Training Slides: How to Conduct the Home Visit & Train Home Visitors to Implement the Remembering When program

Remembering When Program Book: Home Visit Section You will find information about:  Working with established agencies  Training for home visitors  Guidance on preparing for a home visit  Home presentation ideas  Smoke Alarm information  Other safety information Additional information at  Train the Home Visitor power point presentation: a step- by-step guide to facilitate training sessions for new Remembering When home visitors.

Training Home Visitors At least 1 ½ hour session Instruction on the following: Purpose & history of Remembering When Importance of partnership approach Fire & fall statistics for older adults 16 key Remembering When messages Additional fire & fall prevention information Review of handouts and materials Smoke alarm testing and placement Lesson plans and role playing

Objectives of Home Visitor Training Participants will be able to:  access the Remembering When™ online program and supplemental resources.  interact with older adult residents in a caring, respectful manner.  plan and implement effective Remembering When home visits to accomplish the following tasks:  address the 16 key fire and fall prevention behaviors.  demonstrate how to test smoke alarms.  create a personalized home escape plan with residents.  identify home hazards using the Home Safety Checklist

What is happening in this picture? What factors might be at the root of her fall? Use similar thinking during a home visit: Conduct an observational assessment when you arrive at the home. Make mental notes to help you prioritize next steps. Address obvious hazards first.

Are there clues to the causes of this person’s fall? What was the surrounding area like? Noisy? Busy? Cluttered? Poor lighting – visibility? Position of furniture & equipment? What was the floor like? Wet floor? Uneven floor? Shiny floor? Throw rugs? Carpet or tile? What was the resident’s apparel? Shoes, socks (non-skid?) slippers, bare feet? Poorly fitting clothes? Was the resident using an assistive device? walker, cane, wheelchair… Rather than asking these questions after a fall, assess the home during a visit & suggest corrections.

Home Visits Structure Modify visits to fit each situation & time frame. At a minimum: At the beginning of the visit: -Thank resident for allowing the visit -Perform observational assessment & make mental notes -Make initial decisions to address obvious fire & fall hazards In the middle of the visit: -Check for working smoke alarms -Address at least one fall prevention behavior

Home Visits Structure At the end of the visit:  Wrap up with goal setting: Ask the resident, “Before I leave here today, I’d like you to take a minute and think about your home. Based on what you learned from this visit, is there one thing you will change or do differently in your home to make you safer from falls and fire?  Provide the appropriate handouts  Provide referrals if appropriate  Follow up on the next visit.

Materials for Home Visit Presentations  Fire & fall prevention behavior message cards: Table-top paper display or tablet view  Home Safety Checklists  Safety tip sheets: Home Fire Escape Planning, Fire Safety for People with Disabilities, Medical Oxygen Safety, High-Rise Safety…and others.  Remembering When flyers : How to Prevent Fires & How to Prevent Falls  Remembering When safety props such as: Smoke alarm & battery, pot holders, sturdy shoes, wooden spoon, kitchen timer, yard stick…

Core Behavior: Smoke Alarms Save Lives  Test smoke alarms to make sure they are working.  Demonstrate how to test smoke alarms and set a schedule for testing.  Check placement of existing alarms.  Ensure the resident can hear the alarms.  Refer resident to a smoke alarm installation program if alarms are inadequate.

How to Present the Key Messages How many messages should you include during each visit? How can you get the messages across without information overload? How will your observational assessment influence the key messages presentation?

How to Use the Home Safety Checkli sts During the home visit: Use to survey home hazards Use as a basis for conversation Point out corrective measures If corrective measure not immediately possible: Discuss problem with resident to heighten awareness Hazards needing immediate attention: Give referral sources if possible.

How to Help Create a Home Escape Plan Help the resident identify two ways out of every room. Make sure windows & doors open easily. If the alarm sounds, get outside & stay outside. Involve all household members in the planning. Considerations for older adults: Personalize the escape based on abilities. Discuss “Sheltering in Place”. Practice the escape plan to make sure it is realistic. Keep a telephone & emergency numbers close by.

A Sample One-time Ten Minute Visit: Observational assessment & mental notes upon arrival Introduction Address obvious hazards Discuss core behavior: Smoke Alarms Save Lives Discuss a relevant fall prevention behavior: Ex.) Keep stairs & walking areas free Wrap up with resident goal

A Sample Ten Minute Visit: Repeated Weekly First visit: Follow one-time 10 minute visit plan Second visit: Observational assessment, mental notes & greeting Address obvious hazards from current or previous visit. Review 2 new prevention behaviors: If you smoke, smoke outside; Be aware of uneven surfaces indoors & outdoors. Use Home safety checklist components related to prevention behaviors. Wrap up with resident goal.

A Sample Extended Visit: 60 Minutes Observational assessment & Introduction Review 16 key behaviors: Address obvious hazards from current or previous visit Use Home safety checklist to help resident understand potential safety improvements Wrap up with resident goal

THANK YOU !

4 Break-out groups Practicing the Home Visit – There will be 5 scenarios in each room – In small groups, read scenario – Visualize scenario & complete observational assessment: What do you see, hear, smell, feel… How would you proceed in a 10 min one-time? – What hazards would you address? – What behaviors would you review? – What supporting materials would you supply / leave with resident? – What props would you use? – Any special follow up? – Groups can share responses and role play pieces of the visit.