Quick quizzes and competencies are included.

“Infection Control”
This is the most popular presentation and is constantly being updated to keep up with emerging infections and changing treatments in the long term care setting.  The underlying message is “universal precautions." At the end of the presentation, volunteers wash their hands after applying germ powder and the black light reveals the effectiveness. There is also an emphasis on influenza prevention.  Quick quizzes as well as competencies are part of the training for all staff members. 

“Prevention of Abuse, Neglect, and Exploitation”
This presentation takes you beyond definition to address reasons for abuse, how to better report abuse, ID risk factors, and three strategies to prevent the occurrence. It is for all staff members. A competency exam may be included with this inservice or used as a tool for those who weren’t able to attend.

“Food Safety”
In this class, participants will learn and apply methods and frequency for maintaining the environmental conditions of the dietary department as well as neighborhood kitchens.  This will include proper handling, storing and preparing of foods; as well as the guidelines for cleaning and sanitizing food preparation surfaces, equipment, and utensils.