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Healthcare Training Institute - Quality Education since 1979

Instructor’s Guide
for DVD Inservice Training

Table of Contents | NCCAP/NCTRC CE Booklet | Administrator Post Test

CD TRACK 1
Success Therapy®

What is Success Therapy®?
Success Therapy® proposes a method to provide the resident with a situation, a circumstance, or a task to give them a successful experience and the accompanying feeling of accomplishment and joy.

What two goals are not part of Success Therapy®?
1. To produce a finished craft project.
2. To have a great time.

What is a basic premise of Success Therapy®?
You never know what gets through to a resident, and you never write any resident off as totally unreachable and hopeless.

QUESTION #1
When you ask a resident to move their thumb and index finger what two areas are you assessing?
Both the resident’s understanding to follow a simple direction and their ability to move their fingers

CD TRACK 2
Caps in a Bowl

What are the assessment criteria for Caps in a Bowl?
1. Eye contact
2. Attention span
3. Low agitation
4. Appropriate energy level

What are three Care Plan Approaches for Caps in a Bowl?
1. To request in a reassuring manner…
2. To demonstrate using resident's name…
3. To speak at the resident's eye level…
What is the progression of difficulty for Caps in a Bowl?
1. To do Caps in a Bowl with total physical assistance…
2. To do Caps in a Bowl with physical assistance…
3. To do Caps in a Bowl with demonstration and instruction…
4.  To do Caps in a Bowl independently once started…

QUESTION #2
When would you stop the activity with a resident?
You have a gut-level feeling which tells you what you are doing is having a negative impact on the resident. 

CD TRACK 3
Caps in a Bowl Adaptations

Why would you not implement Caps in a Bowl with a resident who can easily drop a cap into the bowl independently?
The resident really does not experience a feeling of success, since the task is too easy for him or her.

QUESTION #3
What are some ways adapt Caps in a Bowl?
Gluing caps together and using caps of different sizes

CD TRACK 4
Working Surface Assessment

What three areas should you assess when setting a working surface height for a resident?
1. The height and position of the resident's shoulder
2. The angle of the elbow
3. The angle of the wrist in relation to the forearm

QUESTION #4
What is an advantage of bringing the working surface to the resident as opposed to bringing the resident to the working surface?
Bringing the working surface to the resident creates a more efficient use of time

CD TRACK 5
Bank Exercise

The Bank Exercise is a step up in difficulty from what activity?
Caps in a Bowl

QUESTION 5:
What are two ways of adapting the Bank Exercise to the ability level of your resident?
1. The Bank Exercise can be adapted by changing the size of the hole in the lid
2. and changing the kind of material to be placed through the hole.

CD TRACK 6
Motivation to do the Nonsensical

What is one way Caps in a Bowl can increase the alertness level of some residents?
The sound of the cap hitting the plastic bowl seems to stimulate some residents' sense of accomplishment.

QUESTION #6 
 What are two ways to motivate your resident to do a nonsensical non-product producing Success Therapy® Activity?
1. “This is a hand exercise and this is going to help your hands.” 2. “Here’s a game I’d like for you to try.”

CD TRACK 7
Color Sorting

Why would you not implement Color Sorting at the total physical assistance level?
A resident doing color sorting would need to have the hand coordination and mental ability to understand the concept of color sorting.

QUESTION #7
What are two ways to increase the difficulty of color sorting?
1. To decrease the level of instruction you give; 2. to increase the number of caps to be sorted

CD TRACK 8
Color Pattern Cards

What are three ways to adapt the difficulty of Color Patterns Cards?
1. Vary the amount of instruction given to the resident
2. Increase the number of dots on the card
3. Ask the resident to match the appropriate color cap to the colored dots

What are three suggested Approaches for Color Pattern Cards?
1. To demonstrate the activity
2. To encourage with praise
3. To remind the resident he or she is keeping her finger movement fluid

QUESTION #8
What is one way to stabilize the Color Pattern Card for a resident with shaky hands?
Stabilize the Color Pattern Card with a C-clamp

CD TRACK 9
Geometric Puzzle

What makes the Geometric Puzzle more advanced in difficulty than Color Sorting?
The resident is placing pieces of corrugated cardboard over the corresponding geometric shape.

What are two sample Goals for the Geometric Puzzle?
1. To do a Geometric Puzzle with one geometric shape…
2. To do a Geometric Puzzle with three or four geometric shapes…

QUESTION #9
What two skills must the resident possess in order to successfully complete a Geometric Puzzle?
First, they need the skill found in Color Sorting to match the corresponding colors.  Second, unlike Color Pattern Cards in which the directional placement of a circular cap does not make a difference, in the Geometric Puzzle the resident needs to be able to manipulate the puzzle piece to correctly match the direction of the background form. 

CD TRACK 10
Shape Sorting Box

What three things does a resident need to have to do the Shape Sorting Box?
1. Capable of eye contact
2. Grasping ability in the thumb and index finger
3. An attention span of at least 30 seconds

What are two ways to adapt the difficulty of the Shape Sorting Box?
1. Vary the amount of assistance given to the resident
2. Vary the number of shapes in the lid of the Shape Sorting Box

QUESTION #10
What is an example of mutually exclusive shapes for the Shape Sorting Box?
For the Shape Sorting Box I a Gatorade lid which will not fit through the hole for the cardboard rectangle, and neither of these two objects with fit through the hole for the Styrofoam ball.

CD TRACK 11
Can Rolling

What makes a resident a good candidate for can rolling?
If the resident's hand is cupped, meaning their hand may be going in to a contracture.

Why is it important to assist the resident in avoiding grabbing the can or using a scrubbing motion?
A scrubbing motion results in missing the whole goal of the activity, which is for the resident to get a backwards flexion movement in their hand.

QUESTION #11
What are two reasons for asking a resident to lay their hand flat in yours?
1. To assess if the resident is able to follow a simple direction; and 2. to assess if the resident is able to lay his or her hand flat.

CD TRACK 12
In-service Training

How can you use construction of Success Therapy® projects to serve the needs of residents of diverse ability levels?
Have your alert, craft making residents help you with the construction of the Success Therapy® projects.  They will feel a self-esteem boost through helping other residents, and also experience a feeling of success!

QUESTION #12 
What are three steps to getting staff support for your Success Therapy® Activities?
(1) The project needs to be in sight, readily available via bags taped to the nightstand.  Not stored in the Activity Room. 
(2) Staff, volunteers and families need to be given permission to accomplish this.  In-service, either formal or informal, works well to invite use of the projects. 
(3) Staff, volunteers, and families need to be trained how to (a) introduce the activity, (b) adapt their level of instruction to the resident, and (c) utilize any physical adaptations necessary.