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Enrollment
Criterion
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The following is provided for the fair and informed admission to the Milton Adult Day Services:

It is our intent to serve older persons in the St. Joseph County area who are living with cognitive or physical impairments without regard to race, religion, ethnic background or sexual preference  These persons may be rehabilitating from a stroke, have early to middle stage dementia, such as Alzheimer's disease or a related disorder, be frail and need attention or socialization, or cannot safely be left alone.

There may be certain conditions that are inappropriate for the milieu of this center.  These may include but are not limited to some psychiatric illnesses, traumatic brain injuries, or those who are profoundly developmentally disabled.

Upon assessment and history of the participant, the enrollment team will determine the final decision.
Participants will:
  • Abide by the admissions policies of Milton ADS, which include a history/physical and mantoux test or clear chest x-ray.
  • Be willing to attend and participate in 50% of the offered activities and programming.
  • Benefit from the social environment as evidenced by interactions with others.
  • Feed themselves or eat independently with minimal cueing.

Other issues to note for admission:

Incontinence:
  • Participant may not have uncontrolled or excessive incontinence of urine or bowel as evidenced by accidents occurring daily.
  • Must display adequate hygiene practices or care from home and must be free from odors and perfume.  Arrangement for help with personal care is available.
Communication:
  • Must be able to communicate needs and/or follow simple directions.
  • Must be able to make their needs understood either by speaking or adaptive equipment.
  • Those who speak a foreign language will have an interpreter available at all times.
Ambulation:
  • Must be ambulatory with the assistance of cane, walker or wheelchair.
  • Must be able to stand and bear one's weight, pivot and/or transfer from wheelchair or another chair and/or toilet with assistance of one certified staff aide in a safe manner.
Wandering:
  • May walk outdoors if attended and directable.
  • Free to wander in Milton ADS halls alone or outdoors if accompanied by staff.

Discharge Policy:

Policy:  The following is to provide for the fair and informed discharge from Milton Adult Day Services (MADS):

It is our intent to ensure an orderly process and to set forth the requirements for consistent and appropriate dismissal of Participants.

Those who are not eligible for admission include those persons whom require more assistance than the MADS staff can provide, are beyond the scope of services, those who have a contagious disease and those who are a danger to themselves or others.

Due to the congregate nature of the program, MADS reserves the right to refuse services

All MADS Participants will be monitored on a weekly basis to determine whether or not they meet any of the criteria for discharge.

This will include but not limited to the following:

General:
  • Participant does not want to attend
  • Requires 1-1 staff ratio of care
  • Requires nursing care not provided by the facility
  • Exhibits excessive excretion of body fluids, example drooling
  • When the mental capacity of the Participant interferes with the staff's ability to assist with Activities of Daily Living
  • Unable to eat independently
  • Requires diet facility cannot accommodate
  • Requires hospitalization, extended care facility or hospice
Ambulation:
  • Participants who cannot pivot for transfers, need lifting or two-person transfer and those who cannot bear weight.
Incontinence:
  • Uncontrolled and excessive incontinence which has not benefited from two bathroom reminders/cues or as evidenced by two changes of clothing within a daily visit
  • Refuses assistance with incontinence or refuses changes of clothing/depends
Program Participation:
  • Sleeps excessively or isolates self, does not participate in program activities 50% or more of the time
  • Hearing or vision loss interferes with Participant's benefits of attending
Wandering:
  • Continual attempts to elope or leave building
  • Participant is non-redirectable in his/her wandering to unsafe areas or refuses to remain within secured safe area
Communication:
  • When staff is unable to understand Participant
  • When Participant cannot communicate needs and/or severe Aphasia
Behavior:
  • Combative behavior such as hitting, grabbing, spitting, etc. is grounds for immediate discharge
  • Threatening toward others by gestures. physically or verbally (can result in a two-week discharge notice)
  • A deteriorating physical/mental condition resulting in Participant being a danger to self or others
  • Inappropriate language such as swearing, cursing, insulting or berating others
  • Sexual comments and gestures/conduct
  • Frequency and intensity or duration of Participant's behavior continues after being monitored, care planned, and staff intervention of the behavior remains uncontrollable and non-directable
  • Disruptive behavior that affects the health, happiness and well being of others or effects the operation of the program
  • Participant currently on a two-week trial basis and is deemed to be inappropriate