2015-nmc-horizon-report-HE-EN.pd Increasingly education institutions are developing programs that use blended learning. It seems that blended learning environments combine the “best of both worlds” by incorporating both online learning with face to face learning. Online learning has opened doors of opportunity for students that in the past were not possible. However there are many challenges with… Continue reading The Best of Both Worlds
How an adult becomes interested in learning, their motivation for learning,how they acquire and process information is all vastly different from how a child learns. One characteristic of an adult learner is a deep desire to be self directing in what/how they learn. As an adult there is an expectation that you are responsible for… Continue reading A Warm Climate
Increasingly there is a recognition that recreation in long term care settings isn’t just about “filling time” or to “keep people busy”. Recreation in care facilities in the past were often organized by nurses or care staff with no formal recreation training when there was ” a moment” or activities were implemented by community volunteers when available. The appreciation and recognition of the benefits of recreation has increased over the past few years and has resulted in a dramatic shift in the expectations and documentation requirements for recreation services in long term care settings. There has been a movement from what is commonly referred to as “activity based” recreation services to a more personalized and evidence based approach of therapeutic recreation.
No longer is it acceptable for care homes to provide exclusively large group programs geared towards everyone attending with passive participation. Therapeutic recreation programs are goal oriented, personalized activities which are designed to meet the needs of the whole person. The process of therapeutic recreation involves an assessment of the resident’s strengths/needs and development of personalized goals. Therapeutic recreation programs are developed with specific outcomes. Residents are encouraged based on their assessment to participate in appropriate programs and their progress is documented based on observations and according to the program’s objectives.
Here is an article that describes to nurses what therapeutic recreation is.
The patient population in care homes has changed. Residents in long term care are complex and have multiple physical, mental issues. Increasingly residents in care have advance dementia. These residents provide unique challenges in a facility environment as they often have difficult behaviors to manage. In the past the focus for managing difficult behaviors was administering medications. Now health care regulations encourage reducing medications for these behaviors. Therapeutic recreation professionals play a important role in providing a non-pharmalogical approach to managing the behavioral and psychological symptoms of dementia. This article describes the benefits that resulted when certified nursing assistants were trained in therapeutic recreation principals and implemented them in their facility. It was found that residents with cognitive impairments who received therapeutic recreation programming had fewer depression symptoms, increased activity and alertness levels, lower fall rates and lower levels of agitation.
Although there is a recognition of benefits of therapeutic recreation many care homes especially those in rural or more isolated communities still lack staff that are trained in therapeutic recreation or they lack the staff necessary to implement the more personalized approach. The field of therapeutic recreation is much more established and recognized in the United States (both articles listed are American).
Welcome to my blog for the PIDP 3100 Course. It has been awhile since I have taken any course so am feeling a little over whelmed but am excited too! I work as a Therapeutic Recreation Manager and Volunteer Coordinator at a Seniors Facility. I have a Bachelor of Applied Science in Gerontology from Guelph… Continue reading About Me