Trevino 1

Genre Analysis

Notes:

An occupational therapist provided the document from a nursing home. The form is a

nursing restorative care program to help patients maintain their progress after therapy. The

therapist can use this form in a skilled nursing rehab facility. It allows the therapist to

communicate with nurses and stay updated on their progress after being discharged from therapy.
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Footnotes:

1. Name of the document; Nursing Restorative Care Program. The term also identifies the

purpose of the form. Restorative nursing is nursing care designed to improve or maintain

the functional ability of the patients or residents.

2. Resident name. The name of the patient discharged from therapy.

3. Room: The room where the patient is within the building

4. Month Year of Service: the month and year the nurses started the nursing restorative

program.

The therapist fills out-Sections 5 through 10

5. Section I – Plan of Care: It is a legend of the different goals the therapist usually goes

by.

6. This section informs the nurses of the approximate time and amount of days a nurse

should complete the plan.

7. This section contains the restriction for any group activity.

8. It is a reminder for the therapist when creating a goal for their patients.

9. Date plan initiated: It represents the day, month, and year the program was written and

ready to be used.

10. Approach with frequency and goal of approach: The therapist writes three different

goals based on the patient's previous treatment and abilities. The purpose of each goal is

to maintain their strengths and avoid depletion. Each goal has two approaches.

Approaches are tasks, activities, or detailed and more specific exercises that

accommodate the goals.

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The nurses in the restorative program are responsible for sections 11 through 15

11. Nurse signature: The nurse who reviews the document provided by the therapist writes

her signature. It is a verification that she received the form from the therapist. Usually,

the nurse is a certified nurse assistant (CNA) from the nursing home.

12. Notes: The nurses write notes of the patient's response toward approaches. Usually, the

notes include their progress, troubles, complaints, etc.

13. Monthly review: It is a form of communication between the therapist and nurses. It

gives feedback on the plan of care. It lets the therapist know if there are any changes

needed for the goals and approaches in the next plans or if they need to continue or

discontinue the plan.

14. Signature: This signature is usually from the registered nurse. A registered nurse is in

charge of inputting the resident's information into their folders.

15. Key: The key states the different levels of assistance for patients.

If I were to remake a similar document, I would keep the same style and structure; I

would add a few different sections. For example, I would include an area for the equipment

necessary for the exercises. This section will inform the nurse responsible for the residents to

prepare before entering the resident's room. It will prevent any delays in the amount span with

the resident. Another thing I would include is an attendance section. In this section, the nurse is

responsible for writing their name or signature, date, and time in/out of the resident's room. This

information will help determine who carried out the approaches assigned if there is a complaint

by the resident's treatment. The dates will indicate how often they visited the resident to fulfill

their task. The time in and out will determine how much time the nurse spent with the resident.
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Stephanie Trevino

Professor Thomas Guerrero

ENGL 3342 – 92 L

February 7, 2021

Nursing Restorative Care Program Document

In occupational therapy, there are treatments or evaluations written for injured, ill,

disabled, bedridden, etc. The plans assist the needs, create specific goals for each patient, and

help achieve the goals. The overall goal for all patients includes maintaining functional abilities

for work and increasing their capability to live independently. Patients come with setbacks

limiting their daily living activities, so the therapist's evaluation helps restore them.

The nursing restorative care program is based on the evaluation and used in a nursing

rehabilitation facility. There, patients, or residents, live and depend on a nurse and CNA to care

for them. If the resident has a fracture, stroke, or other medical condition, they have therapy

sessions with a therapist within the facility. After therapy, the nurse receives the form written for

that specific resident. It contains goals and approaches from their treatment that the nurse must

do with the resident. For instance, a goal is patient to maintain upper body strength. The

approach is TheraBand for arm strengthening three sets of ten with supervision or assistance. It

keeps the residents active and prevents a depletion in their gains. If the resident regresses, if

needed, they must go through therapy again. Therefore, the form is essential for the therapist to

maintain communication with nurses and the patient recently cleared from therapy.

It may not be exact, but the form can be like a plan or project in other fields. A course

has objectives from UIL; teachers complete the objectives with students. Managers hand the

assistant a project; they carry out the project with the employees and update the manager.