multi-sensory room/ cart (aka snoezelen rooms) therapeutic recreation department blue crest nursing...
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Multi-Sensory Room/ Cart(Aka Snoezelen Rooms)
Therapeutic Recreation Department
Blue Crest Nursing Home and
U.S. Memorial Health Center
Kaitlyn Campbell-Merriam: Therapeutic Recreation Student.
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What is a multi-sensory room?
A dedicated space or room for relaxation and/or work where stimulation can be controlled, manipulated, intensified, reduced, presented in isolation or combination, packaged for active or passive interaction, and temporally matched to fit the perceived motivation, interests, leisure, relaxation, therapeutic and/or educational needs of the user.
(http://www.janesroom.org/multisensory.html)
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Purpose
To provide patient’s (pt’s) with a multisensory environment while being stimulated using the five senses. Using a patient centered approach this room will serve the Alzheimer's and Dementia Pt’s within USMHC.
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Target Population
SeniorsDementia Pt’sAlzheimer's Pt’sThose with behavioral issuesFor mild, medium and severely
cognitively impaired Pt’s
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Benefits
Cognitive stimulation Increase in communication, positive moods and
behaviours Relief for caregivers/ respite Patient has choice Allows for free association Maximizes stimulation and pleasure for patient Increased quality of life Self directed by patient Self healing Can help prevent negative behaviours Reminiscence
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Goals
To provide meaningful therapeutic interventions for Pt
To prevent or decrease negative behaviors among target population
To use multi sensory stimulating activities with Pt’s at 2x per week
To allow for free association of activities. To increase verbal and non-verbal
communication. To reduce stress on caregiver. To decrease the negative effects of Illness on Pt.
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Expected Outcomes
Pt’s being self directedPt’s improved behaviors Increase in cognition.
Specific to the Pt involved in intervention.
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Selecting appropriate participants
Initial AssessmentsReferrals from interdisciplinary teamFamilyCurrent functioning levelsDaily behavior patterns. Stage of illness
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Procedure
Train staff on use of room and equipmentAssess PtsSelect appropriate PtsIntroduce them to the roomContinue to provide Multi Sensory
Interventions to Clients weekly
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Equipment Required
Bubble Lamps or lava lamps Fiber optic or plastic light strings Coloured lights Patterned lights Black Light Mirror Ball Clamming music Mirrors Textures (on wall and floor and fabric) Balls Pictures Interactive panels- Lights, music, sounds, Pictures, Etc
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Equipment Continued
Seating- Bean Bags, Rocking Chairs, Big pillows. Things to put on Wheelchairs.
Aquarium Instruments- Rain stick, shakers Etc. Massage or vibration items. Sensory Mats or quilts Tactile- Gel mats/ balls, Bean Bags, Boards or panels A Projector A Stereo Power Bar Assorted Batteries
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Room Design
Accessible!Occupancy allowance (max #)Age considerations Child vs Senior.
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Safety/ Supervision
Trained staff (Training provided)PT’s Never left unsupervisedUse of appropriate equipment. Ensure equipment is functioning properly
inspected by maintenance department.Appropriate participant selection.
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Budget/ Costs
Quote from Flag House Sept 2006$9,452.43
Budget and cost at this time unknown…more research to be done.
Estimated cost = $500.00
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Leisure Ability ModelBased on Client or Pt’s needs
Functional Intervention: Directed or controlled interventions by TR specialist Improve functional ability
Leisure Education: Combination of TR and PT initiated participation. Used to acquire leisure knowledge and skills
Recreation Participation: Participant directed activities with TR facilitation Participant is engaging in organized opportunities voluntarily.
(Stumbo & Peterson, 2004)
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Evaluation
Observations by Therapeutic Recreation Staff and other interprofessional team members.
Reassess pt’sSurveysEvaluation Forms
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Documentation
Monitor residents responses and progress
Keep attendance lists Any significant changesReferralsCognitive, physical, emotional, social,
and spiritual changes.Evaluation Forms/ Surveys
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Resources
Flaghouse.ca easternhealth.ca http://www.recreativeresources.com/
documents/MultiSensoryEnvironments_000.pdf
Study done at http://www.snoezelen-idosos.com/login/upload/files/macharia.pdf
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References
Stumbo, N.J.& Peterson, C.A. (2004) Therapeutic Recreation program design (4th ed.) Pearson, San Francisco, CA.
Jane Johnston Foundation,(2009). Retrieved May 17,2013 from http://www.janesroom.org/multisensory.html