Patient Returning Home

Greenville

  1. I have contacted a local saw-mill and they donated the wood and supplies to help assist in building a ramp for my Pt that was returning home with her spouse.
  2. I have also contacted local agencies in order to assist with providing Pt’s that require assistance with funds to purchase durable medical equipment/ furniture/ food / ect prior to Pt community reintegration.
  3. I have questioned Pt/Pt’s family members in regards to Pt’s goals prior to returning home and trying to set-up Pt’s ADLs as if they were performing them in a home-setting.
  4. We as the rehab team have contacted local organizations in regards to providing our rehab- to -home Pt’s with durable medical equipment for the less fortunate.
  5. Sending out Pt’s with HEP that fit their schedule as well as the work-out equipment required in order to perform HEP. Ideas in which items that are within home that may be utilized as well.

These are just a few of the goal-oriented/ community re-integration ideas that Greenville Nursing and Rehab team / this therapist have done in order to send out Pt’s home with a better quality of life.

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Get Up Off the Floor

Robinson

This patient will return home alone and getting up off the floor will be good for her to be able to do by herself.  Pt also states that she gets on and off the floor to organize things on the bottom shelves, although has been educated on alternative methods to defer pt from doing this, really wants to cont to do her organization on the floor.  Pt was able to lower self to floor and get back up with instruction of this activity. Pt performed activity 3 times with cga.

Gift Wrapping

Robinson

This patient (at Robinson Nursing & Rehab) is a 43 year old female who was NWB on R LE. She was unable to perform Christmas gift wrapping at home for her family, so we made this task part of OT! She enjoyed herself and asked if she could wrap some of the therapist’s gifts for their family. She was very appreciative to be able to perform this task and it was a great FMC and sequencing task. Meaningful and fun! We were also able to make chocolate covered pretzels with this patient so she could give them out as gifts to friends, family and other residents!

Day of Shopping

James River

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We have done something here over the years that has been really successful & gets the facility involved.  About 3-4 times a year we put together community outings for the residents. They have been really good for those patients that are going home and will be going out in the community.  In the past we have taken them out to eat for lunch, to the grocery store shopping, and one time on a shopping trip to a clothing store.  We get with the van driver to schedule a time that they can take us and schedule the outing for that day.  Then each therapist selects a resident to take that the outing would be appropriate for.  Often times we will switch the resident between therapy disciplines during the outing (as our outings usually take most of the morning) so that everyone gets their treatment time and different areas of the outing can be assessed from gait to transfers, to cognition, to standing balance, & even higher level ADL’s.  The patients always get really excited about the activity and seem to get a lot out of it.  The most fun we ever had on one of these outings was taking them to Lambert’s Restaurant to eat and watching the residents attempt to catch the “throwed rolls”.  I bet a dozen rolls hit the floor that day but we still have patients that talk about that outing.

 

 

 

 

 

Potato Soup

Heritage Living

This Friday we made Potato Soup as a therapeutic activity (with 1:1 Therapist:Patient of course!!).

ST:

  • A patient prepared the recipe by completing math calculations to triple the recipe to   feed a large group.  (the recipe pictured is the single recipe, multiply as needed to feed your crowd)
  • Another patient used the recipe to create a shopping list. (each therapist brought an item)
  • For individualized tasks appropriate for each patient they were subdivided onto post-it notes so each could choose a task specific to the therapy they were receiving and personal goals for home. (ex. wheelchair seated tasks, community/home distance ambulation with rollator, standing balance or reaching relevant to kitchen environment) Removing the post-it notes provided visual feedback on progress of the cooking activity and a sense of accomplishment.
  • Compensatory strategies were educated and functional carryover promoted by using patient’s own devices. (using timer on watches and telephones, counting aloud when adding ingredients, using checklist to prevent forgetting or duplicating ingredients)

PT:

  • Ambulatory patients retrieved ingredients from the kitchen. Safety for ambulation, gait training, obstacle negotiation, carrying items with assistive devices, pathfinding, and planning anticipated rest breaks were some of the functional goals that were targeted.
  • Within the kitchen area, patients worked on safety for mobility in confined spaces, strategies for balance support, reaching for refrigerator/oven/sink/standing prep, and energy conservation.

OT:

  • This activity created great opportunity for functional education of modifications for ADLs including hygiene/hand washing, dish washing, food prep, cooking, place setting, and transitional movements with those who can and cannot stand, have weakness or unilateral use of upper extremities, vision impairments, tremors, and memory loss.
  • Because each patient was given impairment level appropriate task they felt successful and productive.

We began at 8 a.m. so each patient could help in some part of the activity. For example: a gentleman who had peeled hundreds of thousands of potatoes during the Vietnam War washed and peeled potatoes prior to his other therapeutic exercises and activities; a lady too cognitively impaired to be encouraged to use sharp or hot kitchen tools but ambulates well was able to gather ingredients and cube soft cheese; ladies near discharge home were able to use the stove and wash dishes (with assistance as needed and gait belts). By noon, 5 different therapists had worked with total of 8 different patients to incorporate therapeutic exercise and activities AND prepared soup and cornbread for our rehab hall patients and staff. As luck would have it someone even brought german chocolate cake as a “Thank You” for their stay thus far.

The patients reported that they loved the soup and felt more confident in their ability to return to home to do things they love like cooking and basic housekeeping. They also reported enjoying the socialization and peer support when they all gathered to eat at lunchtime in the dining room. As a bonus we got brownie points by feeding some of the families, LPN, and CNAs.