name 2 common aspects of long term care residents.
- primarily women
- largely widowed/divorced older adults
approx. what percent of LTC residents have dementia?
40%
what % of LTC residents need assistance with 2 or more ADLs?
82%
name a major predictor of placement in a LTC facility.
absence of caregiver or partner
name 6 OT practice examples in a LTC facility.
- seating and positioning
- ADL programs
- contracture management
- activity programs
- restorative therapy following functional decline
- wound care
- comprehensive assessment of residents in all Medicare and Medicaid certified facilities
- mandated by federal law
- used to identify potential problems - ex: care triggered areas such as delirium, falls, nutrition status, mood state, etc. and directs care provider to care plan
- helps to identify resident’s strengths and preferences
- reimbursement tool for medicare
MDS
which parts of the MDS do OTs often complete?
functional status and evaluation complexity codes
name 4 qualities of the typical assisted living resident.
- 80 years old
- female
- independent in functional mobility
- requires assistance with 1-2 ADLs/IADLs per day
name 4 roles of the OT in assisted living.
- facilitate transition to new living environment
- ADL, IADL, leisure, and lifelong learning
- health and wellness programs
- community mobility and community reentry
LTC residents have a high level of ___ ___.
functional decline
name a specific condition with multiple causes that could lead to LTC.
incontinence
retain some level of independence
ADL retraining
what is the last ADL ability we typically lose?
ability to feed themselves
name 3 examples of LTC programs.
- falls prevention
- dementia symptom management - activity-based programming
- helping people stay active
name 2 purposes of a wedge.
-positioning - to keep head elevated, to keep people in side-lying
name the purpose of a hand roll.
-contracture management - if they can’t tolerate a splint, keeps a space within palm/arch of hand without skin macerating or becoming moist
what is the purpose of a tilt in space w/c?
can’t shift weight, repositioning
how can we help manage contractures?
ROM promotion
short course of rehab to get them back to where they need to be
restorative therapy following functional decline
tool that helps us pick up issues we need to address and provide a care plan
MDS
quick screening for cognition - looks at word recognition, orientation, and word recall
bims questionnaire (MDS)
name 3 components that can determine evaluation complexity codes.
- number of comorbidities a person has
- complexity of decision-making
- evolving or stable presentation
for assisted living, some places will not accept who?
individuals in W/Cs
is IADL always the goal at assisted living facilities?
no, sometimes IADL is not the goal - the reason why they may be there is that they are unable or don’t want to participate in those activities anymore
