How do we help clients in skilled nursing facilities sleep?
Answer
My supervisor has worked in a facility where they have a sleep program. I do know that in skilled nursing facilities, it doesn't generally matter when you treat, as long as the hours get in by the end of the week. I do have colleagues that perform p.m. ADLs as opposed to a.m. ADLs, which are also called reverse ADLs. This might also be an area where you can bill the facility directly and perform an in-service. From a quality control perspective, this might be something that the administration might get on board with and would like to implement strategies. Waking patients for meds and vital signs can’t be avoided. However, there may be ways to decrease or block the noise, if patients are experiencing anxiety. Perhaps there are things we can do during our treatment that can be carried over to a home exercise program for the patient to perform prior to bed in the facility without us.
Caryn Shore-Genack, MS, OTR/L
Caryn Shore-Genack worked for over a decade in the area of fitness as a group exercise instructor and master personal trainer for popular clubs like NYSC and Lucille Roberts before returning to school to pursue a degree in occupational therapy. Caryn graduated with her Master's degree in OT from SUNY Downstate and has been practicing in the field of physical dysfunction, specifically geriatrics in a sub-acute setting, while moonlighting in out-patient and delivering upper extremity care. Caryn has also taught as a professor for New York University's Master's program in occupational therapy and the OTA program at Eastwick College in Ramsey, NJ. Caryn is enthusiastic about incorporating her knowledge of exercise and fitness into occupational therapy.
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