Wednesday, April 9, 2014

4/3/14:  I arrived at Milk River Activity Center at 0745 in Glasgow, Montana to start my volunteer service.  Connie Wethern, CEO was present, as well as her secretary when I arrived.  We briefly discussed what I was there for, what I was to do, etc.  I told them whatever they had for me to do/help with would be perfect.  I was given a tour of the facility and educated on the history, etc., of the facility.  The ratio of care givers to individuals is 1 to 4 at the center.  Caregivers assisted those who attend the center on a rotating basis related to duties they do with the individuals, i.e., recycling, laundry, crafts, cooking, etc.  The work/educational/activity for this day was “laundry service” and “crafts.”  Eleven to fifteen individuals were scheduled to be present at the center for the day.  The caregivers began arriving at 0800.  I was introduced to all caregivers as they arrived, with discussion of why I was there with each.  Marc was my primary preceptor who was asked and agreed to “get me going.”  Specifically, one caregiver organized activities in a sunny room that faced the south.  Today crafts were organized to make Easter decorations to adorn the center. Another caregiver was assigned to “travel.” The “travel” caregiver was the “runner” for the day, i.e., pick up laundry, go to areas where the recycle bins are located, transport individuals to appointments, etc.  The “runner” caregiver takes an individual with them to whatever location is scheduled for the day, with today being the local hospital where laundry will be picked up.  The other two caregivers were assigned to assist/monitor and provide guidance/education with “laundry” services as needed. 
Two individuals were already present when I arrived, as they live in a little town 15 minutes away and were dropped off by their parents to “work” for the day.  The bulk of the residents started arriving at the center at 0830 via the Valley County Transit Bus.  These next individuals came from the three group homes in Glasgow.  As the people arrived, I was seen as a “novelty,” as I was “new,” and had a nametag on which was interesting to those who came.  I was given hugs by most of the individuals, and welcomed unconditionally, as if I was a long-lost relative. 
As the day went on, I was allowed to be involved in an online visit between a person who attended the center and this individual’s parents who lived in another state.  I felt humbled to view this interaction. 
Next, the “runner” returned with the first load of dirty laundry for the day.  The center is paid by facilities, today from the local hospital, based on the weight of the laundry, with laundry being weighed before it is separated.  After the laundry was weighed by a caregiver, and written into a log, we all worked together to separate the laundry, while wearing gloves. I was “taught” how to do this by one resident as I did not know the system.  Then the separated laundry was loaded into the commercial washing machines in another room by individuals, with staff in attendance.  When the washing was done, those assigned for the next task removed the laundry from the washing machines and loaded the dryers with the clean laundry.  While this revolving process was going on, snack time occurred.   I assisted in feeding one autistic person, cleaned up after snack time was over and socially interacting at the tables with individuals. After snacks the first loads of laundry were done.  Dry laundry was put on a big table and all those capable assisted in folding the laundry after carefully sanitizing their hands.  I was “educated” on the correct way to fold certain pieces of laundry, which made individuals laugh and smile at my lack of “knowing!”  One individual said, “We all have to start someplace,” and another said, “don’t worry I can teach you,” etc.!  This same procedure went on throughout the morning.  Those individuals who “worked” in this area are provided wages, which they learn to spend wisely assisted by caregivers.  I noticed a few of the people had plans for their wages, goals they wanted to obtain with the money, and/or what they had already used their earned money for.
While the “work” in the laundry area was going on those that either did not want to participate, and/or could not participate in this work, were busy in the activity room.  The activity this day was related to making balloon balls covered with blue string dipped in glue, with the balloons popped after the string glue was dry.  These beautiful “balls” were to be used as decoration for the upcoming Easter season at the center.  A few individuals were not capable to do the craft, yet did sit in their wheelchairs and watched, smiling and “talking.”
Lunch is prepared by staff and assigned also on a rotating basis.  Today the activity caregiver made a healthy chef’s salad that the individuals enjoyed. After lunch we cleaned up and then went back to the previous activities of the day.  When the laundry was completed and put in plastic tubs, it was taken back to the hospital, which occurred around 1300. 
Next cleaning was done, all floors mopped, bathrooms cleaned, “work” area tidied, etc.  I was amazed at the organization of how the day was run, as well as the willingness for all to help.  If individuals would ask each other for help, “teamwork” was quickly seen and happily done.  Throughout the day a few behavior problems occurred, with staff quickly and expertly addressing each behavior appropriately.
All activities were done for the day at 1400.  A few individuals only stayed until after lunch, and then were transported back to their homes by the transit bus system.  The bulk of individuals starting leaving the center at 1500, via the transit bus system. 
To note, throughout the day, I noticed my preceptor was busy filling out logs, as were the other caregivers, on each individual present, which he explained to me.  The logs are used to show the person is at the center, what they do all day long, etc., this allows the individual to stay in the program and the agency to continue to obtain funds to pay staff.  I also was shown and explained the “plan of care” notebook which included each individual and their specific assessments, diagnosis, plans, interventions, evaluations, and their goals. This plan of care notebook is adjusted based on the individuals need with family, staff, friends, etc., being involved when changes are made or needed. If no specific changes are needed, the plan of care notebook is still examined for and with each individual quarterly. Also, an interesting fact discussed with me by the CEO was that of the individuals they work with, at least 50% of these people have both a developmental disability and a mental health diagnosis.    
As I reflect back on the day, the first word that enters my mind is “love” the second word is “respect.”  My face hurt from smiling all day.  I had/have not received so many hugs in a really long time, and felt so honored to be with these special individuals and caregivers.  
I did ask when I can come back and was told “anytime!”  That said, I will be back on 4/18/14 at 0800.  My final comment is, I received more from those I encountered then they received from me, I am sure.  I am anxious to attend my last day.      

 

  

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