Functional Maintenance Plan

Resident: ACL: 2.4 - Orange

Date Completed: Created by:

Summary of Strengths
  • Recognizes when tired
  • May feed self with constant cues
  • Can follow 1 step verbal/tactile postural cue
  • Will walk in direction pointed to or follow a guide
  • Notices barriers above the knees (walls, doors, furniture)
/ Social History
Summary of Challenges
  • May not rest very long
  • Resists confinement/tries to escape
  • Process info 3-4x slower than average
  • Does not recognize weight bearing precautions
  • Does not notice barriers below knee level
  • May try to climb over bedrails
/ Strategies
  • Declutter room
  • Supervision around objects below knee (wheelchair footrests, wet floor signs, curbs)
  • Give visual cues to locate common areas-pointing
  • Max cues to keep going with movements/activities

1/4

Resident: Date Completed: ACL: 2.4 - Orange Goal: Resident to maintain cognition and interaction with environment

Activities
  • Rocking Chairs
  • Engage in short bursts of automatic activities (throwing/catching, balloon volleyball, kicking)
  • Music events
  • Videos of animals, butterflies, scenery, etc. designed for people with dementia
/ Sensory Stimulation
  • Music
  • Enjoys rhythmic music and marching
  • Dancing

Exercise
  • Will follow demonstration-may need max hand over hand to keep going
  • Balloon batting
  • Weights on wrists/ankles with walking/throwing/catching
  • Can elicit balance reactions
  • Overhead Pulley’s
/ Interests

2/4

Resident: Date Completed: ACL: 2.4 - Orange Goal: Resident to maintain abilities with ADLs with 78% cognitive cues

Grooming
  • Extensive Assist oral hygiene
  • Max cues to initiate/persist/sequence steps
/ Mobility
Dressing
  • Extensive assist
/ Toileting
  • Extensive Assist

Communication
  • Uses one word to communicate all needs
  • Provide opportunities to voice needs and choice to walk, sit or lie down
/ Strategies
  • Declutter room
  • Supervision around objects below knee (wheelchair footrests, wet floor signs, curbs)
  • Cue to move body parts

3/4

Resident: Date Completed: ACL: 2.4 - Orange Goal: Resident to maintain abilities with eating

Set-up
  • Remove distractions
  • Place utensils in hand to initiate
  • Provide constant cues to persist
  • Place items in visual field-12-14 inches
  • Prevent spills by filling cup ½ full
  • AE needs:
/ Diet
  • Normal

Swallowing
  • Normal
/ Feeding
  • Cut up foods
  • Avoid stringy or hard to chew foods
  • Limit choices to 3 preferred items
  • Remove non-edibles from table

4/4

The Allen Cognitive Level system of rating cognitive disability that focuses on a person’s remaining abilities and how to engage them in meaningful activity. The therapy recommendations above are meant to help caregivers facilitate the best ability to function within the least restrictive environment and provide sensory rich activities to maintain function.

Document Created by TCC Rehab