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Home/Health & Medicine/Elaine is an occupational therapist in a skilled nursing facility (SNF). She supervises 3 assistants and 3 aides at the facility. During weekday lunchtimes and 3 nights a week at suppertime, Elaine is responsible for an eating group, working with several residents on specific goals. Two of the residents in the group have mild dementia and need intermittent verbal direction to complete the meal; they are independent for self-feeding and occasionally need assistance with cutting. Two of the residents had right-sided strokes (CVA) and need physical assistance as well as problem solving for adapting the set-up and equipment to work on self-feeding. One resident had a left-sided stroke with damage in the basilar area and has some swallowing problems, as well as cognitive deficits. This resident also denies many of his problems with handling both self-feeding and chewing/swallowing and, as a result, chokes frequently. Using the information from your state’s regulations and AOTA’s Guidelines for Supervision, Roles and Responsibilities During the Delivery of Occupational Therapy Services, plan the staffing for the lunch and supper groups to provide optimal and cost effective coverage. Suggest what the staff persons may do in this eating group program, what type of supervision each requires and what kind of documentation can be completed by the aides, the assistants, and the supervising therapist.

Elaine is an occupational therapist in a skilled nursing facility (SNF). She supervises 3 assistants and 3 aides at the facility. During weekday lunchtimes and 3 nights a week at suppertime, Elaine is responsible for an eating group, working with several residents on specific goals. Two of the residents in the group have mild dementia and need intermittent verbal direction to complete the meal; they are independent for self-feeding and occasionally need assistance with cutting. Two of the residents had right-sided strokes (CVA) and need physical assistance as well as problem solving for adapting the set-up and equipment to work on self-feeding. One resident had a left-sided stroke with damage in the basilar area and has some swallowing problems, as well as cognitive deficits. This resident also denies many of his problems with handling both self-feeding and chewing/swallowing and, as a result, chokes frequently. Using the information from your state’s regulations and AOTA’s Guidelines for Supervision, Roles and Responsibilities During the Delivery of Occupational Therapy Services, plan the staffing for the lunch and supper groups to provide optimal and cost effective coverage. Suggest what the staff persons may do in this eating group program, what type of supervision each requires and what kind of documentation can be completed by the aides, the assistants, and the supervising therapist.

There are certain aspects with regard to the care of CVA Patients and stroke patients, especially with regard to their feeding. It is not known whether tube or normal feeding is carried out on these patients. The aspects that need to be concerned are:

  1. Ascertaining the need and level of service being carried out
  2. Perceived problems within the area of feeding that could impinge on occupational therapy feeding habits
  3. It is also necessary to evaluate and be apprised of the client’s (patient’s) goals and objectives.
  4. Feeding programs need to be enlisted and monitored
  5. Accepting care of specific assessment needs of patients having no motor control and mobility of limbs, especially CVA patients.
  6. Accepting care of specific assessment needs of semi paralytic patients.

In this case that in this case, two of the patients (CVA) need physical help for self-feeding, including setting the food and equipping them for feeding. Therefore, it is necessary that each of the aides be present during the feeding time.

It is also needed that an assistant is available at call and short notice for an emergency. In the case of left side paralyzed patient, he suffers from cognitive deficiencies and denies problems. His semi-aggressive behavior may exacerbate any moment during feeding for which necessary standby precautionary measures need to be in attendance, including the fear of asphyxiation, due to choking food. For this patient, an assistant should always be available during feeding time. In case of emergency, the nurse’s service also needs to be availed of.

The aspects that are important when dealing with such kinds of patients are both physical and psychological. At the physical plane, it is possible that feeding help needs to be provided, including food administered by aides, especially the CVA patients. Again it could be possible that many such patients display aggressive and unnatural conduct during feeds, including attempts for self-feeding, which their physical status may not permit.

It is necessary that the assistants constantly document and monitor the feeding habits, consumption patterns, and other parameters, including the time taken to finish a feed. Since paralysis is a long-term condition, it is imperative that proper controls through documentation are carried out in order to ensure that systematic and progressive evaluation of the patients is possible at a future time period.

