In This Issue: Are You Living Life the Way You Want?
Dear Healthcare Professional:
I'm pleased to announce that an exciting new speaker/consultant has
joined the Maun-Lemke team. Donna Manring has enjoyed a long and
distinguished career in dietary and healthcare management in both acute
and long-term care. Donna delivers motivational results oriented
programs on leadership, communication, team development and performance
improvement. Donna's "in the trenches" understanding and knowledge of
the healthcare profession enables here to customize meaningful,
dedicated interaction with her audience. Her specific areas of focus
are highlighted at http://www.maunlemke.com/. An article written by
Donna is included in this issue of Food For Thought. We are delighted
that Donna has partnered with our organization and shares in our
commitment to "change the results of healthcare". Please call Kathy
Cain or me at 800-356-2233 if you'd like more information on Donna
Manring. Sincerely, Clint Maun
Senior Partner Dining Is A Social Event It's More Than Nutrition By
Donna Manring
As we are in the holiday season we look forward to all the fabulous
foods of the season. We also look forward to the wonderful times to
enjoy good food, good conversation and the company of family and
friends. The aroma of food tempts your taste buds and can make you
hungry. Your mouth begins to water and you begin to anticipate the
taste of the foods being prepared. Eating is one of life's greatest
pleasures. The American Dietetic Association (ADA) estimates the
incidence of malnutrition in institutionalized elderly to be between 10
percent and 85 percent, making it one of the most serious problems in
long-term care today. When we begin to think of the dining experience
as more than just nutrition we take the first step in reaching our
dining goals. As you think of the dining room in your facility do your
residents look forward to gathering around the table? With hectic
schedules it is easy to forget that eating is a social event. Sure the
dining experience cannot be a holiday every day, however by keeping the
focus of dining as a social experience you will find that outcomes will
be less painless for your residents and your staff. Ask yourself these
simple questions. What is the resident's attitude on dining? Do they
look forward to coming to the dining room? What is the ratio of dining
room attendance to in-room? What is the staff attitude on dining? Do
the team members talk to the residents or discuss what is going wrong
on the floor? What is the atmosphere in the room? Do the residents
interact with each other? Do you hear conversation or laughter? What
does the dining room smell like? Is there adequate assistance? How is
the dining room decor? Is the room inviting? Do you call the garment
protectors bibs? Are the residents greeted as patrons or consumers?
Does the resident feel like they are being herded in, rushed to eat,
and then herded out for the next shift?
Discuss the answers with your team. Resident council is a place to
start to talk about resident's attitude or feelings of the dining
service experience or process. However resident council can be a
limited focus. Expand on Resident Council by conducting interviews or
surveys with the residents and their families and possibly visitors. I
realize that staffing and time is limited so you may wish to consider
preparing a survey that can be conducted by competent volunteers.
Questions on the survey should be opened ended to be able to gather as
much information as you can with the survey process. Keep the survey
short in order not to loose interest. It is the entire teams
responsibility to observe obvious displeasure by residents. Are you
able to see conversations taking place and wow was that laughter in the
dining room? Think about what you hear and see when you are eating out
or at your own family table. Are tablemates getting along with each
other? What may have been a good match originally may not always work
out later. Do they have similar eating/feeding abilities, personalities
or interest? Does the resident need assistance with eating or tools to
assist them in eating independently? We get in a hurry and can give
very large bites or not alternate liquids and solids. What would you do
if someone was "pushing" large bites of food in your mouth? Be the
resident and put yourself in their chairs. Observe if there are changes
in independence in eating? These factors will influence outcome.
Reassessing table matches and eating ability should be done
continually. Having worked in dining services for many years I have
observed the attitude of mealtime to be a burden. Attitude can show
before someone even opens his or her mouth. Body language and facial
expressions are a give away. There are times we may not even be aware
of the signals we are giving off. Rolling of eyes or frowning faces are
obvious, however what about crossed arms or a look of "I am to busy".
Smiling faces help soften any attitude and can even set the stage. In
fact smiling may even ward off other bad attitudes. We all know that
smiling can be very contagious and it is free! What is the conversation
of the team members? Are they talking to the residents or giving the
low down on what is happening on the floor? I will admit that the
residents enjoy some outside conversation. Knowing the boundaries of
those types of conversations will need to be decided upon with each
facility. A pleasant dining experience will cut down on residents
choosing to eat in their room. Studies indicate that those that e at in
isolation become more depressed and may become less enthusiastic about
eating. I am sure we can all recall a time when we have walked into a
room and you could cut the tension with a knife! What do you feel, hear
or see when you walk into the dining room? Make mental notes or written
notes that you can build on later. A room that is filled with sense of
well being will be a place people will want to be. Build on an
atmosphere that is inviting and warm. Have you ever walked into a
grocery store and smelled baking bread, cookies or something smelling
really good? Modern grocery stores vent from the bakery to the entrance
of the store to entice your sense of smell immediately upon entering
the store. When selling your house you may be advised to bake cookies
or have a pot of soup on the stove to give that "home" feeling.
