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Section 20
Visual Aid Demonstration

Table of Contents
| NCCAP/NCTRC CE Booklet

a. Visual Aid: Participant Role Play
Examples of Motivating by using a Visual Aid
5 secAM201. If you have a Reminiscence Group and you’re discussing old recipes, bring in a cookbook. 
2. If you have a Bingo game and you want the resident to attend, bring in a couple Bingo prizes.  If the resident has poor eye sight, show her the large Bingo cards.

b. Thera-Band Stretching Success Story
The following is a recap of a story told on the DVD.  If you have already viewed the DVD, you might skim over this section as a review. 

Here's how the Inner Tube Tire/Thera-Band Stretching worked in one facility.  The resident was in a chair and his head was actually touching the table.  The Activity Director said, "This is Bill.  Just stand in front of him."  I stood there for a couple seconds, and he rolled his head around and he saw me standing there.  He says, “Ount.”  Now he wasn’t saying “out.”  He was saying “ount.”  I knew just by the way he said it that it was a meaningful kind of a sound.  I said, “I know, he wants me to do something, but I’m not sure what it is.”  The Activity Director replied, “Well, he wants you to count.”  And I said, “Okay, one, two, three.”  He had a strip of inner tube (Thera-Band) and what I counted were the number of times that he could touch the opposite side of the table.

Culture Change Staff Involvement:  While we were working with another resident in the lounge a housekeeper came past, and she was dusting the tables.  She said, “How many of those can you do today, Bill?” The housekeeper counted to three as Bill pulled the inner tube (Thera-Band) across to the opposite side of the table.

Do you have a Bill who could be motivated to become involved, if he or she were provided with the right level and adaptation for an activity?  If so, go back to the beginning of this Manual and review the Skill-Level Activity Ladder. If you are able to match a resident with this Thera-Band stretching activity, consider the putting this in a labeled  Activity Project bag in his room to not only facilitate the resident's independence, but also to provide evidence to the CMS Survey Team of the program you are providing for this resident. 

Activity Project Bag:  The Thera-Band can be put into a paper or plastic bag.  This bag is taped to the resident's nightstand.  The Bag might be labeled "Joe or Mary’s hand exercise."  By placing the Thera-Band in the resident's room, CNA’s have the opportunity to place the hand exercise in Bill's hand.  Below is a listing of activities along with visual aids you might use to motivate the resident to become involved.

Residents to motivate by the use of a "Visual Aid"

Activity

Visual Aid Shown to  Resident  to Motivate

Residents

Staff or Volunteer Responsible

Thera-band Stretching

Thera-band

 

 

Reminiscence Group

Recipes, cookbook

 

 

Bingo

Prizes, Large Bingo Card

 

 

Can Rolling

Pringles Can

 

 

Culture Change CNA Inservice:  Brainstorm about residents with whom they could use a “Visual Aid” as a motivator to become involved..

Goal:  To do Thera-Band stretching with total physical assistance three times a week for two weeks…
Goal:  To do Thera-Band stretching with partial physical assistance…
Goal:  To do inner tube (Thera-Band) tire stretching with total physical assistance in 3 months…
Goal:  To do inner tube (Thera-Band) tire stretching with verbal request, 3 times per week…
Goal:  To do Thera-Band stretching upon request…
  Approach (How am I going to help her accomplish that goal?): To gently cradle the resident's hand…
  Approach: To use resident’s name, to reward with praise "Good, great!"…
  Approach: To decrease the amount of physical assistance provided, as the resident indicates he is able to put more pressure on the Thera-Band…
  Approach: Encourage involvement by saying, "Pull, see if you can pull this...”


NCCAP/NCTRC CE Booklet
Forward to Section 21
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