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Caregiver Education — 26 Free Note Templates

Click-to-copy caregiver education documentation for OTs and COTAs in skilled nursing. Free, no login.

Caregiver/patient will demonstrate 100% knowledge of RNP as seen through return demonstration and feedback.

Patient participated in graded therapeutic activity including fine and gross motor coordination, dynamic balance training in order to increase ADL/IADL independence, therapeutic exercise, work simplification, energy conservation techniques, patient and caregiver education as well as safety awareness.

6. OT developed HEP and patient instructed in self ROM/stretches to increase I with HEP for BUE exercises. Educated on individualized HEP program, reviewed and facilitated exercises with min vc to initiate. OT facilitated patient to complete scap elevation/depression, scap retraction/protraction with 1x10 with 10 second hold. Patient instructed in green TB exercises for chest fly, shoulder abd, shoulder flexion, elbow flex and extension 2x15. OT modified tasks as needed to allow therapeutic rest needed to maximize strength and functional tolerance. Patient will require further training to ensure I, recall, and overall competence with HEP prior to discharge.

7. OT developed functional activity tolerance program and instructed patient in NuStep training to increase biofeedback to BUE, mimic reciprocal pattern and increase overall UE strength to decrease abnormal movement pattern. Overall, patient completed x 15 minutes with OT directing patient with interval training of grading resistance 1-2 minutes. O2 monitored pre, during and post exercise with O2 levels > 95%. OT provided cues to maintain hips in neutral vs. add during task, cues to maintain SPM >55, cues for pursed lipped breathing. RR <20 following task and RPE 2. With OT direction, patient completed task with symmetrical movement 90% of the time.

19. Patient presents to skilled OT following CHF exacerbation with reports of feeling breathlessness with functional activities. Patient educated on use of functional activity tolerance training techniques to increase overall pulmonary function. O2 and RR levels were closely monitored throughout task with no abnormal response from baseline when patient was assessed (O2 95%-97%, RR 18-22). OT facilitated patient in performing activity tolerance task incorporating 10 minutes of dynamic standing without rest on various surface heights. OT further graded task to engage in overhead reaching in one leg stance. Patient with noted difficulty during this task requiring min A to maintain balance while reaching.

23. Patient is at risk for increased back pain without training to stabilize core muscles. OT instructed patient in functional mobility tasks while engaging core strength when carrying 10-pound items from one location to another (30 feet apart) using both hands x 3 trials. Patient required mod vc for proper body mechanics during lifting and carrying to reduce further injury and reports of pain. With recommendations, patient completed task without pain. OT graded task to perform using only one hand to carry items another 5 trials. Patient was able to do this with 2/10 back pain. Patient reports overall improvement at home when carrying items of less weight from refrigerator to kitchen table (i.e. gallon of milk) with less reports of pain; however, larger items (needed for yard work) with increased pain. Continue to progress with heavier weight next session and continue to address proper body mechanics and technique.

Ongoing calming verbal instructions throughout session

Pt instructed on proper sit to stand techniques. 5 repetitions with SBA and min cues to hand/foot placement and increasing forward weight shift resulting in increased ease and safely and decrease assistance from caregivers.

Pt educated on safety precautions during transitional movements in order to facilitate.

Skilled interventions focused on family training for safety precautions during bed to wheelchair transfers and toilet commode transfers. Clinician educated family daughters Letty, Lorena, and son-in-law Joe on proper body mechanics, hand/foot placement, and safety sequence of bed <> wheelchair and wheelchair<>toilet commode transfers. Pt/family understood instructions and return demonstration of functional transfers with good recall. Clinician educated pt/caregiver on assistive devices and equipment to safely transition home.

1. Patient participated in graded therapeutic activity including fine and gross motor coordination, dynamic balance training in order to increase ADL/IADL independence, therapeutic exercise, work simplification, energy conservation techniques, patient and caregiver education as well as safety awareness.

