Challenges and wins for skilled nursing therapy during COVID-19

Four leaders in the skilled nursing therapy space gathered last week to discuss the state of therapy during COVID-19. They shared challenges and even some wins that have occurred over the past three months in this new normal for long-term care facilities.

Featured panelists were Andrea Gale, VP of case management, Marquis Health Services; Michael Sciacca, CEO, Zimmet Healthcare; and Ian Oppel, OTR, CCO, RESTORE Skills; and Aaryn Crosby, CEO, Adaptive Rehab. Monitoring the discussion was RESTORE Skills CEO Eran Arden.

Highlights of the discussion included the following. Click here to watch the full webinar video. Click here to find out about our COVID-19 special for a better therapy solution during COVID-19.

The challenges for therapy in skilled nursing facilities are many. 

Among those challenges the panelists defined are the following: 

 

Andrea: Helping residents stay connected to loved ones

Mike: The skilled nursing facility industry is lean in a normal time. There's not a lot of redundancy, and the resilience of these organizations has been challenged now that a pandemic has been brought upon them.

Aaryn: Finding ways to address staffing issues and adjust workflow to accommodate for social distancing is a challenge. We’re having to find ways to figure out how to provide quality functional treatment in people's rooms in a way that's portable.

Ian: There are 2.4 million people in long-term care facilities. We have been entrusted with a great responsibility and an escalated need for transparency and accountability beyond what we have previously known.

Andrea: We're seeing an increase in depression and other comorbidities among long-term care patients. Short-term patients are worried about being in the nursing home and not having a family member to sit by their side and advocate for them.

 

What therapy looks like in skilled nursing facilities during COVID-19 

While challenges may seem insurmountable, skilled nursing facilities across the country continue to provide excellent care, and even in some cases, are improving aspects of that care in creative, new ways. Our panelists discuss what they're seeing on the ground in facilities and with patients.

 

Aaryn: In some ways, we are providing a higher quality of treatment during this pandemic. We’re using RESTORE Skills to provide therapy because it's portable and we can roll it down the hallway to bring it into patient rooms. We get them out of bed to do therapeutic activities right there in their rooms. We can connect them with loved ones and everyone feels better knowing their loved ones are okay.

 

Ian: There is truly no team better suited to mitigate the physical, cognitive, and psychosocial risks of isolation than the rehabilitation team. Therapists can add immense value in this new normal, but it is essential they are afforded the time, tools, training, and support. In return, therapists have to be open to changes in the current care delivery model. Staggering schedules to have an extended presence beyond typical 7am-5pm windows with the majority of service between 9-3, lessening resistance to change and ensuring that therapy sessions demonstrate resourcefulness, meaning, engagement, and as much as possible, fun. As therapists, we have a responsibility to connect families and friends of loved ones with video chat to build trust through transparency, allow for encouragement, and provide an opportunity for patient/family education/training. 

 

Andrea: During COVID we’re using laptops in the rooms as well as and using RESTORE Skills in a streaming mode so we can do group exercise and residents feel like they’re with a team. We even have a leader board.

Covid-19’s lasting impact on the future of SNF therapy 

Panelists also discussed how meeting therapy needs during COVID-19 may change the industry permanently. And many of these outcomes look to be positive.

 

Mike: Our goal is to get patients active. Before COVID and PDPM, we were tied to therapy minutes and a whole generation of therapists are used to working like that. PDPM gives us all the flexibility to be creative. The pandemic exacerbates this need so that by necessity we have to be creative.

 

Ian: It's becoming more about the goal and less about the role. There is a clear shift taking place from a focus on individual competence and isolated outcomes in therapy to collective competence and optimizing patient-centered outcomes. Therapists are finding new ways to add value by integrating their care approach with activities, nursing, dietary, social services, and others as their presence has increased away from the therapy gym.        

 

Andrea: It’s even more important now to share positive patient outcomes. We need to produce data on what we’re doing to make people feel at ease as possible. We’re now offering live virtual tours and having to be able to explain how skilled nursing therapy, activities, and a monitored diet can support recovery and help patients avoid readmission.