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Academic.Tips. (2021) 'Elaine is an occupational therapist in a skilled nursing facility (SNF). She supervises 3 assistants and 3 aides at the facility. During weekday lunchtimes and 3 nights a week at suppertime, Elaine is responsible for an eating group, working with several residents on specific goals. Two of the residents in the group have mild dementia and need intermittent verbal direction to complete the meal; they are independent for self-feeding and occasionally need assistance with cutting. Two of the residents had right-sided strokes (CVA) and need physical assistance as well as problem solving for adapting the set-up and equipment to work on self-feeding. One resident had a left-sided stroke with damage in the basilar area and has some swallowing problems, as well as cognitive deficits. This resident also denies many of his problems with handling both self-feeding and chewing/swallowing and, as a result, chokes frequently. Using the information from your state’s regulations and AOTA’s Guidelines for Supervision, Roles and Responsibilities During the Delivery of Occupational Therapy Services, plan the staffing for the lunch and supper groups to provide optimal and cost effective coverage. Suggest what the staff persons may do in this eating group program, what type of supervision each requires and what kind of documentation can be completed by the aides, the assistants, and the supervising therapist'. 15 October.

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Academic.Tips. (2021, October 15). Elaine is an occupational therapist in a skilled nursing facility (SNF). She supervises 3 assistants and 3 aides at the facility. During weekday lunchtimes and 3 nights a week at suppertime, Elaine is responsible for an eating group, working with several residents on specific goals. Two of the residents in the group have mild dementia and need intermittent verbal direction to complete the meal; they are independent for self-feeding and occasionally need assistance with cutting. Two of the residents had right-sided strokes (CVA) and need physical assistance as well as problem solving for adapting the set-up and equipment to work on self-feeding. One resident had a left-sided stroke with damage in the basilar area and has some swallowing problems, as well as cognitive deficits. This resident also denies many of his problems with handling both self-feeding and chewing/swallowing and, as a result, chokes frequently. Using the information from your state’s regulations and AOTA’s Guidelines for Supervision, Roles and Responsibilities During the Delivery of Occupational Therapy Services, plan the staffing for the lunch and supper groups to provide optimal and cost effective coverage. Suggest what the staff persons may do in this eating group program, what type of supervision each requires and what kind of documentation can be completed by the aides, the assistants, and the supervising therapist. https://academic.tips/question/elaine-is-an-occupational-therapist-in-a-skilled-nursing-facility-snf-she-supervises-3-assistants-and-3-aides-at-the-facility-during-weekday-lunchtimes-and-3-nights-a-week-at-suppertime-elaine-is/

References

Academic.Tips. 2021. "Elaine is an occupational therapist in a skilled nursing facility (SNF). She supervises 3 assistants and 3 aides at the facility. During weekday lunchtimes and 3 nights a week at suppertime, Elaine is responsible for an eating group, working with several residents on specific goals. Two of the residents in the group have mild dementia and need intermittent verbal direction to complete the meal; they are independent for self-feeding and occasionally need assistance with cutting. Two of the residents had right-sided strokes (CVA) and need physical assistance as well as problem solving for adapting the set-up and equipment to work on self-feeding. One resident had a left-sided stroke with damage in the basilar area and has some swallowing problems, as well as cognitive deficits. This resident also denies many of his problems with handling both self-feeding and chewing/swallowing and, as a result, chokes frequently. Using the information from your state’s regulations and AOTA’s Guidelines for Supervision, Roles and Responsibilities During the Delivery of Occupational Therapy Services, plan the staffing for the lunch and supper groups to provide optimal and cost effective coverage. Suggest what the staff persons may do in this eating group program, what type of supervision each requires and what kind of documentation can be completed by the aides, the assistants, and the supervising therapist." October 15, 2021. https://academic.tips/question/elaine-is-an-occupational-therapist-in-a-skilled-nursing-facility-snf-she-supervises-3-assistants-and-3-aides-at-the-facility-during-weekday-lunchtimes-and-3-nights-a-week-at-suppertime-elaine-is/.

