The Therapeutic Benefits of Massage for Seniors

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bigstock Male physiotherapist massaging 55252193 300x200 - The Therapeutic Benefits of Massage for SeniorsAs we grow older, our bodies can start slowing down as we begin experiencing some of the pain and stiffness that comes with aging. It may be difficult to stay involved with all the physical activities you enjoy due to chronic conditions like osteoarthritis or ailments like Parkinson’s disease. However, staying physically active is vital for seniors because regular exercise can help improve mobility, flexibility and even your mental health.

Massage Therapy for Seniors

According to a survey conducted by the American Massage Therapy Association, approximately 9 million people over age 55 had a total of 39 million massages in the last twelve months, mainly for medical purposes. Massage therapy for seniors can be an effective, non-invasive way to help alleviate some of the symptoms of many age-related conditions, especially when used to compliment traditional medical services. With regular massage, seniors can experience an improved quality of life, increased energy levels and feel younger and healthier overall.

Massage therapy offers numerous benefits to the entire body. It helps ease joint and muscle pain, and can even reduce the increased levels of stress that tend to come with aging. The massage techniques utilized for seniors include lighter, gentle stroking and kneading as well as application of pressure to specific points on the body. Even the most gentle massage has proven effects on the nervous system and blood circulation, two of the most vulnerable systems of the body that feel the effects of aging.

A typical massage for a senior usually involves a short session lasting around thirty minutes. Soothing hand motions help improve blood circulation, especially in diabetic feet, and relieve muscle tension while relaxing the body and mind.

Senior Massage Benefits

Massage therapy for seniors has been proven to have positive effects on:

  • Pain due to osteoarthritis. A study showed that seniors who utilized massage as part of their treatment for osteoarthritis had less pain and stiffness and improved physical function over the course of a few months.
  • Sleep habits and quality of sleep. Seniors who receive weekly massages report that they are sleeping more deeply and for longer lengths of time. This results in an overall feeling of better health as the body is being allowed more time to repair itself.
  • Agitation due to Alzheimer’s disease. Studies have shown that slow-stroke back massage on Alzheimer’s patients helps alleviate some of the agitation expressions that come with the disease, like wandering, pacing and resisting.
  • Alleviating depression. Touch has been proven to provide comfort to the elderly- especially since so many of them are deprived of it- which can help improve mental health.
  • Physical and mental relaxation. Massage has been shown to decrease the unhealthy buildup of cortisol, known as the “stress hormone,” in the body, allowing the body to enter a rest and rejuvenation period.
  • Quicker healing from injuries or illnesses. As we age, our joints and muscles tend to tighten, which can make it more difficult to heal from an injury because our range of motion is restricted. Massage therapy keeps muscles, connective tissues, joints, tendons and ligaments more fluid and even less injury-prone in the long run.

Try incorporating massage into your healthcare routine to see what benefits and relief you begin to experience yourself.


How Assisted Living Facilities Help with Arthritis Treatment

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bigstock Arthritis Care 61638209 300x200 - How Assisted Living Facilities Help with Arthritis TreatmentAccording to the Arthritis Foundation, arthritis affects more than 50 million Americans, with two-thirds of those sufferers age 65 or older. Even though arthritis is generally thought of simply as the aches and pains that come with aging, it’s actually a part of a family of musculoskeletal disorders consisting of over 100 conditions or diseases. Arthritis is the leading cause of disability in the United States, and it can affect those of all ages, genders and races.

Assisted living facilities are well-equipped to help their residents with proper arthritis treatment. The knowledgeable staff members understand the debilitating effects arthritis can have on a person, so many of the communities have special exercise programs, meal plans and other activities to help with arthritis pain relief. Their goal is to ensure that they are reducing the chronic pain those suffering from arthritis feel, as well as improve their overall health and quality of life.

Arthritis Symptoms

The two common forms of arthritis affecting older individuals are osteoarthritis and rheumatoid arthritis.

Osteoarthritis is actually the most common form of arthritis, affecting around 27 million Americans. Symptoms generally develop slowly over time, with stiff joints and soreness that are more annoying at first than debilitating. People with OA will have sore or stiff joints especially after periods of inactivity. This stiffness can go away once they begin moving again. They also tend to feel more pain at the end of the day or after a bout of activity. Those with severe OA will have trouble climbing stairs, sleeping, walking or performing daily activities.

