recreation for those ageing with and into disability
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Recreation for those ageing with and into disability. CACL Living Well in Our Communities: Thriving As We Age May 7, 2013 Concord, NH. Northeast Passage Living Beyond Disability. - PowerPoint PPT PresentationTRANSCRIPT
www.nepassage.org© University of New Hampshire – Northeast Passage
Recreation for those ageing with and into
disability CACL
Living Well in Our Communities: Thriving As We Age May 7, 2013Concord, NH
www.nepassage.org© University of New Hampshire – Northeast Passage
Northeast PassageLiving Beyond Disability
Using sport and recreation to assist individuals with disabilities to define, pursue and achieve their goals
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Northeast Passage Established in 1990 to fill gaps in services In 2000, merged with the University of New Hampshire Nationally recognized leader in field of Therapeutic
Recreation and Adapted Sports
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Programs
Adaptive Sports & Recreation
Recreational Therapy
Teaching and Research
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Difference between Adapted Sports and Therapeutic Recreation
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Aging into disability
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Physical Decline Decreased
Strength, Endurance, Mobility, Flexibility, Balance
Increased Fatigue Weight Pain
Cycling Three wheels Bike path Tandems
Gardening Large garden Smaller garden Garden mobility aid Extended handles Raised garden beds
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CognitiveDeficit
ConcentrationMemory lossProblem solvingPlanningImpulsivitySafety Awareness
App store Support
Find your car Organizers Reminders Map My…
Games Memory games Problem solving
games GameChanger
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Social/EmotionalIsolationLoss of friends
Pass away Move away
Difficulty making new friends
Loneliness
Loss of identityFrustrationAngerLow motivationDepression
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Benefits of Recreation• Increase in physical
activity and fitness, • Social connectedness, • Community engagement, • Family relationships, • Practice of functional
skills in all domains, • Stress management• Self efficacy
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Identify the right activityRecreation is personal
What do you like?Recreation is part of our definition
Who are you?Recreation is familiar
Talk about a great memory.Recreation is holistic
Why do you like this activity?
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Making it WorkWhat does this
activity require?What do I have?What do I need to
change or supplement?
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Activity Modifications
IntensityRulesDuration
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Support systemsWho is out there?
What role do you want them to play?
Friends, family, new people, volunteers, professionals
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Equipment ModificationsAlternate use for typical stuffAdapted equipment
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Select a New ActivityWhat did you get from
the old activity?What new activity fills
that need?
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PATH Promoting Access Transition and Health
Assessment Comprehensive intake interview In clients home Set goals
Planning Goals set based on input from client, caregivers, family and
therapist
Intervention 2 - 12 visits, supplemented by phone consults and online
support over six to eight months.
Evaluation Attainment of personal goals Standardized pre /post test QoL, Happiness, HRQol
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Comprehensive Assessment
Examine Current level of physical, psychosocial, and cognitive
function Current level of community interaction Past, present and potential interests for involvement Knowledge of accessible resources Risk factors with potentially negative health impacts Perceived and real barriers to participation Personal network, care givers, and support systems
Set goals for intervention
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General Treatment Areas1. Wellness Education2. Resiliency education and technique
development 3. Individualized Fitness Plan4. Practical Functional Skill Development5. Community Integration in Home Community6. Resource & Network Development 7. Support Network Development8. Individual and Family Recreation Skill
Development 9. Care giver training, support, relief
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Qualitative Research Results for Ageing into/with Disability
• Increased sense of self efficacy• Perceptions of improved quality of life• Improved social participation and engagement with the community• Reduction in healthcare utilization• Positive changes to health and the physical domain• Partnership approach to treatment• Emphasis on home-based intervention• Personal meaning that informed treatment goals
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Case study 72 years old, lives
alone, Primary Diagnosis –
post polio managed well until past eight years.
Secondary Dx - High BP, High Cholesterol, Pre diabetic, over weight, deconditioning
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GoalsTR GOALS
Improve overall health and fitness Increase knowledge of community resources Develop leisure interests
Personal goal Improve endurance to enable a visit to her place
of birth on an island off the coast of Maine.
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Outcomes Health and fitness through
cycling, aquatics and walking Weight was 242, now 205 Cholesterol was 227, now 200 BP was 196/90, now 140/80 Blood sugar was A1c 6.1 pre
diabetic, now 5.9 no longer pre diabetic
Community Resources & Leisure interests Gained proficiency on
computer to find events and resources
Joined walking club and YMCA
Returned to the island in late July
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Tom’s story
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Questions
Contact:Jill Gravink, MS, CTRS/LNortheast Passage4 Library WayDurham, NH 03290603-862-0070www.NEPassage.org