ActivityProfessional.Com Login

Username/Email:
Password:
Keep me signed in
Forget your Password Reset it!

• Home
• NCCAP CE Credit
• Free Activity Ideas
• Instructor
• Create an Account

Contact:
info@activityprofessional.com
330.835.5009
(M-F 9:30-9:00 Eastern)
or
Voice Mail: 925-391-0363

Healthcare Training Institute - Quality Education since 1979

Instructor’s Guide
for DVD Inservice Training

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

DVD TRACK 1
Warm Damp Cloth, Cradle Head, Room Lighting, Family Photo

a. Warm damp cloth
                        Approach: To wipe resident’s face with a warm damp cloth…
Check with nursing to make sure about what?
They don't have some type of a skin problem

Residents with whom to try Warm Damp Cloth

b. Cradling the resident's head
            Goal: To react with a gesture... 
            Goal: To turn head to the left...
            Goal: To turn head in opposite direction with total physical assistance... 
                        Approach: To cradle the resident's head, you slide your hand underneath the resident's head...
                        You actually are turning the resident's head for him.
An example of a monologue with this resident:
"Joe let's see if you can turn your head.  Can you turn your head towards me?  Let's see if you can do that." 
"Good.  Great.  It really makes me feel good that you were able to do that."
Residents with whom to try Cradling Head

c. Room lighting
                        Approach: Turn on all the lights and open up the drapes…
Talk to nursing to make sure what?
It is not counter-indicated somewhere on a Care Plan.

Residents with whom to try Room Lighting

d. Show family photo
Resident is only able to do what?
Only able to make noises and once in a while, based on his eye contact, we felt that they were meaningful noises. 
            Goal:  To show a change in facial expression upon seeing a picture of "family…" 
            Goal: To make a noise reacting to the picture… 
It would have been very inappropriate to have a goal be to say a word, because he was not at that ability level. 
What information would you get from Social Services?
Find out information related to the family.  Who are the people in this picture?  Is this his wife, his neighbor? 
Approach:  To ask "Who are these people?  Can you say their names?  Can you tell me who these people are?  I know you know who they are.  I wish we did…" 
Approach:  Place note in corner of photo, "If you have any information related to the identity of these people please contact Activities…"

Residents with whom to try Family Photo

Culture Change Implementation: Place Family Photo in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #1:  What were the two goals that Activities had for the resident when he was shown the picture of his family?
1. To show a change of facial expression upon seeing picture of “family,” 2. To make a noise reacting to the picture

DVD TRACK 2
Scent Therapy, Communication Board

a. Scent Therapy and Getting in close with the resident
With a resident who is total care, as you talk to the resident, if you stand way back at the foot of the bed, what will happen?
You are not going to get through to that person. 
What is explained by "having a talk with yourself?"
"This is uncomfortable.  I don't like being this close to this other person," but then I tell myself that this is not a social situation; I'm really trying to get through and to reach into this person.
                        Approach:  To talk right into the ear of the person about 4 or 5 inches from their face or their ear…
                        Approach:  To get into their eye contact, put your face right where their eyes are looking…

The responsibility of working with a bedridden resident:
You don't know what gets through to the resident. 
You have a responsibility to the low functioning resident because they can't tell you. 
Take some time to observe your bedridden residents. 
Talk to the nurse aid, see how they normally interact. 
When you try some of these things, you'll have some basic information about how the resident normally interacts  

Residents with whom to try Scent Therapy and Getting in Close

b. Communication Board
How does the Communication Board work?
Resident points to pictures which are posted on the working surface and covered with clear contact paper.

Residents with whom to try Communication Board

Culture Change Implementation: Place Communication Board in an Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #2: Regarding personal space, what did the speaker say "having a talk with yourself" could accomplish?
When you are very close to another person you think, "This is uncomfortable.  I don't like being this close to this other person," but then you tell yourself that this is not a social situation. You are really trying to get through and to reach into this person.

