Care Center Currents Sanford Care Center Vermillion Resident of the Month - Norris Erickson Norris was born to first generation Norwegian Lutherans on the family farm west of Mt. Vernon, SD in 1925 – one of five children. In 1938 the Erickson‘s moved to a farm northeast of Vermillion. He graduated from University High School in 1943 and began studies at the University of South Dakota until called into the army in 1945. After returning from serving his country in Frankfurt in 1947, he married his high school sweetheart, Cleo Jean Collar. He picked up where he left off at the University of South Dakota, but in 1949 used the G.I. Bill to enroll at the University of Colorado at Boulder. He and Cleo were off to the mountains. Norris earned his degree in Mechanical Engineering in 1951 and began his career for Standard Oil Company in th Norris & Cleo on the day of their 50 Anniversary (July 27, Kansas City, MO (and spent a VERY cold winter building an oil refinery in Mandan, 1997) sitting in the blue 1940 Plymouth coupe that they drove on ND). their honeymoon to Estes Park, CO.

While he and Cleo were visiting his brother in Los Angeles in 1957, he filled out a job application at Hughes Aircraft – interested in the budding aerospace industry. He was hired immediately and he and Cleo were off to sunny California. In the next few years, he designed the ―T.O.W.‖ anti-tank missile system (still in use around the world today!) and the first lunar lander, Surveyor I, that preceded the Apollo astronauts to the moon. (A Surveyor I replica hangs in the Smithsonian Air & Space Museum today.) But by 1964, Norris and Cleo‘s two children, Paul and Susan, had arrived and it was decided that South Dakota was a better pl ace to raise kids than L.A. The family moved back to Vermillion where he became Associate Vice President at the University of South Dakota, in charge of all campus facilities (including construction of the Dakota Dome). He retired in 1987. Norris liked wood working and had a large wood working shop in his home. He made many nice gifts for family and friends. His love for his family and home were his top priorities and today is so very proud of his two grandchildren – a grandson at the University of New Mexico and a granddaughter at the University of Oklahoma. And he considers chocolate to be a food group. **Resident of the Month is a new feature to The Care Center Currents beginning in July.

Consider the envEYEronment If you have an email address, please consider having the newsletter be sent via email. Plus it‘ll be in color!

Our Front Door Welcomes

Doris Moyer, Alice Joan Patterson, Leo Milo Swedin

Contact Jill Christopherson at 638-8465 or [email protected].

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CNA’s: Curt Limoges, Emma Lunning, Emmy Harty, Mercedes Wilken (transfer from Nutrition Services)

Our condolences to the families of

Lillian Williams Jeanette Holbrook Alma Dion Let grateful memories survive in time of sorrow. LOADown from Laundry ~ If your loved one is missing any item of clothing, please contact staff right away so we can look for it. We have a rack of “unmarked items” in the west clean linen room. Ask a staff member to assist you to look there. Have a safe 4th of July, Deanne Brown, Laundry Services Dear residents of Sanford Vermillion Care Center, tenants of Dakota Gardens, and Sanford Vermillion staff; Thank you so much for the kindness and friendship you had shown Dad. He truly felt ―at home‖ because of you. Thank you, too, for the beautiful plant. We will miss Dad. The family of John F. Check Debbie Reeves and John D. Check

Education Corner Crissy Skogsberg, Education Coordinator has been facilitating mandatory training for all staff including housekeeping, plant operations, dietary, activities and nursing staff. The education is called Hand in Hand: A Dementia training series for nursing homes. There are a total of 6 one hour modules that started in February. Module 1: Understanding the world of residents with dementia: what it is, types of dementia, and understanding persons with dementia. Module 2: Abuse: what is abuse, types of abuse, how to recognize abuse and procedures on how to report abuse. Module 3: Being with a Person with Dementia: Listening and speaking: why dementia causes changes in communication and how to communicate with persons with dementia. Module 4: Being with a person with Dementia: Actions and Reactions: why do persons with dementia act and react the way that they do and how a staff member should respond to those actions and reactions. Module 5: Preventing Abuse Module 6: Being with a person with Dementia: Making a difference Happy 4th of July, Crissy Skogsberg, Education Coordinator 2

