SERVICES

FAMILIES & CARE PROVIDERS

Telephone Consultations
A telephone consultation is useful when the elder or their family members live outside of the Portland, Oregon metropolitan area. This method is also useful when an in-depth evaluation is not possible.
$90.00/hour 15-minute minimum
Written report provided upon request (additional fee)

Functional Cognitive Evaluation and Recommendations
This consultation includes a telephone interview with the individual who knows the elder’s current and historic medical and social history as well as an evaluation of the elder in his or her current residence.

During the telephone conversation we will define the scope of the consultation. For example this evaluation can guide decisions about appropriate housing, it can help care providers manage or prevent agitation and relieve or reduce boredom. The course of dementia is unique for each elder, however this assessment will provide many tools to aid long term planning.

The primary contact person and I will determine the type of report needed. In some cases the report may be used by a placement agency or sections may be designed for caregiver training. Sometimes the report is intended to inform family members who do not live near the elder. Physicians, elder law attorneys, protective services case managers or guardians may use the report to guide decisions.

My intention is to provide a report that has a broad application, one that acts as a reference point for the duration of the elder’s life.

The functional cognitive evaluation process:

• Initial telephone interview (generally about an hour).
• Assessment of elder (usually 2 hours):

  • Brief physical assessment of mobility and balance (related to falls).
  • Sensory and perceptual screening.
  • Functional cognitive assessment using standardized tools and clinical observation.
  • Tasks to confirm the functional cognitive assessment.
• Written report mailed to primary contact. Report writing time is variable based on client complexity and report criteria.

Fee schedule: Quote

Common Consultation Topics:

• Care needs assessment for:
  • Hiring and scheduling caregivers.
  • Residential placement – home or care facility.
  • Care requirements to establish adult care homes (adult foster homes) monthly fees.
• Agitation prevention or management using non-pharmacological approaches.
• Caregiver training to support elder’s independence.
• Assess remaining abilities.
• Fall prevention.
• Cognitively appropriate adaptive devices.
• Sensory modulation issues.
• Long term care planning.

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ADULT CARE HOMES

Individualized Care Needs Assesment
Note: This evaluation provides a neutral, “3rd party”, assessment to ensure a fair and equitable determination of monthly fees.

Initial and periodic (6 month) review of the elder resident’s ability to manage self-feeding, grooming, dressing, toileting and bathing. A brief functional cognitive and sensory/motor assessment is included. (Adult care home is responsible for determining the other fee schedule issues of night care, incontinence, medication supervision, special diets etc.)

Fee: $350.00 per assessment
Brief report of current care status

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PUBLIC LECTURES

Mary is available to speak to community groups, caregiver support groups, senior centers, students, workers in the elder care community and clinicians on the following topics:

• Dementia: Care needs. Impact on function. Remaining abilities throughout the spectrum of decline. Safety and fall prevention.
• Sensory modulation for the elder with dementia.
• Agitation management using non-pharmacological tools.
• Behavior management using non-pharmacological tools.
• Support group questions and answers.

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CARE FACILITIES & CLINICIANS

CONSULTATION
Mary is available on an hourly and daily basis for clinical consultations regarding occupational therapy management of dementia, prevention and management of agitation for the elder with dementia, the Allen Cognitive Levels model, fall prevention and fall intervention.

TRAINING

• Clinical training in administering and scoring the Allen Cognitive Levels battery.
• Clinical training in fall prevention and fall intervention.
• Dementia:
  • Care needs.
  • Impact on function.
  • Remaining abilities throughout the spectrum of decline.
  • Safety and fall prevention.
• Sensory modulation for the elder with dementia.
• Agitation management using non-pharmacological tools.
• Behavior management using non-pharmacological tools.

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OCCUPATIONAL THERAPISTS

REFERENCE MATERIALS

At Home with the Allen Cognitive Levels a Quick Reference
by Mary Platt OTR/L
$35.00 each (includes shipping) second edition.

Designed for occupational therapists trained in the ACL model, this reference tool provides identifying features for each mode with elements of tasks that are likely and not likely to be seen with each mode. Patterns of behavior regarding telephone use, medication management and mobility are identified to aid in determining an accurate ACL score. Adaptive equipment and caregiver instructions are detailed for each mode within each ACL level.

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