Elizabeth Brewer, Lead Occupational Therapist and Assistant Director of Rehab, has served the Legend Oaks Katy community for over six years. Beth is passionate about developing programs to enhance a patient’s overall quality of life. From this passion, Emojis of Care was born!

Emojis of Care is an icon-based care identification system designed to identify patients’/residents’ mobility, weight bearing, hydration, and ADL and dementia levels prior to the initiation of care. This program was developed to increase the overall efficiency and accuracy of care provided by our staff, as well as streamline the communication process with the use of a core set of icons that are easily identifiable.

  • Fall risk: These individuals are at a higher risk and require extra supervision.
  • Hydration Program/Thickened Liquids: Maintaining a patient’s hydration level is a critical aspect for all patients in a SNF. It is important to identify patients who can no longer adequately hydrate themselves. Incorporating a hydration program helps to reduce the risk of UTIs and other health complications. By changing the color of the water droplet, we can simply and easily inform staff what thickness of liquids is most appropriate.
  • Dementia Levels: The dementia levels are based on Teepa Snow’s Gem Model. The model categorizes patients with dementia into six categories based on characteristics specific to each level of cognitive deficits.
  • Weight-Bearing Restrictions/Precautions: Viewing the star as a body, it can be tailored to represent various restrictions and precautions our patients encounter. For instance, drawing a heart in the center of the star could represent a pacemaker or sternal precautions. By placing the color for the coordinating precaution on the star, it can more fully tell the story of our patient to the staff at a quick glance and improve the overall quality of care.

Emojis of Care can be tailored to the needs of various facilities and can also be incorporated into programs that are already in place.

Case Study: Ms. Smith, who has Parkinson’s Disease, fell in her home and sustained a left hip fracture where she underwent a total hip replacement. She was discharged home. A few days later, she fell and sustained a right hip fracture, which was repaired by an ORIF, and she is now partial weight-bearing. In the fall, she also sustained a right humerus fracture and is now non-weight-bearing on her right arm.

View poster: Emojis of Care (PDF format)

By Elizabeth Brewer, OTR/ADOR and Tawaine Vigers, CCC-SLP/DOR, Legend Oaks, Katy, TX