 

Mike: One of the lasting impacts of this will be telehealth therapy and that this has allowed us all to be more creative in how we provide care. There’s been rapid growth in technology to make our work lives more efficient, as well as increase the connection between family and institutions. 

 

Andrea: As tech-savvy as we were, we still saw ways we can improve our use of technology for efficiency and communication. We have more Zoom and Facetime meetings for communication and care conferences with teams. Providers are moving to telemedicine and still continuing with rounds, but they are able to see more patients now that it’s virtual. And we haven’t seen a difference in outcomes, so we’ll continue to see this grow. Rounds with specialists over telemedicine have opened up avenues for multiple parties on team meetings so there’s more collaboration. 

 

How RESTORE helps therapists meet goals

While skilled nursing facilities across the country are focused on protecting residents from Coronavirus, therapists face the added challenge to keep patients progressing in physical, occupational, speech, and cognitive therapy. Nearly 200 rehabilitation companies and skilled nursing facilities across the U.S. are turning to virtual therapy solution RESTORE Skills to keep patients active and engaged in their rooms – all while having fun and staying in touch with loved ones.

RESTORE Skills is an interactive software product for adult rehabilitation patients that uses any webcam-equipped, Wi-Fi-enabled device as a therapy tool in the gym, at the bedside, or at home post-discharge. The virtual gamification tool that ensures skill-building can happen anywhere is a game-changer during this COVID-19 outbreak.

The state of therapy in our new normal

What is the state of therapy today? Join us for a lively discussion on therapy in skilled nursing facilities now that we are four months into our new normal. You’ll hear from leading experts in SNF therapy, who will provide key takeaways you can bring back to your patients to provide improved care, in spite of the new challenges you face with social isolation during COVID-19.

You’ll hear from the following panelists on how COVD-19 will bring changes to therapy:

 

Andrea Gale, VP of case management, Marquis: “The new normal presents an opportunity to redesign our approach to family and caregiver engagement in our residents’ plan of care and overall outcomes.”

Michael Sciacca, COO, Zimmet Healthcare Services Group: “This situation will change the way we operate for good because it will enhance the use of virtual connections for both short and long-term residents.”

Keith Creagh, Director of Rehab, Genesis Rehab Services: “It has been a very challenging time in healthcare with unprecedented changes to the way we all live and operate. Adversity can bring out the best in humanity and lead to innovation. With the right guidance, inspiration, and some help from technology we are more prepared than ever to deliver high-quality patient care no matter the circumstances and barriers to access.”

Ian Oppel, OTR, CCO RESTORE Skills: “In this new normal there is no team better suited to mitigate the physical, cognitive, and psychosocial risks of social isolation than the rehabilitation team. It is essential that they are afforded the times, tools, training, and support to truly put advocacy in action.”  

Aaryn Crosby, COO, Adaptive Rehab: “We need to be able to deliver functional room treatments. Many patients cannot, or are nervous to come down to the gym. Having a truly fun and interactive therapy session in the room versus a standard therapeutic exercise can increase engagement and mental well-being.”

Topics will include: 

  • What is going through the minds of patients (who are very much at risk for social isolation), families, and friends (going into month 4 of no visitation)?
  • Are therapists essential or non-essential, and how are they defining their value?
  • Census and business development significantly impacted by COVID-19 and the lack of non-COVID related procedures?
  • New messaging be to potential patients, families, and referral sources? 
  • Staffing and resource challenges - individual or collaborative approach?
  • How has your use of technology changed in everyday operations? 
  • Regulation changes, including state licensing and telehealth

 

Eran Arden, founder, and CEO of RESTORE-Skills will be moderating the discussion. Eran says, “Now that COVID-19 has changed skilled nursing facilities, we at RESTORE Skills are seeing just how transformative our tool is for providing therapy to seniors now more than ever.” 

We’ll also address how RESTORE supports current therapy challenges:

  • Turn every patient room into a therapy gym with just a laptop and a webcam
  • Employees on every level can become a skill-building superstar. 
  • Connect patients to loved ones by inviting them to therapy sessions with the click of a button
  • Keep seniors busy, active and engaged

Register for the webinar this Wednesday, June 3 at 1PM ET. Can’t join us? Register to watch it on demand from our follow up email.