At Sanford Arts Vermillion (SAV), we are committed to art programs that serve the creative needs of the Care Center residents. In June, ART with Ari met with Special Care Unit residents three times each week for morning or afternoon sessions of arts engagement. Pictured on the left: Dorothy and Doris visiting while they prepare their background glazes for a series of three floral paintings based on the 19th century French masterpieces of Claude Monet, Camille Pissarro and Odilon Redon. Residents of the Special Care Unit have become comfortable with the use of watercolors, colored pencils, colored sand, acrylic paint and glazes in their art projects. One of our aims at SAV is to keep things interesting. In June, we continued wheel-chair yoga, folded paper projects as well as collaborations, where many artists contribute to a single work of art. Our newest program, Care CArt meets with Care Center residents twice a week from 3:30 to 4:45 pm at the fireplace sitting area. Pictured on the right: RN Nicki works with residents on the collaborative sand mandala (sacred circle) while Francis, Joann, Carrie, Dawn and Ari work on smaller, individual mandalas. With Care CArt, residents and staff, are encouraged to take time in their day for creative expression. Visiting from Sanford Arts (SA), Sanford Cancer Center, Sioux Falls Ali Boughn presents on ―Artist in Residence: The Invitation.‖ Pictured from left to right: Executive Assistant Jill Christopherson; SAV, Intern Kasen Keller; SA, Ali Boughn; SAV Program Coordinator, Ari Albright; current exhibiting artist and USD student, Erica Richey; and SAV Visiting Artist, Susan Heggestad. The primary purpose of Sanford Arts Vermillion (SAV) is to support client wellness through the arts and art activities. Clients include residents, patients, staff, families and volunteers. Ari Albright is a professional artist, art educator and artist in residence specializing in healthcare environments. Please feel welcome to call SAV at (605) 638 – 8580 or X 580 more information. 3

Directors Direction

In the Know with the CNO The year is swiftly going by as summer has commenced. I have been in my new role with the Care Center for one and one half years already. For those of you that are not familiar with me I have a dual role which includes oversight of the hospital and long term care staff at Sanford Vermillion. I have been a nurse for almost 35 years in various positions. The past twenty five I have functioned in the clinical/administrative role. I thoroughly enjoy my job here and the staff, patients and residents I have had the privilege to work with and get to know. We have seen a great deal of change and improvements in the past 18 months and that will continue as we move forward. Plans are formulated for a start in the fall on improvements in the pantry. This will allow our residents and staff to enjoy snacks and meal preparations without having to go to the central kitchen. This past year we developed a snack area in the North unit which includes a microwave, toaster and coffee pot. This has proved to be a great convenience to the residents and staff of that unit. We have and will continue to improve and update the amenities in the resident‘s rooms such as new floors, beds, bedside night stands and dressers. The order is placed and a fall delivery is expected for our new passenger bus which can transport twelve residents and two wheelchair passengers. This will be a wonderful addition to our program. Our goal is to provide an excellent experience for our residents. The changes I mentioned are a good step in providing that for them. Enjoy the summer! Jeff Berens, CNO

We would like to welcome back our MDS Coordinator Kay Hoesing who has been out on leave. She will be working part time and building up back up to full time. We are working with a Quality Group from the State of South Dakota, called INTERACT. They came to our facility on May 29th to introduce us to a program focusing on Quality Improvement in our facility. We are the first facility to work with this group in South Dakota! Their goal is to get all the Long Term Care facilities in the state to be involved. Sanford Vermillion is known to be trailblazers in healthcare—this is one more path. The INTERACT quality improvement program is designed to improve acute changes in condition of residents in nursing homes. The fundamental goal of INTERACT is to improve care. Its strategies and tools will help reduce the frequency of potentially preventable transfers to the acute hospital; its to be integrated into every day care and into our quality improvement program and help improve communication between staff. The lead team involved will include the Director of Nursing, Quality Assurance, Education Coordinator, MDS Coordinator and a Floor Nurse with training/education to include all staff and Physicians as well. This group will meet on a regular basis to review goals and progress. Some initial implementation has already began . We do know that with any new program it takes time to get it fully implemented. As excited as we are, we will continue to work with INTERACT to guide us into a successful implementation. This program will help fill in the gaps in our care process, and not create more work for the staff. We will be tracking the information from the assessments and tools we are using to help improve our system and support other facilities to have a successful implementation as well. In Health, Gayle Matzke, DON 4

Thank you Bill Willroth, Sr. for taking some of these pictures! Pictures above include Care C.Art Activities, time with friends at Marina Bar & Grill in Yankton, and the beautiful blossoming flowers in the Healing Garden. 5

Pictures above include residents supporting the Dakota Hospital Foundation Golf Social by stuffing golf registrations and labeling them to be mailed; residents enjoy time spent with the UCC Vacation Bible School participants and home schoolers; Art activities and breakfast with friends. Some pictures courtesy of Bill Willroth, Sr. 6

