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OKLAHOMA ASSOCIATION OF HOMES AND SERVICES FOR THE AGING. Annual Conference March 8, 2011 “Celebrate Age.. Expand the Possibilities”. LIFE ENRICHMENT THROUGH ACTIVITY PROGRAMMING. Rita L. Spak MS, CTRS, ACC, CDP www.spakconsulting.com. ACTIVITY PROGRAMMING.
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OKLAHOMA ASSOCIATION OF HOMES AND SERVICES FOR THE AGING Annual Conference March 8, 2011 “Celebrate Age.. Expand the Possibilities”
LIFE ENRICHMENT THROUGH ACTIVITY PROGRAMMING Rita L. Spak MS, CTRS, ACC, CDP www.spakconsulting.com
ACTIVITY PROGRAMMING • How do you spend your leisure time? • We need to become more knowledgeable about • Resources available to us • Adaptations available to participants
CHANGES IN THE ACTIVITY PROFESSION • Life Enrichment Coordinators • Activities 24/7 • Using volunteers • Using other staff • Using clients
KNOW YOUR CLIENTS • Good individual assessment • Clients strengths versus limitations • Population analysis • Physical status • Cognitive status • Social status • Behavioral status • Accommodation of needs
A DAY IN THE LIFE OF OUR CLIENTS • 24 hours per day • -8 hours per sleep • -1.5 hours to eat • -1.5 hours for ADLs • -.5 hours for nursing care • 12.5 hours/day = 4,563 hours/year
LEISURE • The real dividing line between things we call work and the things we call leisure is that in leisure, however active we may be, we make our own choices and our own decisions. We feel for the time being that our life is our own
WHAT CAN YOU DO?? • Minimize the limitations • Therapeutic groups/activities Compensate for lasting limitations or give alternatives Adapt activity demands Adapt activity process Adapt the environment Instruct in compensatory techniques
WIRELESS CONNECTIVITY • Touch2Play Entertainment • (888) 521-2278 • www.touch2play.net Nintendo Wii Addresses gross motor movements and upper body strength Thought Technology (800) 362-3651 www.thoughttechnology.com
‘SMART HOME” TECHNOLOGY • Incorporating “smart home” technology to foster independence will expand from the current 8% to 39%, according to senior care providers • www.presto.com Allows families to send e-mails and pictures to clients without computer access www.Careletters.com families log in and service sends e-mails once daily to your facility
“SMART HOME” TECHNOLOGY • Memory Magic Program • (330) 258-9000 • www.memorymagic.com • Quickly engages people with a range of cognitive impairments • Promotes use of cognitive abilities • Stimulates social interaction • Reduces disruptive behavior
BRAIN FITNESS PROGRAMS • Dakim BrainFitness • (800) 853-7137 • www.dakim.com It’s Never 2 Late (303) 806-0797 www.iN2L.com Just released a new computer designed to let users touch their way to their own interests, connecting to their families and the outside world
HOME HEALTH SERVICES • Currently 24% of continuing care retirement communities offer home health services, but the number is projected to leap to 62% by 2013. • Pittsburgh Pilot Project • Robots to serve as aides • Should be available in four years • Should cost less than $20,000 • Will last for more than a decade
WELLNESS PROGRAMS • Expected to grow to 52% of facilities, up from 25% • DIET • EXERCISE • SOCIALIZATION • KNOWLEDGE
WEB-BASED EDUCATION OPTIONS • Currently 22% of communities are now offering Web-based education, that number is expected to soar to 69% over the next four years.
“GREEN” FACILITIES • Senior living environments are expected to implement some of the most notable changes. A total of 35% of senior living providers said they expected to observe “green” standards in new facility construction or renovation (up from none now). • Nearly two in five (39%) said they would be building “small house” models for long term care residents, up from the current 8% • www.pioneernetwork.net an atmosphere to change the culture of aging
ADAPTING YOUR FACILITY • ELIMINATE: • Overhead paging • Nursing stations • Medication carts • Institutional signage • Mass purchased furnishings
USING ADAPTIVE INTERVENTIONS • Hearing Loss • Vision Loss • Use of only one hand • Cognitive impairments • Younger clients • Clients from diverse ethnic or culture
USING ALTERNATIVE THERAPIES • Aromatherapy • Deep Breathing • Meditation • Yoga • Tai-chi • Relaxation • Snoezlen • Visual Imagery
ACCESSIBLE BOOKS • People unable to read traditional printed books… • Bookshare members can download books and use special software that reads a book aloud or displays its text on a computer screen or Braille access device. • Membership is available to those with a visual disability and also to individuals with a physical or learning disability that makes it difficult or impossible to read standard print • www.bookshare.org
THE WANDERING RESIDENT • GPS SHOES • GTX Corporation, a maker of miniaturized Global Positioning Satellite tracking, is helping to design the shoe. • The shoes have a built-in GPS device that would provide the precise location of the person with dementia wearing the shoes anywhere in the world • SILVER ALERT PROGRAM
YOUR FUTURE • 80% of your clients will have some form of dementia • www.nccdp.org • 20% of your clients will be clinically depressed • psychotherapy
STATE OF THE ART PROGRAMS • Simple pleasures • Suitcase in the attic • Best friends • Learning circles • Awards & trophies • Gentle awakenings • Consistent assignments • CNAs at care conferences • Bread machines • Individualized birthdays
STATE OF THE ART PROGRAMS • Med cart reductions • Lobby beverage bar • Daily fine dining • Staff work-outs • Welcome baskets • Family baskets • Bedside family members • End of life care teams • Discharge phone calls • Walk to bathe
STATE OF THE ART PROGRAMS • Puree foods with eye appeal • Bereavement cart • Dining for staff • Silverware prep • Celebrity chief • Gardening • Spa rooms • Shower robes • Weekly massages • Breakfast bar
STATE OF THE ART PROGRAMS • Hearts of gold • Bravo • Late breakfast cart • Going home celebrations • Spa shower rooms • Bathing with dignity • Late night snacks • Sensory hand washing • Sweet dreams cart • Patio dining
HELPFUL WEBSITES • www.alz.org • www.swwf.com • www.idyllarbor.com • www.activitydirector.com • www.activityprofessional.com • www.innovationinrecreation.com • www.activitytherapy.com • www.timeslips.org • www.secondwind.org • www.bhg.com
EMPOWERMENT ACTIVITIES • Creative - music, art, literature • Educational - adult education, guest speakers, current events • Community wide visits • Cultural diversity • Religious diversity • Ethnic diversity
MAINTENANCE ACTIVITIES • Individual birthday parties • Daily exercise programs • Religious activities - Bible study, psalm reading, • Social groups • Seasonal activities
ANALYZE YOUR CALENDAR • Alzheimer’s and dementia programs • Citizenship programs • Cooking • Creative • Cultural Diversity • Educational programs • Empowerment • English classes • English reading classes • Exercise
ANALYZE YOUR CALENDAR • Exercise • Horticulture programs • Intellectually stimulating • Intergenerational programs • Life skills programs • Low functioning programs • Men’s groups • Movies • Music programs - drumming • NPO programs
ANALYZE YOUR CALENDAR • Outdoor events • Pet therapy • Rehabilitation programs • Religious • Room visits • Reminisce • Resident programs • Seasonal programs • Self esteem • Self recreation
ANALYZE YOUR PROGRAM • Small groups • Social clubs • Speakers • Special events • Sensory programs • Spirituality • Trips • Volunteer programs • Young adult programs • wellness
What Makes a Successful Care Provider