nmda introduction 7-2015
TRANSCRIPT
No one should die alone . . . Each human
should die with the sight of a loving face
~ Mother Teresa of Calcutta
No Member Dies Alone
NMDA Mission
THE GRAND RAPIDS HOME FOR VETERANS
IS COMMITTED TO PROVIDING
CARING SUPPORT AND COMPANIONSHIP
TO EVERY DYING MEMBER.
NMDA VisionWHEN ONE OF OUR MEMBERS ENTERS THE FINAL STAGES OF
LIFE HAVING NO FAMILY OR FRIENDS
PRESENT, OR IF THOSE PRESENT NEED
RESPITE; GRHV WILL ENFOLD THAT
MEMBER WITH DIGNITY AND HONOR
BY CONTINUOUS SUPPORT AND COMPANIONSHIP,
ENSURING NO MEMBER DIES ALONE.
staffing
Volunteers selected for NMDA Care Team will learn:–how to relate to unit staff & family –how to protect a member’s privacy–what to do at the bedside–listening, observing & presence skills–self-care
STAFFING
Support team
Support team
You will be supported by a team chosen from our chaplains, nurses, recreational therapists, security, social workers and the volunteer
supervisor.
One member of this team will lead each mission and serve as your
primary contact for that mission.
Support team
ESSENTIAL FLOOR STAFFPhysician
House Supervisor (3pm-7am + weekends)
Unit CoordinatorShift RN
Shift LPN(s)Unit Secretary (first shift)
Caregiver
ACTIVATing
1.The nursing staff from the unit where a member is actively dying will alert the NMDA on-call Mission Leader.
2.You will receive an e-mail and/or text and/or voicemail:
“We have been activated for a (m/f) member on (floor/unit). This mission may last (time frame). The member has (no/some) family involvement. Please go to Google Calendar and sign up with your name, phone number and mission (M##) for available times from today to (time frame). Questions? Call (mission ldr @ ###-###-####).
activating
AcTivatING
More specific details about scheduling will be given to those volunteers who are selected to serve following their qualifying interview.
You will be given the opportunity to sign up for an interview following this introduction.
SErvING
servingON UNIT
STAY IN YOUR LANE!
serving
DO COMMUNICATE with member’s nurse
When in doubt about what you can and cannot do
ON UNIT
serving
• Any changes you observe in the member’s condition
• If you are concerned the member is worsening
• When a member dies while you are sitting bedside
ON UNITDO COMMUNICATE with member’s nurse
servingBEDSIDE
STAY IN YOUR LANE!
serving
• Move member in or out of bed• Put any type of restraint on the
member • Get food, water or ice for the
member• Communicate medical information
to the family
BEDSIDE(Do not…)
serving
LISTEN
OBSERVE
BE PRESENT
serving
LISTENINGIt’s more than simply hearing
• More than 80% of communication is non-verbal
• Be aware of eye contact, touch, body language
• Don’t change the subject they have chosen
• Encourage reminiscing• Empathize actively
(SOME signs of impending death)
• Breathing slower, shallow, difficult, apnea;
• Increased secretions at mouth; • Increased restlessness (legs); • Hallucinations and altered reality; • Fingernails and lips become bluish; • Skin moist, “clammy,” mottled;• Noises increase in throat and upper chest.
OBSERVING
ServING
ServingOBSERVINGTwo Roads to Death
serving
• Let the member know you are there • (hearing and touch remain until death)
• Talk and read softly• Touch gently or hold hand• Play music• Sit silently
PRESENCE
Those who have the strength and love to sit with a dying patient in the silence that goes beyond words will know that this moment is neither frightening or painful, but a peaceful cessation of the functioning of the body.
Watching a peaceful death of a human being reminds us of a falling star; one of a million lights in a vast sky that flares up for a moment only to disappear into the endless night forever.
~ Elizabeth Kubler-Ross
SALUTE
Salute Ceremony
Following preparation and washing of body, the nurses will transfer the deceased
member’s body to a draped cot for removal to the
morgue.
Final salute
The following Friday @ 10:00 am, the member’s
name will be read over the house intercom while taps is played and a moment of
silence is observed.
SELF CARE
Self care
DEBRIEFING BEDSIDE EXPERIENCES
CHATS WITH A CHAPLAIN
QUARTERLY TRAINING
PERSONAL HABITS
Self care
DEBRIEFING BEDSIDE EXPERIENCES
• Within 48 hours when a member has died in your presence• To review the bedside experience• Support staff will contact volunteer
Self care
CHATS WITH A CHAPLAIN
• hosted as needed by Chaplain Kalish or another chaplain
• sharing with the rest of the NMDA group any thoughts and feelings about your experience bedside.
Self care
QUARTERLY TRAINING
SECOND MONDAY of JANUARY, APRIL, JULY, OCTOBER at 7:00 pm in GRHV ALL PURPOSE
ROOM.
• To debrief the recent missions
• To develop the volunteer’s skills
• To discuss & evaluate key issues
Self care
PERSONAL HABITS
•Hygiene – wash your hands•Maintain safe emotional boundaries•Manage stress well•Practice spiritual centeredness•Ask for help!