1. Chapin Home for the Aging Group I: Hussam Abbassi Nick Brown Angela Grigos Elizabeth Lim Gary Moorley Lisa Rodolico Jessica Wong

2. Things Concerning the Volunteers “See”  Instructions and Introductions weren’t given to the volunteers Diabetic patients Oozing leg  One-on-One visits Random patient selection

3. Things Concerning the Volunteers “Judge"  Not informed  endangers volunteer and/or patient  Uncomfortable situations  patients may become upset  Natural law  should give and provide assistance (time) to others  Stewardship

4. “Act”  Comprehensive training session  Standard procedures  How to contact the nurses/staff  How to properly respond to patient requests  Assistance at feeding times  Bracelets  Surveys distributed weekly to patients  Indicate one-on-one visits  Interests Things Concerning the Volunteers

5. You Again? - Same 10 to 15 patients go to the activities - There was little turn out in the activities - sit around the side observing, not participating, don’t appeal to the patients - Activities were usually only held on one floor - There are also not enough volunteers ~ approximately 7 volunteers a week “See”  Choose not to attend or unaware of activity  You Again? Same 10 to 15 patients  Disinterest  sleep, walk out, ask to be wheeled out  Same activities  Only one floor  Volunteers ~7 per week for 2 hours Things Concerning the Activities

6. Things Concerning the “Judge”  Performers/planners apathetic Residents as means to their ends Objects not subjects  Supposed to keep the patients active either physically and/or mentally - Alzheimer’s disease  Made in God’s image, called to use gifts/talents to potential  Our relationship with God is expressed in these gifts Activities

7. “Act”  Get everyone involved  Surveys Feedback on activities Suggest new ones  Utilize the volunteers you have! musical talent, computer skills, language, dance Things Concerning the Activities

8. “Act” Long Term Goal - SJU and Chapin can work together to form “class” - Vincentian University “Community service programs combine with reflective learning to enlarge the classroom experience.” (SJU identity) Elective credits (2 credits) Taken twice  Fall, Spring P/F class 2 hours of service each week Keep a log and show up to site

9. “See” - Put in a room and allowed to do whatever they pleased as long as actions didn’t hurt themselves or other residents - Time and care for transport - Fights - Patients couldn’t come every week - Freedom only 1.5 - 2 hrs a week - Physical restraints - Mixed in with the regular patients ex: rooming, feeding, etc. Things Concerning Residents with Dementia

10. “Judge” Pope John Paul II, 1995 Evangelium Vitae - Every life deserves respect and care, even those who cannot take care of themselves  unique and unrepeatable - Made in the image and likeness of God  care and attention should not be denied to these patients because of mental incapacity or incompetence Ideally: should be allowed to do this all the time  not harmful people Staffing issues  lack of understanding Need smaller group per proctor ratio than normal patients

11. “Act” - Small group of existing nurses/workers can be trained to deal with dementia patients - Those that are specially trained can work with these patients on their own floor  devote an open room - think children daycare center Things Concerning Residents with Dementia

12. “…a doctor treats a disease that a person happens to have, but a NURSE treats a patient who just happens to have a disease…” Jenn, class of 2000, nursing, Golden West College http://www.collegeboard.com/csearch/majors_careers/profiles/majors/100958.html

13. See:  Not enough nurses to take care of patients  big burden on few nurses  Nurses are impatient with residents and sometimes ignore requests Facts:  The average age of the nursing workforce is 49 years old  Demanding  Verbally abused  Nurse-patient ratios Things Concerning Nurse Shortage http://www2.mc.duke.edu/depts/hospital/9200bmt/shortage.htm

14. “Judge”  Lack of nurses = Lack of care  Not enough time to meet needs  Dignity of old is compromised  Patient may become victim of neglect and abuse  Lack of care = abuse and neglect of elderly If the patient truly is to come first, the caregivers also must come first

15. Moral perspective: Lack of nurses = Lack of care  Patients not treated as ends in themselves  treated as objects, not subjects  Have a right to life  shortage limits that right

16. Immediate Action:  Nurse’s Bill of Rights  Increase number of trained volunteers  Universities  Nursing schools

17. Long Term Goals:  Nurse’s Day  Nurses tell students aspects of nursing only seen through experience  Encourage financial incentives  Nursing school an option for graduate school  Wage increase  Legalize nurse to patient ratios

18. The End