Improving therapy outcomes especially during COVID-19

I want to share with you positive news. On the frontlines in the battle against COVID-19 and under more public scrutiny than ever, I’m seeing nursing home professionals creatively provide therapy and engagement to patients. Patients are reaching therapy goals even in this new season of social distancing and closed therapy gyms.

How?

Our clients are using gaming software in skilled nursing facilities so that all they need is a laptop to get patients engaged in therapy. They’re reaching higher for a slot machine level or standing up and moving side to side by playing games like Jackpot and Skiing.

  • Patients are so busy playing, they forget they’re in therapy
  • Patients are connecting with loved ones back at home, who join the therapy session right there on the app
  • Facility team members on all levels are stepping in to support therapy goals

Imagine Zoom with a Wii. That’s how I’m seeing seniors reach new goals in therapy and even get discharged home where they continue using the software – even during COVID-19. Especially during COVID-19.

RESTORE Skills is the only therapy software available with no device required outside of a laptop. We are the only player in the market that allows users to take a laptop in a room and reach therapy goals. At a time when nursing homes are even more severely understaffed and patients are isolated in their rooms, RESTORE skills turns every team member into a skill-building superstar – from activities directors, to CNAs and nurses. 

It is our goal to give as many seniors access to this transformative tool as possible.

Because across the country, many nursing home patients are missing this opportunity and most likely missing out on crucial therapy sessions while isolated in their rooms. We are offering our software at an unprecedented low price during COVID-19 so that we can help many skilled nursing facilities continue to provide cutting edge therapy even amidst a pandemic.

Let’s change the trajectory of the story of skilled nursing care in the news right now and fill it with stories of positive outcomes. Because anyone familiar with this industry knows the positive outcomes are typical, even if they’re not the story in the news. 

RESTORE Remote: Invite Family to Join LIVE Therapy Sessions

Introducing RESTORE-Together: A better way to virtually connect to patients

Introducing RESTORE-Together: A better way to virtually connect to patients

When we launched RESTORE Skills, never did we imagine that therapy gyms would close for months at a time and skilled nursing facility patients would be isolated in their rooms. Now that COVID-19 has made this a reality, with no foreseeable end in sight, we at RESTORE Skills are seeing just how transformative our tool is for providing therapy to seniors now more than ever. 

  • Clients are using our gamified software to turn every patient room into a therapy gym
  • RESTORE-Together offers the ability to invite family members to virtually join therapy sessions with the click of a button

New communication tool in our technology

When we saw our clients setting up Zoom calls for residents and families, we quickly developed a new communication tool for our software. RESTORE-Together allows patients and therapists to invite family members to join therapy sessions right there within the games. 

RESTORE-Together is helping skilled nursing patients connect with loved ones in a powerful new way. Videoconferences with seniors can be challenging for those who struggle with new technology, but RESTORE-Together is a therapy tool seniors and therapists already know how to use. The communication tool also allows families to connect with loved ones in cognitive and speech therapy in a meaningful way.

We developed RESTORE Skills as a skill-building tool for therapy gyms, where patients can show off their new skills, compete in therapy games against one another and cheer each other on. Each player can work on their own set of skills, within their personal range of motion, but the games themselves offer a sense of competition where patients celebrate and strive to outperform one another. Users only need our software and a webcam to use RESTORE Skills anywhere, so it has always been a significant bonus that patients can continue building therapy skills on their own at home.

Now with RESTORE-Together, the audience patients enjoyed in the therapy gyms is back. Only this time, the audience is made up of loved ones.

Turns out we started getting RESTORE Skills into long term care facilities just in time. 

Our tool supports challenges facilities are facing right now. 

  • Skilled nursing facilities are struggling with staff shortages
  • Patients no longer have visitors 
  • Activity directors have limited options for keeping seniors social and engaged
  • Therapists are having to provide therapy within patient rooms
  • Skilled nursing staff are now also the IT experts, connecting residents with families over video conferences.

We at RESTORE Skills are helping SNFs meet all of these challenges. We’re working harder than ever to get RESTORE Skills into as many skilled nursing facilities as possible. Therapy and positive outcomes for our seniors in these facilities depend on it.

