This workbook is written by culture change coach, activities professional and former state surveyor, Carmen Bowman owner of Edu-Catering: Catering Education for Compliance and Culture Change.

The workbook displays Carmen’s depth of knowledge about the importance of getting to know those we serve, giving them the gift of being well known.

Get to know the whole person. Deep engagement occurs when homes get intentional about meeting the long-standing and good CMS requirement that “services are furnished to attain or maintain the resident’s highest practicable physical, mental and psychosocial well being.”

The workbook includes worksheets, resources, exercises and discussion topics, presenting both the philosophical and the practical.

BUYING NOTE:
We now include an additional “crosswalk” tool that will bring the information in this book up to date. Whenever you see a CMS regulation tag number, just use the crosswalk to quickly locate the new tag number, should you need it.

Although Phase 1 of the new CMS Requirements of Participation came into effect Nov. 29, 2016, regulation tag numbers were not changed until Phase 2 Nov. 28,2017.Thus, the crosswalk is entitled Phase 2 Tag Crosswalk Effective Nov. 28, 2017.

Kit Purchase Option
Meaningful Life Kit

Moving into a nursing home can be the most traumatic event in a person’s life, and the countless forms and questions of the assessment process can add to an already stressful situation. There are better ways to welcome residents and give them hope for their new life in our home while getting to know them and fulfilling assessment requirements. This video and workbook package will show you how.

Carmen Bowman and Christine Krugh, both with extensive nursing home and culture change experience, present new ways to soften the assessment process to a group of nursing home staff from various disciplines. The video then follows staff members as they take what they’ve learned, put it to use with a new resident and share their experience with their coworkers. Principles and specific techniques are demonstrated in practical situations to give viewers inspiration for immediate action. The workbook further breaks down the softening techniques for practical use in your home. Trade in the institutional and invasive assessment practices for a softer, more person-centered way today!

Create a more pleasurable experience for residents and staff, get better and more complete information and begin to build relationships and trust for future interactions.

Authors
Christine Krugh and Carmen Bowman

Technical Specs
Spiral-bound, softcover
8.5 X 11″

It’s big, beautiful and packed with stories, pictures and ideas about energizing daily life in neighborhoods and households. Vibrant Living was written by Carmen Bowman and LaVrene Norton as a how-to guide to assist organizations in engaging residents in directing the activities of their lives. It is written to be displayed in living rooms, lounges and other places where residents gather. Each page highlights the vibrant living that goes on in their homes. It is a scrapbook of photos and stories from organizations around the country highlighting the vibrant living that goes on in their homes. From ethnic celebrations to coffee klatch, from tree climbing to a quiet afternoon curled up on the couch, organizations are finding ways to make it possible for elders to live lives full of interest, value, meaning and spontaneity. You’ll be inspired to create more vibrant living in your own home with the hundreds of ideas offered in this book.

To create the scrapbook, we asked culture change nursing homes to submit their photos of vibrant living. We thank them all for their contributions and congratulate Providence Mount St Vincent on winning our cover photo contest. A special thanks also goes out to Perham Memorial Hospital and Home where Carmen spent a week witnessing their vibrant living and getting inspired for this project.

The book is a companion to the “Creating the Climate for Vibrant Living” workshop.

Authors
Carmen Bowman and LaVrene Norton

This Quality of Life Regulations Workbook is based on the OBRA ’87 Nursing Home Reform Law. Both deficient and commonly acceptable tag F240 compliance decisions are examined and compared to the decisions made in a culture changed environment.

Then, using the practical self-examination exercises throughout this workbook, participants begin to re-think common practices in an empathetic, person-centered care model. Many commonly accepted practices, when viewed in this light, come up short when measured against the interpretive guidance of F240 Quality of Life: “…creating and sustaining an environment that humanizes and individualizes each resident.”

The Interpretive Guidance sums it up: “Compliance decisions are driven by the quality of life of each resident.” Quality of life is equal to quality of care.

