“Walk-to-Dine” is a program that focuses on maintaining resident’s highest level of endurance, strength, and overall well-being. There are several studies that have been performed over this subject that conclude that this program is beneficial. The strategy is to give the residents who cannot walk to the dining room independently, the chance to do so with help from the staff. The program not only allows for a natural dining experience for the resident, but it also provides a form of regular exercise for the ones who aren’t already participating in physical therapy or have been discharged from therapy. It gives the residents a form of physical activity while providing social interaction with other residents, which is good for the high percentage
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The screening process will determine how appropriate each resident is for participation in the Walk-to-Dine program. Balance issues, impaired strength, and prolonged bedrest are a few things that will trigger residents to be screened before participation. Geriatric patients are at high risk for falls because of the decrease in strength, proprioception, poor balance, and slower reflex so the screening process is much more important in this population. During the screening process, if any difficulty with ambulation and/or transfers is shown to affect the resident’s ADL function and leads to decrease in safety, that resident would be picked up by therapy. If the resident is not deemed a fall risk, per recent quarterly Fall Risk Assessment, and the patient is not receiving skilled physical or occupational therapy nursing will place that resident directly on the Walk-to Dine program.
A percentage of residents will not get out of bed to eat or do ADL’s not because they physically cannot, but because they don’t want to. Being immobile and bed bound puts residents in a high risk for falls and other complications. Being immobile effects the cardiovascular system, integumentary system, the respiratory system, and the central nervous system. The Walk-to-Dine program not only helps to improve the level of independence but prevents secondary …show more content…
If there is any decline in participation by the resident, the assigned center team member will report it to the director of rehabilitation who will determine if that patient needs to be picked up by therapy. The reasoning for the residents decline in status will be thoroughly assessed. When the therapist bills for the resident’s evaluation an example of a goal for gait would be, “Ambulate 40 feet with rolling walker from room to dining room with minimal verbal cueing to maintain RW at a safe distance from the body with equal step length BLE.” Goal example for a transfer would be, “Require minimal assist with transfer and gait, secondary to improvement of balance as evidence by Tinetti score of 19/28 for balance and gait”. Skilled therapy is then carried out multiple times a week instead of the Walk-to-Dine Program for the resident. A therapist will work on the areas that the resident showed a functional decline in and promote physical ability and safety awareness where possible. Upon discharge from skilled therapy, the resident should be placed back on the Walk-to-Dine program. The Walk-to-Dine program will then be carried out again by either restorative nurse or the CNAs. The program does require a little more time management with each resident to achieve the programs goal. The Walk-to-Dine program’s goal is to get the
The screening process will determine how appropriate each resident is for participation in the Walk-to-Dine program. Balance issues, impaired strength, and prolonged bedrest are a few things that will trigger residents to be screened before participation. Geriatric patients are at high risk for falls because of the decrease in strength, proprioception, poor balance, and slower reflex so the screening process is much more important in this population. During the screening process, if any difficulty with ambulation and/or transfers is shown to affect the resident’s ADL function and leads to decrease in safety, that resident would be picked up by therapy. If the resident is not deemed a fall risk, per recent quarterly Fall Risk Assessment, and the patient is not receiving skilled physical or occupational therapy nursing will place that resident directly on the Walk-to Dine program.
A percentage of residents will not get out of bed to eat or do ADL’s not because they physically cannot, but because they don’t want to. Being immobile and bed bound puts residents in a high risk for falls and other complications. Being immobile effects the cardiovascular system, integumentary system, the respiratory system, and the central nervous system. The Walk-to-Dine program not only helps to improve the level of independence but prevents secondary …show more content…
If there is any decline in participation by the resident, the assigned center team member will report it to the director of rehabilitation who will determine if that patient needs to be picked up by therapy. The reasoning for the residents decline in status will be thoroughly assessed. When the therapist bills for the resident’s evaluation an example of a goal for gait would be, “Ambulate 40 feet with rolling walker from room to dining room with minimal verbal cueing to maintain RW at a safe distance from the body with equal step length BLE.” Goal example for a transfer would be, “Require minimal assist with transfer and gait, secondary to improvement of balance as evidence by Tinetti score of 19/28 for balance and gait”. Skilled therapy is then carried out multiple times a week instead of the Walk-to-Dine Program for the resident. A therapist will work on the areas that the resident showed a functional decline in and promote physical ability and safety awareness where possible. Upon discharge from skilled therapy, the resident should be placed back on the Walk-to-Dine program. The Walk-to-Dine program will then be carried out again by either restorative nurse or the CNAs. The program does require a little more time management with each resident to achieve the programs goal. The Walk-to-Dine program’s goal is to get the