 

Click here to schedule a demo and find out how RESTORE-Skills can help your facility meet therapy needs during COVID-19.

 

National Nurses Day

Celebrating Nurses by Improving Patient Outcomes

On this day and every day, all of us at RESTORE-Skills honor nurses as the healthcare heroes that they are. I see firsthand in our work with senior care facilities the demands placed on nurses. They are always on the frontlines of every patients’ battle for the best outcome possible. Perhaps during no time since World War II has this been more apparent than in the middle of our current global pandemic of COVID-19. 

This National Nurses Day my team and I are celebrating long term care nurses by improving therapy outcomes for their patients.

I’ve seen firsthand that nurses in skilled nursing facilities are among the most dedicated in the field. They get to know patients in senior care facilities over a length of time and many consider the residents like family. It takes a special soul to nurse a patient back to health at a time when there are so many compounding issues that come with aging. Sometimes the job of the nurse is to simply hold a patients’ hands and provide comfort.

 

Other times, it’s the job of long term care nurses to motivate their patients to get up and get moving for therapy. While they are not the therapy providers, nurses and their assistants are key players in ensuring that patients are ready and in the best mindset possible for therapy sessions.

What if we made that part of nurses’ jobs a lot easier? And in the process, we improved the outcomes for patients these nurses have come to love?

My team and I are doing just that with RESTORE-Skills. Here’s how I am seeing our skilled nursing facility clients benefit from our therapy software tool:

  • Our award-winning gamification technology makes therapy fun and engaging so that patients actually ask to play. 
  • Skilled nursing patients are actually playing therapy games right in their rooms during COVID-19 while therapy gyms are closed.
  • Every team member of skilled nursing facilities becomes a therapy skill building superstar with just a laptop and webcam.
  • Patients are staying busy, active and engaged while reaching therapy goals, breaking up these long days isolated in their rooms while eating meals by the door.

 

This National Nurses Day, we’re honoring these healthcare heroes by working to advance their quiet daily goal of improving each patient’s outcome. I believe in the power of this software to create positive therapy outcomes on a massive scale because we see it happen in our clients’ facilities every day. The time is now to give nurses and all dedicated employees in skilled nursing facilities a game-changing tool in their arsenal.

 

We want to get RESTORE Skills in the hands of every long term care facility possible. Click here to learn about our COVID-19 special offer.

 

Skilled Nursing News

An Interview with Skilled Nursing News

We're thrilled to be featured on Skilled Nursing News today. Aaryn Crosby of Adaptive Rehab Services and our CEO, Eran Arden sat down with Skilled Nursing News to discuss the impact of RESTORE-Skills on therapy services and the unforeseen benefits in the wake of the COVID-19 pandemic. Below, is an excerpt from the article:

By “gamifying” therapy via a hardware-agnostic platform, some providers are finding not only much greater engagement among patients and residents receiving therapy, but also the unforeseen benefit of engaging non-therapy residents and their family members under social distancing protocols set under the COVID-19 pandemic. 

Driving therapy engagement 

As a third-party therapy provider in multiple settings including post-acute and long-term care facilities, Adaptive Rehabilitation Services set out in 2019 to find a platform that would improve patient participation and garner more engagement in therapy as well as to measure functional skills and progress. Further, Adaptive wanted a solution that did not require a hardware purchase to host the platform. 

“There are a lot of products that require the user to have [a specific] device,” says Aaryn Crosby, Chief Operating Officer at Middleburg Heights, Ohio-based Adaptive Rehabilitation Services. “We were looking for something that can work on multiple systems and computers… something that could deliver functional room treatments. Many patients may not be able to come down or are nervous to come down to the gym.”

The company implemented RESTORE Skills in early 2020 and saw measured success in engagement. The platform, which can run on any web-enabled laptop with a display and a camera, provides a series of goal-oriented games that merge therapy with fun tasks that can be played with a single player or multiple players engaged on a single screen. 

With games to present to residents and patients, therapy teams soon reported that those not previously participating were increasingly using the platform and we're seeing increased functional outcomes. They were practicing more and were resisting less, which led to improved progress overall. 