5. Caregiver/patient will demonstrate 100% knowledge of RNP as seen through return demonstration and feedback.

33. Patient will complete a 20 minute group activity and follow instructions attentively 2/3 group activities weekly.

6. OT developed HEP and patient instructed in self ROM/stretches to increase I with HEP for BUE exercises. Educated on individualized HEP program, reviewed and facilitated exercises with min vc to initiate. OT facilitated patient to complete scap elevation/depression, scap retraction/protraction with 1x10 with 10 second hold. Patient instructed in green TB exercises for chest fly, shoulder abd, shoulder flexion, elbow flex and extension 2x15. OT modified tasks as needed to allow therapeutic rest needed to maximize strength and functional tolerance. Patient will require further training to ensure I, recall, and overall competence with HEP prior to discharge.

7. OT developed functional activity tolerance program and instructed patient in NuStep training to increase biofeedback to BUE, mimic reciprocal pattern and increase overall UE strength to decrease abnormal movement pattern. Overall, patient completed x 15 minutes with OT directing patient with interval training of grading resistance 1-2 minutes. O2 monitored pre, during and post exercise with O2 levels > 95%. OT provided cues to maintain hips in neutral vs. add during task, cues to maintain SPM >55, cues for pursed lipped breathing. RR <20 following task and RPE 2. With OT direction, patient completed task with symmetrical movement 90% of the time.

11. Patient instructed on aerobic/strengthening to increase R and L glute, quad, and hamstring strength and endurance in order to increase transfer, balance to reduce fall risk, patient educated on muscles to facilitate the mind-muscle connection and facilitate increased motor response during treatment. Level 2-constant verbal cues to continue adherence to task.

15. Patient presents to skilled OT following CHF exacerbation with reports of feeling breathlessness with functional activities. Patient educated on use of functional activity tolerance training techniques to increase overall pulmonary function. O2 and RR levels were closely monitored throughout task with no abnormal response from baseline when patient was assessed (O2 95%-97%, RR 18-22). OT facilitated patient in performing activity tolerance task incorporating 10 minutes of dynamic standing without rest on various surface heights. OT further graded task to engage in overhead reaching in one leg stance. Patient with noted difficulty during this task requiring min A to maintain balance while reaching.

19. Patient is at risk for increased back pain without training to stabilize core muscles. OT instructed patient in functional mobility tasks while engaging core strength when carrying 10-pound items from one location to another (30 feet apart) using both hands x 3 trials. Patient required mod vc for proper body mechanics during lifting and carrying to reduce further injury and reports of pain. With recommendations, patient completed task without pain. OT graded task to perform using only one hand to carry items another 5 trials. Patient was able to do this with 2/10 back pain. Patient reports overall improvement at home when carrying items of less weight from refrigerator to kitchen table (i.e. gallon of milk) with less reports of pain; however, larger items (needed for yard work) with increased pain. Continue to progress with heavier weight next session and continue to address proper body mechanics and technique.

Caregiver EDU (SPLINT) - Therapist educated caregivers (…..CNA, ….CNA) on proper don/doff BIL carrot splint with emphasis on skin checks pre and post application with Good return verbal feedback and demonstration.

Caregiver EDU (ORAL CARE) - Therapist educated caregivers (…..CNA, …..CNA) on safe and efficient pt oral hygiene techniques with Good return verbal feedback and demonstration.

Caregiver EDU (WC SIT) - Therapist educated caregivers (…CNA, ……CNA) on safe positioning strategies in wc to reduce risk of pressure sores with Good return verbal feedback and demonstration.

Caregiver EDU (Splint) - Therapist educated caregivers (…..CNA, …..CNA) on proper don/doff (splint type) with emphasis on skin checks pre and post application with Good return verbal feedback and demonstration.

Caregiver EDU (oral care) - Therapist educated caregivers (…CNA, ….CNA) on safe and efficient pt oral hygiene techniques utilizing dental swab with Good return verbal feedback and demonstration.

Caregiver EDU (wc sit) - Therapist educated caregivers (….CNA, ….CNA) on safe positioning strategies in wc to reduce risk of pressure sores with Good return verbal feedback and demonstration.

Caregiver Splint Edu - Therapist educated caregivers (Adrianna, CNA; Susanna, CNA) on proper carrot splint don/doff procedures with emphasis on skin checks before/after splint application with Good return verbal feedback and demonstration.

Fall Prevention Strategies (Call Light) - Therapist educated patient on fall prevention strategies to correctly identify call light and implement usage by correctly answering yes/no questions in …..

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