Introduction
This training module provides instructions for implementing two programs that help nursing home residents maintain function in Activities of Daily Living (ADL).
It starts with a list of learning objectives. Following that is a discussion of the problem—ADL decline among nursing home residents—with an overview of the solution—exercise.
The next sections constitute how-to manuals for implementing two exercise interventions:
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We’ve tried to be comprehensive, but if there is something you can’t find, or if you have unanswered questions, comments, or concerns, please feel free to contact us.
Learning Objectives
At the end of this training module, you will be able to:
Proceed to The Problem, The Solutions
It starts with a list of learning objectives. Following that is a discussion of the problem—ADL decline among nursing home residents—with an overview of the solution—exercise.
The next sections constitute how-to manuals for implementing two exercise interventions:
- a walking program, appropriate for the minority of residents who are ambulatory, and
- an exercise intervention aimed at the 50-60% of long-stay residents who are incontinent, with many having varying degrees of cognitive impairment.
Contact Us
We’ve tried to be comprehensive, but if there is something you can’t find, or if you have unanswered questions, comments, or concerns, please feel free to contact us.
Learning Objectives
At the end of this training module, you will be able to:
- Demonstrate knowledge of the importance of providing regular exercise for nursing home residents.
- Assess residents for their ability to safely participate in a walking program.
- List at least three modifications that can make a walking program potentially more feasible to implement.
- List at least four ways certified nurse aides (CNAs) can encourage residents to participate in a walking program and enhance their enjoyment of the program.
- Compare and contrast the FIT (Functional Incidental Training) program to group exercise programs for frail nursing home residents.
- Identify the benefits of implementing prompting voiding as part of the FIT program.
- Describe and implement both the incontinence care and exercise components of FIT.
- List at least two methods for monitoring a walking program and two methods for monitoring the FIT program.
Proceed to The Problem, The Solutions

