This course will take participants through a well-planned 60-minute treatment session with an elderly client exhibiting decreased strength, endurance, and activity tolerance. The course will illustrate the framework of a treatment session as the therapist assesses patient status, facilitates a functional treatment session that is meaningful to the client, and provides analysis of the performance to move forward and improve the patient’s functional status.
Danielle Keyser MS, LOTR, GTC is a practicing Occupational Therapist with a Bachelor of Science Degree in Psychology from the Louisiana State University (1998), and a Master of Science in Occupational Therapy from the University of Alabama at Birmingham (2001). She is a Certified and Registered Occupational Therapist in the state of Louisiana, a member of the American Occupational Therapy Association, and Vice President of the Louisiana Occupational Therapy Association. As LOTA Vice President, Danielle has arranged continuing education opportunities and annual State Conferences to bring the latest research and evidence based educational opportunities to therapists in Louisiana. Danielle has worked in the field of Geriatrics for 13 years, with an emphasis on Skilled Nursing Facilities and Home Health Care. Danielle has dedicated her career to geriatrics, serving the roles of treating therapist, Mentor, and currently Director of Education for The Therapy Center. As Director of Education, Danielle travels the state to assist therapists with challenging patients, training of new therapists, and in-house educational opportunities. Her focus areas include extensive knowledge of Medicare PPS and RUG Utilization, caseload development, creating individualized treatment approaches, facility training and education of nursing home staff, and application of evidence based treatment techniques. Danielle was awarded her Geriatric Training Certification in January 2014, an educational path that consisted of advanced clinical geriatric training, evidenced based evaluation and treatment strategies, and culminating in intensive testing protocols.
This chapter focuses on the importance of reassessing patient status with objective and functional measures to determine the efficacy of the occupational therapy treatment at hand, with a special emphasis on how to determine if daily modification of treatment tasks is needed. Danielle Keyser explains the necessity of using specific objective measures to dose exercises and provide evidence-based treatment, while emphasizing the importance of concrete evidence of progression to the patient.
In this chapter, participants will learn the essentials of monitoring treatment and patient performance. Join occupational therapist Danielle Keyser as she discusses the importance of instructing in physical components of a functional task, with follow up of actual activity performance to ensure generalization of task performance. Participants will come to understand the significance of periodic monitoring of physical capabilities and client feedback of performance throughout a session, as well as the role of family and social support outside of the therapy session.
How is a client to know when further treatment is needed? Danielle Keyser provides an overview of the importance of providing specific and concrete feedback to the client regarding status, strengths, opportunities for improvement in the daily treatment session, and in relation to the duration of the treatment plan. Upon completion of this course, participants will learn to verbalize to the client the relationship between session performance and the advancement of the client’s long term functional goals and participations.