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The Importance of Leveled Programming in Long-Term Care. An in-service presentation for non-activities staff. Presented by: Aurora Crew & Amanda Gilkey. What is Therapeutic Recreation?.
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An in-service presentation for non-activities staff
Presented by: Aurora Crew & Amanda Gilkey
Therapeutic Recreation is a treatment service offered to clients to assist with restoring and fostering a person’s continued level of functioning and independence in life, activities, and hobbies that they enjoy.
*Promotes health and wellness
*Reduces or eliminate the limitations and restrictions due to an illness or a disabling condition
Recreational therapists work with clients to restore motor, social and cognitive functioning, build confidence, develop coping skills, and integrate skills learned in treatment settings into community settings. Intervention areas vary widely and are based upon client interests.
Examples of intervention modalities include:
*Creative arts (crafts, music, dance, drama)
*Spiritual interventions (church, prayer, bible study, etc.)
*Reminisce and discussion groups
Allows residents to learn new skills
Allows residents to build on skills that they’ve practiced throughout their lives
Make new friends and interact socially
Improves quality of life
Think about your life, and some of the things you do for fun. How would your life change if you were no longer able to do any of those things due to illness or location?
Now, think of a resident that you work with frequently. What activities do they go to? Why do they attend those activities? How do they benefit from them?
Physical – Involves activities that promote exercise, health and well being, and encourage physical activity.
Cognitive – Activities that require residents to use their minds creatively or functionally and can include table games, reminiscing, discussion groups, or even educational programs.
Emotional– Offer residents the opportunity to recognize their emotions and to share these emotions with others, if desired. Some examples include meditation, guided imagery or discussions, and sensory stimulation.
Spiritual – Allow residents to express themselves on a spiritual or religious level, whether it be in a religious service, or a personal visit from a local church.
Social – Offer residents a chance to be around other people and talk in a social setting.
Creative – Allow residents to express themselves through a variety of creative modalities, such as art, music, cooking, or poetry.
Often times, it is more appropriate for a resident to receive 1:1 activities rather then group activities. This can occur when groups do not appear to be therapeutic for a resident, or if a resident is too disruptive in a group setting. 1:1 activities can be offered by anyone from the activity staff along with nurses, companions, housekeepers, etc.
Examples of one-on-one activities for individuals requiring this attention can include talking or reminiscing, working with a lap basket, taking a walk, looking at a photo album, listening to/playing music, reading a story, etc.
Many times in our lives we judge things depending on quantity. More is better. Well, in activities, it often is the case that more is not better.
Although it may seem cruel or unpleasant to not invite or include everyone in an activity, it can actually make the program more therapeutic for everyone involved.
Later, you’ll learn about the Group Program Design Tool, which will tell you more about the appropriateness of different residents for different groups.
Our residents are very diverse in many aspects of their life, including all of the categories we just discussed.
Leveled programming offers staff members the opportunity to recognize and appreciate each resident’s unique situation
Leveled programming is enforced by placing resident’s into categories to determine which activities they will benefit the most from in each of the categories previously listed.
This is determined by assessing each resident’s skill level, including their current cognitive, physical, and social conditions
Starting in August 2013, we will be rolling out leveled programming in Muirfield.
The purpose of this is to provide the highest quality of programs to all of our residents.
We hope to increase participation and better meet the needs of all.
Three categories showcase resident skills: level 1, 2, 3.
They usually will have attributes relating to two categories, but they will most likely display behaviors more appropriate for one category
It is always best to try to place the resident in a category where they will continue to thrive and receive the maximum benefits during activity programming
Understanding leveled programming should help family and staff understand why certain residents will thrive in certain levels of programming offered here at Waverly