Sample activity progress Notes

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Writing operation expand notes can be time inspiring but it is an important aspect of documentation. F-tag 248 clearly states that there must be a recipe in which each resident's schedule of activities is monitored. There are many ways to faultless expand notes. Below are two examples of a quarterly expand note.

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Mrs. X
Quarterly Review:

1/20/02

Since her admission on 10/9/01, Mrs. X has pursued an active relaxation lifestyle. She is alert and oriented to all realms and makes her needs known. She is sociable with both staff and peers and initiates conversations. Her house members are very supportive and visit weekly, providing added reading materials and Mrs. X's popular foods. Mrs. X is an active participant in daily recreational activities both on and off the unit along with practice programs, adapted physical games (bowling, basketball, ball games), word games, bingo, trivia, discussion, charm groups, music programs, cooking and crafts. Mrs. X also joined the Resident Council and has attended 1x this quarter. She has been invited to attend the Young Adult Group, however has declined. She enjoys going to the greenhouse for horticultural therapy sessions and the off unit extra events. Although a practicing Roman Catholic, Mrs. X states she finds much impel in attending chapel services of all faiths. Mrs. X enjoys a variety of independent activities including: talking on the phone in her room, listening to music on her Walkman (country and 50-80's music), reading large print books, crossword puzzles and watching movies in her room. Recreation Staff provides movies, crossword puzzles and large print reading materials. Mrs. X has episodes of tearfulness and often dwells on her illness. Recreation staff encourages her to pray, listen to popular music, or find solace in the greenhouse if Mrs. X does not express interest in joining the group activity. Recreation staff will continue to request Mrs. X to daily recreational activities and supply supplies for independent pursuits. In addition, Mrs. X will be encouraged to attend the Young Adult Group to spend time with residents of her age group for added sustain and companionship. See care plan amount 3 addressing mood and behavior, for exact interventions. Mary Sunshine, Adc operation Director

Mrs. P
Quarterly Review:

9/8/02

Mrs. P remains alert with blurring and forgetfulness. She is oriented to self and her speech is limited. She responds to easy direct questions by nodding her head or mumbling. Mrs. P is Oob daily in a recliner chair and spends much of the day in the dayroom where she is engaged in recreational activities along with Snoezelen, Five Alive, Sensory and Movement, Music Therapy and adapted reminiscing groups. R/t to poor cognitive status, Mrs. P requires full, aid (i.e. Hand over hand, physical/verbal cueing) to participate in relaxation programs. R/t contractures of both arms she is in case,granted with U/E and L/E Prom while adapted physical games and practice programs to verbalize physical functioning. while sensory programs, a variety of Recreational techniques are utilized to elicit responses to stimuli including: Aromatherapy for olfactory stimulation; hand massages, textured objects and props (yarn) for tactile stimulation; pictures of interest (cats) fiber optic lights and bubble towers for optical stimulation; ice cream, pudding, flavored lip balms etc. For gustatory stimulation; and music (Italian and singalong) as well as nature sounds, for auditory stimulation. Mrs. P responds to sensory stimulation by tracking objects, vocalizing, smiling, laughing, humming, and tapping feet and hands. She especially enjoys Italian music and the song "O Solo Mio". She also participates in consulation and reminiscence groups when asked closed-ended questions. Recreation staff provides one to one sensory programs Prn. house visits are irregular. Recreation staff will continue to supply sensory stimulation to enhance responses to external stimuli and verbalize ability of life. See care plan amount 2 addressing contractures, for exact interventions. Mary Sunshine, Aac operation Assistant

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