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Section 3
Track #3: Caps in a Bowl Adaptations

Table of Contents | NCCAP/NCTRC CE Booklet

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Transcript of Track #3

Next, I’d like to talk about how you can adapt the difficulty level of caps in a bowl by changing the materials themselves. If your resident has extremely stiff finger movements, they may have a problem moving their fingers out of the cupped part of the gallon milk bottle cap. Let me repeat that, if you have a resident that has extremely stiff finger movement, they may have a problem moving their fingers out of the cupped part of the gallon milk bottle cap.

Glue two caps together
Therefore to make the activity easier and to adapt it to their finger ability you might glue two caps together using Elmer’s glue. A small vise works nicely to hold them in position while they dry. This drying process usually takes a couple of days. This makes a thicker object which is easier for your resident’s stiff fingers to hold onto and requires a less firm grasp.

A second adaptation…
in addition to gluing two caps together would be to use a different kind of cap besides a gallon milk bottle cap. For example, a Gatorade lid, a juice bottle lid, or a liquid laundry detergent lid. A suggestion would be to collect caps from various bottles over the next two to three weeks. When you evaluate a new admissions thumb and index finger movement, try several sizes and shapes of caps to see which affords your resident the most success.

Primary purpose
Remember, success whether it’s with caps in a bowl or any success therapy project, is your primary purpose. Let me repeat that, remember, success whether with caps in a bowl or any success therapy project, is your primary purpose.

Definition
Let’s recall the definition I started with earlier regarding success therapy. When you implement a success therapy project with a resident, what you are really doing is providing a situation, a circumstance, or a task to allow you an opportunity to sincerely say to your resident “good, great, you did a good job.” This provides even the lowest functioning resident with accomplishment, self worth, and success.

Now some residents will easily be able to place the cap in the bowl, thus they really don’t get a feeling of success because the task is too easy for them. For these residents with more physical ability, you might try the bank exercise which will be described on track 5. But before we go to the bank exercise, I would like to digress a few minutes and talk about working surfaces on the next track.

Question 3: What are some ways of adapting caps in a bowl?

NCCAP/NCTRC CE Booklet
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Table of Contents

Note-Taking Exercise
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?