Adaptations to Improve Participation in Meaningful

Activities

Win – Win

Survivors learn – Students learn

Students teach – Survivors teach

Need 1 to go on for Basketball

Roles & Success

Cognitive

Sensory & Motor

Mood & social

Physical

CulturalSocio-economic

Tasks

Person Environment

Medication Management

Simple Strategies/Modifications to make medication management easier:

• Consider using a daily alarm on a smart phone.

• Try visual cues, such as a chart.

• Ask for enlarged font on pill bottles.

• Integrating medications into your daily routine.

• Use a pill box or automatic pill dispenser to organize medication.

(Sanders & Van Oss, 2013) Rose and Beth

• Use a timer

• Find easy and short recipes

• Tag Item and cabinets in the kitchen

• Place reminders around the kitchen to turn off appliances

• Make grocery lists and how to prepare them

• Find food with limited preparation needed (pre-cut veggies)

• Use adaptive equipment (rocker knife, one handed can opener) and dycem/non-skid surfaces to help stabilize objects when using one handed techniques

Cooking

Mary, Tori and

Shannonhttp://www.braininj

uryguide.org/recip

es/mealideas.html

Pet Care

Kyle & Emily (Banks, Willoughby, & Banks, 2008)

Robot Dogs

(Banks, Willoughby, & Banks,

2008)

Modifications

Benefits

Considerations

Gardening and Lawn Care

By Rachelle King and Briana O’Neill

Garden Seats

Ergonomic Tools

Perennials

Raised Beds Wagenfeld, A., &

Buresh, B. (2012).

Ergonomic gardening:

Teaching safe

movement patterns.

Working with people with TBI: Toolkit B –promoting independencehttp://www.tbistafftraining.info/ToolkitB/S14/S14.0.html

Grocery Shopping

Emily & Kellie

Modifications: Preparation is key!1) Develop a menu plan

2) Develop a shopping list• Fruit

• Vegetables

• Dairy

• Meat

• Frozen item

• Toiletries

• Cleaning supplies

3) Shopping

• Location & time of day

• Transportation

• Location of items

• Store layout

• Cash, credit, check

Oatmeal

Chicken

Fingers

Tomato

Soup

Exercise

Other modifications: Exercise with less people around, have workout buddy, start slow & gradually progress, take frequent

breaks, utilize calendar & workout videos, & use bright tape on equipment for visual

awareness.

Be careful! Avoid exercises that

overload joints & increase risk of

falling, wear protective head

gear if cycling, use proper body

mechanics & wider base of support.

Stage 1:Swimming, walking, elliptical,

cycling

Stage 2:Resistance machine circuit,

yoga, spinning

Stage 3:Zumba, aerobics, boot camps,

personal training

Stage 4:CrossFit, kettlebell training,

lifting, plyometrics

Stage 5:Personal training with little to no restrictions on intensity

Rachel & Stephanie(Brainline, 2014; Medscape, 2010; Waryasz & Tambone, 2013)

Making a change

• Decide something that you want to change

• Consider your skills & limitations

• Consider the environment

• Consider the task

• Plan for success

Survivor’s input:

• What else have you used that was successful?

• What did NOT work for you and why?

• What should we tell future clients who have had a stroke?

Please Help the Students!

• Range of motion of shoulder/elbow/wrist

• Assess muscle tone

• Survey of your daily routine activities

• General arm/hand coordination skills

• Pain

Thank YOU!

Collaborate, Innovate, Educate.

Our motto!

Collaborate, Innovate, Educate

Thank YOU!