DVD TRACK 3
Push Ball, Caps, & Working Surface
(Additional Instructor's information for this track found on page 21)

a. Push Ball
The resident has the ability to push the ball, but what doesn't she have a chance for?
The resident in the slide does not have the ability to be independent.  Once the ball falls off the tray, it is gone.
Tape a piece of yarn around the ball to make the resident independent, if the resident has more physical or mental capability.
                        Approach: To gently grasp wrist and her elbow…
                        Approach:  State, "Let's see if you can push the ball."  "Great! You pushed the ball!"…
            Goal: To Push Ball with physical assistance…
            Goal: To Push Ball with an elbow prompt…

Residents with whom to try Push Ball

Culture Change Implementation: Place Push Ball in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

b. Caps
Problem:
Poor hands; three fingers of the resident were drawn up into a contracture; only able to move thumb and index finger
Projects to start with are:
Scent therapy: have the resident smell vanilla and mint
Gallon milk bottle caps and butter dishes activities

If you don't like these ideas, it is because...
These ideas are not fun or product producing.  But for a resident who is flat on their back in bed and all drawn up, this is about all that they can do.

Revised goal for Caps
To move the bowl further away to create a stretch for the resident

Residents with whom to try Caps

Culture Change Implementation: Place Caps in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

c. Over-the-bed table, working surface height
If the over-the-bed table is in front of the wheel chair, what’s wrong with that?
The working surface is too far away.
If you weave the over-the-bed table through the wheels of the wheelchair, what problem does this create?
The surface is too high.
What solution is suggested?
Slide the table in the long way.

Residents with whom to try an Over-the-Bed Table

QUESTION #3: What two reasons were given why Caps does not seem like an appealing activity for staff?
It’s not fun, and it’s not product producing.  “But for someone who is flat on their back in bed and all drawn up, this is about all that the resident can do.”

DVD TRACK 4
Bank & Sorting

a.  The Bank
For what ability level of resident is The Bank designed?
For residents who could easily drop a cap in the bowl, but could not do something harder
It may remind residents of doing what?
It reminds them of putting coins in a bank
Ways to adapt The Bank:
1. Vary the size of the hole
2. Glue colored yarn or colored paper around the lid to make the hole more visible
Two key element of Success Therapy® are:
1. Success and 2. independence
What is the problem illustrated in the slide?
The Activity Director is holding the bowl for the resident so he can put the cap in the bowl.  The resident cannot be independent.

Over-the-bed table
What is this over-the-bed table made out of?
Made out of a corrugated card board box and covered with contact paper

Residents with whom to try a Bank

Culture Change Implementation: Place a Bank in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

b. Sorting
How does Sorting work?
You take the blue gallon milk bottle cap and drop it into the blue container and take a red gallon milk bottle cap and place it in the red container.
Sorting is not what?
Not product producing and not necessarily fun
How does Sorting utilize your resident's long term memory?
Because you learn colors in pre-school

Residents with whom to try Sorting

Culture Change Implementation: Place Sorting in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #4: In the slide with the Activity Director holding the bowl for the Bank Exercise, what was discussed as the problem with the Approach?
The Activity Director is holding the bowl for the resident so he can put the cap in the bowl, therefore the resident cannot be independent.

DVD TRACK 5
Color Patterns

a.  Plan a Time to Implement Ideas
Pick a week in the next four months when you might implement the ideas in the preceding Sections.  Write down the activity idea and the resident's name.

b. Color Patterns
Color Patterns is a good activity for residents with what types of problems?
Patterns can be an appropriate project for someone who can only understand simple directions, or someone who is alert but has stiff fingers
Goals:
To do a three dot Color Pattern after three months
To do a four dot Color Pattern after six months
To do a Color Pattern using a smaller card where the resident builds the pattern alongside the card.
To place the cap on the dot with physical assistance
To place the cap on the dot upon request
To do Color Patterns independently
What phrases are the three basic steps of goal progression in implementing?
1. Total physical assistance, 2. upon request, and 3. independent.  Take the name of almost any project and attach it to this when creating goals.