Rheumatoid arthritis, on the other hand, is an autoimmune disease in which your body’s immune system begins attacking your joints instead of attacking foreign substances like bacteria. This disease affects three times more women than men out of the 1.5 million sufferers in the United States. It can start to appear between ages 30 and 60, but generally shows up later in life.  Symptoms of RA vary from person to person and can change daily. A “flare” or sudden increase in symptoms can last a day or as long as a month and include swollen, reddish joints, pain and fatigue.

Proper Treatment for Arthritis

Seniors with arthritis can thrive in assisted living facilities. A major emphasis in these senior living communities is placed on proper nutrition and maintaining daily physical activity. Events are generally planned that tailor to the needs of the residents, especially those living with certain conditions like arthritis.

Many seniors might think that because they are living with arthritis, they can’t maintain the level of physical activity that they should. However, daily exercise is a vital tool in the fight against arthritis. Not only is it important to maintain a healthy weight to ease pressure on joints, but a lack of exercise can actually lead to more pain as the joints become weaker and stiffer. There are plenty of exercises that are helpful to arthritis sufferers, from walking, swimming, yoga, and more. American Senior Communities offers a unique fitness program for seniors through our New Energy Wellness program, which will cater to the fitness needs of the individual.

Other treatments for arthritis include maintaining a proper diet high in nutrients, protein and fiber. Avoiding excess sugar, salt and saturated fats is important to help maintain a healthy weight. Certain prescription and over the counter medications are also available, and new treatments are being continually researched.


Falls and Seniors: Recovery and Prevention Infographic

American Senior Communities is excited to announce the release of our latest infographic: Seniors and Falls: Recovery and Prevention.

Did you know that 1 out of 3 older adults fall each year? Falls are the leading cause of fatal and nonfatal injuries like hip fractures and head trauma in those age 65 or older. In fact, the majority of hip fractures in seniors are caused by a fall. Seniors fall for a variety of reasons, whether from poor traction, balance problems, health issues or risk factors in the home.

After a fall, seniors will go through physical therapy in a rehabilitation center, where they’ll not only improve their strength and endurance, but receive information and education about how they can prevent a future fall. The home will need to be assessed by a caregiver and safeguarded so their aging loved one can live safely and accident-free.

Curious about preventing falls in the elderly? Check out our latest infographic and keep it as a reference for senior fall prevention for the aging loved one in your life.

Please feel free to share this infographic with the seniors and caregivers in your life. You might just help prevent an injury-causing fall from occurring to your loved one.

Fall Prevention Infographic - Falls and Seniors: Recovery and Prevention Infographic


Senior Rehabilitation after a Fall

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bigstock Portrait of happy senior man e 31896980 300x200 - Senior Rehabilitation after a FallFalls can be especially dangerous for seniors, because a senior is more likely to break a bone in a fall. A broken bone can lead to a long recovery period, as well as a loss of independence. According to the Centers for Disease Control, more than 90 percent of hip fractures among seniors are caused by falling.

When a senior has been injured in a fall, physical therapy and occupational therapy will be needed to improve mobility and make daily tasks easier.

Senior Fall Recovery

Senior rehabilitation after a fall usually includes a hospital stay, typically lasting from one to four days. Both physical and occupational therapy will begin working with recovering seniors while they are still in the hospital. Before the senior is released, the medical staff will want to make sure he or she is able to get up out of bed independently, be in control of their pain, is able to walk with an assistive device, and can manage daily tasks like eating and using the restroom.

If the senior isn’t able to accomplish these tasks independently, a stay in a rehabilitation or skilled nursing facility will be necessary. The senior rehabilitation process will include physical therapy to ensure that the senior is increasing flexibility, strength, balance and coordination. Being well physically is vital to preventing future falls. The physical therapist will provide muscle re-education as well as balance training and strengthening exercises, as well as gait training so the senior can learn how to walk with a cane or walker.

The physical therapist will also recommend some exercises to continue doing at home once the senior is discharged. An assessment of why the fall happened in the first place will need to be done for proper senior fall recovery. For instance, did something in the environment cause the fall, like furniture or a rug being in the way, or was it because the senior was in poor overall physical health? Does the senior have good vision and hearing? The physical therapist will prescribe the correct physical therapy for seniors of all abilities depending on their needs, including training for walking correctly with a mobility aid like a walker or cane.

