I work PRN at an IP Acute Rehab (previously in the school system, SNF,
Mental Health IP and OP) When I am asked to come in to work I feel like I am
more willing to come up with ways to use the "creativity" that Ilene from
New Jersey is speaking about. When the caseload is high and I have worked
for an extended period of time the ease of pegs and cones is all I can think
of to do with my pt. so they get what is available and quick. It is bad that
I am often running behind in my treatments. I have a hard time cutting tx
off when things are going well but taking too much time, or feeling good
about my therapy when nothing I try is working. The problems seem so related
to the productivity and amount of time required for treatment.
Some ideas I will share for standing: I have engaged pts in arranging
flowers for others to enjoy.( I brought in from my own yard) At holidays and
changing seasons I have had pts assist with decorations in the clinic.
Walking to reach the walls to attach the item so others can enjoy the
appearance of the seasonal decor (also this can help with orienting other
pts to the time of year) Hanging decorations on the tree at Christmas,
making salt dough ornaments with cookie cutters (simulating baking.) The
altruistic nature of the individual is useful in gaining their assistance
for activity in the clinic. The more alert and aware pt can assist the
others with some things handing them a tissue, help with placing the brake
on the WC. I also have enlisted the pts to clean out/organize a cabinet,
reaching leaning bending to get things straightened out. (The cabinet may
not really need straightening) The pt can sweep using long handled dust pan.
Place clothes on a hanger to hang up. The encouragement for the pt is that
we as staff need their help to allow us all to "work smarter not harder"
Having the pt use a reacher to play a game of bean bag tic tac toe with the
tx or another pt makes the task of learning how to use AE not so dull. I
have had clients plan and prepare a light lunch with canned soup, crackers,
a salad and ice tea. Use energy conservation and work simplification while
preping for lunch. I make every effort to get the client out of the
transportation wheelchair and into a regular chair while in the clinic. I
have the pt sit unsupported on the mat and place cones puzzles pegs in
positions that challenge sitting balance/safety.
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