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Role of Occupational Therapy in SNFs Cheat Sheet (DRAFT) by [deleted]

The Role of Occupational Therapy in SNFs

This is a draft cheat sheet. It is a work in progress and is not finished yet.

The Role Of Occupa­tional Therapy in SNFs

Occupa­tional therapy practi­tioners focus on “achieving health, well-b­eing, and partic­ipation in life through engagement in occupa­tion” (American Occupa­tional Therapy Associ­ation, 2014, p. S4). In SNFs, they address training in self-care skills; training in the use of adaptive equipment, compen­satory techni­ques, and enviro­nmental modifi­cat­ions; and behavioral and mental health issues.

OT Interv­ention in Short-term SNF

Remedi­ating instru­mental activities of daily living (IADLs) related to the patient’s discharge enviro­nment,
such as preparing a meal or managing one’s home or finances
Training in functional mobility, such as how to prepare a meal while using an ambulatory device
Preparing the client and family for community reinte­gration (as approp­riate for the client’s discharge site) with activities such as public dining or emergency response management
Assessing the need for and recomm­ending potential home modifi­cations and safety equipment to reduce barriers and promote safe functi­oning upon discharge
Exploring adapta­tions and compen­satory strategies for return to volunteer or paid employment
Assessing current leisure skills to determine whether modifi­cations are needed to continue partic­ipation and/or assisting with exploring new leisure pursuits

Occupa­tional Therapy for LTC-SNF residents

Teaching functional mobility, including using an ambulatory device and/or transfers to different surfaces, such as a bed, chair, toilet, or shower in order to perform self-care and personal tasks; and training in wheel-­chair mobility and safety approp­riate for the resident’s level of cognition and perception
Remedi­ating or enhancing IADLs, such as ability to use the telephone or the emergency staff call system
Teaching residents with cognitive and perceptual deficits in compen­satory techniques to maximize abilities in areas such as attention span, orient­ation, sequen­cing, and/or memory
Teaching residents with low vision how to maximize their remaining vision and enhance safety through compen­satory techni­ques, enviro­nmental modifi­cat­ions, assistive techno­logy, and adaptive equipment