Also during the stay in the rehabilitation or skilled nursing facility, an occupational therapist will help ensure the senior is comfortable maintaining activities of daily living, like dressing, eating, bathing, grooming, etc. The occupational therapist will also perform a home safety test, in which they evaluate the senior’s living space and make suggestions for making the areas safe for daily living. This may include recommending the removal of throw rugs and some furniture which can be tripping hazards, as well as installing better lighting, grab bars and railings through the home.

Senior rehabilitation after a fall is important to ensure the patient has a full range of motion, less pain and is able to live as independently as possible.


Rehabilitation for Hip Replacement Surgery

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bigstock Two senior people doing walkin 85618583 300x200 - Rehabilitation for Hip Replacement SurgeryHip replacement surgeries have been performed since 1960, and they are one of the most common orthopedic surgeries performed. Techniques for hip replacement have evolved since their initial beginning, and surgeons are continually developing less invasive surgical techniques. The goal of these less invasive techniques is to minimize pain and reduce overall hip replacement surgery recovery time.

Hip Replacement Surgery Recovery

Immediately following hip replacement surgery, you may feel some initial discomfort while walking or exercising. That said, many patients are able to get up and walk around the same day as their surgery! The pain you felt in your hip before your surgery should be completely gone, although you of course will be somewhat sore from the operation.  This pain should not last very long, however, especially if you keep up physical therapy.

Physical therapy for hip replacement recovery will usually begin the day after your surgery. Within a few days, you should be able to walk with a cane, crutches or a walker. Some patients will require a stay in a rehabilitation facility for additional therapy before they go home. This stay will generally only last a few days or so and is dependent upon the patient’s needs. The age of the patient and what their home environment is like – for example. Is someone available to assist them at home during the first few days of recovery? Are there many stairs to climb?

Once you’re released from the hospital or rehabilitation facility, you’ll need to continue with outpatient physical therapy in order to help you to continue to progress. Outpatient facilities will utilize exercise equipment to help increase your range of motion, as well as incorporate balance exercises to help decrease your risk of falling, which could damage your hip and increase your recovery time.

While balance exercises will help reduce falls, you should also make sure you safeguard your home to prevent them. Remove throw rugs and get rid of clutter on the floor so there’s nothing you could potentially trip over. Stay as active as you can to help regain the use of your joint and muscles. Use the mobility aid of your choice until you’re able to walk comfortably and be stable on your feet without it.

Some other things you can do at home to help aid in your hip replacement surgery recovery include making some other modifications to your home, like adding a raised toilet seat and a shower chair. You’ll want to avoid bending at the waist beyond a 90 degree angle, as this could cause your new hip joint to become dislocated. Be careful in your movements; no reaching down to pick items up off the floor when you’re sitting down, don’t bring your knee up higher than your hip, and no kneeling on the knee of the leg that had surgery. Avoid strenuous sports like jogging. However, you’ll be able to get back to lighter activities like walking and golf within a few months.

Today’s hip replacements can last upwards of 15 years, as long as you’re following your physical therapy regimen and taking the proper precautions to avoid a fall.


When is In-Patient Senior Rehabilitation Necessary?

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bigstock Physiotherapist helping old se 85618610 300x200 - When is In-Patient Senior Rehabilitation Necessary?It’s common for doctors to recommend in-patient rehab to seniors after an illness, surgery or injury. These rehabilitation facilities usually offer a mix of physical therapy, occupational therapy, and speech or language therapy inside a hospital or a senior community.

In-patient rehab provides around-the-clock care, treatment and supervision while closely monitoring the progress of the senior’s health. The goal is always to improve the patient’s health, enabling him or her to get back to an independent, active lifestyle.

How Seniors Benefit from In-Patient Rehab

In-patient rehabilitation can make life easier for seniors as they go through the recovery process. Traveling to and from an outpatient center can be difficult and dangerous, especially if the risk of re-injury is involved. Senior rehabilitation is offered in a residential-like setting, making it comfortable and safe for recovering.

