Hi All!
I am a COTA at an ALF/SNF facility for a contract facility....just started
accepting Med A pts. I have done groups previously in Med A setting and
enjoy them. I have been asked to instruct different SNF's on types of
groups. I have been told the reason groups are not used is pt's are too low
level to participate. I believe if the group is set up correctly, and an
appropriate group is used, it is a great experience both for the
practitioner and the patient.
What is everyone's feelings on the utilization of groups?
Why do you use them....Why don't you?
It's an informal talk that I am giving, and started some handouts:
How to bill, medicare allowable minutes, types of groups, and a small list
of activities for various cognitive levels. I tried to include a small
sampling of groups that also include PT and speech, as they will also be
attending. I was hoping you can help me add to my group activities, and I
will be happy to share too....and those PT's (and maybe even ST's) that are
on the list serve...I would LOVE your input, as I am kind of guessing on
appropriate activities.
I have:
Wheelchair Mobility Group (OT/PT)
Advanced Gait Group (OT/PT)
Balance Group ((OT/PT)
Cooking Group (OT/ST)
Home Safety Group (OT/PT)
Fine Motor Coordination Group (OT)
Posture Group (OT/PT)
ROM Group (OT/PT)
Strengthening Group (OT/PT)
Cognitive Group (OT/ST)
That way everyone has a small sampling of types of groups. Included in each
group is criteria, small sampling of activities, equipment, and group goals.
I will list everything in my advanced gait group because I believe that is a
group that people would tend to say it is primairly PT...... :)
ADVANCED GAIT (high level group)
Criteria:
Ambulate with or without assistive device with min supervision
Able to follow directions with min v/c's
No evidence of vertigo or orthostatic hypotension
Ability to maintain correct weight bearing status
Example of Activities:
Timed Ambulation
Obstacle Course
Courtyard Ambulation
Treasure Hunt
Question/Answer session on use of assistive devices
Verbal Instruction/Correction when performing activities
Equipment:
Assistive Devices (if needed)
Adaptive Equipment(if needed) (ie: reacher, walker basket/bags)
Gait Belts
Stopwatch
Obstacles (stairs, cones, slopes, different terrain, etc.)
List of items to find during courtyard ambulation/treasure hunt
Group Goals:
Increase functional mobility
Instruct/Increase safety awareness during ambulation
Decrease gait deviations
Increase gait velocity
Improve community ambulation skills
Demo proper gait pattern and use of assistive device
Demo/Instruct safe use of assistive device and adaptive equipment
Anyone have any ideas in any categories in any group listed above? I would
love for everyone to share group ideas that have worked for them!
Thanks for your input
Sandi
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