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What Alternative Areas of Evaluation Can OT Focus on to Create More Meaningful Plans of Care for LTC Residents?

Elizabeth Alicea Torres, OT, OTD, OTR, CAPS

August 1, 2026

Question

What alternative areas of evaluation can OTs focus on to create more meaningful plans of care for LTC residents?

Answer

Beyond typical activities of daily living (ADL) retraining, occupational therapy professionals can evaluate less common but highly impactful areas like community participation, leisure, communication, and spirituality. These evaluation tracks focus on what the resident uniquely values, such as planning a community outing, modifying a favorite hobby like BINGO for safety, or adapting environments to honor religious traditions. Additionally, focusing on sleep hygiene and advanced care planning allows therapists to support a resident's comfort and autonomy. By looking through this broader lens, therapists can address deep psychosocial and dignitary needs that are frequently overlooked in a rigid medical model.

 

This Ask the Expert is an edited excerpt from the course, Building a Part B Caseload in the LTC Setting, presented by Elizabeth Alicea-Torres, OT, OTD, OTR, CAPS.

Continued and its subsidiaries provide professional education authored by qualified Subject Matter Experts for continuing education purposes. These materials are intended for educational purposes and do not constitute medical advice or a substitute for individual clinical judgment. Continued is not a clinical healthcare provider; the licensed professional is solely responsible for ensuring that the application of any techniques or information presented is within their legal scope of practice and jurisdictional requirements.


elizabeth alicea torres

Elizabeth Alicea Torres, OT, OTD, OTR, CAPS

Dr. Elizabeth (Beth) Alicea-Torres is an occupational therapist, educator, and consultant with 20 years of clinical experience advancing health, wellness, and functional independence across diverse practice settings and populations. She is the owner of Hemlock Health and Wellness LLC, a female-owned practice dedicated to promoting accessibility, aging in place, and holistic well-being through individualized occupational therapy services and evidence-based consultation. The motto of Hemlock Health and Wellness LLC is “Live your life your way,” encapsulating a client-centered, individualized approach to function, well-being, and independence.

In addition to clinical practice, Dr. Alicea-Torres serves as the Doctoral Capstone Coordinator and Assistant Professor in the Department of Occupational Therapy at Springfield College, where she teaches and mentors master's and doctoral students, develops high-fidelity simulation-based learning experiences, and advances a curriculum grounded in evidence-based practice. Her teaching emphasizes professionalism, integration of research, and occupation-centered care for adults and older adults.

Her clinical background spans acute care, short-term rehabilitation, long-term care, outpatient lymphedema and wound care, community-based practice, and home health, with specialized expertise in accessibility, functional mobility, active aging, lymphedema management, and wellness programming. She has also served as a clinical fieldwork educator, faculty mentor, academic advisor, and program developer, ensuring that future occupational therapists are prepared to deliver client-centered, evidence-informed care. Dr. Alicea-Torres is a Certified Aging-in-Place Specialist (CAPS) specializing in helping individuals make their homes functionally safe to promote aging in place.

An active contributor to the profession, Dr. Alicea-Torres has published and presented on topics including occupational therapy’s role in mental health, wellness, and end-of-life care, and has engaged in current research aimed at facilitating aging-in-place for older adults through the use of high-fidelity simulation. She serves as an appointed Public Health Council Member for the City of Springfield, MA, and is actively engaged with AOTA and MAOT, upholding her strong beliefs in community service. Grounded in a belief that participation in meaningful occupations is central to health, Dr. Alicea-Torres integrates clinical expertise, scholarship, and consultation to help individuals and communities thrive.


Related Courses

Building A Part B Caseload In The LTC Setting
Presented by Elizabeth Alicea Torres, OT, OTD, OTR, CAPS
Video

Presenter

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Course: #6989Level: Intermediate2 Hours
  'Great ideas for LTC residents and sharing her goals was helpful'   Read Reviews
This course is designed to provide insight into different ways to build a caseload for long-term care dwelling adults and older adults that are thoughtful, client-centered and evidence based. This course will provide different ideas regarding screening methodology that focuses on different areas of function, the use of different standardized assessments, areas of intervention that are innovative, and ways to maintain a Part B caseload in long-term care settings.

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  'Presenter knowledgeable in her field'   Read Reviews
This course will enhance OT practitioners’ knowledge regarding the role that occupational therapy plays to maintain function, regain ones’ occupational identity, reduce symptoms, and provide caregiver education for the terminally ill and/or end-of-life client. This course will also provide examples through case studies demonstrating how occupational therapy intervention is beneficial in facilitating quality of life at the end of one’s life, as well as illuminate how the profession is vastly underutilized.

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