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33 Cards in this Set

  • Front
  • Back

Types of Dementia

MALFK


Mixed Dementia - more than 1 type of dementia


Alzheimer's - problems with memory, thinking & behaviour


Lewy Bodies - progressive decline in mental abilities (thinking, memory, movement)


Frontotemporal Dementia - uncommon disorders that affect the frontal and temporal lobes of the brain


Korsakoff's - caused by alcohol






Types of Cognitive Function





CAMML


- concentration


- attention span


- memory


- motor skills


- language

Top 3 TR Association

TRO - Therapeutic Recreation Ontario


CTRA - Canadian Therapeutic Recreation Association


ATRA - American Therapeutic Recreation Association

Contradictions to Hydrotherapy

OFSUL


- open wound


- fever


- skin infection


- uncontrolled blood pressure


- lack control of urine







3 TR Models

1. Leisure Well-Being Model


2. Sunnybrook


3. Leisure Ability Model

TR Model


Leisure Well-Being Model

- Carruthers & Hood


- focus on ability rather than disability


- leisure experience


- 2 Mechanisms:


1. strength & abilities (look at positive not negative)


2. provide psycho-educational interventions



Leisure Well-Being Model


Developing Resources can be Facilitated Through

PLAT


- psycho-educational interventions


- leisure


- advocacy


- therapeutic relationships



Leisure Well-Being Model


5 Broad Categories

1. Psychological - happiness, emotions, self-awareness, hope, sense of meaning


2. Social - communication, self-confidence


3. Cognitive - concentration, following directions, problem solving, memory


4. Physical - health, fitness, mobility, energy


5. Environmental - social networks, community engagement

TR Model


Sunnybrook Health Science Centre

- client focused


- hopes and dreams

Sunnybrook


Documentation

- overall observation of residents

TR Model


Leisure Ability Model

- Peterson & Stumbo


- every human needs, wants & deserves leisure


- people experience barriers

Leisure Ability Model


3 Areas

FLR


LR1. Functional Intervention - improve functional skills and abilities that make participantion in rec possible


2. Leisure Education - develop and acquire leisure related skills for a healthy leisure lifestyle


3. Recreation Participation - opportunities for fun, enjoyment, and self expression within organized delivery system

Leisure Ability Model


4 Areas of Leisure Education

(triple L+s)(LA, LR, LA SI)


1. Leisure Awareness


2. Leisure Resource


3. Leisure Activity Skills


4. Social Interaction Skills

Leisure Ed (Leisure Ability Model)


Leisure Awareness

SKLD


- where they can go to engage in leisure


4 Components:


1. Self-Awareness


2. Knowledge


3. Leisure & Play


4. Decision Making Skills

Leisure Ed (Leisure Ability Model)


Leisure Resource

- equipment, people, places


- activity opportunities, personal resource, community resource


- (painting, golf, whatever they are being taught)

Leisure Ed (Leisure Ability Model)


Leisure Activity Skills

- others being engaged in an activity during their free time


- sports, dance, music, drama, etc.

Leisure Ed (Leisure Ability Model)


Social Interaction Skills

- building block of society - interacting with others


- communication, relationships

Leisure Ability Model


Recreation Participation

- structured activities allowing clients to practice nearly acquired skills, enjoyment, self expression & independence

Assistive Devices

- card shuffler


- card holders


- large dice


- large checkers


- modified golf clubs


- gardening bench


- light weight garden tools


- fishing harness


- golf ball ramp


- putting green


- wheel chair (sport related)

Main Symptoms of Parkinson's Disease

TRAPS


Tremor - shakes


Rigidity - bent/be forced out of shape


Akinesia - loss of movement


Postural Instability - can't keep body balanced/stable


Speech Changes - can't talk as well

Charting Method 1



SOAP


Subjective - what the patient says


Objective - what you observed


Assessment - your findings


Plan - goals & strategies

Charting Method 2



DAP


Descriptive


Assessment


Plan

Charting Rules

- must be legible


- signed & dated


- avoid abbreviations


- chart only for yourself


- black ink


- state facts


- watch spelling


- does it make sense?

Neurological Conditions that TRs Might Treat

PASSH


- Parkinson's disease


- Acquired brain injury


- Spinal core injury


- Seizure disorders


- Huntington's Disease

When Would a TRS Document on a Chart?

DAPT


Discharge


Assessment Results


Progress Notes


Treatment Plans



4 Areas of Functional Intervention: Domains of Well-Being

PECS


1. Physical - physical ability in a person


2. Emotional - focus on the emotions


3. Cognitive- related to the brain


4. Social - Interacting with others

Health Problems Relating to Stress Can Cause

- hypertension


- stroke


- heart disease


- depression


- alcoholism


- cancer


- memory loss


- panic attacks


- migraines

TR in the Veterans Care Program

- Canadian war veterans


- 192 beds


- 7 females


- St. Joe's Hospital - Parkwood


- provides complex care, rehab, palliative care, geriatric services, veteran care

Veterans Care


Mission

- provide care to support veterans and his/hers family to meet their needs and to promote health and enhance quality of life


- services, education, resources

Veterans Care


3 Related Sub-Programs

1. psycho-social support


2. dementia care


3. physical support

Veterans Care


Team

- veteran family, TRS, social work, dietitian, music therapist, nursing, pharmacy, etc.

Veterans Care


My SELF

Social


Expression


Leisure


Food

McCormick Dementia Services

- Joanne


- dementia


- not for profit


- person centered approach - know about j=history of their recreation/leisure


- western Ontario