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.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/skilled-nursing-facility-interventions-introduction-6144Skilled Nursing Facility Interventions: An Introduction to Teepa Snow and Positive Approach to Care®There is so much more to supporting a person living with dementia than just knowing they have the diagnosis. This presentation will introduce you to Teepa Snow, the Positive Approach to Care, and skills to support someone living with dementia to promote quality of care and improved outcomes.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSkilled Nursing Facility Interventions: An Introduction to Teepa Snow and Positive Approach to Care®There is so much more to supporting a person living with dementia than just knowing they have the diagnosis. This presentation will introduce you to Teepa Snow, the Positive Approach to Care, and skills to support someone living with dementia to promote quality of care and improved outcomes.6144OnlinePT60M
'I love Teepa Snows approach and will take any course about Gems'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 08207; CE Broker/1.0 CE Broker #20-1127690; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Geriatrics
There is so much more to supporting a person living with dementia than just knowing they have the diagnosis. This presentation will introduce you to Teepa Snow, the Positive Approach to Care, and skills to support someone living with dementia to promote quality of care and improved outcomes.
2https://www.occupationaltherapy.com/ot-ceus/course/skilled-nursing-facility-interventions-interdisciplinary-6145Skilled Nursing Facility Interventions: Interdisciplinary Collaboration Between Therapists And Certified Nursing AssistantsInterdisciplinary collaboration between therapy and certified nursing assistants in the skilled nursing setting will be discussed in this course. Perceived barriers and ideas for successful implementation will be explored alongside case studies demonstrating outcomes associated with effective collaboration.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSkilled Nursing Facility Interventions: Interdisciplinary Collaboration Between Therapists And Certified Nursing AssistantsInterdisciplinary collaboration between therapy and certified nursing assistants in the skilled nursing setting will be discussed in this course. Perceived barriers and ideas for successful implementation will be explored alongside case studies demonstrating outcomes associated with effective collaboration.6145OnlinePT60M
'Enjoyed clear information and easily understood'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 08207; CE Broker/1.0 CE Broker #20-1130332; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Geriatrics
Interdisciplinary collaboration between therapy and certified nursing assistants in the skilled nursing setting will be discussed in this course. Perceived barriers and ideas for successful implementation will be explored alongside case studies demonstrating outcomes associated with effective collaboration.
3https://www.occupationaltherapy.com/ot-ceus/course/occupational-therapy-interventions-for-adults-6658Occupational Therapy Interventions For Adults With Type 2 Diabetes MellitusAn in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comOccupational Therapy Interventions For Adults With Type 2 Diabetes MellitusAn in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.6658OnlinePT60M
'Increased knowledge of the total number of people w/ the two different diagnoses'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 11378; CE Broker/1.0 CE Broker #20-1287356; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
An in-depth overview of diabetes mellitus, highlighting the distinctions between Type 1 and Type 2 diabetes, as well as discussing epidemiology, complications, and how occupational therapy contributes to the management of Type 2 diabetes will be discussed in this course. Participants will investigate assessment tools, strategies for lifestyle management, models for health behavior change, and educational resources at both community and global levels to aid in diabetes care and self-management.
4https://www.occupationaltherapy.com/ot-ceus/course/skilled-nursing-interventions-positioning-around-6148Skilled Nursing Facility Interventions: Positioning Around The Clock MattersTherapeutic positioning for residents of skilled nursing facilities can lead to better sleep quality and daytime alertness, with reduced pain and agitation when provided skillfully throughout the day and night. This course provides 24-7 posture care management theory and benefits for this population while addressing facility challenges and the importance of a team approach.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comSkilled Nursing Facility Interventions: Positioning Around The Clock MattersTherapeutic positioning for residents of skilled nursing facilities can lead to better sleep quality and daytime alertness, with reduced pain and agitation when provided skillfully throughout the day and night. This course provides 24-7 posture care management theory and benefits for this population while addressing facility challenges and the importance of a team approach.6148OnlinePT60M
'Very informative and the images really helped visualize positioning'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 08207; CE Broker/1.0 CE Broker #20-1129410; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Geriatrics
Therapeutic positioning for residents of skilled nursing facilities can lead to better sleep quality and daytime alertness, with reduced pain and agitation when provided skillfully throughout the day and night. This course provides 24-7 posture care management theory and benefits for this population while addressing facility challenges and the importance of a team approach.
5https://www.occupationaltherapy.com/ot-ceus/course/time-blindness-critical-executive-function-6660Time Blindness: A Critical Executive Function In Adults With ADHDThe current science behind ADHD, time blindness, "high time preference," and how time blindness affects occupational participation and major life choices, which may result in shorter life expectancy, will be explored in this course. This webinar will focus on how to recognize these deficits and describe practical tips and tools to use to help clients make time "real" and "manageable."auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comTime Blindness: A Critical Executive Function In Adults With ADHDThe current science behind ADHD, time blindness, "high time preference," and how time blindness affects occupational participation and major life choices, which may result in shorter life expectancy, will be explored in this course. This webinar will focus on how to recognize these deficits and describe practical tips and tools to use to help clients make time "real" and "manageable."6660OnlinePT60M
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 11375; CE Broker/1.0 CE Broker #20-1285973; IACET/0.1; IBCCES/1.0; NBCOT PDUs/1.25 Intermediate, Rehabilitation
The current science behind ADHD, time blindness, "high time preference," and how time blindness affects occupational participation and major life choices, which may result in shorter life expectancy, will be explored in this course. This webinar will focus on how to recognize these deficits and describe practical tips and tools to use to help clients make time "real" and "manageable."
