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What is an Adult Family Home (AFH)?

Adult family homes (AFH's) are private residences that are licensed to provide housing, meals, and personal care services to older persons and disabled adults who are unable to live independently. Unlike assisted living facilities, AFH's are owned and operated by licensed AFH “providers” who live with the residents they serve. In addition, AFH's are limited to a maximum of six (6) residents.

Who May Reside In an Adult Family Home?

To reside in an adult family home, a person must meet the AFH "residency criteria," which is defined by RCW and WAC regulations and by the provider’s admission policy. In most cases, AFH's provide general supervision, assistance with personal care services, and assistance with medications to elders and disabled adults who require such services.  This residency criteria generally falls into these categories:  Dementia, Mental Health and Developmentally Disabled.

For the members of the WSRCC - It's all in the service!

What are the Personal Care Services Provided?

  • Daily assistance with bathing, grooming and dressing, toileting and walking.
  • Assistance with Medication
  • Continence Care and Management.
  • Escorts and assistance with walking and Transfer Assistance.
  • Array of Menus:  Three delicious meals & snacks.  
  • Dining assistance and special diets.
  • Behavior Management.
  • Assistance with reminders and redirection.
  • Access to health & medical services.  Medical care and assistance within the guidelines of Nurse Delegation state law and Physician orders.
  • Housekeeping and Personal Laundry services.
  • Social and recreational activities.
  • Health promotion and exercise programs.  Our caregivers follow Physical Therapist's discharge orders.
  • Many AFH's are also experienced Hospice Homes; Residents may transition into Hospice without having to move!
 

Who are the Owners/Providers?

Many Providers have nursing degrees; ARNP's, RN's, LPN's, as well as nursing assistant certificates; CNA's and NAR's.  We take continuing education every year to renew our licenses.  Larger numbers of us are furthering our education and have returned to school to become nurses or earn Geriatric accreditation.  Many started out by caring for one of our own family members (father, mother, aunt, etc.) and continue on in this line of work because we've became attached to the Residents we care for.  And many came from other lands and found a niche market in which to become established in America.  For the members of the WSRCC - It's about the care!  We care about Quality Assurance and hold ourselves to a high standard!  And, we consider it an honor and privilege to serve you and your families just as if you were our own!

Jeanne & Caregiver Victoria finished sorting a drawer and stopped for a "cuppa tea".

Jeanne found an old photo. Aaaaahh. The Memories!

Our Daily Philosophy:   
 
In accordance with the comprehensive assessment; Activities are the "things we do."  These include getting dressed, doing chores, playing cards, etc.  They can be active or passive, done alone or in the company of others.  They enhance a person's sense of dignity and self-esteem by giving purpose and meaning to his/her life.  Activities structure time and can make the best of retained and existing abilities, and can especially lessen undesirable behavior such as wandering or agitation.

Activities are the "things we do." 

Daily Routines:  
Go way beyond Personal Care and Mealtime Activities (bathing, shaving, dressing, preparing food, cooking and eating) and Chores (dusting, sweeping and doing laundry).

Grooming & Personal Attention!

Holiday Celebrations & Parties!

Creative

Medical Attention on Sick Days

Combining Intellectual & Physical

Work Related - Former Piano Teacher

Creative

Social and Spiritual

Social

Social & Spontaneous; Red Hat Ladies!

The Person: 
When we plan activities, we think about the Total Person, what skills and abilities does he/she still have?  What would this person enjoy?  Does he/she begin activities without direction (set or clear the table, sweep the floor?)
 
The Activity:
We make the Activity part of the daily routine, like asking a resident to help us complete a task, like folding towels, which provides a sense of purpose and importance.  We focus on enjoyment, not achievement.  We stress involvement, with activities that help the resident feel like a valued part of the household, like setting the table.  We relate the activity to work life; a business person might enjoy organization activities such as putting coins in a holder.  We look for favorites, like drinking coffee and reading the newspaper (even if the resident's not able to completely comprehend what he/she's reading), and we modify activities as needed.  We try to be flexible and acknowledge the person's changing interests and abilities, and as the disease progresses, we introduce more repetitive tasks or even expect the person to take a less active role in activities.
 
We offer support and supervision.

 

Our Approach: 
We offer support and supervision (we may need to demonstrate and provide simple, step-by-step directions). We concentrate on the process, not the product (does it really matter if the towels are folded properly - not really). We try to remain realistic and relaxed (every minute of the day needn’t be filled with activity - the resident needs a balance of activity and rest, and may need more frequent breaks and varied tasks). We get the activity started, break it into simple, easy to follow steps, and assist with the difficult parts (in cooking, we can measure the ingredients, and say "Would you please stir this for me?"). We try not to criticize or correct the person, and by careful observation, we can substitute an activity for a behavior (if she rubs her hand on a table, by placing a cloth in her hand we might be able to encourage her to wipe the table). And if something isn’t working, it may be the wrong time of day or the activity may be too complicated. We try again later or adapt the activity.
 
Environment:  
We make the activities safe, removing toxic materials and dangerous tools, so an activity such as sanding a piece of wood can be safe and pleasurable. By leaving out scrapbooks, photo albums and old magazines, we help our residents to reminisce. And we try to minimize distractions that can frighten or confuse.
 
Structuring the day:  
We begin by thinking about the past week, by keeping notes in a journal about activities and experiences that worked and didn’t work. Which worked best and which didn’t? Why? Then we set up a written schedule, based on this journal. A patterned day allows us to spend less time and energy trying to figure out what to do from moment to moment.
 
Success varies from day to day.
 
Evaluation:    
The success of any activity can vary from day to day. In general, if the resident seems bored, distracted or irritable, we’ll know its time to introduce another activity or take time out to rest. In most cases, we expect these structured, pleasant activities to decrease agitation and improve her mood. 
 

The nature of the activity and degree to which it's completed is not as important
as the pleasure and sense of accomplishment
we hope our residents derive from it!

Activities We Draw From:                                          

#1   Self-Care   


Manicures; Grooming: combing hair
Dressing, Skin care & Make-up
Teeth & Denture Care;  Toileting

Mobility & Transfer

 


 

#2    Household    Chores

Pick up bedroom, trash
Make or strip Bed

 


Fold Laundry
Dust & Sweep
 

 

#3  Meal        
    Preparation 
  Kitchen Skills

 


Sauces, Soups, Gravy, etc.
Sandwiches, Salads: Tossed, Potato & Macaroni
Puddings, Pies and Tarts
Folding Napkins
, Table setting & clearing
Serving Food & Beverage

 

 

 #4   Physical -  
     Gross Motor 


Exercise; Range of Motion
Floor Games:  shuffleboard, bowling, horseshoes, etc.
WALKING; Dancing

 

#5     Creative 
    Arts & Crafts
 & Hobbies

Decorating for Season
Note Cards, Greeting Cards, Scrapbooking
Mosaics, Bookmarks, Decoupage plaques
Candle Making, Painting & Gardening

Music - Words & Melody

#6   Intellectual &
    Work Related


    

 


Books, Crossword puzzles
, Magazines,
Daily Orientation, Gardening,
Stuffing envelopes, Punching holes in paper
Stapling & collating, Stamping Mail
, Clip Coupons

 

#7    Social & Spiritual     

PET/s  &  CHILDREN THERAPY
Hymn Sing
& Devotions
Table Games & Table Discussion Groups
Dinners, Parties
&
 Monthly Potlucks

 

We try to stimulate the Mind, Body & Soul  -  Everyday!!!

 
 

Send mail to President@Sno-KingAFHA.org with questions or comments about this web site.
Copyright © 2006 Sno-King AFHA of WSRCC