Residents with whom to try Color Patterns

Culture Change Implementation: Place Color Patterns in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #5:  What is the reason you would not want to give a Parkinson’s resident an activity like Color Patterns?
Someone with shaky fingers will be very frustrated with a precision activity like Color Patterns.

DVD TRACK 6
Paper Balling & Rolling
(Additional Instructor's information for this track found on page 23)

a. Paper Balling
How does Paper Balling work?
You take sheets of newspaper, tear them into quarter sheets, then simply have the person ball the paper and drop them into the bag.
How do you motivate the resident to do this activity?
Motivated by "what you don’t use, you lose," concerning hand movement.
How do you use the balled up paper balls to create a snow ball fight?
1. You have your lower ability level residents ball the paper
2.  Put the paper balls into grocery bags
3.  String a string across you lounge
4.  Divide your residents into two teams, trying to equal the ability levels.
5.  You put a time limit on the snow ball fight.
6.  The side that has the least paper balls on their side wins.
What are some other art uses for the paper balls?
Stuff inflatable snowmen, etc. In the fall, get a pair of bib overall and long sleeve shirt and make a scare crow with a plastic pumpkin on the top.

Residents with whom to try Paper Balling

Culture Change Implementation: Place Paper Balling in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

b. Rolling
What kinds of cans can you use to roll?
Salt container, Pringles can, etc.
            Goal: To do Rolling independently…
            Goal: To do Rolling with physical assistance…
                        Approach: To gently cradle resident's hand or put slight pressure on resident's hand…
What does clay remind residents of?
Rolling dough

Residents with whom to try Rolling

Culture Change Implementation: Place Rolling in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #6: If you want to do Can Rolling with a resident who will eat or cannot roll clay, what was the suggestion to adapt the activity?
Put a terry cloth towel on the working surface to avoid a scrubbing motion.  This allows the resident to get the flattening motion of rolling.

DVD TRACK 7
Yarn Winding & Sorting
(Additional Instructor's information for this track found on page 25)

a. Spool Winding 
What materials are used for Spool Winding?
Paper tube, 7-15 inches long piece of yarn, and a Styrofoam spool
Why is the Styrofoam spool considered a good choice for Spool Winding?
The Styrofoam spool is safe, because even if they are whirling it around inappropriately, they won’t likely hurt themselves
The Styrofoam spool is too large to eat.  The use of a metal nut is not recommended because someone may wander into the room and eat it.  It is a two handed or one handed activity
            Goal: To wind and unwind a 6 inch piece of yard…
                        Revised Goal: To wind and unwind a 15 inch piece of yarn…
            Goal: To do yarn winding independently…

Residents with whom to try Spool Winding

Culture Change Implementation: Place Spool Winding in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

b.  Sorting
What materials are used to construct Shape Sorting?
Shoe box, blocks, baby food jar lids and cardboard rectangles
How was the 100 year old resident in the slide motivated to do Shapes?
The resident had no dietary restriction and she was rewarded with candy (circus peanuts) for doing the activity

What is taped to the night stand?
When the project is located in a bag taped to the night stand in the resident's room, the Shapes project can be available for staff, volunteers, and family to use with the resident.

Residents with whom to try Shape Sorting

Culture Change Implementation: Place Shape Sorting in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #7: How was the 100-year-old resident motivated to do Shape Sorting?
The resident had no dietary restrictions and she was rewarded with marshmallow circus peanuts for doing the activity.

