Palomar Vista Escondido

Good Therapy Team Makes Nursing Home Stay Less Daunting

Palomar Vista in Escondido, CA, was recently praised in an article published in U-T San Diego, written by a former patient and freelance columnist, Agnes Herman. Agnes shares her experience and feelings about the exceptional care and team support she received at Palomar: “Each therapist is dedicated to helping us avoid pitfalls in the environment, to strengthen muscles, increase range of motion and learn to walk safely and be comfortable in our own skin. These young folks who are professionals enjoy working together to create an atmosphere of ‘can do.’ They do not finish each other’s sentences, but they could. … When we fall, there is fear and apprehension along with pain. A caring environment and dedicated teamwork can cushion the impact of any fall.” Read the full story.
Palomar Vista Escondido
L to R: Jimmy Manalang, OTR/L; Rino Aquino, PT/DOR; Patricia Kaiser, rehab aide; Ria Olaes, COTA; Bernard Villaseca, PTA; Dennis Pulangas, PTA

A Thriving Student Program at Lemon Grove

LemonGrove1alt

Nerida Gerona is the Director of Rehabilitation in Lemon Grove, CA, and her partnership with local universities for ongoing student internships is legendary in Southern California. In the past 12 months, the Lemon Grove center has taken 15 students from six different schools, with two new schools being added in the early summer. What makes her student programs stand apart is how the Lemon Grove team embraces our Core Values and incorporates them into their students’ experience. The students truly become part of the team and have the experience of being part of a dynamic interdisciplinary rehab program. The team celebrates their successes and ensures that each student gets the opportunity to work with a variety of different diagnoses and disciplines. Because of the extraordinary feedback that the students have about their experience at Lemon Grove, Nerida was one of the clinical educators who were asked to be a part of the certification process for a new Physical Therapy Program at San Diego State University. In addition, four of the therapists at Lemon Grove are now certified instructors. Way to go, Team Lemon Grove!

Remarkable…

The extraordinary therapy team at Atlantic Memorial Healthcare Center in Long Beach allowed me to spend the day with them yesterday, and it was a pleasure and an honor. My goal was to capture on video the culture and spirit of this team to use as a therapy recruiting tool on the web. While we certainly have showier, newer and bigger well-equipped facilities, I have watched something magical happen with the team at Atlantic Memorial over the past three years – something that I believe defines and demonstrates Ensign culture at its best. An added bonus was getting to leave 110 degree Phoenix and hang out in So. Cal for the day!

I am hoping that the video we produce is able to impart at least a fraction of the truly cool things about this group. Atlantic Memorial’s rehab director is a perfect example of a level 5 leader. In response to any compliment about her terrific program, she pointed right back to her team, sharing their individual strengths and how lucky she feels that they chose to join her. She has empowered each therapist to use their personal talents and passions to enhance the care they provide to their residents and they all demonstrate intense accountability for and ownership of their therapy program.

Among other things that I am probably missing, the Atlantic team is comprised of a semi-professional dancer, a hugely talented photographer, several staff who have a passion and special ability for nurturing students and new graduate therapists, individuals with incredible organizational skills, an adaptive specialist who can create therapy tools out of almost nothing, a pediatric specialist who also loves geriatric patients and brings a sense of fun and play to this busy gym, and several therapists who are driven to build a great outpatient program. Add to this a facility administrator who lives and breathes Ensign culture and loves and supports his therapy team all day, every day – and viola – a superstar therapy program has evolved.

Our videographer for this project was a twenty-something hipster skateboard guy whose other film gigs include chronicling the X-games and working with some pretty well known musicians, rappers and skateboarders. I had the impression that ours was probably the first nursing home shoot he had been involved in, and I felt like he was a little bit out of his element. One of the many highlights of my day was watching him watch these therapists and listen to their stories about what they are most proud of and what they love about the work they do. At the end of the day, he sincerely thanked everyone for the time he was able to spend at Atlantic and kept saying what a “rad” place this was – that he had no idea that this is what a nursing home was like. I was just so proud of the gang at Atlantic Memorial and wonder if they know how much they impact the people they touch every day – even the ones who aren’t their patients!

