Functional Maintenance Plan

Resident: ACL: 3.2 -Yellow

Date Completed: Created by:

Summary of Strengths
  • Able to move objects in back and forth motion (faucets, books, Velcro)
  • May be able to distinguish between objects by size, shape, color
  • Remembers past use of common objects
/ Social History

Summary of Challenges
  • May not sustain an action for longer than a few seconds
  • Needs 3-4x the normal rate to complete an action
  • May get lost frequently
  • May resist cares
/ Strategies
  • Allow extra time to process
  • Place objects directly in front
  • Give cues for each step
  • Allow extra time and encourage a daily routine
  • Reduce distractions
  • Place object in hand (spoon, toothbrush, brush) and start action with hand over hand

1/4

Resident: Date Completed: ACL: 3.2 -Yellow Goal: Resident to maintain cognition and interaction with environment

Activities
  • Naming and talking about use of common objects
  • Sorting objects (color, shape or size)
  • Reminiscing boxes
  • Sorting out a desktop organizer
  • Move objects in back and forth motion (magazines, books, Velcro)
  • Large peg boards
  • Stringing beads, lacing cards, threading spools
/ Sensory Stimulation
  • Use rhythmic music to engage in reciprocal movements
  • Music
  • Clapping
  • Paint with a brush in back and forth motion
  • Bright colors

Exercise
  • Batting a balloon
  • Kicking a ball
  • Provide constant cues
  • Large movement activities with both arms and legs
/ Interests

2/4
Resident: Date Completed: ACL: 3.2 -Yellow Goal: Resident to maintain ADLs with 60% cognitive cues
Grooming
  • Prepare toothbrush/brush and place in hand
  • Hand-over-hand to prompt
/ Mobility
  • May pull self on handrails in hallway in back and forth motion
  • Point in direction of room/dining room

Dressing
/ Toileting

Communication
  • Communicates in short phrases
  • May repeat a phrase continuously but have different meaning
/ Strategies
  • Reduce distractions
  • Validation techniques if agitated
  • Hand one object at a time
  • Cues to sequence each step

3/4

Resident: Date Completed: ACL: 3.2 -Yellow Goal: Resident to maintain abilities with eating

Set-up
  • Cut up food
  • Reduce distractions by limiting interesting objects from view
  • Increase attention to task by serving items one at a time in small dishes
  • Give intermittent cuing to persist
/ Diet

Swallowing
  • Normal
/ Feeding
  • Supervision

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