DVD TRACK 8
Three Piece Puzzle
(Additional Instructor's information for this track found on page 32)

a. Three Piece Puzzle
What is the problem with puzzles that are donated?
Puzzles are often donated, but they have too many pieces and end up getting thrown out.
How do you construct a Three Piece Puzzle?
Take a magazine picture, mount it on card board, and cut it into three pieces.
What are the steps in implementing the Three Piece Puzzle?
1. Discuss the content of the picture with the resident and ask, “What to you see here?’
2. Give a clue about trees, for example, "They have leaves.  They are outside."   Use the Sesame Street technique.
3. Next step: to slide one piece away and then to slide it back.  Do not remove it from the working surface.
4. Use gestures and little verbal direction, because it may be confusing to the resident.
5. When resident is handed the pieces and they are removed from the working surface, this is a big jump in difficulty. Resident may look at is like it is a foreign object and may have no idea what to do with it.
            Goal: To name the parts of the picture… (If the person is non-verbal, then skip the step of name)
            Goal: To put one piece of the Three Piece Puzzle in place when it is slid away…
            Goal: To do a Three Piece Puzzle independently…
            Goal: To do a puzzle with one central object…
            Goal: To do a puzzle with several objects…

Problem:
Can only understand simple directions.

Residents with whom to try a Three Piece Puzzle

Culture Change Implementation: Place a 3-Piece Puzzle in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #8: What were the four adaptations of the Three Piece Puzzle discussed?
You can adapt the border, content of the picture, the way the pieces are cut, or the number of pieces

DVD TRACK 9
Magazine Folding
(Additional Instructor's information for this track found on page 37)

a. Magazine Folding
What were some of the problems the resident in the slide had?
Blind, deaf, one hand, chair bound, confused, stiff fingers
How is the activity initiated?
Get a Reader’s Digest magazine, take a page corner and fold it to the middle
Orient the resident's hand to the center of the book
Next you need to orient the resident's hand to the corner of the magazine page, so he can turn the corner
After several pages are folded, we used a spray paint can lid with clay in it to hold pages he had folded
            Goal: To do Magazine Folding with total physical assistance…
            Goal: To do Magazine Folding independently…
                                                             
Residents with whom to try Magazine Folding

Culture Change Implementation: Place Magazine Folding in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #9: How was the blind, deaf, one-handed, chair-bound man able to do Magazine Folding?
Magazine folding can be done totally by feel, so the Activities staff oriented the man to the center and corners of the magazine.  He was able to do the activity with total physical assistance and later independently.

DVD TRACK 10
Magazine Folding con’t & Lacing Cards
(Additional Instructor's information for this track found on page 40)

a.  Lacing Cards
What materials are used to construct Lacing Cards?
Corrugated cardboard, magazine pictures, yarn, scotch tape  (the large plastic darning needles are too expensive if they are lost)
As a review, what are two key elements of Success Therapy®?
Two key elements of Success Therapy® are 1. success and 2. independence.
What problem is the slide showing with the way the project was implemented?
The resident is lacing, and the Activity Director is holding it.
Resident could not stabilize the project
Use a C-clamp and then rotate the card so the resident can lace the portion that is off the end of the working surface.
            Goal: To do Lacing Cards with physical assistance…
            Goal: To do Lacing Cards independently…
                        Approach: To stabilize card with a C-clamp…
Problem:
Only able to use one hand, could not stabilize project
Residents with whom to try Lacing Cards

Culture Change Implementation: Place Lacing Cards in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #10: What were the three reasons why you might find Lacing Cards to be a good activity to implement?
Lacing Cards is a non-messy, inexpensive, and not dangerous activity.

DVD TRACK 11
Concentration Game & Same and Different Cards
(Additional Instructor's information for this track found on page 43)

a.  Concentration Game
What is Concentration Game based upon?
Based on card game where you turn a deck of cards down and try to match them by picking up two at a time.
How is the Concentration Game constructed?
Make shapes on corrugated cardboard.  Use closed and opened geometric shapes, with as much color as needed to differentiate.
            Goal: To name or indicate the shapes in the Concentration Game…
            Goal: In six months, to name one of the shapes that is hidden or turned over…
What are the steps in implementation?
See if a resident can name one or more shapes
Hide one shape and see if the resident can remember it
Turn all three shapes upside down, and see if resident can remember locations
Start with three then increase the number of shapes