“Having a truly fun and interactive therapy session versus a standard therapeutic exercise has increased engagement and mental well being by allowing patients to perform together and compete,” Crosby says. 

An unforeseen benefit: the platform serves as an activity for non-therapy residents as well. 

“We have had activity aides asking for us to train them on the program; residents’ roommates are telling them they want to try it out too,” he says.

Click here to read the full article. Interested in seeing gamification in action? Contact our team to schedule a demo and to learn how gamification can drive engagement and outcomes during the COVID-19 pandemic.

moving and smiling

Get Residents Moving AND Smiling!

During the current COVID-19 outbreak, finding fun ways to keep residents moving and smiling can be a challenge. But, with just a laptop & a simple controller, you can have a dynamic therapy session anywhere! 

An Innovative Option

Contrived treatment approaches, like puzzles, pegboards, or batting balloons, lack the element of FUN, which can limit someone's ability to reach their goals. However, gamifying therapeutic exercise can improve engagement and enjoyment. Our online games keep residents active and happy, in the gym or their room. In fact, one of my favorite stories came from a speech therapist who was a RESTORE Champion for her center. She won over a resident after he expressed that he didn't want to leave his room or participate in therapy. After talking with him, she brought in her laptop and played a video of someone using RESTORE. She explained the functionality of games, how to play, and gain agreement. In the end, they completed a fun AND meaningful 30-minute session in his room.  The therapist thought out of the box and created an experience both they enjoyed. It was amazing to hear about!

Below are a few tips for how you can create a motivating and exciting therapy session right in the patient's room.

  • Become a RESTORE Rockstar: If you're not confident with RESTORE, it can become a barrier to patient engagement. Take a few minutes each day to explore the platform to learn the games & functionality. 
  • Tap Into Your Inner Coach (And Cheerleader): Demonstrate the actions & tasks you want your patient to achieve and assure them you are there for support!
  • Share the Fun with a Family Member: For added support, loved ones can use teleconferencing to join Fun of the RESTORE session.

moving and smiling

The RESTORE Difference

Whether you'd like to make activities more accessible or more challenging for your players, then the Settings button is full of fantastic customizability. Each game has unique settings options that you can adjust to meet the player's interests and needs. Our users are active in over 200 healthcare centers and nursing homes throughout the country. We've seen players of all cognitive and physical levels have fun, work towards their goals, and find success. A meaningful skill-building session can genuinely happen anywhere, anytime!

To get your residents moving and smiling now, click here & learn about our COVID-19 Special Offer!

Follow RESTOREskills on Facebook & LinkedIn for updates on our platform, new game announcements, testimonials, tips, and much much more! To schedule an obligation free demonstration of our on-demand therapy platform with our team, please contact us at info@:.com or call (330) 968-2879. We look forward to supporting your goals!

skill-building

Skill-Building with Anything Red, Green, or Blue 🔴🟢🔵

Now, more than ever, health professionals and providers are turning to technology to support patients. Skill-building can happen anywhere, anytime, while having fun! We can support you in keeping patients active, happy, and healthy. 

skill-building

Part of what makes RESTORE so unique and adaptable is how we can turn any round red, green, or blue object into a game controller. Our innovative technology uses color-tracking so you can assist, support, guide, and play alongside your patients without interrupting their experience! All you need to get started are a few ball-shaped objects that are red, green, or blue. We recommend using objects like Play-Doh, gloves, cups, socks, or a loofa. Larger objects, like an exercise or medicine ball, work best for focusing on gross motor skills. Use something small, like a dry erase marker, to target fine-motor skills such as grip and grasp. You can also attach wrist/ankle weights to the player or calibrate free weights as a controller for added resistance & strength training. The tips should help you & your patients have an excellent experience:

Playing Tips & Tricks!

  • Get close, but not too close: Set the player 1 to 3-feet away from the camera. If playing with a larger object, try positioning them 4-6 feet away.
  • Endless Possibilities: Stickers, stress balls, free weights, or therabands! The sky’s the limit when it comes to finding objects in your gym/center that can be used to play RESTORE games.
  • Show the Camera What You’ve Got: When playing, the color of your object must be pronounced & visible to the camera at all times in order to track. Avoid turning down your wrist or covering controllers with your hands.

