Today I would like to show you another way I have used the iPad when working with patients.
If you are working in the SNF setting, you know how competitive it can be to be productive and efficient. Quite often there will be that patient who for whatever reason will need to be seen by more than one discipline at the same time. Instead of getting frustrated or having unbillable, unskillable minutes in your day, work together to achieve what is most beneficial to the patient.
In the event that a co-treatment is necessary, we MUST keep in mind that both disciplines need to be performing separate and skilled treatments. ASHA clearly outlines what are skilled and what are unskilled services under Medicare guidelines.
Here are two examples of how Speech-language pathologists use their expert knowledge and clinical decision-making to perform skilled services:
We had already worked on attention sitting at the table in a crowded and noisy therapy room by completing peg patterns of increasing complexity, working on large print word find puzzles, simple jigsaw puzzles, etc. This patient really enjoyed using the iPad so apps were introduced early on for problem solving and attention skills.
It was time for me use my professional judgement and knowledge to advance along a hierarchy of complexity to achieve the short term goal which was to divide attention between a cognitive and motor/mobility task while demonstrating adequate safety, problem solving and reasoning skills across a 10 minute period with less than 10% visual and verbal cueing.
On this day, I introduced a new task to evaluate this patient's ability to generalize the skills she had mastered at the table on over across the room on the Omnicycle where she was actively performing another task.
I look forward to hearing how you use your iPad in unique ways throughout your day! Please feel free to share comments below...
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