Tuesday, January 6, 2009

Random Thoughts on My Job

Well, had to smoke on the front porch tonight...it was raining and the back porch doesn't have a roof. Anyway, apparently the front porch is good for generating ideas too.

Everyone is always touting "active treatment" at work. And I agree with the idea, up to a point. There are some folks who would, if left to their own devices, put residents in the bed or in front of the tv so they could be on their cell phones or whatever. (The ladies and gents living in my building are lower functioning than most of the people on the facility, many of them in wheelchairs, and for the most part stay where they're parked.

But I think the idea can go too far, too. They get up between 6 and 7 am, have breakfast and are in classes, work, therapy (whatever) by 9 am. After 3 hours, they come home for lunch and are gone at 1pm again until 4. Then they come home and we take them to the on-site "bank" and coffee shop...except for the residents with g-tubes, who don't get anything by mouth. Some homes, you can send one staff with 3-4 residents on such a "trip", because these residents can walk independently. In my home, it's 1:1 due to gait or wheelchair, or in one case 2:1. Yet, we get the same amount of staff as in other homes ... no more. *sigh*

We are also supposed to keep our residents "active" doing "age-appropriate" activities until supper, after supper until bath-time and after that until bedtime ... which they would put between 9 and 10 pm.


Anyhow, I know I'm not a physical therapist, but it occurred to me that there are many things we could do that could assist our residents (which in my case are ladies) to at least maintain range of motion and strength. For the ladies in wheelchairs, we could raise and lower their lower legs (individually or together), supporting them underneath.

I would love to hear your thoughts and ideas on this post.

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