We love to hear from our users, so send us a picture of your players or team with their most unique controllers. We’re excited for your creativity to start flowing and for you to discover the unlimited potential of the objects you can track with RESTORE!

To start now, click here & learn about our COVID-19 Special Offer!


Follow RESTOREskills on Facebook & LinkedIn for updates on our platform, new game announcements, testimonials, tips, and much much more! To schedule an obligation free demonstration of our on-demand therapy platform with our team, please contact us at info@:.com or call (330) 968-2879. We look forward to supporting your goals!

engage isolated residents

Engage Isolated Residents of All Levels

Engaging isolated residents with moderate to severe cognitive impairments during the current COVID-19 outbreak can be challenging. However, with just a laptop & a simple ball, you can have a fun and dynamic therapy session right at their bedside! RESTORE games can be enjoyed by players of any level. We find that therapists experience the most success when they match the game with the player’s history or hobbies. To help gain agreement and make your treatment approach meaningful, begin the RESTORE session with asking the player about their life and interests. Prioritize engagement, reminiscing, and communication over playing. 

RESTORE is meant to be a compliment to your treatment session and not by itself there to treat your patient. One challenge you might encounter is that a goal-directed player understands the activity they are to perform, but may not want to participate for fear of failure. Therapists can quell this fear by grading activities/settings to player ability so they can succeed and be challenged. Below are some tips to help you successfully engage a player with moderate to severe cognitive impairment:

Playing Tips & Tricks!

  • Give strong consideration to your environment: Identify an environment with limited distractions based on noise, congestion/traffic, lighting, etc.
  • Take the Time: Allow extra time for player to respond to directions/commands
  • Distinguish between limitations: Don’t allow a player’s physical limitations to interfere with your assessment of their cognitive function

engaging players of all levels

When playing your first session, to take time to see if the player can correct mistakes or improve after gaining understanding - but avoid the player getting discouraged or frustrated whenever possible! We hope this post encouraged you to try something new with your residents today. Our fun, engaging, and meaningful games are meant for everyone to enjoy, so open your laptop, grab a controller, and watch the magic of a RESTORE session unfold!

To start now, click here & learn about our COVID-19 Special Offer!


Follow RESTOREskills on Facebook & LinkedIn for updates on our platform, new game announcements, testimonials, tips, and much much more! To schedule an obligation free demonstration of our on-demand therapy platform with our team, please contact us at info@restoreskills.com or call (330) 968-2879. We look forward to supporting your goals!

motivate residents

Motivate Residents to be Active in Their Rooms!

Motivating resients isolated in their room can be a struggle. This fun upper body activity is a favorite among all of our players. Bring the excitement of the casino to your patient’s room to boost engagement AND practice UE strengthening! All you need is a laptop and a rounded object for the player to experience the fun of a virtual slot machine.

In the game "Jackpot", players pull the handle to try and win big! They can engage with the game while standing, seated, or even lying in their bed to target AROM, crossing midline, and functional reach. Below are some great tips to help you engage a player in the room with our #1 game "Jackpot"!

Playing Tips & Tricks!

  • Get the Most from the Capture Settings: Range of motion & camera capture options can be adjusted to a large, medium, or small semi-circle for players seated or lying in bed.
  • Increase the Challenge: Attach wrist weights to the player or calibrate free weights as a controller for added resistance & strength training!
  • Players Can Win...Really! If a player pulls a rare "Triple WILD" jackpot, let us know, and we'll send them RESTORE a t-shirt.

Engaging Activities Anywhere

With more therapy sessions happening in the room, motivate residents and offer a distraction from environmental barriers and psychosocial factors. Play "Jackpot" with a resident to help them forget about their discomfort, loneliness, or anxiety. We hope you’ll follow these tips for an exciting and innovative therapy session.

To start now, click here & learn about our COVID-19 Special Offer!


Follow RESTOREskills on Facebook & LinkedIn for updates on our platform, new game announcements, testimonials, tips, and much much more! To schedule an obligation free demonstration of our on-demand therapy platform with our team, please contact us at info@restoreskills.com or call (330) 968-2879. We look forward to supporting your goals!