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DOCUMENTATION FORMS FOR ACTIVITY PROFESSIONALS
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|Section F Interview Tools $18.00
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!
Progress Note Form and Guide $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.
Participation Sheet $6.00
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
IDCP Communication Forms $8.00
|It is very 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 is a set of 2 forms. The 1x1/In Room form is a one-page checklist. It includes
a variety of 1x1 interventions such as: music, exercise, reminiscence, validation,
sensory, snacks, etc. with room for twenty residents. You also receive a one-page checklist for group activities. The form 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 these forms to the Care Plan Meeting and check off the appropriate
Recreation Interventions discussed in the meeting and share with the Recreation staff. They can easily be altered to
coincide with your recreation participation records as well.
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.
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.