Quick & Easy Step-By-Step Session Planning
Inpatient Rehabilitation is a clinical setting that seems to march to the beat of it’s own drum.
Length of stay can be short. The pace is fast. Therapists are inevitably tasked with treating patients whom they’ve never met before to cover another caseload or pick up missed therapy minutes. So it’s helpful to have a structure or sequence in your mind of how to quickly address therapy goals of unfamiliar patients.
SOME CONSIDERATIONS BEFORE EACH THERAPY SESSION:
What Are The Patient’s Rehab Goals?
What is the Short Term Goal in the Plan of Care?
What Functional Therapy Task Can Be Completed To Target This Goal?
Why This Task? How Does It Relate to the Patient’s Individualized Goals?
What is the Ultimate Goal of the Therapy Task? How Will I Measure Performance?
Short Term Goal (STG):
Utilize trained memory strategies to demo 90% recall of new and functional information (visual/verbal) during isolated therapy tasks after an imposed 2 minute delay.
Why this Task? How Does It Relate to the Patient’s Goals?
Patient is concerned that he can no longer recall personally relevant telephone numbers, passwords or home address since his injury and subsequent hospitalization.
Goal of Therapy Task:
1) To reinforce use of memory book as a reference tool
2) To reinforce use of ‘writing things down’ as a memory strategy
3) To reinforce attention and encoding skills via auditory rehearsal and repetition
Review purpose of memory book, purpose of therapy task and memory strategies
Obtain patient address, phone number or other personally-relevant 7-digit phone number (pharmacy, favorite take-out restaurant, home phone, etc.).
Enter information into memory book with auditory rehearsal to follow
If desired, begin spaced retrieval interval(s) with imposed delay
Check for recall after imposed delay
Was stimulus recalled? If not, then patient to reference memory notebook as a compensatory aid. Return to previous spaced retrieval interval and begin again.
Have Patient Perform Self Evaluation
Was information recalled? Why or why not?
How can he be more successful in the future?
Were strategies effective or not? What can we change?
Is this task functional? How can we make it even more personally relevant?