Residents with whom to try Concentration Game

Culture Change Implementation: Place Concentration Game in an Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

b. Same and Different Cards
How are Same and Different Cards implemented?
Hold up a card with two shapes on it and ask, "Is the shape on the left the same or different from the shape on the right?"
Sort the cards with two of the same shape in one box or pile and the cards with two different shapes in a second box or pile
What was the problem in implementing Same and Different Cards illustrated in the slide?
Working surface is too far away from the resident
Problem:
Stiff fingers and only able to understand simple directions
            Goal: To do Same and Different Cards independently…
                        Approach: To encourage the resident with praise…

Residents with whom to try Same & Different Cards

Culture Change Implementation: Place Same & Different Cards in an Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #11: What did the speaker say the initial goal of the Concentration Game might be? a 6-month revised goal?
To name the shapes in the game; In six months, name one of the shapes that is hidden or turned over.

DVD TRACK 12
Adaptive Handle
(Additional Instructor's information for this track found on page 48)

a. Adaptive handle
What was the first goal with the resident that had extremely contracted hands?
To scribble with total physical assistance
What goal did we finally end up with?
To write letters independently
What was the mistake made?
Activities did not ask the woman if she could write with a regular pen or if she was right handed.  Despite her contracted hands, she wrote letters to her sister already and was left handed.
How is the adaptive handle constructed and used?
Cut off the handle of a laundry detergent bottle or similar and slide it into the grip of the resident so they can make a scribble craft with it.  Suggested for Fourth of July, scribble with a red and blue crayons.  Then have other residents stencil stars and cut them out for decoration.

Residents with whom to try an Adaptive Handle

Culture Change Implementation: Place an Adaptive Handle in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #12: When working with the woman who had contractured hands, what mistake did the speaker say Activities made when the woman was urged to use the Adaptive Handle with her right hand?
Activities did not ask the woman if she could write with a regular pen or if she was right handed.  Despite her contracted hands, she wrote letters to her sister already and was left handed.

DVD TRACK 13
Styrofoam Ball & Days Diary
(with "Writing")
(Additional Instructor's information for this track found on page 49)

a. "Writing"
Problems:
Thumb and index finger problem
Resident had no pressure and no grasp when fingers got an inch apart
Hard of hearing
How is the Styrofoam ball pencil holder constructed?
Slid a pencil through Styrofoam ball so she could have a larger surface to grasp onto and could write

Residents with whom to try Styrofoam Ball

Culture Change Implementation: Place Styrofoam Ball in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.
b. Days Diary
What is the purpose of a Days Diary?
It is a reality orientation device to remind resident of different activities performed throughout the day

How is a Days Diary constructed and implemented?
Collect a set of magazine pictures based on what a resident does in the morning, evening, etc.  Develop via discussion with the resident.  Ask resident, "What pictures might represent you morning? Afternoon? Evening?"  You may have several pages of pictures that show morning, which you would obtain by going through a magazine with a resident and picking out pictures.  Then paste the pictures to pieces of construction paper, and staple them together.
Residents with whom to try a Days Diary

Culture Change Implementation: Place a Days Diary in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

QUESTION #13: What is the reason that the woman in the slide needed the Styrofoam Ball to go around the pencil in order to write?
When the woman’s thumb and index finger were an inch apart, she had no grasp. With an enlarged area for her to grasp, she was able to hold the pencil and write.

DVD TRACK 14
Stenciling
(Additional Instructor's information for this track found on page 52)

a. Stenciling
Problem:
Extremely poor eye sight
How is Stenciling constructed?
Shapes are cut out of corrugated cardboard with scissors or a matt knife, then covered in construction paper and clear contact paper
What problem was illustrated in the side?
The Activity Director put arm right in the resident's face
Watch the positioning of your arm, so as not to be in the resident's line of vision
What is the progression of difficulty of Stenciling?
1. Easiest is the circle because it is continuous
2. The second in difficulty is the heart
3. Next, the triangle because there are three changes in direction
4. Next the square because there are four changes in direction
5. The most difficult is the star.
What adaptation needs to be made for a blind resident?
Pre-cut paper and put only one stencil pattern per paper, so resident can feel the edge of the paper.

