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Evaluation Versus Plan of Care

Kathleen Weissberg, OTD, OTR/L

April 1, 2013

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Question

Can an initial evaluation serve as the plan of care in a LTC facility?

Answer

Yes, they can be used for the same purpose.  Using this intial evaluation you can set up their plan of care (POC) as long as you have the critical components: frequency, duration, intervention and goals.  However, a re-evaluation and POC are not necessarily the same thing.  An updated POC can be initiated if someone needs their certification period extended in order to meet their goals.  However, a re-evaluation usually has a billiing code attached and this is used for a client who has had a significant change in their status, for example a stroke or hip fracture.


kathleen weissberg

Kathleen Weissberg, OTD, OTR/L

Dr. Kathleen Weissberg, (MS in OT, 1993; Doctoral 2014) in her 25+ years of practice, has worked in rehabilitation and long-term care as an executive, researcher and educator.  She has established numerous programs in nursing facilities; authored peer-reviewed publications on topics such as low vision, dementia quality care, and wellness; has spoken at numerous conferences both nationally and internationally, for 20+ State Health Care Associations, and for 25+ state LeadingAge affiliates.  She provides continuing education support to over 17,000 therapists, nurses, and administrators nationwide as National Director of Education for Select Rehabilitation. She is a Certified Dementia Care Practitioner and a Certified Montessori Dementia Care Practitioner.  She serves as the Region 1 Director for the American Occupational Therapy Association Political Affairs Affiliates and is an adjunct professor at both Chatham University in Pittsburgh, PA and Gannon University in Erie, PA. 


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The definition and incidence of bullying in adult living communities and day centers including what older adult bullying looks like in this population are reviewed in this session. Characteristics of older adult bullies as well their targets and gender differences will be explored. The reasons why bullying occurs as well as the five different types of bullies are defined. Interventions for the organization, the bully, and the target will be reviewed to help communities minimize (and prevent where possible) bullying and mitigate the effects on the target. Addressing bullying behavior among older adults is critically important for enhancing quality of life and promoting emotional well-being; strategies to create caring and empathic communities for all residents and staff members are also reviewed.

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