The new guidance for activities regs is supportive of culture change. It includes recognition that quality of life and enjoyable, stimulating activities take precedence over medical care and that, to most people (including residents), social and family life is most important. Also it encourages involvement of and responsibility of all staff in activities. The challenge is put forth to all elder care facilities to transform themselves and staff to this way of thinking. This will be challenging.

I am looking for ideas from anyone who would care to share. In the home where I am social services director, our residents express that they like to do meaningful 'work'; they like to be useful - not just 'playing games'.

We have a number of residents with low-vision and varying levels of cognition. Does anyone have any ideas for self-directed, meaningful 'work' activities for such people? I've had them assist me with mailings (applying stamps and labels to envelopes) - some need 1:1 assistance which is not always possible. I am also currently contacting volunteer organizations in the community to see if they have any needs we can fill. I would also like ideas for greater community involvement, if anyone has any suggestions. Thanks!