THE PIONEER EXCHANGE

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Lifetime "highlight reels"

Diaries
by Bill Graves
Posted on Tue Dec 13, 2005 at 06:53:40 AM EST

promoted from the diaries -- joe

If there were a "highlight reel" made of your life, what would it include?

The births of your children, your wedding day, and family vacations top the list. How about after that? How many of the highlights would involve food and eating together with friends and family?  For most people, there would be several.  Why then, do we as an "industry" pay so little attention to the process and experience of dining for our elders?

I ask these questions because we are in need of someone to run our kitchen.  Our current "Food Service Director" (I hate that title, by the way) is leaving her position over the next few weeks, and we have an opportunity to hire someone with the forethought and vision to look beyond PPD's, and 2 gram sodium diets, to what is truly important - preparing and serving good food that is part of a dining experience that warrants a spot on our residents' highlight reels!

Obviously, this position requires a skill set that can't be ignored.  Typically, our support staff in the kitchen are lower paid, and often times are high school aged kids.  This presents the need for our new "Executive Chef" to be a good leader, who can create an atmosphere where the staff is excited about coming to work every day, and places a value on doing their job well.

With food being such a large part of our resident's lives, this new director needs to be able to communicate well with other leaders of the facility, front-line staff, and most importantly, our residents!

One of the other areas that I think we get hung up on a lot, and I would love to hear from others on their view of this, is knowledge of the regulations that govern food.  I can teach a new Executive Chef the regulations if he/she doesn't know them - I CAN'T teach that same person how to create meals worthy of the highlight reel!  Because of that, I am opening this search to people with NO long term care experience at all.  Everyone reading this is looking to de-institutionalize everything we do, so my thought process is that someone with fresh ideas from a restaurant background will have less "unlearning" to do, and will never utter the phrase "...because we've always done it that way!"

I would like to hear from others that have gone down this road, and hear people's thoughts on what a new, "outsider" can bring to the table. We all know that our resident's lives don't end when they come to live with us - their highlight reels shouldn't end either.      

< Changing Rooms | How to find a great place >



Convivium (none / 0)

The best description I've read about the importance of food is in Bill Thomas' book, "What are Old People For?":

The Romans had a special term for the particular pleasure that accompanies sharing good food with people we know well.  They called this experience convivium.  The word has enjoyed a revival recently.  The "slow food" (an alternative to fast food) movement has seized on the word as a way of describing dining experiences that are rich in meaning.  Fresh, local ingredients prepared according to authentic regional recipes are served to people eager to share.  They use smell, taste, and texture as a springboard to good conversation and vital relationships....The spirit of convivium calls upon us to linger, to savor, and to draw strength not just from the food we are blessed to eat but also from the people with whom we are blessed to share our meal.

The University of Northern Iowa Local Food Project runs a program whereby they work collaboratively with organizations to buy food grown locally. Bartels Lutheran Retirement Community (a participant in the Better Jobs Better Care demo in Iowa) participates in the program:

             

I wonder if there's a food co-op in your area to get some fresh locally grown food to inspire a spirit of convivium?


by joe angelelli on Tue Dec 13, 2005 at 07:43:54 AM EST
Another resource (none / 0)

The "Life Happens in a Kitchen" book available through Action Pact is excellent -- highly recommended for your new hire!

           


by joe angelelli on Wed Dec 14, 2005 at 04:09:51 PM EST
Outsider for dining services (none / 0)

I was hired as the Dietary Manager fresh out of school after becoming a Registered Dietitian.  I had a 2 week rotation in Long-term care with zero experience working with elders. Even my grandparents were never a significant part of my life growing up.  I also had minimal culinary experience. I do cook at home each night but I have no formal training other than book knowledge from food science 101 in college. I think my stregth has been my energy, curiosity and fresh eyes. When I first started working here I asked a lot of "why" questions and often got the response "because".  Well now I've been here two years and we just started the pioneer network. The response to my questions has changed and we are exploring areas we might not have otherwise.

Now my staff has all been here >5years, shows up to work every day on time and nearly manage themselves.  What they don't have is culinary experience.  All imigrants from Mexico they still struggle with english, measurements and basic recipe math. But they are from a culture where their elders live at home with their grown children til they die. My staff enjoy interacting with the residents and take pride in serving meals the residents enjoy.

We have started serving family style dining at lunch and dinner.  We just had our survey last week and the residents raved about the dining program to the surveors. We have learned a few things about our residents during this change. One resident who used to not like fish tried it one day and hasn't complained about fish since. One resident kept eating out of the serving bowl so we gave her her own bowl to eat out of and she feeds herself much better.  One resident prefers to keep the tray because he is mostly blind and he can feel where his terratory his.
And overall I think residents are eating better for multiple reasons.  There is more interaction with staff who serve them which wakes them up and they are more alert to eat.  They have some say how much food is put on their plate and many of them like smaller portions and feel more satisfied seeing a clean plate.  Some are asking for seconds.  Some want more of one food item and less of another. We have been doing this for 2 months now at lunch and dinner and it is going very well.  Our next challenge is breakfast.


by lgross on Fri Feb 03, 2006 at 02:16:16 PM EST
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