Caregiving 20Gems by A6524fjQ

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									   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
•   Fiddle, mess, touch, taste, dig, tear, fold…..
•   Move toward action and noise OR away
•   Sensory tolerance
•   Sensory need
•   Mouth, fingers, feet, genitalia
•   Can’t figure it out… react physically
         Rubies

       Hidden Depths
  Red Light on Fine Motor
Comprehension & Speech Halt
    Coordination Falters
Wake-Sleep Patterns are Gone
                      Rubies
•   Fine motor stops
•   Hard to stop and hard to get going
•   Limited visual awareness
•   One direction – forward only
•   Can’t figure out details – but do copy us
•   SLOW to change
•   On the go or full stop
•   Use music and rhythm
             Pearls

         Hidden in a Shell
            Still & Quiet
             Easily Lost
        Beautiful - Layered
Unable to Move – Hard to Connect
 Primitive Reflexes on the Outside
                   Pearls
• Can’t move
• Limited awareness of the world around – most
  of the time
• Problems swallowing
• Hard to get connected
• How we touch and help matters
• May know familiar from unfamiliar
• SLOW!!!

								
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