Lance's material is "resident centered", which means; care giving "duty" is an intricate part of most presentations. His approach reinforces employee accountability by rekindling the "I'm going to make a difference" commitment. Resurrecting these closely guarded feelings sets the stage for productive dialogue. Lance also discusses the delicate economic balance between high standards of care giving, and a healthy bottom line. Most employees are sheltered from the day to day challenges of operating a successful nursing home. Understanding the dynamics of this challenge generates a closer kinship with facility and corporate management. Most importantly, Lance keeps employees focused on themselves; WHAT CAN THEY DO?

  Establishing "trust" is the foundation of a meaningful learning experience. If the audience isn't sold on the speaker, they won't buy what the speaker has to say. Lance's insight of the nursing home industry generates positive head nods from the most discriminating staff. He also earns audience acceptance by sharing his nursing home experiences, from memories as a nurses aide to an owner. Some stories may force a tear, while others may trigger a jubilant laugh. These occasional reflections graphically reinforce his material. Handouts are furnished at most inservices. This approach allows participants to focus their attention on listening, rather than writing. A brief intermission is scheduled every 45 minutes to an hour during full or half day seminar-type programs. This keeps the audience fresh, and enhances the value of the experience. Many of Lance's lesson plans are designed for 30 minutes or less, especially interactive sessions for non-management personnel. These inservices are very effective, especially in groups of twelve employees or less. Scheduling abbreviated sessions, in smaller groups, at various times of the day, increases accessibility to employees. The more employees that attend an inservice(s), the greater the residual benefits. Most inservices include a testing method to measure audience retention. Lance's methods of delivery vary from lectures, to interactive workshops, group encounters, self evaluations, and case studies.