Some of the types of conditions that are best treated with in-patient rehab include:

  • Orthopedic or musculoskeletal injury, such as a hip fracture or other broken bone
  • Joint replacement
  • Brain injury
  • Stroke
  • Neurological conditions
  • Arthritis of the spine or other joints
  • Cancer/tumor
  • Amputation
  • Parkinson’s disease
  • Multiple sclerosis

The treatment provided will help seniors recover loss of mobility by rebuilding muscles and developing the necessary strength to use assistive devices like walkers or canes, improving communication skills, and offering emotional support to help seniors through the changes they may be facing in their lives.  Patients will have a very structured day that involves the necessary therapies to get them back to an independent lifestyle, with time devoted to both addressing any ongoing issues and performing therapy to build up strength and skills. If a senior is recovering at home, it can be easier to remain sedentary than to work on improving their condition.

The length of stay in an in-patient senior rehabilitation center will depend on the individual and the degree of the injury or illness, as well as the willingness of the patient to participate. In general, it’s common for a stay to last anywhere from 4 to 6 weeks. The healthcare professionals will assess the progress of the patients and make changes to the treatment as necessary, with the goal being to get them back to doing things as independently as possible.

American Senior Communities has a unique in-patient rehab program through our Moving Forward Rehabilitation program, called the Road to Recovery. The patient, family, and our interdisciplinary team all meet within the first 72 hours of admission to map out the discharge goals for the patient. Outcomes are continually monitored to improve our services, and patients will enjoy private suites, spacious living rooms, an exclusive dining room and courtyard area, and much more!

Choosing the right in-patient rehabilitation center for your loved one is important. Make sure the facility you choose specializes in senior rehabilitation, with highly- qualified physical and occupational therapists, speech/language pathologists, case managers, nurses, and psychologists on staff. The facility should be familiar with the specific type of condition your loved one is recovering from so you can be sure they provide the best treatment possible.


How to Prepare for Hip Replacement Surgery

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bigstock Doctor Examining Male Patient 41853457 300x200 - How to Prepare for Hip Replacement SurgeryHip replacement surgery has become an increasingly popular orthopedic procedure as the Baby Boomer generation ages. In fact, according to the American Academy of Orthopedic Surgeons, there are more than 320,000 hip replacement surgeries performed each year. Total hip replacement surgeries are considered one of the most effective procedures in medicine, resulting in quick, reliable relief from hip pain and increased mobility.

Prepping for Hip Replacement Surgery

Once you’ve made the decision that hip replacement surgery is the best option for you, you’ll undoubtedly have a few questions for your doctor or surgeon. In order to prepare for hip replacement surgery effectively, there are a few steps to consider before the day of your surgery:

  • Write down your questions. Before heading into a pre-op appointment with your doctor, take a few moments to write down the questions you may have about your surgery and the rehabilitation process. This will ensure that you won’t forget any questions and that you’ll be well-prepared for your appointment.
  • Make decisions about post-surgery care. If you have friends or family nearby who can stay over, enlist their help for your recovery. Or, consider a stay in a short-term rehabilitation facility to ensure you’re getting the post-operative care you’ll need.
  • Prepare your home. If you’ll be recovering in your home, you’ll have to make a few changes so you will have an easier time when you return from the hospital. If the bedroom is on the second floor, for example, be prepared to utilize the couch or favorite recliner in the living room as your bed. Also, remember to remove potential tripping hazards like throw rugs or cords and wires so you have a clear path.
  • Meet with a physical therapy team. Before surgery, it’s helpful to meet with the team or professional who will be providing physical therapy after your surgery. If you take the time to learn some of the hip replacement exercises beforehand, you will have an easier time completing them post-surgery.
  • Learn about possible complications. While complications only arise in around one percent of hip replacement surgeries, it’s still important to educate yourself about them. There may be side effects from anesthesia, infection, blood clots or blood vessel injury, etc. Find out what measures are taken to prevent such complications.
  • Strengthen and tone your body. If you’re slightly overweight, work on losing some of those extra pounds before your surgery. Building up strength and toning your muscles will make it less difficult to get around using crutches, a cane or a walker.

Adding Exercises for Hip Pain to Your Routine

Even if you’ve been slightly less active due to the hip pain you’ve been experiencing, it’s important to incorporate some daily exercises to prepare for hip replacement surgery. Starting exercises for hip pain now will help aid in your recovery time, too. In fact, exercise is actually one of the best things you can do for your hips, as it helps maintain range of motion and strengthen supporting muscles.