A Thriving Student Partnership at Atlantic Memorial

Alex Nguyen started at Atlantic Memorial a little over 2 years ago with a vision to start a thriving student program. Only a year out of school himself, he knew the impact of what a phenomenal clinical experience could make. His experience during his internship with Jenny Farley, the DOR at Atlantic Memorial, influenced him to take a position with her despite multiple job offers in a variety of settings. His vision with his student programs was to weave it into part of the vision of the facility: building extraordinary relationships with the surrounding community. Alex set out to build these same extraordinary relationships with the academic community.

The first student contracts were signed in December of 2010. Since January 2011, Alex and the Atlantic team have accepted 11 students: 5 OT interns, 2 PT interns, and 4 SLP students. Over half of the staff has taken a lead clinical instructor role. One of the important clinical benefits of staff assuming a leadership role is raising the daily standard of patient care. Therapists who may have been practicing for awhile are infused with renewed passion for learning and teaching. One of the externs became an Ensign employee! Atlantic Memorial currently receives many inquiries from previous and future students to set up future internships, and there is even a waiting list now because of the excitement in the academic community.

Alex’s passion for teaching is infectious! You only need to spend a few minutes with him to catch the excitement and energy that he has. The community visibility has greatly increased with students attending ortho appointments, patient home visits, and interfacing at community events. In addition, Alex has been invited for guest lecture opportunities at Loma Linda University and USC. Alex and the staff at Atlantic Memorial are helping to define the “new face” of skilled nursing settings!

If you are interested in taking a student or are unsure where to start, please let your DOR and your therapy resource know. We have lots of week-by-week tools for you to use to guide you through the process, and we have signed contracts ready to go with many schools throughout the country. We can be an integral part in shaping our new generation of therapists, and we have heard first-hand from several academic coordinators that the buzz about our therapy programs is out there, and they are eager to send their students to our facilities for an outstanding clinical experience.

 

If I Could Speak …

As Therapists, we get into this field with aspirations of helping others. Inevitably, we come to learn that the people we are helping also touch our lives. Wellington Place had the opportunity to significantly impact the life of a new resident by providing him with a way to communicate, which he has not had the ability to do in 10 years.

Upon admission, the Wellington team learned that Clint was in an MVA 10 years prior, leaving him with quadriplegia. He had been residing in a local living center since the accident, unable to communicate his needs and wants. Medical records indicated an inability to assess him neurologically and cognitively due to the extent of his deficits. We were not satisfied with this assessment, so we attempted communication with eye blinks. He was 100% successful for 10/10 questions. We could tell from the look in his eyes that he had more to say; so we pressed on, determined to find an augmentative communication device. I brought in an alphabet communication board, and the OT made a splint for his right wrist allowing him to hold an object for pointing.

Over the next several days, the therapy team learned a lot about Clint, including his favorite sports teams. Sadly, we also learned that Clint had also been in a lot of pain over the years. In furtherance of our communication efforts, the nurse asked, “Are you in any pain?” He communicated, “y.e.s. a.r.m.” As tears rolled down his cheek, he spelled “t.h.a.n.k.y.o.u.” We fought tears as well.

His sister was overjoyed with the news that her brother could communicate and sincerely appreciated our efforts. It has been difficult for her to accept that her brother had been alone and unable to communicate for so many years. She shared that he also had a 4-year- old daughter at the time of the accident; she is now 14 years old, and has never been able to communicate with her father.

We were determined to find an augmentative communication device that would allow him to be more independent with use and reduce the amount of physical effort required to use effectively. The support and feedback from our Therapy Resources and Therapists regarding devices available on the market were overwhelming, and very much appreciated.

Ultimately, the communication word boards and the Dynavox EyeMax machine worked best for Clint. This device calibrates his eyes and allows him to find the words he wants to say. As he stares at the words, the machine speaks them.

While waiting anxiously for the new device to arrive, we spent the next eight weeks working on improving oral motor skills for saliva management, as well as speech skills. He was highly motivated and appreciative of the time spent with him. Finally, his “voice” could be heard.

From the day the EyeMax arrived, Clint worked hard with us. He showed us that he was eager to interact and had a lot to say! Clint asked about seeing his daughter, and wanted to tell his sister he loved her. He told the Dynavox Representative she was pretty, and he shared that he missed dancing, among other things. He told his SLP he loved her too.

