Case Study: Skillquest

REVIEW DATE PERIOD: 4/01/16 - 05/31/16 – 2nd Quarter
01- Physical Developmental/Health
DESIRED OUTCOME: Maintain Charlene's baseline of wellness in order to participate in program activities and to reside in the community.
SUPPORT ACTIVITIY: 1.01 Charlene will take her pills independently when staff let her know it is time to take her medications.
TRIED/LEARNED/PLEASED WITH/CONCERNED ABOUT: Charlene did not take medication while attending SkillQuest during the 2nd quarter.
CHANGING/IMPROVING/STAYING THE SAME: It will be implemented if the need arises. This support activity will be continued.

02-Nutrition
DESIRED OUTCOME: Charlene will received adequate nutrition to maintain ideal body weight and health.
SUPPORT ACTIVITY: 2.01 Charlene
While at SkillQuest Charlene prefers to curl up in a recliner, bean bag, or on pillows in the sensory tent. Charlene was provided with opportunities to walk inside and outside the SkillQuest campus, as well as to and from activity rooms and the restroom. A wheelchair was provided for Charlene to attend Art in building #416, because of the lengthy distance. Staff supported Charlene by letting her use their arm for guidance, and certifying that there were no obstacles in her path. Charlene specified how much assistance she wanted by the firmness of her grip, and staff provided her with as much or as little hands on support as she requested. Charlene was encouraged by staff to explore the activity room, and to use the walls for guidance. When staff encountered a surface change or incline, they lightly touched Charlene’s leg to warn her of the impending change. Staff guaranteed that Charlene was always within an arm’s length during the exercise. Restrictive Treatment Plan and fall risk precautions were
Staff lightly rubbed Charlene’s back to show positive encouragement. Charlene received hands on support from staff to use the restroom as independently as possible. Hands on support involved a staff member gently touching the part of Charlene’s body that staff would like her to move. If staff wanted Charlene to move her right leg forward, they would gently tap the outside of Charlene’s right thigh. Staff also kept a variety of objects varying in weight, texture, smell, and size for Charlene to touch and explore. If the item was small, staff would place the item into Charlene’s palm and with their hands over hers; encourage Charlene to roll the item around in her hands. If the item was larger, like a sensory mat, staff would gently guide Charlene’s hand toward the mat and then with their hands over hers, encourage her to touch and feel the textures. Objects available for Charlene to touch and manipulate included; her spoon during snack time, a drink cup, a sensory board and mat, foam noodle, belt, bib, koosh ball, and a soft spike ball. Charlene responded greatest to her spoon and drink during snack time. Once staff guided her hands to her spoon or cup, she was often able to get the items into her mouth. Staff signed, “Finished” when the activity was over or when Charlene was finished with the