Along with relieving pain, hip replacement exercises are designed to help add strength and flexibility. Many of these exercises can be done on the floor, the bed, or a chair. For instance, you can lie in bed and work on rolling your ankles both clockwise and counterclockwise, keeping toes pointed toward the ceiling. Or, do some leg slides, where while lying down, you slide one leg out, keeping the knee pointed up and return to starting position, repeating on the other leg.

To strengthen your arms a bit in preparation of using crutches or a walker, sit on a sturdy chair, grasping the arms and pushing up, straightening your arms as you lift yourself off the chair. Repeat this five times at first, adding five more repetitions as the exercise becomes easier.

Your physical therapist can also advise on what types of exercises for hip pain and hip replacement surgery you can start doing in advance of your surgery date.


Inpatient vs. Outpatient Rehabilitation

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bigstock Senior Lady And Physical Thera 7765463 300x290 - Inpatient vs. Outpatient RehabilitationThe goal of any rehabilitation program is to help individuals get back to the level of independence they are accustomed to after an illness, injury or surgery. Rehabilitation for seniors can provide not only a greater level of independence, but also improved physical strength and mobility, increased cognition and communication skills, and a higher overall quality of life.

Rehabilitation is often needed to address issues following such incidents as neurological disorders due to head injury or stroke, joint replacement surgery, spinal cord injuries, or chronic conditions like arthritis or back pain. In general, two different types of rehabilitation are offered to treat these issues: inpatient rehabilitation and outpatient rehabilitation.

Choosing Inpatient Rehabilitation or Outpatient Rehabilitation

Inpatient Rehabilitation

In the case of inpatient rehabilitation, individuals stay within a facility for a pre-determined amount of time, whether it’s for a shorter term of a few days up to a month or for long term care, a month or longer. Staying within the facility allows the individual to solely focus on their therapy and recovery. It’s a more intensive option that generally includes daily physical therapy, occupational therapy, and speech and language therapy when needed.

Plus, many inpatient rehabilitation centers offer a variety of services and amenities designed to make life as comfortable as possible for the residents throughout their stay. They enjoy not only the right amount of therapy to get them on their feet more quickly, but also delicious dining options, spacious common areas, and social activities and events.

It’s important to note that inpatient therapy might be a lengthy commitment. However, the focused, intensive therapy allows individuals to possibly meet their recovery goals in a shorter amount of time than an outpatient rehabilitation program.

Outpatient Rehabilitation

Outpatient rehabilitation provides the same type of highly-trained professionals offering physical, occupational and speech and language therapies. A benefit of this type of rehabilitation for seniors is that each day they are allowed to return to the comfort of their own homes rather than stay in a rehab center.

However, it’s important to note that individuals are in control of their own recovery and how fast they progress. This means that sometimes outpatient rehabilitation does not produce the same quality results as inpatient rehabilitation. Individuals must be motivated to continue their therapy off hours at home in order to benefit as much as they would from inpatient rehabilitation. Still, for some, when less intensive therapy is needed, outpatient rehabilitation can be a beneficial, less time-consuming option.

Ultimately, a physician will advise or determine the rehabilitation that will garner the best results to help individuals regain as much independence as possible. Choosing one or the other depends mostly on the severity of the injury or illness, along with how much therapy is required for the best possible recovery outcome.

Find quality inpatient rehabilitation at American Senior Communities. Our Moving Forward Rehabilitation program is designed to help restore abilities and independence after illness, injury or surgery through personalized physical, occupational and speech therapies. Find a location near you today.

Recognizing the Signs of Stroke

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bigstock Stroke 148638383 300x200 - Recognizing the Signs of StrokeEvery 40 seconds, someone in the United States suffers a stroke. Infact, stroke is the leading cause of disability in adults, and is the fifth leading cause of death in the country. While some people are able to recover completely from a stroke, more than two-thirds of the survivors have some type of disability and will require ongoing rehabilitation. For some, stroke recovery is a lifelong process.

What is a Stroke?

A stroke, also called a “brain attack,” occurs when blood flow to an area of the brain is suddenly cut off. This can happen to anyone, at any time, and deprives the brain cells of oxygen, causing them to begin to die. The damage a stroke causes to an individual is dependent upon where in the brain the stroke occurred, as well as how many brain cells were damaged.

This means someone who suffers a small stroke may only suffer temporary problems, like weakness in the arms and legs. However, someone who had a larger stroke could become permanently paralyzed on one side of the body or lose the ability to speak.

