Caregiving Gems Duke University照顾宝石杜克大学.ppt

Caregiving Gems Teepa Snow, MS, OTR/L, FAOTA Gem Stone Approach to Cognitive Levels Rationale 3 systems – all use numbers Each has value – together confusing People are not numbers Until we begin to the see the beauty and value in what the person is at this point in time – we will never care for them as we should Gems are precious and unique – common language and characteristics Based on Allen Cognitive Levels – Cognitive Disability Theory – OT based Creates a common language approach to providing – Environmental support Caregiver support cueing strategies Setting expectations regarding retained abilities and lost skills Promotes graded task modification for success Now for the GEMS… Sapphires Diamonds Emeralds Ambers Rubies Pearls Sapphires Us on a good day… Clear True to Themselves May feel ‘blue’ over changes Some are ‘stars’ and some are not They can CHOOSE Sapphires Can connect ABCs – make contracts May have other health issues that affect behaviors Recognize life experiences, achievements values in ABCs Can follow written info hold onto it Will still need us to work with them Can typically CHOOSE their behaviors Diamonds Still Clear Sharp - Can Cut Hard - Rigid - Inflexible Many Facets Can Really Shine Diamonds Know Who’s in Charge – Respect Authority Can do OLD habits routines Become more territorial OR less aware of boundaries Like the familiar – FIGHT CHANGE Can pull it together to make you look bad Know how to push your buttons Want to keep roles the same Tell the same stories ask the same ?s Emeralds Changing color Not as Clear or Sharp - Vague Good to Go – Need to ‘DO’ Flaws are Hidden Time Traveling Emeralds Think they are FINE Get emotional quickly Make mistakes – don’t realize it Do over and over OR Skip completely Ask – “What? Where? When?” Like choices Get lost in past life, past places, past roles Need help, DON’T know it or like it! Ambers Amber Alert Caution! Caught in a moment All about Sensation Explorers Ambers Get into stuff Fi