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  • Client Centered Goals- YAY!

      Do you ever wonder what it would be like to live in a long term care facility? What do the residents do all day? I'm talking about the people who have no cognitive deficits and are totally aware of their surroundings.             My first thought is how boring it must be. Think of ...
    Posted to COTA Thoughts (Weblog) on February 13, 2010
  • More Therapy, Less Equipment

      Someone brought up the fact that getting new equipment for the gym has been getting harder and harder.  I know in most of the buildings I've been in there is almost always at least one well used sock aid or that wrist weight that the Velcro is so frayed it barely sticks together. Many reasons probably factor into the reasons why new ...
    Posted to COTA Thoughts (Weblog) on January 28, 2010
  • SNF Levels of Care

      Throughout the years I've worked mostly in skilled nursing facilities (SNF's). One thing that I have found from working in nursing homes is the similar pattern of the patient level of care. In most places I find the residents are either Independent to dress/bathe or they are Dependent. ...
    Posted to COTA Thoughts (Weblog) on January 21, 2010
  • Goals, Goals, Goals

      Your patient's goals are one of the most important parts of the therapy documentation. They are the heart of the evaluation, outlining what we need to work on with our patients. Hopefully they are accurate and reflect the desired end result that the patient wishes to achieve. ...
    Posted to COTA Thoughts (Weblog) on January 15, 2010
  • Who’s Running the Show?

      Several incidents happened today that got me so mad I was ready to resign my position immediately. Following the weekly rehab meeting, which was the start of things; I was called to the office and got wrote up.             I won't go into all the details, but I will say is the whole ...
    Posted to COTA Thoughts (Weblog) on January 6, 2010
  • Where Do They Get Those Ideas?

      This week the therapy room telephone has been ringing almost constantly. Having so many calls makes me wonder if it's because of the short week where everyone is trying to play catch up.  However some of the calls this week have made me wonder if the New Year's full moon has affected their thinking. Some of these calls came from ...
    Posted to COTA Thoughts (Weblog) on January 3, 2010
  • Holiday Wishes 2009

                At this time I would like to wish all of our Advance blog readers a joyous and peaceful Holiday Season.  I hope that every one of you enjoy a prosperous and healthy New Year.             It has been very enjoyable writing these ...
    Posted to COTA Thoughts (Weblog) on December 19, 2009
  • The Revolving Door

               One of the most common occurrences seen in Long Term Care therapy is the repeat offenders, or the Part B patients that seem to need therapy every few months. Some may have a hospital stay which places them back to a Part A, or skilled status, patient. But for some reason they are the ...
    Posted to COTA Thoughts (Weblog) on December 19, 2009
  • New Places, New Faces

      Do you have to travel to multiple buildings during your work week? Whether you work for a company that has several contracts near each other and you travel between buildings or you're a contract therapist and regularly work in many different facilities, travelling to multiple buildings means lots of faces to identify and remember. ...
    Posted to COTA Thoughts (Weblog) on December 12, 2009
  • Our Hands are Tied

      One of the following lines is something I'm sure everyone has heard at one time or another; ''increase your productivity'', ''screen the Part B residents'', ''expand your caseload'' or ''find more therapy patients''. Whether you are the OTR or COTA in a long term care facility, especially a smaller facility, the income from therapy is ...
    Posted to COTA Thoughts (Weblog) on December 1, 2009
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