Author
Carmen Bowman

Learn how to build a meaningful care plan into a living document truly addressing the person in all their personhood. Rather than focusing on “problems” with generic, institutional, canned “interventions” learn to identify and serve the person’s needs and preferences with individualized approaches.

Changing the Culture of Care Planning: A Person Directed Approach is authored by Christine Krugh who led the care plan initiative when the social worker at Riverview Retirement Community in Spokane, WA. Christine has a rich history of crafting the care plan in much more meaningful ways from its order of issues to care conference itself. Carmen Bowman is owner of Edu-Catering: Catering Education for Compliance and Culture Change and brings a strong background as a regulator to her deep love of culture change and blending.

The 72 pages of this workbook reviews the formats of I Care Planning as well as Narrative Care Planning, and comes with examples of both I and narrative Care plans, policies and procedures to support this change in care planning as well as ideas, examples, exercises and work practices. Actually changing an organization’s culture of care planning is not only refreshing but leads to much better satisfaction by all as well as regulatory compliance.

Also included is a well done Video Care Plan in a person’s (resident’s) own words what he needs from those caring for him, and set to music – be aware, this is a combo that may draw tears….

Authors
Christine Krugh, MSW and Carmen Bowman

For anyone working in nursing homes, the idea of using physical restraints is distasteful and repugnant. Yet their use was commonplace only 15-20 years ago. The push to eliminate restraint usage was initially met with a lot of resistance, even among caregivers, because they were viewed as a safety net for preventing falls.

Fast forward to today, as a movement is underway to eliminate another institutional relic: personal alarms. What an affront to any person’s dignity, to be fitted with an alarm that goes off any time they try to get up or move around. Yet these devices are in use in almost every nursing home in the country. And just like restraints twenty years ago, staff are reluctant to consider eliminating alarms because of the idea that they prevent falls.

This groundbreaking workbook dispels that notion, and shows how in many cases alarms can actually contribute to falls rather than prevent them. Follow the journey of Oakview Terrace, a nursing home which removed all personal alarms in 2007, and in the process actually decreased fall rates and pressure ulcers while increasing quality of life. Learn how to work within the regulations to remove these intrusive and institutional devices from your home, creating a more peaceful and natural living environment. Your residents will thank you .. and so will your staff!

Authors

• Theresa Laufman, RN, is Co-Director of Nursing at Oakview Terrace, a skilled nursing facility in Freeman, South Dakota.
• Carmen Bowman, MHS, is a consultant, trainer, author and owner of Edu-Catering: Catering Education for Compliance and Culture Change, turning her former role of regulator into educator.

Organizations often worry that the culture change steps that they take may create problems for them during survey time. Now you can become knowledgeable about regulations and their compatibility with culture change before making changes.

Carmen S. Bowman, a former state surveyor, has worked closely with state and federal regulators. Her new workbook, Regulatory Support For Culture Change: How OBRA ’87 Regulations Support Culture Change will put these fears to rest.

Authoring this interactive workbook, Carmen speaks the language of F-tags and discusses compliance issues in dining, resident choice, physician orders, wireless call systems, animals, med carts, consistent staffing, cross-training, self-directed work teams, homey environments, care planning, waivers and variances. She provides clear explanations and recommends practices to assure quality.

Appendices include letters from CMS addressing several culture change questions, changes in SNF payment regulations to include innovations, and the use of Civil Monetary penalty monies.

You may wish to couple this workbook with our other workbook on Regulations, Regulatory Compliance in Culture Change: Assure Your Ongoing Success. This workbook includes a variety of Learning Circle Topics so that you and your team can study and work on together to create culture changes that bring the spirit of OBRA ’87 to life.

BUYING NOTE:
We now include an additional “crosswalk” tool that will bring the information in this book up to date. Whenever you see a CMS regulation tag number, just use the crosswalk to quickly locate the new tag number, should you need it.

Although Phase 1 of the new CMS Requirements of Participation came into effect Nov. 29, 2016, regulation tag numbers were not changed until Phase 2 Nov. 28, 2017. Thus, the crosswalk is entitled Phase 2 Tag Crosswalk Effective Nov. 28, 2017.