midterm 1 Flashcards
principles, purpose and practice
leisure activity in the rehabilitation process. leisures contribution to the quality of life.
health
mental, physical, social well-being (not just absent of disease)
wellness
individual responsibility for well-being through health promoting lifestyle behaviours.
quality of life
way person percieves his/ her life has meaning and comfort
impairment
loss of physiological or psychological function
activity
capacity to perform things/ level of functioning
participation
engagement in activities of life (no matter what impairment)
leisure
spare or free time. state of mind, activity, or recreation
3 principles of leisure
as time, as activity, as a state of mind
reacreation
leisure experience that provides immediate satisfaction to individual
play
a behaviour, societal influence. Replaced with leisure or recreation. (but therapeutic rec. is more than play!)
integration
include all races disable groups etc.
inclusion
enables individual to be a part of there environment. (have friends, being valued)
normalization
to make normal. goal: disadvantaged individuals to live in society that is normal as possible. process: method chosen to meet that goal. (70 year olds day to day routine but does have a choice in activities)
normalization means
day, week, year, development, choices, love, money, housing.
therapeutic recreation promotes:
growth and development, independence, confidence.
goal of therapeutic rec. **
improve / minimize decline in functioning in five components: cognitive, phsycial, social, emotional, spiritual/cultural.
ageism means:
discrimination/ stereotyping against people because they are old
seniors contribute to society by being: (4 M’s)
mentors, mediators, monitors, mobilizers
physical benefits of rec. ther. :
reduces cardiovascular risk & physical complications. Improves physical/ perceptual motor function.
cognitive benefits of rec. ther. :
improves cognitive function, memory, orientation, new learning.
social benefits :
improves self confidence, social skills, community inclusion
emotional benefits:
improves INDEPENDENCE, mental health, self-esteem. reduces stress, depression, anxiety.
benefits to caregiver/ family
enhances family relationships, respite for caregivers, social support. (life long skills for fam.)
Gerontology
social, psychological, biological aspects of ageing.
healthy ageing
nutrition, exercise, rest, personal fulfilment, avoid risks
theories why we age
(biologically) genetic, nutrition, environment. (psychological) personality, activity.
Maslow’s hierarchy :
(S,S,L,S,P) self actualization, self-esteem, love & belonging, safety & security, physiological needs.
phases of retirement:
RNHDRST (remote phase, near pre-retirement phase, honeymoon phase, disenchantment phase, re-orientation phase, stability phase, terminal phase.
why people continue to work
financial worries, commitment, social reasons, fear.
grieving process
denial, anger, searching for alternatives, depression, acceptance. (DASDA)
critical elements of living environment: (6)
ownership, physical condition of house, location, proximity to recreational activities, proximity to relatives, accessibility of transportation. (OPLPPA)
Where do elderly live?
Owner-occupied, family, retirement (OFRR) communities, residential (long term care. LTC)
Independent housing
person is independent but may need adult day program, family help, community care, foster care, or respite care.
Adult day programs
individual is at home but services are provided during the day. (care-giver relief)
Community care
Individual is at home but receives help OT, PT, nursing, social worker.
foster care
private residence for seniors who need supervision. (often used as respite)
respite care
try to keep patient at home. (residential, group day care, home-based care)
supportive housing
pays 100 % to live there. access to support services. (one meal per day and cleaning)
assisted living
requires assistance in hospitality, housing and care.
residential care
24 hour professional care.
hospice centre
terminally ill patients.
two types of barriers:
intrinsic (own physical or psychological limitations) and extrinsic (changeable, environmental often)
acute care
PTA usually doing ROM, walking programs etx
convalescent care(short stay)
support during recovery from weakened state.
community
need reorientation to services in community due to lowered health status
long term care
slowly try to get patient involved in programs/activities on the unit.
attitudinal barriers
behaviours, hard to change. ex) prejudice/ discrimination. stereotyping.
physical barriers
restrict or complicate access or movement. easy to change. ex) escalators, stairs, ramps, sand.
three methods of changing attitudes:
personal contact, persuasive communication, assumption of disability (what some experience) (CPA)
Functional intervention model
(PECS) physical, social, cognitive, emotional
leisure ability model (LAM)
functional intervention, leisure education, recreation participation. (in order for degree of freedom for participant)
functional intervention goals:
cognitive development/ functioning, social and interaction skills.
leisure education goals:
awareness of leisure and its significance. attitudes and values.
recreation participation goals:
participation in leisure skills. (health, growth, development)
social model of care (EDEN ALTERNATIVE)
vision, education, implementation (LOOKS AT PERSON (values), ENVIRONMENT (decorating) , NON HUMAN (cat, dogs, plants) (VEIEN)
APIE process:
assessment, planning, implementation, evaluation
Assesment
info gathering and reporting to therapist
planning
what does the client need, and provide a goal. objectives are how you plan to meet these goals. (PERFORMANCE, CONDITION, CRITERIA)
implementation
method, observations, reporting.
evalutaion
goals met? how or why not? changes for next time?
goal:
result or achievement (WHAT)
objective
description of performance you want patient to demonstrate (HOW)
preformance
what patient is to be able to do
condition
limitations
criteria
how you know it was accomplished
task analysis/ activity analysis
breaking down activity to see what skills are required
top 5 edens
- combat loneliness, helplessness or boredom. 2. Create diverse human habitat. 3. Provide companionship. 4. Elders give care as well as receive. (do laundry) 5. Variety and spontaneity (CCPEV)
