THERAPEUTIC RECREATIONINTERVENTIONS

CREATED ByCrystal Chapman CTRS

EDTC560Erin WarhamJune 28,2004

Introduction: Therapeutic Recreation “A profession of specialist who utilize

activities as a form of treatments for persons who are physically, mentally or emotionally disabled.”

“Recreation therapy utilizes various activities as a form of active treatment to promote the independent physical, cognitive, emotional an d social functioning enhancing current skills and facilitation the establishment of new skills for daily living and community functioning. “

Delivery Services Therapeutic Recreation services are

delivered in a variety of settings including:

Rehabilitation Hospitals, Nursing Homes Sub acute Care Substance Abuse Facilities Prisons Residential Homes for persons with

disabilities

Commonly Used Interventions

Reality Orientation Validation Sensory

Stimulation Exercise Programs Social Programs Pet Therapy

Sensory

Spiritual Cognitive

Social

Physical

Therapeutic Recreation

Five domains of Therapeutic Recreation

Reality Orientation Should only be

used with the appropriate audience

Appropriate audience is determined by the comprehensive assessment of function level

Who? What? Where ? When? Why?

Reality Orientation Application

Small Groups One to One Emphasize Self-

Awareness Clarity the Day, Date,

and year Elaborate on Weather,

Seasonal information Encourage Family

involvement Educate the Family

Need for reality orientation

Cognitive Loss Permanent or Temporary Memory Loss Deterioration due to Dementia Diagnosis of Alzheimer’s Disease “Sun Downing” Brain Injuries General Orientation to New Surroundings Persistent Vegetative State

Reality Orientation Task Breakdown. Segmentation

How many steps? What are the Necessary Skills needed

Cognitive, Social etc.)

Task Coordination Amount of Control, Skills needed,

multiple tasks Complexity of Tasks

Simple, Moderate or High

RO Sample:Hugging a Grandchild

Step 1: What does the resident need to know?

Step 2: What muscles/movements must be coordinated?

Step 3: What social skills are involved?

Step 4: What are the emotional responses involved?

Reality Orientation Reality orientation boards are commonly

utilized in many facilities. They include Day of Week Month Date Year Name of Facility Season Weather Scheduled Activities Upcoming Holidays

Validation

Validation is NOT Reality Orientation The Resident Directs the Interactions Staff does not Attempt to Redirect

Resident “Goes with the Flow” of the Resident Must be taught to the staff for

consistency

Validation Implementation

Ask Questions” The 5 W’s Who, What , Where, Why, and When

Re-phrase Utilize Long Term Memory, Reminisce Make or avoid eye contact Mirror Movements

Sensory Stimulation Gustatory (Taste) Tactile (Touch) Olfactory (Smell) Auditory (Hearing) Visual (Sight)

Sensory Stimulation:Application

Sign Language Communication

boards Taste Recognition Music, Sound recall Object Recognition Center on One

Sense

Focus on a Topic such as a Holiday

Utilize All senses Cooking Groups Reminiscing

Activities Aromatherapy

Exercise Programs Balance Program Restraint Free Program “Walk to Dine” Walk and Wheel Club Falling Leaves program Exercise Bands,

Batons, Streamers Modified Dance Gardening Utilize Rehab

Equipment

Social Programs Social Dining Candlelight diners Lunch Bunch Hydration Carts Theme Meals

Cinco de May Pizza parties Birthday Parties New Year’s Eve

Things to Remember Offer Substitutes Always have a plan B Physicians order for Alcohol Communicating to Volunteers Codes

Wrist Bands Colored Dotes Meal Cards Lists

Pet assisted therapy Animal Assisted

Therapy The Eden

Alternative

Pet Assisted TherapyAnimal Facilitated Programs

Benefits Increased Willingness

to participate Provides Comfort Enhances Home-like

environment Positive effects on

staff Ability to receive

desired response(Promotes self-esteem)

Challenges Locating pets with

good temperament Finding pets tolerant

of wheelchairs, confused residents and unpredictable behavior

Ability of pets to stay focused

Liability Infection Control

Pet Assisted Therapy: Establishing a Program

Written Autorotation for Administration

Prepare Written Program Description Contact Local Agencies to recruit

trained Participants Establish Evaluation Educate Staff

The Eden Alternative

Views Long term care facilities as “Habitats for human beings rather than institutions for the elderly.”

Seeks to Eliminate Loneliness Helplessness Boredom

THE END