Digestion begins with the sense of smell. Our saliva glands can be
stimulated with smells. Let the nose be the guide when possible to the
dining room. Some facilities use a bread machine once or twice a week
to give the dining room that fresh baked bread smell. Candles that have
warmers without flames could be an option. I have a candle smells like
cinnamon rolls. Caution however that there can be disappointment that
there will not be cinnamon rolls. Buffet style dining may be an option
for some facilities. Can the food be served from steam tables
in the dining room? Take the dishes off the trays when serving. This is
not a food court. How the dining room is decorated will also impact
attitude, intakes and attendance. Sometimes we decorate with plastic
plants or flowers. Is it time to replace those for a fresher look? Does
the decoration promote the look and feel of the room you are working
for? Decorate the room in warm colors and patterns. Warm colors give a
feel of richness and can be soothing. There may be some local florists
willing to donate bright fresh flowers for your dining room. Soft music
adds some ambiance to the room too. Types of music your residents would
like to listen to could be a survey question. Check to make sure there
is adequate lighting in the dining room. Vision can certainly be a
problem and lighting will improve that challenge. The word dignity is
thrown around a lot. We all have accidents where we spill food on
ourselves. When it happens to us we get disgusted with ourselves.
Imagine how it feels to have this happen frequently. As food service
director we had a policy in our facility that the garment protectors
could not be called bibs. Bibs are used on babies. Our residents are
not babies. Sure there may be decline in function, however these folks
deserve respect not degradation. My Grandma when she went into a rehab
facility for a knee replacement found it very disturbing when someone
walked up to her in the dining room and asked her if she wanted a bib.
She could not believe it. Small words can have a big impact on
feelings. The facilities that are keeping their census up knows the key
to success is treating our residents as customers or consumers. Sure it
is also their home but we all like to be treated with respect, kindness
and a feeling of belonging. Many residents will not consider a
long-term facility as a home. The resident still has the option of
going somewhere else. Don't think that incoming Medicare patients and
families do not consider dining as well as nursing care. Administrators
that see dining associated with cares are on the cutting edge. The
seniors of today demand choice and mealtime must be considered a social
event. Studies indicate that the level of comfort in the dining room
determines how much a person eats. By addressing the issues we have
discussed; food intake increases, the mood of the resident is improved
leading to increased dining room attendance. Increased food intakes
along with a sense of well being will have positive effects on the
residents over all health. Some facilities were able to decrease
supplementation for those that were just not consuming enough calories.
Set up costs may go up at first however once the dining program is in
place evidence shows the dining program to be cost effective in
outcomes. Even small changes can make a difference. Remember eating is
and should continue to be one of life's greatest pleasures. You can
make a difference for your residents and in turn your facility. End of
Year SPECIAL! Due to AWESOME responses in our last issue, we have
decided to extend this offer until the December 31, 2005.
Save 30% when you order:
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provides the tools needed to reduce turnover and recruit staff. This
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learning how to find, select and keep top quality staff. The tools
included in this kit are the same ones Clint uses when he presents his
Workforce 21 Recruitment, Selection, Retention seminars or when he
consults with clients on improving their organization's employment
environment. Sale Price: $1047.00
Original Price: $1497.00
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Sale starts 10/31/2005 and ends 12/31/2005 Are You Living Life the Way
You Want? 6 Key Questions You Need to Ask Yourself If you've ever felt
like you're not spending your time the way you want to, then you may
need to stop and take stock of your life. Ask yourself the following
questions: Do you feel your life is careening out of control? Do you
feel "harassed" by your responsibilities at home and work? Are you too
focused in one area of your life, causing you to procrastinate in other
areas? What makes you tick, and gets you excited about life? What makes
you feel like you are a good person? What are 10 things that you want
to do- absolutely-before you die? Answering these six questions will
help you see what your priorities are as well as what is stressing you
out. The fast pace of life today coupled with the feeling that you have
to "do it all" could mean that you are operating out of pressure, fear,
or guilt. If you are, you most likely won't get satisfaction from the
things that you do accomplish and which should give you feelings of
joy. Take Action
Look at your answers to the questions above and see if you can
determine what your main priorities are. For instance, if you answered
that being a good parent makes you feel like you are a good person,
then you know that's a priority for you. You then need to ask yourself
what being a good parent entails. Does it mean going to every soccer
practice and game? Does it mean sitting down for dinner every night as
a family? The key is to determine what's best for you and then figure
out what's keeping you from giving your best to others. Once you think
these things through and make these decisions, the cloud of guilt
should start to lift, and you can begin living life the way you want.
The Fine Print Back Issues of Solutions are available at:
http://www.clintmaun.com/newsletter/newsletter.shtml
Questions or comments:
clintmaun@aol.com
http://www.ihnsolutions.com/ http://www.clintmaun.com/
http://www.maunlemke.com/
Maun-Lemke, LLC 2005
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