recreation & activities powerpoint
DESCRIPTION
TRANSCRIPT
Recreation and Activities
What are Activities?• Active or passive involvement in
something that an individual finds meaningful
• For personal enrichment
• Can be solitary or in groups
Purpose and Goals• Obtain a sense of well-being• Increase self-esteem• Obtain pleasure• Express creativity• Learn new things• Get personal fulfillment and a sense of control• Promote physical and mental fitness• Encourage socializing• Obtain spiritual fulfillment
Activities, Social Services, and Rehabilitation
Common characteristics of all three:
• Maximize independent functioning
• Promote self-esteem and psycho-social well-being
• Enhance quality of life
Activities, Social Services, and Rehabilitation: Differences-1
• Therapeutic recreation is the basic approach used in activity programming
• Social services focus on coping and social adaptation
• Rehabilitation therapies employ a clinical approach to address specific functional deficits
Activities, Social Services, and Rehabilitation: Differences-2
• Social services and rehabilitation are primarily intervention oriented, with minimum emphasis on voluntary choice and personal control
• Activities are mainly program oriented – They allow individual residents maximum autonomy and personal choice
Staffing and Qualifications• No federal requirements for staffing levels
and staff qualifications
• Individual states generally specify staffing levels and qualifications
• NCCAP certification is desirable
Necessary Skills• Engagement
• Assessment
• Communication
• Documentation
See pp. 238-240
AssessmentBased on activity pursuit patterns that include five elements:1)Times during which the resident is awake2) Average time the resident is involved in
activities3) Preferred activity settings4) General activity preferences5) Preferences for change in daily routines
Programming• Structured methods of delivering needed
services
• Develop and carry out a meaningful plan– What services to deliver– How to deliver them– What results are anticipated
Programming: Main Considerations• Age variation among residents• Nature and extent of disabilities
– Sensory motor skills– Cognitive functioning– Affective functioning– Medical contraindications
• Space and time• Supplies and equipment• Staffing• Community resources
Programming to Promote Total Well-being
Programs must meet a variety of individual needs:• Physical• Cognitive and educational• Social• Affective• Integration or awareness• Spiritual
Promoting Well-being - 11. Physical
Exercise, movement, and general physical stimulation
2. Cognitive Stimulation of the mind Leaning new things
3. Social Interaction Companionship
Promoting Well-being - 24. Affective
Express feelings or emotions Express creativity Sensory stimulation Reminiscence
5. Integration and awareness Being needed by others Build self-esteem
Promoting Well-being - 36. Spiritual
Religious activities — private and congregate Spiritual pursuits, such as personal devotion
or meditation
Scheduling - 1• Weekdays:
– Around 10 am: Crafts, hobbies, cognitive activities
– Naptime after lunch– Around 2:30 pm: afternoon programs, such as
physical and social programs– Around 7 pm: Evening entertainment and
leisure
Scheduling - 2• There should be some activities on
weekends and holidays
• To the extent possible, holidays should be celebrated on the days they actually occur
Approaches for Cognitive Disorders• Intervention approach is appropriate
• Sensory and cognitive stimulation:– sensory stimulation– reality orientation– reminiscence and validation therapy
Approaches for Dementia Patients
• Small groups that are roughly homogeneous
• Channel nervous energy into constructive outlets
• Address cognitive and affective needs
• Use of cross-trained staff
• Touch is used as a therapy
Multisensory Stimulation• Also called Snoezelen
• Visual, auditory, tactile, and olfactory stimulation in special rooms
• One-on-one therapy
• Non-directive approach
• Non-sequential or unpatterned
• According to research, results are mixed
Program Planning Tools• Patient assessment
• Interests and needs profiles
• Risk awareness profiles
• Policies and procedures manual
• Master calendar covering the entire year
• Weekly calendars
Program Planning• Plan a range of programs using the tools
mentioned earlier• Certain core programs should meet the common
needs of most residents• Additional programs should be planned to
accommodate special needs and interests• No resident should be left out• Coordination with nursing, dietary, and
housekeeping departments• Back-up contingency programs
Program Evaluation• Outcome oriented: Are expected results
being achieved?
• Essential for improving the quality of programming
• Can help improve staff morale
• Not to be used to criticize or penalize staff
• An external consultant can assist with evaluation
Tools for Effective Evaluation• Each activity should have clear goals
• Attendance data
• Care plan goals
Volunteer Support• Volunteers are an important link between
the facility and the community
• Volunteers can be involved in a variety of tasks based on personal interests
Volunteer Recruitment• Target groups that are most likely to
volunteer• Ongoing efforts are necessary• A variety of methods should be used• A formal process that includes application,
screening, interview, and reference checks is necessary
• Allow volunteers to choose their areas of service