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VA Eastern Colorado Health Care System

04/25/13 Crystal Black, MS, CTRS. VA Eastern Colorado Health Care System . Adaptive cycling program. What it is. Recreational Therapy Referral (Consult) Initial Assessment Treatment Plan Primary Care Clearance Program Enrollment. What it is. Program Design

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VA Eastern Colorado Health Care System

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  1. 04/25/13 Crystal Black, MS, CTRS VA Eastern Colorado Health Care System Adaptive cycling program

  2. ENDURANCE REDEFINED What it is Recreational Therapy Referral (Consult) • Initial Assessment • Treatment Plan • Primary Care Clearance • Program Enrollment

  3. ENDURANCE REDEFINED What it is Program Design • Mission: Adaptive cycling program allows individuals interested in beginning or resuming cycling after an injury or disability to develop and/or practice the necessary physical, psychosocial and cognitive skills in a safe environment. • Vision: Adaptive cycling program is directed toward achieving and maintaining optimal levels of independence, productivity, and well being, as well as enter/re-enter the mainstream of community life.

  4. ENDURANCE REDEFINED What it is Program Design Continued • Inclusion: physical, social, emotional and/or cognitive barriers that prevent independent participation in community cycling. Must have PCP clearance. • Exclusion: weight bearing, range of motion, physical activity and/or behavioral limitations that may exclude him/her from participating in the activity safely.

  5. ENDURANCE REDEFINED What it is Program Design (Continued) Interdisciplinary Approach • VA PM&RS staff • RT, PT, OT, SW, BRS, ATP, Psychology, MD • Paralympic Sport Club staff

  6. ENDURANCE REDEFINED What it is 12-week Duration • Goal Setting • Cycle Safety Assessment • Trail/Road Rating • Nutrition/Hydration • Equipment • Trail, Road & Race Skills • Progressive Independence • Community Discharge

  7. ENDURANCE REDEFINED What it is Reassessments • Weekly • Quantitative • Qualitative Program Evaluation Risk Management

  8. ENDURANCE REDEFINED What it is • Graduation Ride • Veterans, family, Paralympic Sport Clubs, VA staff, community members and organizations • Community Transition • Independence • Celebration

  9. ENDURANCE REDEFINED How we got here

  10. ENDURANCE REDEFINED Step 1 ECHCS Leadership Buy In: • RT Supervisor • PM&RS Department Supervisors • Service Chief • Chief of Staff • Director

  11. ENDURANCE REDEFINED Step 2 US Paralympic Outreach: • Susan Rossi, MNpS, CTRS • Paralympic Sport Club Contacts

  12. ENDURANCE REDEFINED Step 3 Develop Partnerships: • Adaptive Adventures • Handcycles, recumbent trikes, bicycles • Safety Equipment (flags, helmets) • Expertise • Boulder EXPAND • Handcycles • Expertise • Graduation Items • USA Handcycling • Jerseys

  13. ENDURANCE REDEFINED Step 3 continued • Primal • Water bottles • Discounted jerseys • Paralyzed Veterans of America • Stationary trainers • Water Bottles • Training Opportunities • Performance Bicycle Shop • Maintenance Gift Certificates

  14. ENDURANCE REDEFINED Step 4 Design Program Outline • Weekly Schedule • Goals & Objectives • Graduated Skill Development • Progressive Independence

  15. ENDURANCE REDEFINED Step 5 Enroll Veterans • Maximum 6 • Varied diagnosis • Varied ability levels • Equipment needs • Ratios

  16. ENDURANCE REDEFINED Step 6 Begin Clinic: Week 1 • Nutrition education • Hydration education • Equipment education • Goal setting

  17. ENDURANCE REDEFINED Step 7 Begin Safety Assessment: Weeks 2-4 & 8-9* (Adapted from Andy Duprey, RT - VAPAHCS) • Everyone must successfully complete to progress • Includes: • Pre-trip inspection • Safety in a flat un-crowded area • On trail/road maintenance • Safety on the trail • Safety on the street • Emergency response* • Pre-arrangements*

  18. ENDURANCE REDEFINED

  19. ENDURANCE REDEFINED Step 8 Progressive Independence • Leisure Ability Model • 4 weeks at Jewell Outpatient Clinic • 7 weeks on community trails • Destination based on Trail/Road Ratings • 2 weeks planned by Veterans • 1 week independently in the community

  20. ENDURANCE REDEFINED

  21. ENDURANCE REDEFINED Step 9 Promotion, Marketing & Advancement • Public Affairs Officer • Medical Media • “Ride for Freedom” • US Paralympics • Research

  22. ENDURANCE REDEFINED Step 10 Discharge • Community Referrals & Resources • Referrals to Paralympic Sport Clubs • ECHCS Sports & Recreation Equipment Committee • Independent Rides • Peer Networking • Alumni Rides • Peer Support/Mentor

  23. ENDURANCE REDEFINED

  24. ENDURANCE REDEFINED In the works • Research with Indiana University • Investigate Outcomes for this model

  25. ENDURANCE REDEFINED questions

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