Posted: June 27th, 2015

Therapeutic Recreation for One Patient

Therapeutic Recreation for One Patient

Contextual environment

This is an analysis of Berala on the Park therapeutic recreation programs. Berala on the Park is a twenty-four hours nursing care that offers high quality services and care to clients of all ages. Additionally, Berala Park offers leisure and recreational activities. Berala Park services are categorized into three groups which include health, lifestyle and activities. For the health services low level care services offers independent living choices that allow clients to continue living in home setting with warm, friendly and social environment. It is situated at Auburn in Sidney’s Western district. Berala on the Park creates a beautiful, comfortable, luxurious, and accommodative environment that allows residents experience richer and fuller life (Berala on the Park, 2012).

Berala on the Park mission is to provide “optimum quality resident care delivered with a sense of warmth, friendliness, professionalism and individual pride.” At the same time the Berala on the Park is dedicated to providing excellence and compassionate care services to the aging members of the society. The premise has established itself as a place where caring begins and life continues. The main goal of Berala on the Park is to diligently deliver a sustainable, healthy, and comfortable living environment to the aging. At the same time, Berala aims at providing conducive environment that encompasses freedom, peace, and individuality. It is aimed at gaining new knowledge and insight into aged care so as to ensure high quality care services are delivered (Berala on the Park, 2012).

Berala offers low, high, dementia, and low and high respite care accommodation services to the elderly. Low care accommodation is allows the client to enjoy freedom and independence while being cared for. It provides independent choices for client and ensures that home setting environment that is warm, friendly and sociable. High level care guarantees Gold standard level of care to the elderly by delivering quality services facilities, and comfort. This ensures the same environment is provided to client family at the same time. High level care is designed to ensure that residents enjoy relaxing and pure comfort of peace. Low and high respite care is flexible service that is designed for short-term stays. It gives the exact quality services as enjoyed by other permanent residents.

Various researches show that active treatment of delirium, depression and cognitive deficits caused by dementia are best treated through a supportive environment (Poole, 2000). It is on this basis that Berala on the Park introduced dementia care. Berala dementia care caters for emotional care of its residents by providing necessary care assistance. They encourage the participation of the elderly in the activities as well as providing a cheerful and friendly environment to the residents.

The primary focus of Berala on the Park is to make sure that the needs for ageing individual are catered for. At the same time, it gives the client and his or her family with peace of mind in a more professional way. Rooms at the facility are designed to ensure that paramount comfort is guaranteed to you. Air conditioning, flat screens televisions, fridge, telephones, broadband connectivity, and most modern en-suit are provided in all rooms. The facility has a 9A Grade hospital building that is in compliance with hospital grade standards. Key features of the facility include large specious rooms with numerous cosy informal meeting areas, hair and beauty saloons, fire retardant floors, walls and ceiling with hold back fire from jumping to another room.

Berala on the Park has highly qualified and experienced staffs that ensure that the needs of all clients are adequately met. The dedication of nurses to the service of the clients makes your stay at the facility a very nice experience for yourself and your family. The residence offers amazing and stimulating activities to the residents all at all times. Extensive activities program ensures that residents have fun and enjoy themselves with various activities such as bingo, bowls, concerts, karaoke, among other activities that are offered. Divisional Therapist creates full time activities that suit every individual choice. These therapeutic activities are to encourage social interaction and cultivating a sense of belonging for the residents.

Berala has well structured lifestyle that encourages residents to participate leisure and therapeutic activities. Social and leisure assessment activities encourage individual residents input in development of their own lifestyle care plans. These programs are maintained by divisional therapist officers. Daily physio aide exercise programs at the residence, live entertainment, morning music, gentle exercise activities, reminiscence or reflection sessions such as nostalgia mornings and memory boxes, aromatherapy and art are other therapeutic activities that majority of resident find very important (Astin, 1999). Berala has improved technology for instance; televisions sets at the home interact with the call bell system, communication infrastructure such as phone systems such as call mobile and STD numbers, and new DECT phone. Berala also staff participate in activities with the residents. Such activities that are all inclusive of the staff are exercises, music, and games. Other activities offered include art and craft, dancing, reading, scrabble, outings, and tai chi.

Management systems in any residential care centre service home should be responsive to needs of residents, their representatives, staff, and stakeholders as well the changing environment in the home operates. Berala have stack to this philosophy by continuously pursuing improvement their building and making rooms more specious (Aged Care Standards and Accreditation Agency limited, 2009). The management and the entire staff have appropriate knowledge and skills that enable them to perform their roles effectively. This ensures that education that is provided by the staff to the residents meets their needs. The company has stack on its philosophy to offer quality care by intensively proper training and education of the staff. Education relating to accreditation standards is regularly provided to the staffs which usually include quality management, aged care, administration and mentoring. Additionally, Berala in it philosophy is committed to maximizing residents privacy and dignity at all times. The staffs are adequately trained to manage resident’s privacy by always requesting permission from the residents to access their rooms. At the same time,

In support of its ageing care services, the company ensure that excellent meals are prepared for the residents. The home has chefs that that develop and prepare menus that provide seasonally fresh food for the resident. Above all, the meals are very nutritious and delicious with seasonal ingredients that guarantee excellent satisfaction. Its food services are accredited by the Aged Care Standards and Accreditation Agency. The dishes provided are homemade and meet specific dietary needs of different residents.

At this point, its important to reemphasize the special attachment that Berala has for the aged individuals in the society. Residential aged care homes play a very important role in providing accommodation and support to elderly people in the society who are unable to live independently at home. It is to the realization of these that Berala has endeavoured to provide beautiful and friendly environment to resident through quality care, activities, meals, and accommodation.

