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Section 18
Bank Exercise

Table of Contents | NCCAP/NCTRC CE Booklet

The Bank Exercise is exactly what it sounds like.  You use the Caps-in-a-Bowl idea, but the Bank Exercise is a way of adapting your Success Therapy® activity to be one notch more difficult on a Difficulty Scale visualized in your mind. 

Materials and Construction
Take the lid from your two-cup butter tub and cut a rectangle in the center the size of the cap to be placed through it.  In this case, a gallon milk bottle cap would be placed through the hole. 

Adaptations Based Upon Changing the Materials  
Two ways to adapt this activity to the ability level of your resident is to change the size of the hole in the lid, and to change the kind of material being placed through the hole. You might have a Care Plan Goal…

Once again, kinds of objects from the double thickness gallon milk bottle caps to poker chips can be used depending on the alertness level and the thumb and index finger dexterity of your resident. 

Adaptations Based Upon the Level of Assistance Given
The lowest or simplest Goal would state…

To accomplish this, you would place the gallon milk bottle cap between your resident’s thumb and index finger, place their hand with the cap over the hole in the lid of the butter dish and actually you push the cap through the lid, and then say sincerely, “Good!  Great job, you really did a good job!” Then place another cap between their thumb and index finger and repeat.  Keep in mind, the basic Success Therapy® goal is to provide the resident with an opportunity to have a successful experience and a feeling of accomplishment. 

A higher level Care Plan Goal would be…

To implement this with the resident, place the gallon milk bottle cap in the resident’s hand.  With some physical assistance, push the cap through the hole.  The Care Plan Approaches could be…

The highest level of difficulty is when the resident places the gallon milk bottle cap in the Bank upon your request.  You would ask, “Helen, can you put the cap in the bank for me?”  Helen picks up the cap and drops or pushes it through the hole, depending on the size of hole you cut.  The difference between this and the previous Approach is that only verbal prompting is used, with no physical assistance.

Listen for the “Sound” of Success
When the resident drops the Cap-in-the-Bowl or Bank, watch his or her alertness level increase with the sound of the cap hitting the plastic bowl.  With many residents, the sound of the dropping cap seems to stimulate his or her sense of accomplishment that he or she has done “something.”

Residents with whom to try Bank Exercise

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