Here are the results from the afternoon discussion. The first question was "What will you do to grow culture change in your community?"

Group 1

1. Visit with residents to see where change can occur
   
2. Daily Pleasures like baking bread
   
3. Encourage administration to lead by example, especially men to work with make residents

1. Talk with administrators to find out where they are on the journey and what it would take to get it going.
   
2. What can they do that would not cost money.
   
3. DO Presentations on culture change.
   
3. Talk about culture everywhere.
   
4. Work with State Agency - communicate and dialogue.
   
5. Have more community interaction with nursing homes like bringing children in.
   
6. Maintain and grow familty council.
   
7. GIve positive reenforcement to staff

1. Initiate deliberate use of staff assignments and keep it going. There is a recognition here that tings can't change overnight.
   
2. Use learning circles as part of decision and problem-solvng process
   
3. Establish a community association and incorporate family and resident councils.

1. Cross-train all staff.
   
2. Empower CNAs.
   
3. Empower residents.

Group 4

1. Stop saying "It's not my job!"
   
2. ELiminate get up times and "it's your time."
   
3. Change traditional med passes

1. Reduce current scheduling procedures (the old way)and task-oriented mindset and increase response to resident wishes and desires.
   
2. Don't be held back by regulatory compliance -- use common sense.
   
3. Stop using top-down orgainzational chart and use resident centered circle approach to organizational structure.

1. Stop chatter by aides during mealtime.
   
2. Stop walking by residents without greeting them.
   
3. Stop thinking "it can't change!"