Recreation & Activities Powerpoint

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