A doctor can help evaluate your risk for stroke, as some of the uncontrollable factors include:

  • Age – although stroke can occur at any age, those 65 and older are at a higher risk
  • Race – African-Americans are at an increased risk
  • Gender – more men than women have strokes, but women suffer more damage
  • Family history

Your lifestyle and habits can also play a role in increasing your risk for stroke. However, it’s important to note that up to 80 percent of strokes are preventable.

Warning Signs of Stroke

Recognizing the warning signs of stroke is key to ensuring medical help is administered as soon as possible. For every minute that a stroke goes untreated, an individual will lose around 1.9 million neurons while the blood flow is being restricted to the brain.

The American Stroke Association recommends using the acronym F.A.S.T. to recognize some of the most common and sudden stroke symptoms. Being able to spot the signs will allow you to contact 911 immediately so proper treatment can begin. F.A.S.T. stands for:

F – Face drooping. Ask the individual to smile and take note if one side of his or her face droops or appears uneven.

A – Arms. Have the individual raise both arms. Does one arm appear weak and drift down? Is one arm numb?

S – Speech. Tell the individual to repeat an easy sentence, such as “The sky is blue” or “Mary had a little lamb.” Note if his or her speech is slurred or if repeating the sentence is too difficult.

T – Time to call 911. If any of the above stroke symptoms are displayed, call for help right away. Even if the symptoms appear to go away, it’s vital to get checked out. Also, make a note of the time the symptoms started, as the hospital staff will need that information.

Other signs of stroke include numbness or weakness in the face, arm or leg, especially on one side, trouble with communication (speaking, understanding people), difficulty seeing out of one or both eyes, dizziness, balance and coordination issues, and a severe headache that comes on suddenly.

Remember, every minute counts. If you think you or a loved one is displaying the signs of a stroke, don’t take any chances. Call 911 immediately.


Occupational Therapy for Activities of Daily Living

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bigstock Senior man working out with hi 85060835 300x200 - Occupational Therapy for Activities of Daily LivingOccupational therapy is an essential part of a rehabilitation program, as it allows individuals to get back to a productive, independent lifestyle. Over one-third of occupational therapists work with older adults who have been affected by illness, injury, disability or mental health condition. In fact, occupational therapists are often advocates for the elderly, working with local community groups and governments to ensure each is doing their part to allow seniors to maintain as much independence as possible.

Occupational therapy for seniors has a special focus on what the individual is still capable of doing, rather than what they cannot do, and helping them overcome their limitations or challenges. Occupational therapists also educate family caregivers, helping them find the support and assistance they may need to continue to provide the highest quality care for their aging loved ones at home.

ADLs and Occupational Therapy for Seniors

Often by utilizing adaptive tools, occupational therapy incorporates meaningful activities to improve life skills and promote participation in everyday life. Through education, rehabilitation techniques and exercise, occupational therapists encourage the re-learning and improvement of fine motor skills, strength and dexterity.

The occupational therapist will first evaluate and assess the condition of the individual. The therapist will determine which types of activities can be performed without any assistance, which need some assistance, and which cannot be completed at all. Then, they will develop a personalized plan of care based on the nature and degree of the dysfunction, as well as what special services and therapeutic interventions may be needed.

Unlike physical therapy, which focuses on restoring muscle strength, flexibility and range of motion, occupational therapy is key to restoring abilities to perform basic activities of daily living (ADLs), also called self-care activities. Being able to complete these ADLs successfully allows seniors to remain as independent as possible, hopefully getting them back to their pre-illness or pre-injury lifestyle.

Some of the activities of daily living occupational therapy helps improve or restore include:

  • Eating and feeding oneself
  • Bathing and showering
  • Mobility – getting up and down, moving around while performing activities
  • Personal hygiene/grooming – brushing teeth, washing and combing hair, etc.
  • Toileting
  • More complex daily activities like cooking, writing, cleaning, etc.

Occupational therapists can also aid in creating a safe home environment for the senior to return to after a stay in a skilled nursing facility. They will visit the home and note where modifications may be needed to make life easier, such as installing grab bars or a seat in the shower in a bathroom, as well as recommend assistive devices or home improvements that will help seniors complete tasks and live as safely as possible.

As therapy progresses, the occupational therapist will regularly re-evaluate the personalized care plan and make whatever adjustments may be needed. They will observe which goals are being met and which are not, and change the intervention plan to adapt to the areas that need more work.