At the Gilbert Residence, Residents rights, dignity and choices are highly regarded with the utmost respect preserving basic human rights. “Our Mission is to continue a tradition of excellence by providing compassionate and dignified care for seniors in our community.” We accomplish this through carefully planned person centered care. Each area of life such as sleeping, eating, grooming, working, and playing make up Activities of Daily Living (ADL’s). Involvement in ADL’s will be simplified, broken down into steps and/or adapted to meet specific needs and functional abilities. The person with dementia can be more involved in active doing rather than passively having tasks done for them. We believe dignity and the inner sense of worth arise from work or integrated occupations, including ADL’s and recreation.
Each resident will have a strength based service plan developed that is tailored to their individual abilities and challenges while striving to most closely replicate their prior lifestyle, interests, familiarities and routines. Family members and authorized representatives play a vital and cooperative role with staff in the creation of this plan.
We believe that a stable, friendly, relatively simple environment, placing few demands on the resident will tend to minimize the likelihood of associated challenging behaviors often caused by rigid approaches to meet the demands of a dictating clock or by the environment itself. We must support residents where they are cognitively instead of forcing them into our reality, placing unrealistic expectations upon them.
Consistency and flexibility are both critical to balanced ADL’s. For example, allowing residents to gradually get up at a leisurely non-stressful pace, instead of the traditional rush by a certain time, promotes more positivity for the start of a day. Also, residents with altered sleep/awake cycles can be supported during the night time hours when awake instead of being insisted upon returning to bed.
Supportive and flexible staff approaches are the intervention methods which best reduces the frequency and intensity of behaviors that are associated with dementia. Success is often determined by the approach. Since persons with dementia are relatively well physically and most often ambulatory, they are often not in need of extensive medical intervention, rather more in need of social roles from a “social model” of care. We provide that role with a hand picked and well trained staff of compassionate and dignified care givers.
We strive to achieve a proper balance of stimulation so as to avoid “overstimulation” which creates greater confusion and “under-stimulation” which creates greater apathy and loss of functioning. The environment is designed and programmed to help residents continue to function optimally and to support positive behaviors. Residents are able to continue the familiar tasks of everyday life such as washing and drying dishes, setting the table, dusting, vacuuming, folding clothes, planting flowers, singing, dancing, playing the piano to name just a few.
Outside each resident room there is a life history frame complete with photos and personal information highlighting the resident’s life favorites and accomplishments. The individual rooms are personalized with their own furniture, wall décor, and special keepsakes to provide a sense of familiarity and identity. Grace Hall is a fully alarmed, secured and safe environment with an enclosed outside patio preventing a person with dementia from wandering outside the building or grounds unsupervised.
Psychosocial well-being, peer support and communication are essential for loved ones and caregivers. The family is an integral part of the care giving team and works closely with the staff as well as receives educational, emotional support and assistance during visits. Grace Hall fosters a spirit where friendships and loving relationships are freely formed by all whom are connected. These relationships create a special environment which gives Grace Hall the family feel. Humor is a necessary ingredient to managing the associated stressors for residents, families and staff. Promoting lively, fun and meaningful moments while honoring choices are what really matter.