Assessing of individual care needs of the client

The client I worked with in my program is called Betty. Betty is 80 years old retiree. Betty has not received any advanced aged care since she left Berala on the Park home in the last five years. Bettie experiences pain on regular basis that has had significant effect her individual quality of life for the last twenty years. The pain has decreased her ability to function effectively thereby limiting her mobility, social interaction, appetite, and rest patterns. More so, the pain seems to have changed her psychological wellbeing for some time now. This has left her more anxious and depressed. Betty is on pharmacological pain management strategies on daily basis on low and high respite care from Berala home. Betty is an eloquent speaker with jovial character when you get used to her. What fascinates me about her is her composure and love of music and dancing. She particularly enjoys dancing to pop and jazz music and watching cartoon network. At the same time, she is a great fan of topic comic and reality shows.

Since pain assessment and diagnosis is carried out for residents with dementia or severe cognitive impairment, Betty gets the much needed assistance from the Berala home. She receives high level of care and assistance that encourage her to participate in activities as well as stimulating mentally by creating social friends. This leaves her more cheerful than before.

Programme implementation

Since Betty loves music, dancing, and watching top comic and reality shows, the intended program for her is leisure and recreation. The specific activity for the client should capture her likings so as a combination her current pharmacologic and non-pharmacological treatment can be successful. The illness has caused her be more anxious and depressed therefore the program is aimed at letting her recognize her that she only but her early stages dementia. Letting her being engaged in listening to music or using imagery technique like big screen top comic shows is inevitable in her program. This distraction will help her during painful episodes. It is good to realize that music episodes are important in reducing disrupting behaviour of aggression by dementia residents. At the same time, this program requires someone who is cheerful so that my client stay active all the time. Additionally, aerobic exercises, strengthening, stretching, dancing will be fundamental in pain management so as improve her conditions (The Australian Pain Society, 2005) as well as improving her mood and pain intensity. At the same time the program cognitive-behavioural therapy will be vital in reducing her anxiety and depression.

Evaluation

This program is not unique when compared with other pain and dementia programs in many residential aged care homes in Australia. This is a positive score for the entire program that my client is to undertake. Well trained, educated and experienced personnel in pain management is required in such programs due to the fact that quality services are required for this program to be successful (Warden & Volicer, 2003). These professional will be required in the program because of the attention required to avoid moving few step backs in the treatment process. This program might call for multidisciplinary collaboration of the family, nurses, physiotherapists or health professional as well as care workers. The major aim of the program will be decrease the pain of my client to bearable level and that is the essence of involvement of all these professional groups at one stage of the stages within the program. Education programmes of the scope of the program activities will be made available on regular basis to the staff as update of improving the pain management program.

The severity of the pain will be regularly be monitored for effective treatment. Pain assessment scales can be used in the evaluation of the pain dimension during the program. The scales are used on daily basis so as to check the changes in severity, of the pain and check whether the treatment activities are effective and how they can be improved (Auret et al., 2008; Cleeland, 1989). It is important to note that the client will also have a vital role in the program. Betty’s individual goals are to established first and then become more honest about the treatment activities. Realistic goals of the therapy will be shares between the client and his family. Maintaining of top priority of the treatment goals will be core to the program (Steinhauser et al., 2000).

Post implementation audit is also critical is checking whether the resident pain treatment program has been completed within the required time. The program is expected to have profound improvement in the condition being faced by my client. The major challenge of the program will be keeping the progress of the program on track so as to achieve the program goals as anticipated. To ensure the success of the program and especially with regard to her favourites things she likes doing, I bought her favourite top comics and music and recommended the home on the best entertainment specification that are important in the entire process. From my interaction with her, she is a corporative woman willing to engage in activities that are likely to improve her conditions. The success of this program entire depends on the staff who will be attending to her, her corporation which is positive alongside other factor. This program promises good outcome due to the effectiveness of the treatment activities and therefore very important and highly recommended for other clients.

 

 

References

Aged Care Standards and Accreditation Agency limited. (2009) Decision to Accredit Berala on the Park. Retrieved from http://www.accreditation.org.au/site/pdfs/reports/local_BeralaonthePark3_1242351097.pdf

Astin, J.A. (1998). Why patients use alternative medicine: Results of a national study. British Medical Journal,279 (19), 1548-1553

Auret, K. A., Toye, C., Gluck, R., Kristjanson, L. J., Bruce, D., & Schug, S. (2008).

Development and testing of a modified version of the Brief Pain Inventory for use in residential aged care facilities. Journal of the American Geriatrics Society, 56 (2), 301-306.

Berala on the Park. (2012). About us. Retrieved from http://www.beralaonthepark.com.au/

Cleeland, C. S. (1989). Measurement of pain by subjective report. In C. R. Chapman & J. D. Loeser (Eds.),Advances in pain research and therapy: Vol 12. Issues in pain management (pp 391-403). New York: Raven Press.

Poole, J. (2000). Nursing Management of Disturbed Behaviour in Aged Care Facilities.

Retrieved from http://www.dementiaassessment.com.au/flowcharts/Pooles_Algorithm_full.pdf

Steinhauser, K.E., Christakis, N.A., Clipp, E.C., McNeilly, M., McIntyre, L., Tulsky, J.A.

(2000). Factors considered important at the end of life by patients, family, physicians and other care providers. Journal of the American Medical Association, 284, 2476-2482

The Australian Pain Society. (2005). Pain in Residential Care Facilities: Management Strategies. North Sydney, NSW.

Warden, V. H. & Volicer L. (2003) Development and psychometric scale. Journal of American Medical Directus, 4(1):9-15,

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