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Recreation & Activities Powerpoint

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Recreation & Activities Powerpoint

  1. 1. Recreation and Activities
  2. 2. What are Activities? <ul><li>Active or passive involvement in something that an individual finds meaningful </li></ul><ul><li>For personal enrichment </li></ul><ul><li>Can be solitary or in groups </li></ul>
  3. 3. Purpose and Goals <ul><li>Obtain a sense of well-being </li></ul><ul><li>Increase self-esteem </li></ul><ul><li>Obtain pleasure </li></ul><ul><li>Express creativity </li></ul><ul><li>Learn new things </li></ul><ul><li>Get personal fulfillment and a sense of control </li></ul><ul><li>Promote physical and mental fitness </li></ul><ul><li>Encourage socializing </li></ul><ul><li>Obtain spiritual fulfillment </li></ul>
  4. 4. Activities, Social Services, and Rehabilitation <ul><li>Common characteristics of all three: </li></ul><ul><li>Maximize independent functioning </li></ul><ul><li>Promote self-esteem and psycho-social well-being </li></ul><ul><li>Enhance quality of life </li></ul>
  5. 5. Activities, Social Services, and Rehabilitation: Differences-1 <ul><li>Therapeutic recreation is the basic approach used in activity programming </li></ul><ul><li>Social services focus on coping and social adaptation </li></ul><ul><li>Rehabilitation therapies employ a clinical approach to address specific functional deficits </li></ul>
  6. 6. Activities, Social Services, and Rehabilitation: Differences-2 <ul><li>Social services and rehabilitation are primarily intervention oriented, with minimum emphasis on voluntary choice and personal control </li></ul><ul><li>Activities are mainly program oriented – They allow individual residents maximum autonomy and personal choice </li></ul>
  7. 7. Staffing and Qualifications <ul><li>No federal requirements for staffing levels and staff qualifications </li></ul><ul><li>Individual states generally specify staffing levels and qualifications </li></ul><ul><li>NCCAP certification is desirable </li></ul>
  8. 8. Necessary Skills <ul><li>Engagement </li></ul><ul><li>Assessment </li></ul><ul><li>Communication </li></ul><ul><li>Documentation </li></ul><ul><li>See pp. 238-240 </li></ul>
  9. 9. Assessment <ul><li>Based on activity pursuit patterns that include five elements: </li></ul><ul><li>Times during which the resident is awake </li></ul><ul><li>Average time the resident is involved in </li></ul><ul><li>activities </li></ul><ul><li>Preferred activity settings </li></ul><ul><li>General activity preferences </li></ul><ul><li>Preferences for change in daily routines </li></ul>
  10. 10. Programming <ul><li>Structured methods of delivering needed services </li></ul><ul><li>Develop and carry out a meaningful plan </li></ul><ul><ul><li>What services to deliver </li></ul></ul><ul><ul><li>How to deliver them </li></ul></ul><ul><ul><li>What results are anticipated </li></ul></ul>
  11. 11. Programming: Main Considerations <ul><li>Age variation among residents </li></ul><ul><li>Nature and extent of disabilities </li></ul><ul><ul><li>Sensory motor skills </li></ul></ul><ul><ul><li>Cognitive functioning </li></ul></ul><ul><ul><li>Affective functioning </li></ul></ul><ul><ul><li>Medical contraindications </li></ul></ul><ul><li>Space and time </li></ul><ul><li>Supplies and equipment </li></ul><ul><li>Staffing </li></ul><ul><li>Community resources </li></ul>
  12. 12. Programming to Promote Total Well-being <ul><li>Programs must meet a variety of individual needs: </li></ul><ul><li>Physical </li></ul><ul><li>Cognitive and educational </li></ul><ul><li>Social </li></ul><ul><li>Affective </li></ul><ul><li>Integration or awareness </li></ul><ul><li>Spiritual </li></ul>
  13. 13. Promoting Well-being - 1 <ul><li>Physical </li></ul><ul><ul><li>Exercise, movement, and general physical stimulation </li></ul></ul><ul><li>2. Cognitive </li></ul><ul><ul><li>Stimulation of the mind </li></ul></ul><ul><ul><li>Leaning new things </li></ul></ul><ul><li>3. Social </li></ul><ul><ul><li>Interaction </li></ul></ul><ul><ul><li>Companionship </li></ul></ul>