Residents with whom to try Stenciling

Culture Change Implementation: Place Stenciling in labeled Activity Project Bag left in resident’s room for CNA, volunteer, etc. use.

b. Set a Goal
Write a goal based upon an idea listed above.  Write the idea, the resident's name, and when you plan to implement the idea above.

QUESTION #14:  What is the progression of difficulty of the shapes in the Stenciling activity?
(see notes above for answer)

DVD TRACK 15
Photos with Commentary - Part 1

Shape Sorting:
What are two areas to observe when evaluating the positioning of activity materials for a resident?
1. The resident’s shoulder, and 2. the resident’s elbow.

Paper Balling:
What is one of the major benefits of Paper Balling?
You can change the height of the bag by changing how many times you cuff it at the top.

Yarn Winding:
What are the five formats of Yarn Winding?
1. Yarn Winding on a Spool, 2. on a Donut, 3. on a Tube, 4. on a Pringle’s Can, 5. Yarn Winding in a Ball

Three Piece Puzzle:
What are five ways to vary the difficulty of the Three Piece Puzzle?
1. size of the pieces, 2. content of the picture, 3. number of pieces, 4. using a border, 5. removing the puzzle from the working surface

Magazine Folding
If the folded pages are flipping up during Magazine Folding, what can be used to weigh the pages down that have already been folded?
You might weigh down the pages that have already been folded with a spray paint can lid filled with clay.

QUESTION #15: Why are Yarn Winding on a Donut and Magazine Folding the only two craft-producing Success Therapy® projects?
Low-functioning and Alzheimer’s residents usually have low attention spans, poor eyesight, and stiff fingers that prevent them from doing the crafts that you would find in a Senior Daycare.

Lacing Cards:
In the fourth Lacing Cards slide, why was the right-handed Activity Director standing to the left of the resident while assisting with the Lacing Card?
If the Activity Director had stood to the right of the resident, her right arm would be blocking the resident’s line of sight to the Lacing Card.

Yarn Weaving:
If a resident has trouble with Lacing Cards, why might you try Yarn Weaving on a cherry tomato basket with the resident?
If a resident has a problem getting their yarn through the holes in a Lacing Card, the large holes in Yarn Weaving on a Cherry Tomato Basket might give them a better chance for a successful experience.
Concentration Game:
When choosing shapes for the Concentration Cards, what two kinds of shapes should you start with?
1. closed shapes, like the square; 2. open shapes, like the star.

Adaptive Handles
If the adaptive handle is too wide for the spoon or pencil, what might you use to make a better fit?
You might stuff the inside of the handle with paper or masking tape.

Styrofoam Ball:
What might you use to stabilize the paper for a resident writing using a Styrofoam Ball adaptor?
You might use a clipboard to stabilize the paper on the working surface.

Days Diary
What is the real benefit of the Days Diary?
The resident helps to pick out pictures that represent a certain aspect of daily living to him or her.  This can help provide the resident with the concept that certain activities happen differently in the morning than in the afternoon.

Stenciling
What is the conclusion you might draw if you have a resident who can do a Stencil as complex as a star?
If you have a resident who can do a Stencil as complex as a star, chances are the resident is able to do an activity of a more productive nature, and may also need the motivation of seeing a finished product.

QUESTION #16: What are two reasons some residents might have difficulty with a heart-shaped Stencil?
At the point at the top of the heart, the resident’s pencil might wander into the center of the heart, and the resident might be unable to find their way back to the edge of the stencil.  At the point at the bottom of the heart, the resident’s pencil might get caught.