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Improving function through leisure and recreation

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(1)

Company

LOGO

Improving function through

leisure and recreation

(2)

Special Thanks

• Paul Burchuk, CTRS

– Recreation Therapist, SCI – Hampton VAMC

• Kimberly Gladson

– Recreation Therapist, DOM – Mountain Home VAMC

(3)

What is Recreation Therapy?

• What is it? (from American Therapeutic Recreation Association website)

– US Dept of Labor definition: profession of specialists who utilize activities as a form of treatment for persons who are physically, mentally, or emotionally disabled. Active treatment to improve physical, cognitive, emotional, and social functioning and to increase independence in life activities.

(4)

What is Recreation Therapy?

– Use leisure in ways to enhance health, independence, and well-being

– Traditionally delivered in rehabilitation facilities, long-term care units, assisted living facilities, home healthcare, etoh/substance use facilities, pain centers

– Can be delivered in community parks and recreation programs in larger cities

(5)

What is Recreation Therapy?

There is formal training and credentialing for RTs

CTRS – certified therapeutic recreation specialist

Bachelors degree or higher from accredited institution

480 hour internship

Will increase to 560 hours in Jan 2013

National certification examination

RT is recognized as a rehabilitation service by JCAHO and CARF

(6)

What does RT address?

• Musculoskeletal, neurological, and

neuromuscular impairments

• Sensory impairments

• Cognitive impairments

• Psychological impairments

(7)

Benefits

• Helps to prevent decline in physical, cognitive,

and psychosocial functioning

• Reduces the need for health care services

• Reduces secondary disability and associated

health care costs

• An additional means to help manage pain that

can be used alongside other management

(8)

How does it benefit a person with chronic pain?

Helps to set realistic, achievable goals

Sets up opportunities for accomplishment

Increases self-esteem

Provides pleasurable/enjoyable

experience

Increases activity level

energy level

(9)

How does it benefit a person with chronic pain?

Improves sleep

Decreases boredom

Distracts from pain – gate control theory

Provides opportunity to practice

appropriate pacing

Improves weight management

Focus on wellness behaviors, not sick

behaviors

(10)

How does it benefit a person with chronic pain?

Increases

socialization

Improves conversation skills

Improves social skills

Improves

cognitive

functioning

Memory

Attention

Decision making

Sequencing

Organization skills

(11)

How does it benefit a person with chronic pain?

Improves coping abilities

Improves mood

Decreases anxiety

Decreases stress

Increases life satisfaction

Combats kinesiophobia

 Challenges assumption that avoidance is an adaptive pain coping strategy

(12)

Who is an appropriate candidate?

• Anyone with a need to work on a physical,

cognitive, emotional, or social impairment

(13)

What formal resources may be available?

– Art therapy

– Music therapy

– Animal assisted therapy

– Recreational resource awareness – Leisure education

(14)

What can you do when no formal resources are available?

• Encourage/assist patients to determine: – Values – Motivators – Leisure goals – Possible activities – Barriers – A schedule

(15)

Values and Motivators

• What do they value in life?

• Find an activity that is motivating so they

Will do it

• An activity worth approaching will help

combat fear-avoidance behaviors

(16)

Choosing an activity • PAL

• Be realistic

• Make it something they are capable of doing • Does not have to be exercise

• Be something they can do alone or with others

• Something that can be broken down into smaller steps • Try to modify something they used to like to do

• Something to do each day • Be creative

(17)

Encourage a different mindset

• Focus on what they are currently capable

of doing, not what they used to be able to

do

• Give themselves credit for efforts, not just

outcomes

• Make it a want or a choice versus a must

or a should

(18)

Leisure activities

• Arts/crafts

• Music

• Sports

• Education

• Reading

• Spectator appreciation

• Relaxation

• Helping others

(19)

What are the barriers?

• Travel • Finances • Weather • Motivation • Guilt • Limited skills

• Small social network/no companion • Time

(20)

Activity Schedule

• Start low and slow

– Increase number of activities over time – Increase time spent in activity over time

• Have them plan as much as possible

• Identify the connection between activity

and mood/quality of life

(21)

Exercise

• Write down 2 activities that you enjoy

• Who would you be without these activities in your life?

• How could you modify the activity to work with: – LBP?

– Fibromyalgia?

– Right arm amputation?

• What are 2 other activities you might do if you couldn’t engage in these?

(22)

Resources

– For Veterans

• Team River Runners

–www.teamriverrunner.org

–Kayaking program

• Volunteer services at VA

–projects, crafts, volunteering –Help Hospitalized Veterans • Warrior Institute

(23)

Resources

– For veterans

• Wounded Warrior program • Horses for Heroes

–At Small Miracles stable in Kingsport • Project Healing Waters

–www.projecthealingwaters.org

– For elderly

(24)

Resources

– For anyone • YMCA

• Local park district

• Small miracles therapeutic equestrian center

–Focused on youth and veterans • Adaptiveadventures.org

• Patrice Neal Rehabilitation Center –Ft Sanders Regional Med Center –Generally for physical rehab

www.teamriverrunner.org www.warriorinstitute.org www.projecthealingwaters.org

References

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