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DOCUMENTATION FORMS FOR ACTIVITY PROFESSIONALS
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All materials will be sent via e-mail for you to
download. Items are typically emailed within 24 hours or less but please allow up to 72 hours. If you do not receive your item within 3 days of purchase, please contact Kim via the CONTACT US form.
Section F Interview Tools $18.00
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 On October 1, 2010, the MDS 3.0 officially began. The biggest change was the addition of the Resident Interviews. The Resident Interviews were added to increase opportunity for the Resident’s voice to be heard, with the intent of including the Resident’s voice in the interdisciplinary care plan. The tools in this manual will help the individual who is completing the Section F, Preferences for Customary Routine and Activities Interview by providing a variety of ways for Residents to answer the questions, a system to communicate the Resident Preferences to appropriate staff members and staff training exercises. This manual includes: 3 Training Exercises, IDT Communication Tools, Interview Worksheet, Interview Techniques and 8 Section F Cue Cards which include various styles (pictures, numbers, scales, graphs, words, etc.). Reproducible forms!
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| Care Area Assessment Webinar Handout $10.00 |
 Did you want to attend this webinar but missed it? The handout from the webinar, Care Area Assessments: The Process and How it Applies to Activities provides information for Activity/Recreation Professionals in long-term care facilities regarding the Care Area Assessment process with specific applications toward activities. This PDF document covers the following material:
- The Care Area Assessment (CAA) process.
- Ways in which the Activity CAA will trigger
- Documenting the activities component of the Care Area Assessments.
Note: This is for informational purpose only. CE's are NOT provided.
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| MDS 3.0 Section F Webinar Handout $10.00 |
 Did you want to attend this webinar but missed it? The handout from the webinar, MDS 3.0 Section F: An Overview for Activity and Recreation Professionals provides information for Activity/Recreation Professionals long-term care facilities regarding the MDS 3.0, section F, Customary Routines and Activities. This PDF document covers the following material:
- The intent of Section F Preferences for Customary Routine and Activities.
- Methods for conducting the assessment for customary routine and activities.
- Conducting an assessment of a resident’s customary routine and activities.
- Coding Section F correctly and accurately.
Note: This is for informational purpose only. CE's are NOT provided.
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| Recreation
Progress Note Form (item #D3) $8.00 |
This one-page forms
helps you write Progress Notes, easily and thoroughly.
Simply write phrases or short sentences in the
spaces provided. It includes areas such
as: One to One Interventions, Group Activities, Responses to Activities, Level
of Participation, etc. You also receive the "Components of A Progress Note" tool
that designates various examples in conjunction with the Progress Note Form for
each category listed.
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| Recreation
Participation Sheet (item #D5) $6.00 |
Although CMS and the State of NJ do not regulate we take attendance for activity
participation, Re-Creative Resources, Inc. feels it is extremely important to
keep accurate records to ensure the residents needs and interests are being met.
Participation records also serve as Quality Assurance and justification of our
services. This two- page form is many forms in one! The front page includes a
variety of recreational activities with a coding system ie.A=Arts and Crafts,
D=Discussion, and so on. Participation in groups as well as one to one programming
is included. On the back, there is space provided to write care plan goals and
interventions to communicate care planning issues to the Recreation staff. It
covers a three month period (great to use in conjunction with writing progress
notes). Each resident would have their own participation sheet. Bring this form
to the Care Plan Meeting to write in all the details and keep in a binder in
the recreation office. Since attendance records are not mandates, it is recommended
you do not put them on the Resident Record, but rather, keep them for 15 months
in storage.
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| Recreation
IDCP Communication for 1x1/In Room Interventions
(item # D7) $5.00 |
With the institution of the New CMS Survey Guidelines for Activities, it is even
more important to develop a system to communicate Care Planning decisions. Often
times, the individual attending the meeting is not the one who provides the majority
of the daily activities. This one-page checklist will help you do this. It includes
a variety of 1x1 interventions such as: music, exercise, reminiscence, validation,
sensory, snacks, etc. with room for twenty residents. Simply bring this form
to the Care Plan Meeting and check off the appropriate Recreation Interventions
discussed in the Meeting.
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| Recreation
IDCP Communication for Group Programs (item
#D8) $5.00 |
With the institution
of the new CMS Survey Guidelines for Activities,
it is even more important to develop a system
to communicate Care Planning decisions. Often
times, the individual attending the meeting is not the one who provides the majority
of the daily activities. This one-page checklist will help you do this. It includes
a variety of group programs such as Resident Council, music, parties/special
events, exercise, horticulture, arts and crafts, etc. with room for 16 residents.
Simply bring this form to the Care Plan Meeting and check off the appropriate
Recreation Interventions discussed in the Meeting. It can easily be altered to
coincide with your Recreation participation Records as well.
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| Sensory
Program Record of Responses (item #D9) $6.00 |
This two-sided form tracks a resident's response to each sensory stimulation
technique provided. On the front, you can see how a resident responded to Visual,
Auditory, Gustatory, Olfactory, Tactile and Kinesthetic interventions. You will
know if a resident responded i.e. "Tracked Object, Opened Eyes, Gross Motor
Movement, etc." On the back is space to write the specific care plan goal
and interventions as well as other notes. This is a great tool to utilize for
residents in a SNOEZELEN or Multisensory Program and gives you the specific
information you need to write accurate and quality progress notes.
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| Recreation
Therapy Daily Treatment Log (item #D10) $5.00 |
If you are providing "Recreation
Therapy" in your facility, then this
is the tool for you. This one-page form tracks the Recreational Therapy Services
provided and includes: the purpose, the scope of service, treatment time, TR
Services by category, and a space for weekly progress notes.
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