Recreation for those ageing with and into disability

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Recreation for those ageing with and into

disability CACL

Living Well in Our Communities: Thriving As We Age May 7, 2013Concord, NH

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Northeast PassageLiving Beyond Disability

Using sport and recreation to assist individuals with disabilities to define, pursue and achieve their goals

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Northeast Passage Established in 1990 to fill gaps in services In 2000, merged with the University of New Hampshire Nationally recognized leader in field of Therapeutic

Recreation and Adapted Sports

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Programs

Adaptive Sports & Recreation

Recreational Therapy

Teaching and Research

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Difference between Adapted Sports and Therapeutic Recreation

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Aging into disability

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Physical Decline Decreased

Strength, Endurance, Mobility, Flexibility, Balance

Increased Fatigue Weight Pain

Cycling Three wheels Bike path Tandems

Gardening Large garden Smaller garden Garden mobility aid Extended handles Raised garden beds

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CognitiveDeficit

ConcentrationMemory lossProblem solvingPlanningImpulsivitySafety Awareness

App store Support

Find your car Organizers Reminders Map My…

Games Memory games Problem solving

games GameChanger

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Social/EmotionalIsolationLoss of friends

Pass away Move away

Difficulty making new friends

Loneliness

Loss of identityFrustrationAngerLow motivationDepression

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Benefits of Recreation• Increase in physical

activity and fitness, • Social connectedness, • Community engagement, • Family relationships, • Practice of functional

skills in all domains, • Stress management• Self efficacy

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Identify the right activityRecreation is personal

What do you like?Recreation is part of our definition

Who are you?Recreation is familiar

Talk about a great memory.Recreation is holistic

Why do you like this activity?

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Making it WorkWhat does this

activity require?What do I have?What do I need to

change or supplement?

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Activity Modifications

IntensityRulesDuration

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Support systemsWho is out there?

What role do you want them to play?

Friends, family, new people, volunteers, professionals

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Equipment ModificationsAlternate use for typical stuffAdapted equipment

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Select a New ActivityWhat did you get from

the old activity?What new activity fills

that need?

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PATH Promoting Access Transition and Health

Assessment Comprehensive intake interview In clients home Set goals

Planning Goals set based on input from client, caregivers, family and

therapist

Intervention 2 - 12 visits, supplemented by phone consults and online

support over six to eight months.

Evaluation Attainment of personal goals Standardized pre /post test QoL, Happiness, HRQol

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Comprehensive Assessment

Examine Current level of physical, psychosocial, and cognitive

function Current level of community interaction Past, present and potential interests for involvement Knowledge of accessible resources Risk factors with potentially negative health impacts Perceived and real barriers to participation Personal network, care givers, and support systems

Set goals for intervention

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General Treatment Areas1. Wellness Education2. Resiliency education and technique

development 3. Individualized Fitness Plan4. Practical Functional Skill Development5. Community Integration in Home Community6. Resource & Network Development 7. Support Network Development8. Individual and Family Recreation Skill

Development 9. Care giver training, support, relief

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Qualitative Research Results for Ageing into/with Disability

• Increased sense of self efficacy• Perceptions of improved quality of life• Improved social participation and engagement with the community• Reduction in healthcare utilization• Positive changes to health and the physical domain• Partnership approach to treatment• Emphasis on home-based intervention• Personal meaning that informed treatment goals

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Case study 72 years old, lives

alone, Primary Diagnosis –

post polio managed well until past eight years.

Secondary Dx - High BP, High Cholesterol, Pre diabetic, over weight, deconditioning

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GoalsTR GOALS

Improve overall health and fitness Increase knowledge of community resources Develop leisure interests

Personal goal Improve endurance to enable a visit to her place

of birth on an island off the coast of Maine.

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Outcomes Health and fitness through

cycling, aquatics and walking Weight was 242, now 205 Cholesterol was 227, now 200 BP was 196/90, now 140/80 Blood sugar was A1c 6.1 pre

diabetic, now 5.9 no longer pre diabetic

Community Resources & Leisure interests Gained proficiency on

computer to find events and resources

Joined walking club and YMCA

Returned to the island in late July

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Tom’s story

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Questions

Contact:Jill Gravink, MS, CTRS/LNortheast Passage4 Library WayDurham, NH 03290603-862-0070www.NEPassage.org