  14. 14. Promoting Well-being - 2 <ul><li>4. Affective </li></ul><ul><ul><li>Express feelings or emotions </li></ul></ul><ul><ul><li>Express creativity </li></ul></ul><ul><ul><li>Sensory stimulation </li></ul></ul><ul><ul><li>Reminiscence </li></ul></ul><ul><li>5. Integration and awareness </li></ul><ul><ul><li>Being needed by others </li></ul></ul><ul><ul><li>Build self-esteem </li></ul></ul>
  15. 15. Promoting Well-being - 3 <ul><li>6. Spiritual </li></ul><ul><ul><li>Religious activities — private and congregate </li></ul></ul><ul><ul><li>Spiritual pursuits, such as personal devotion or meditation </li></ul></ul>
  16. 16. Scheduling - 1 <ul><li>Weekdays: </li></ul><ul><ul><li>Around 10 am: Crafts, hobbies, cognitive activities </li></ul></ul><ul><ul><li>Naptime after lunch </li></ul></ul><ul><ul><li>Around 2:30 pm: afternoon programs, such as physical and social programs </li></ul></ul><ul><ul><li>Around 7 pm: Evening entertainment and leisure </li></ul></ul>
  17. 17. Scheduling - 2 <ul><li>There should be some activities on weekends and holidays </li></ul><ul><li>To the extent possible, holidays should be celebrated on the days they actually occur </li></ul>
  18. 18. Approaches for Cognitive Disorders <ul><li>Intervention approach is appropriate </li></ul><ul><li>Sensory and cognitive stimulation: </li></ul><ul><ul><li>sensory stimulation </li></ul></ul><ul><ul><li>reality orientation </li></ul></ul><ul><ul><li>reminiscence and validation therapy </li></ul></ul>
  19. 19. Approaches for Dementia Patients <ul><li>Small groups that are roughly homogeneous </li></ul><ul><li>Channel nervous energy into constructive outlets </li></ul><ul><li>Address cognitive and affective needs </li></ul><ul><li>Use of cross-trained staff </li></ul><ul><li>Touch is used as a therapy </li></ul>
  20. 20. Multisensory Stimulation <ul><li>Also called Snoezelen </li></ul><ul><li>Visual, auditory, tactile, and olfactory stimulation in special rooms </li></ul><ul><li>One-on-one therapy </li></ul><ul><li>Non-directive approach </li></ul><ul><li>Non-sequential or unpatterned </li></ul><ul><li>According to research, results are mixed </li></ul>
  21. 21. Program Planning Tools <ul><li>Patient assessment </li></ul><ul><li>Interests and needs profiles </li></ul><ul><li>Risk awareness profiles </li></ul><ul><li>Policies and procedures manual </li></ul><ul><li>Master calendar covering the entire year </li></ul><ul><li>Weekly calendars </li></ul>
  22. 22. Program Planning <ul><li>Plan a range of programs using the tools mentioned earlier </li></ul><ul><li>Certain core programs should meet the common needs of most residents </li></ul><ul><li>Additional programs should be planned to accommodate special needs and interests </li></ul><ul><li>No resident should be left out </li></ul><ul><li>Coordination with nursing, dietary, and housekeeping departments </li></ul><ul><li>Back-up contingency programs </li></ul>
  23. 23. Program Evaluation <ul><li>Outcome oriented: Are expected results being achieved? </li></ul><ul><li>Essential for improving the quality of programming </li></ul><ul><li>Can help improve staff morale </li></ul><ul><li>Not to be used to criticize or penalize staff </li></ul><ul><li>An external consultant can assist with evaluation </li></ul>
  24. 24. Tools for Effective Evaluation <ul><li>Each activity should have clear goals </li></ul><ul><li>Attendance data </li></ul><ul><li>Care plan goals </li></ul>
  25. 25. Volunteer Support <ul><li>Volunteers are an important link between the facility and the community </li></ul><ul><li>Volunteers can be involved in a variety of tasks based on personal interests </li></ul>
  26. 26. Volunteer Recruitment <ul><li>Target groups that are most likely to volunteer </li></ul><ul><li>Ongoing efforts are necessary </li></ul><ul><li>A variety of methods should be used </li></ul><ul><li>A formal process that includes application, screening, interview, and reference checks is necessary </li></ul><ul><li>Allow volunteers to choose their areas of service </li></ul>

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