Relative Hi Functioning/
Team 1 (Self
feeders) |
Relative low Functioning/
Team 2 (feeders) |
| 7:20-8:30 am Morning ADLs
(5 CBTs) ADL Desensitization & flooding for pts prone to agitation.
(Use videotap to train nursing aides prior to tx) |
7:20-8:30 am Morning ADLs
(2 CBTs) ADL Desensitization & flooding for pts prone to agitation.
(Use videotape to train nursing aides prior to tx) |
| 8:15-9:15 am 1st Breakfast
Seating (1 CBT, 1 Nurse) We utilize 3-4 separate rooms for dining
to help prevent behavioral problems due to overcrowding effects.
Additionally, some patients are temporarily allowed to eat in
their room. (Several behavioral & environmental interventions
are alsoused to prevent behavioral outbursts during meals).
|
8:15-9:15 am Cont. Morning
ADLs (6 CBTs) The goal is to maximize ADL time to ensure staff
have plenty of time to execute behavioral interventions given
that 85% of behavioral problems occur here with these patients. |
| 9:15-10:15 am Cognitive
Oriented Groupsco-led by Neurobehavioral Specialist/NBS and
Activities). |
9:15-10:15 am 2nd Breakfast
Seating (7 CBTs) 10:30-11:30 CBT Training 1 time per week. |
10:15-11:15 am Various cognitive Low & High level activities
grouped together Led by Activity Staff
(CBT break time 15')
For pts who are not ready or unable to participate in activities
this is a good time to administer other 1:1 neurobehavioral
interventions (e.g., tactile desensitization, social skills
training, modeling, etc.).
|
|
11:15am-12:15 pm Various motor Low & High
level activities grouped together Led by Activity Staff and
3 CBTs
The goal is to provide
exercise and overall cortical activation which results in a
paradoxical calming response.
1ST lunch break for CBTs at 11:15;
2nd lunch break at 11:45 am |
| Relative
Hi Functioning/Team 1 (Self feeders) |
Relative
low Functioning/Team 2 (feeders) |
12:45-12:45 pm Ori/Memory Group (1 NBS)
Compensatory neurocognitive rehab.
|
12:15-12:45 pm Sensory
Stimulation Group Various tactile, auditory/verbal & visual
stimuli.
|
|
Perform
needed ADLs for Team 1 patients occur before their next group
|
| 12:45-1:30 pm 1st Lunch
Seating (1 CBT; 1Nurse) We use as many rooms as possible to
prevent behavioral problems due to overcrowding and use a restaurant
style approach. |
12:45-2:30 pm 2nd Lunch Seating (7 CBTs)
Same behavioral procedures noted in 1st lunch
|
|
Begin afternoon ADLs as Team 2 patients complete lunch/Nurses break for lunch
|
| 1:30-2:30 pm Various Cognitive
& Leisure Groups (Activities) |
1:30-2:30 pm Cont. Team
2 lunch |
|
Evening Nursing Staff (6 CBTs and 2 Nurses) 2:30-4pm
Snoezelen 3 x's per week;
Snacks & Games 4 x's per week
Co-led by Activity Staff & 2
CBTs
2-3:30 pm Neurobehavioral Rounds; 3:30-4:30 CBT Training
1 time per week for eve. staff.
|
| 4-5pm Music
Therapy & Movement Groups (4-6 CBTs) |
| 5-5:45 pm Social Skills
Group (1 NBS) |
5-6:30 pm Sensorimotor
Group (2 CBTs) |
| 5:45-6:30 pm 1st Supper Seating |
5:45-6:30
2nd Supper Seating (6 CBTs) |
Patients are strategically placed
and prepared for a restaurant style supper |
| 6:30-7 pm
Snoezelen 2 x wk/Relaxation Groups 5 x wk (1 NBS and 1-2CBTs)
|
| 7-7:30 pm Leisure Group
(1 CBT) |
7-8:30 pm Evening ADLs
(5 CBTs) |
| 7:30-8:30 pm Evening ADLs
(6 CBTs) |
8:30 pm Bedtime |
| 8:30 pm Bedtime |
