Wow Joan, that's a lot of questions. <smile> Truth be known, I only spent about 45 minutes with this patient and she was new at the ALF. There just isn't much information to go on which is a big part of my problem. Maybe I need to go back before I generate a treatment plan???
CGA- Min A is: contact guard assist and minimum assist. Ron -- Ron Carson MHS, OT ----- Original Message ----- From: Joan Riches <[email protected]> Sent: Saturday, December 13, 2008 To: [email protected] <[email protected]> Subj: [OTlist] Help with Treatment Plan??? JR> Ron JR> This can be a tough one. JR> What is CGA - Min A? JR> To start with you can assess her gathering all the information you can. JR> What does independent in eating mean - does she use cutlery? What type JR> of diet is she on? Is all her food in bite size pieces that do not need JR> to be cut? Does she eat her food without needing to be cued? JR> Is her speech in Spanish any more complex than her speech in English? JR> Does she grab people and things and 'refuse' to let go? JR> Has she been 'taken down' due to combative behaviour? JR> If not, how is she being managed? JR> Are there any staff members with whom she is not combative? JR> At what points in the day or during what activities is she combative? JR> Are there complaints that she has voided urine in inappropriate JR> containers? JR> Is she being restrained? JR> What are the characteristics of her combative behaviour? Does she punch, JR> kick, bite, spit etc. Is there a consistent pattern? JR> Might the attitude and caution with which she is approached be perceived JR> by her as threatening? JR> Under what circumstances is she settled and content? JR> Is her behaviour both negative and positive being tracked and charted? JR> I suspect she is somewhere in Allen cognitive level 2 with cognitive JR> ability analogous to 9 - 23 months, probably nearer to the top of that JR> range. JR> Joan Riches B.Sc.O.T., OT(C) JR> Specialist in Cognitive Disability JR> Riches Consulting JR> High River, Alberta, Canada JR> 403 652 7928 JR> JR> -----Original Message----- JR> From: [email protected] [mailto:[email protected]] On JR> Behalf Of Ron Carson JR> Sent: December 12, 2008 6:06 PM JR> To: [email protected] JR> Subject: [OTlist] Help with Treatment Plan??? JR> Evaled a new patient who was just transferred to an Alzheimer's ALF. JR> The patient spoke primarily in Spanish but also in some English. She JR> was very non-cooperative and was physically combative with ALF staff JR> and myself. JR> The staff says she is dependent for all ADL's except eating and that JR> she ambulates with CGA - Min A. JR> What can I do with this patient? JR> Ron -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
