Thanks Joan. Interesting reference and something worth considering for my NEXT patient. Unfortunately, I need "help" NOW!! <smile>
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> Hi Ron JR> The thing is you can make a big difference for this lady and for the JR> staff who work with her. The ACLS screening tool does not go as low as JR> she seems to be and all these questions help to identify her level in JR> order to create an effective plan for staff. One final one is Does she JR> pick up and manipulate objects other than for eating? JR> The reference that I have found most useful in all cases of problematic JR> behaviour is JR> A Cognitive Link: Managing Problematic Bodily Behavior by Delaune JR> Pollard JR> Available from Selectone Rehab www.selectonerehab.com and from S&S. I JR> wrote the foreword for this so I am understandably biased but for JR> practical understandable help I don't think it can be beaten. 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 13, 2008 5:20 PM JR> To: Joan Riches JR> Subject: Re: [OTlist] Help with Treatment Plan??? JR> Wow Joan, that's a lot of questions. <smile> Truth be known, I only JR> spent about 45 minutes with this patient and she was new at the ALF. JR> There just isn't much information to go on which is a big part of my JR> problem. Maybe I need to go back before I generate a treatment JR> plan??? JR> CGA- Min A is: contact guard assist and minimum assist. JR> Ron JR> -- JR> Ron Carson MHS, OT JR> ----- Original Message ----- JR> From: Joan Riches <[email protected]> JR> Sent: Saturday, December 13, 2008 JR> To: [email protected] <[email protected]> JR> 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 JR> can. JR>> What does independent in eating mean - does she use cutlery? What JR> type JR>> of diet is she on? Is all her food in bite size pieces that do not JR> 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 JR> 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 JR> 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 JR> punch, JR>> kick, bite, spit etc. Is there a consistent pattern? JR>> Might the attitude and caution with which she is approached be JR> 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 JR> 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 JR> 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 JR> ALF. JR>> The patient spoke primarily in Spanish but also in some English. JR> She JR>> was very non-cooperative and was physically combative with ALF JR> staff JR>> and myself. JR>> The staff says she is dependent for all ADL's except eating and JR> that JR>> she ambulates with CGA - Min A. JR>> What can I do with this patient? JR>> Ron JR> -- JR> Options? JR> www.otnow.com/mailman/options/otlist_otnow.com JR> Archive? JR> www.mail-archive.com/[email protected] JR> No virus found in this incoming message. JR> Checked by AVG - http://www.avg.com JR> Version: 8.0.176 / Virus Database: 270.9.17/1846 - Release Date: JR> 12/12/2008 6:59 PM JR> -- JR> Options? JR> www.otnow.com/mailman/options/otlist_otnow.com JR> Archive? JR> www.mail-archive.com/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