Hospice, What is it and why Would I Want it? Many people hear the word ―hospice‖ and it frightens them. The immediate correlation to the word is ―death‖. The word hospice is derived from the Latin word ―hospitality‖ and the philosophy of hospice is to strive to enhance quality of life when a cur e for a disease process is no longer the focus in the patient‘s life. Choosing hospice for yourself or a loved one can be a difficult decision. Days, months or years may have been spent on curative cares to stop the disease process. When you and your medical team begin to understand that curative treatment is no longer the focus, it is time to consider hospice. Many people misunderstand how hospice can make a difference when they or their loved one is a resident of a long term care facility. Hospice is a supportive service funded by Medicare, Medicaid and private insurance companies. Hospice services include specially trained registered nurses, social workers, clergy, certified nurse‘s aides and volunteers that provided additional services to qualifying reside nts in long term care facilities when the resident is nearing the end of their life. These hospice staff members assist and support the long term care team in identifying the special needs of someone in the final stages of life. Hospice is a team approach to end of life care. A physician leads the team in supporting the best possible care for the patient and the family. It is not uncommon that a patient‘s greatest fear at the end o f life is pain. Our nurse‘s have many years of hospice experience in pain control. Our goal is to control pain while keeping the patient as comfo rtable and alert as possible allowing quality time at the end of life. Benefits the patient and family receive with hospice services include medications and equipment related to the patient‘s hosp ice diagnosis, such as specialized equipment and medications needed to enhance comfort at the end of life. Hospice nursing staff is available 24 hours a day, seven days a week to help with end of life cares, a hospice social worker is available to assist in preparing the patient, family and friends for the loss of their loved one and provides continued contact for 13 months after the death with mailings, phone calls and support group opportunities. Hospice services incorporate care of the patient and the family as we recognize that end of life not only affects the patient but those closest to the patient. Hospice is not just about how you die. Hospice offers care when a cure isn‘t possible. That care offers many, the chance to l ive each remaining moment of their life to the fullest. With hospice, you and your family will be able to make the most of the time you have left. You will discover that this precious remaining time, can be a time of peace, and a time of finding comfort, acceptance, love and healing. Want to know more, feel free to contact us and we can meet with you to answer questions at 638-8485. Kay Hansen, RN Sanford Hospice

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June EOM Grant Nielsen, Care Center

Kickin’ it with Restorative Nursing Care ~ You might hear your loved one mentioning the ―Jump into June‖ contest. Residents who participate in exercising have been logging their miles/minutes in the month of June. The person(s) with the most will win a prize! Stay tuned for the announcement of the winner(s)! Kitsy, Grant and Debbie are excited for July‘s competition ―Barrel O‘ Monkeys‖. Residents will put monkeys in their barrel after completing a number of minutes/miles. When their barrel is full—they have achieved their goal and are eligible for a prize! Come check out the Barrel O‘ Monkey‘s in the Restorative Care room in July! The goal of restorative nursing care is to maximize a person's level of function and minimize decline. With training, nursing assistants and physical therapy assistants engage people to participate in their care by encouraging them to make decisions. These activities include allowing people to participate as much as possible in their daily activities, including bathing, dressing and going to the bathroom. Restorative care also includes physical activity while promoting safety--for example, instructing a person on how to safely transfer to bed from a wheelchair. Restorative care aides reinforce the training people receive from physical, speech and respiratory therapy. Read more: http://www.livestrong.com/article/143121-what-is-restorative-nursing-home-care/#ixzz2XWeD0W95

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―Puppies for Sale‖ - Author Unknown A store owner was tacking a sign in his store window which read ‗Puppies for Sale‘, when a little boy appeared. ―How much are you selling the puppies for ?‖ he asked. The man told the lad he didn‘t expect to let any of them go for less t han $50. The boy reached in his pocket, pulled out some change, looked up at the store owner and said, ―I have two dollars and thirty-seven cents. Can I look at them?‖ The store owner smiled and whistled. From the kennel, a dog named Lady came running down the aisle, followed by five tiny balls of fur. One puppy lagged behind. Immediately, the little boy asked about the limping puppy. ―What‘s wrong with that doggie?‖ ―The veterinarian told us the dog is missing a hip socket,‖ said the store owner. ―He‘ll always limp like that.‖ ―That‘s the one I want to buy,‖ the lad said quickly. The store owner replied, ―No, you don't‘ want to buy that dog. If you r eally want him, I‘ll just give him to you.‖ The boy came close to the store owner‘s face and said angrily, ―I don‘t want you to just give him to me. That doggie is worth just as much as all the other puppies and I‘ll pay the full price. In fact, I‘ll give you $2.37 now and 50 cents a month until I have him paid fo r!‖ The store owner replied, ―No, no, no. You don‘t want that dog. He‘s never going to be able to run and jump and play like the other dogs.‖ In response, the little boy pulled up his pant leg to reveal a badly twisted left leg, supported by two steel braces. ―Well, sir,‖ he said, ―I don‘t run so well myself and the puppy will need someone who understands.‖ 11

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Care Center Vermillion 125 Walker Street Vermillion, SD 57069 Sanford