1. Academic.Tips. "Elaine is an occupational therapist in a skilled nursing facility (SNF). She supervises 3 assistants and 3 aides at the facility. During weekday lunchtimes and 3 nights a week at suppertime, Elaine is responsible for an eating group, working with several residents on specific goals. Two of the residents in the group have mild dementia and need intermittent verbal direction to complete the meal; they are independent for self-feeding and occasionally need assistance with cutting. Two of the residents had right-sided strokes (CVA) and need physical assistance as well as problem solving for adapting the set-up and equipment to work on self-feeding. One resident had a left-sided stroke with damage in the basilar area and has some swallowing problems, as well as cognitive deficits. This resident also denies many of his problems with handling both self-feeding and chewing/swallowing and, as a result, chokes frequently. Using the information from your state’s regulations and AOTA’s Guidelines for Supervision, Roles and Responsibilities During the Delivery of Occupational Therapy Services, plan the staffing for the lunch and supper groups to provide optimal and cost effective coverage. Suggest what the staff persons may do in this eating group program, what type of supervision each requires and what kind of documentation can be completed by the aides, the assistants, and the supervising therapist." October 15, 2021. https://academic.tips/question/elaine-is-an-occupational-therapist-in-a-skilled-nursing-facility-snf-she-supervises-3-assistants-and-3-aides-at-the-facility-during-weekday-lunchtimes-and-3-nights-a-week-at-suppertime-elaine-is/.


Bibliography


Academic.Tips. "Elaine is an occupational therapist in a skilled nursing facility (SNF). She supervises 3 assistants and 3 aides at the facility. During weekday lunchtimes and 3 nights a week at suppertime, Elaine is responsible for an eating group, working with several residents on specific goals. Two of the residents in the group have mild dementia and need intermittent verbal direction to complete the meal; they are independent for self-feeding and occasionally need assistance with cutting. Two of the residents had right-sided strokes (CVA) and need physical assistance as well as problem solving for adapting the set-up and equipment to work on self-feeding. One resident had a left-sided stroke with damage in the basilar area and has some swallowing problems, as well as cognitive deficits. This resident also denies many of his problems with handling both self-feeding and chewing/swallowing and, as a result, chokes frequently. Using the information from your state’s regulations and AOTA’s Guidelines for Supervision, Roles and Responsibilities During the Delivery of Occupational Therapy Services, plan the staffing for the lunch and supper groups to provide optimal and cost effective coverage. Suggest what the staff persons may do in this eating group program, what type of supervision each requires and what kind of documentation can be completed by the aides, the assistants, and the supervising therapist." October 15, 2021. https://academic.tips/question/elaine-is-an-occupational-therapist-in-a-skilled-nursing-facility-snf-she-supervises-3-assistants-and-3-aides-at-the-facility-during-weekday-lunchtimes-and-3-nights-a-week-at-suppertime-elaine-is/.

Work Cited

"Elaine is an occupational therapist in a skilled nursing facility (SNF). She supervises 3 assistants and 3 aides at the facility. During weekday lunchtimes and 3 nights a week at suppertime, Elaine is responsible for an eating group, working with several residents on specific goals. Two of the residents in the group have mild dementia and need intermittent verbal direction to complete the meal; they are independent for self-feeding and occasionally need assistance with cutting. Two of the residents had right-sided strokes (CVA) and need physical assistance as well as problem solving for adapting the set-up and equipment to work on self-feeding. One resident had a left-sided stroke with damage in the basilar area and has some swallowing problems, as well as cognitive deficits. This resident also denies many of his problems with handling both self-feeding and chewing/swallowing and, as a result, chokes frequently. Using the information from your state’s regulations and AOTA’s Guidelines for Supervision, Roles and Responsibilities During the Delivery of Occupational Therapy Services, plan the staffing for the lunch and supper groups to provide optimal and cost effective coverage. Suggest what the staff persons may do in this eating group program, what type of supervision each requires and what kind of documentation can be completed by the aides, the assistants, and the supervising therapist." Academic.Tips, 15 Oct. 2021, academic.tips/question/elaine-is-an-occupational-therapist-in-a-skilled-nursing-facility-snf-she-supervises-3-assistants-and-3-aides-at-the-facility-during-weekday-lunchtimes-and-3-nights-a-week-at-suppertime-elaine-is/.

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