We videotaped treatments to show his sister and physician; both were elated to see the progress made by Clint. The decision was made to allow him to reside at Wellington Place where he can continue to prosper with his newfound freedom.

It took an Ensign village to make a difference in this person’s life; Wellington’s team is thankful for the support provided by so many people. Clint tells us we changed his life for the better; and we tell him he has touched our hearts forever.

Kudos to our Teams

The following was submitted via The Ensign Group, Inc. website:

To The Chairman of the Board & Respective Members:

Aloha. Who would ever dream that a once fit and healthy rugby player like me would end up in a healthcare facility at such a young, ripe and prime age like me. Well, I did, and here I am now at Orem Rehabilitation & Nursing Center. I wanted to inform you that I have been very impressed with our new Director Wes, and the way he operates and manages this facility. He leads with excellent guidance and management skills. As for our other team members here in management—like the Assisant DON Leslie; the office administrators Tina, Tenielle, Justyn, Whitney; in Physical Therapy Sam & Crew; in Recreation Sally and Crew; the CNA Coordinator Noa; to Brandon in Maintenance—all play a major role to my well-being. The Team here is all part of my healing process. They are in my book of life. I am here to heal and to rise up again to enter the workforce. I also stayed at Arlington Hills in SLC right after my surgery. I enjoyed my stay there as well. I will be sad when I will have to leave here soon, when I walk out on my own without a wheel chair or walker. Thanks one again for an awesome facility and a fine bunch of managers. I wish your company all the best for the future.

Mahalo,

BP

p.s. I will relay my experience to the people of Polynesia and others, and recommend that they stay and heal at one of your facilities.

Copper Ridge

Copper Ridge Health Care

Copper Ridge

Kristine Palmer, is a Physical Therapy Assistant at Copper Ridge. Our facility held a fundraiser to benefit the Alzheimer’s Association, including a food booth and the sale of raffle tickets. Kristine appeared at the food booth; and when asked if she would prefer a hot dog or ribs, answered that she didn’t want anything and handed over a check. She was asked if she would like raffle tickets and answered, “no.” Her check was in the amount of $200 and made out to the Alzheimer’s Association Walk for the Cure. Thank you, Kristine, for your generosity, which is so very much appreciated by all.

Whittier Hills Healthcare Center

Carlos Jaimes in Rehab at Whittier Hills Healthcare Center, always goes above and beyond for the residents. One of the patients he was treating in therapy had spilled something on a jacket that she wanted to wear that day. The jacket needed to be hand washed, so Carlos took it on his lunch break back to Laundry and hand washed the jacket for this resident. Carlos is always ready to help out wherever and whenever he is needed—whether it is part of his job description or not.

Park View Gardens

Park View Gardens
Mary Kelly is a kind and compassionate physical therapist who really goes the extra mile with her patients. She has only been with our rehab team at Park View for about six months but has already shown that she is living out our core value of “Love One Another.” Recently, Mary had a patient who just wasn’t making the progress Mary knew she was capable of. Mary suspected that the poor quality of the patient’s shoes was really holding her back, so she decided to come in on her own time and take the patient shopping to get some new shoes. Her patient did not have family in town who could help her and was so appreciative of the kindness that Mary showed her. The patient was then able to continue her progress with her physical therapy and ultimately was able to go home.

Thanks, Mary, for going the extra mile for your patient—your heart really shows!

Cabrillo Rehabilitation and Care Center

Cabrillo Rehabilitation and Care Center

Cabrillo Rehabilitation and Care Center

Jackie Jolicoeur, OT, and Vonnie Villa, RN, are valued members of our team at Cabrillo Rehabilitation and Care Center. When a newly admitted resident arrived without additional clothing or personal belongings, it was not only difficult for our resident, but also inhibited her participation in therapy. On a Saturday, Jackie obtained the keys to our resident’s home and drove 30 miles where she picked up shoes, clothing and a walker. Vonnie came in on her day off delivering personal items which she had picked up at the prior facility. Monday’s therapy session found our resident participating in an upbeat mood and wearing her own clothes.

Thank you, Jackie and Vonnie!