Thursday, December 12, 2024

Look Behind The Curtain IN PROCESS

Let's take a look behind 
the "marketing" and "tour presentation" 
statements for many Long Term Care facilities. 

First area of "inspection" -- DINING.

Dining As It Appears:  
Walking in you'll see tables, often a TV, 
Maybe it's a combination "community room" 
used for visiting musical groups or for other uses. 

You're told how residents are "encouraged" 
to come to the dining room. 
How the staff has been trained in "
white glove individual service" 
and it's like dining in a nice restaurant. 

You're told.
If for some reason 
they can't get to the dining room 
or would prefer to "dine in their room", 
this is simply accomplished 
by the resident calling ahead 
and ordering what they'd like

Picture, if you will, 
someone with poor eyesight 
given a list with items on it 
about the size of this type. 
The list is in columns 
but isn't organized, just randomly posted. 

On any given day 
certain items 
"may not be available".
 
The resident, 
who has difficulty making decisions 
due to advancing Dementia, 
or just indecisiveness, 
now has to make another choice. 

Reading is challenging.
Listening is confusing.
So they ask for and receive
What "they always order".

Reality Dining:
This mulitpurpose room 
may be used several times a quarter 
for meetings and other events 
and closed to residents. 

Residents dine in the dining room
on their floor or in their room. 
This can be for one meal: 
breakfast, lunch or dinner 
OR it can be for an entire day.

Dining on the resident's living floor
is in a small area where residents
who cannot travel the distance 
or do not have the mental or physical abilities 
to sit with others due to either behaviour 
or limitations are regularly dining. 
No conversation possible.

Do not turn away. 
This will not change
It will be "your way" someday.


Dining begins and service ends at a set time
If you don't make it, you may have to settle 
for whatever might happen to be 
in the refrigerator on your floor 
and due to "cutbacks" that's possibly 
now limited to ice cream, 
bologna sandwiches,
maybe some low fat milk.

Some would say it's "service'
Others would say it's "control".