Treatment ideas

[Kelly B]

Hello!

Calling out to all my Outpatient OTs that work with Neuro adult patients, I’m looking for some new ideas!

Need activity ideas/worksheets etc for an adult who’s recovering from a CVA and exhibiting short term memory issues, delayed processing, and decreased insight.

Thanks,

Kelly 

[Dannielle Harden]

Hi Kelly,

I work with pts in he home. The beauty is doing ADL in context. Worksheets are not likely to be effective if they have a lack of insight which makes transferring skills difficult. 

Lack of insight is a little broad. Does this mean they don’t agree with the need for some goals or they have difficulty with multiple step chain reactions? Something else?

Also, are they consistent with their processing? Consistency would be they give the same answer to same/similar questions. If inconsistent, consider working on more basic cognition. 

I would find a specific goal and work directly on that. For example, they report having difficulty organizing, tidying and finding items in the kitchen. I would develop an algorithm they can follow to organize the items. Some love putting labels on the doors, others hate it because it broadcasts disabilities and can damage the finish.

The algorithm would go something like:

1. What categories would you put X item? Cutlery, dry good, baking, cooking, prep tool, cleaner, etc. 

2. Identify where to put that item. Be specific which drawer, cabinet. Consider safety and use frequency 

3. Keep sorting for a while

4. Then ask to retrieve items based on those categories 

Tailor the steps based on the client and collaborate. The more you collaborate, the more likely they will follow when you’re not around. 

If in clinic, use the OT kitchen. If no kitchen, draw a floor plan for their home and sort paper with pics or words. 

Dannielle Harden

On Feb 7, 2023, at 5:18 AM, Kelly B <kelly...@gmail.com> wrote:

Hello!

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