A Recreation Program for a Therapeutic Patient
Name
Institution
Contextual Environment
The category of the organization, which I am establishing a curative recreational course is Moses Montefiore home located in Randwick. This association handles supported living for persons with or those not having disabilities. The elderly in this association have right of entry to care provided they encompass are physically handicapped.
Philosophy of Organization
The philosophy of the association is quality of life as well as promoting values. The aspects of quality of life are solitude, poise, comfort, purposeful competences, self-sufficiency, religious and culture welfare, enjoyment, independence, connections, security and lastly significant activities that assist residents to perk up their progresses and their emotions.
Policies/Principles
In addition, their supporting principles are distinction in care, solidarity, respect, expressive sustenance, nonstop growth, education and staff increase, investigation and best practice, discussion, society, safe surroundings and corporate.
Mission of Organization
The overriding mission of this association is to augment the superiority of the life of the elderly Jewish society, by giving an outstanding standard of service along with care, and boosting the affluence of the Jewish civilization and custom. Following an investigation by social scientists, the verdicts incorporated that a majority of the Jews who are elderly suffer several physical disabilities, which instigated their life doomed. In line with this research, a number of non-Governmental organizations worked out better methods of tackling the troubles of the elderly. Among these strategies comprises of setting up of supported living homes aiming the disabled and elderly Jews. The Jewish society advocates for supporting one another being a Christian civilization with numerous accounts of Jesus Christ (Judith, 1993).
Client Group Served
The Montefiore quarter is for elderly people having or not having disabilities plus they encompass divisions that rely on their capability of moving and performing things. The association gets its customers from the civilization where well wishers tender them to the association. After welcoming this people, analysis is the initial step to institute whether they have any additional difficulty excluding the physical disability.
Goals
Montefiore home has established set unique goals to direct everybody in the association in to a direction of attaining the set goals. The Montefiore association has a viewpoint of care centered on capitalizing on the inhabitants’ quality of life. The goal of restorative recreation experts is to encourage chances for articulateness; sense of belonging; social communication; fine or unpleasant motor abilities; sensory inspiration; exploitation of the imaginative skills; build self-worth; cognitive stimulation; focus dexterity and sense of accomplishment.
Resources (Human/Material/Technological)
The materials along with technical resources are exact for every activity. They consist of Craft tools, paint brushes, manuscripts, scissors, trimmings and glue. The music-instruments consist of (piano and violin); CD recorder and song book. There are as well numerous other resources, for example, table game; scrabble, as well as, quiz-questions. Undeniably, the activity surrounding is a space established that does not have throw traffic; the category and layout of seating around a table, horseshoe chairs; tools establishment (basin mats and chairs, design of the table paraphernalia, piano with regard to partakers); employment of music CD recorders and players and the musical category.
The Corporate Culture
The personnel of Montefiore home gets refresher classes whether specialized or not. Most of the elderly persons subsist differently from a normal person’s life, where a majority of them have several exceptional needs commencing with diet (Ian & Hetherington, 2010). The association’s managing structures, policies and processes and promoting values centers on delivering the components concerned with value of life. The value of life of each occupant in Montefiore habitat is the primary main concern in any process and curriculum of the association. Everyone who is dedicated to supporting these citizens must put up with the directives set to attain the objectives of the organization. To attain these objectives, well-wishers contribute goodies for assisting the programs.
The Montefiore association presents music analysts, dancers, performers, and nurses who maintain and assist the elderly all through the activities. The objective of the activities, which therapeutic recreation experts do is to uphold chances for lucidity; sense of belonging; societal relations; fine or gross motor expertise; sensory motivation; exploitation of the imaginative skills; build self-worth; cognitive motivation; focus skills and sense of attainment. In truth, the activity plan centers on the residents’ requirements and their civilization of Jewish background.
Montefiore activity strategy accesses the member appropriateness and interest from societal profile, as well as, care plan. In addition, they attempt to classify the inhabitants’ actions as well as notify them of laws, demonstrate the appropriate activities, skills and absorption abilities of the inhabitants. In this association, there is a schedule with dates and time for the Jewish fiesta festivities. The Sound operation system in the Lounge room has a precise design. This design in the room has three diverse directions. The sound emerging from the presenter is capable of reaching the residents.
The home encompasses five floors; the primary floor is utilized in laundry and cooking activities. The following floor is utilized as being the reception area and management offices. The third floor is an amalgamation of a boarding house and special treatment for those customers having horrible behaviors. The fourth floor encompasses a treatment home where all sicknesses diagnosis and individual treatment by nurses along with Doctors are offered. The last floor is a boarding house where assistance depending on gender is given to the inhabitants. At different instances, the inhabitants discuss the sixth floor that materializes like an unreal floor for the deceased occupants (Anker, 2001). For example, when an occupant passes away, the members articulate that the person has travelled to the sixth floor.
The Management Plan for the Case Study
Management issues
Environment selection and structure
The hospital is designed to sustain and facilitate state-of-the-art medication and knowledge, patient wellbeing, and standard patient care, and also to host the patient, relatives, and caregivers in a psycho-socially accommodating therapeutic environment. The characteristic of the substantial environment in which a client receives care influences patient outcomes, patient fulfillment, patient wellbeing, staff effectiveness, staff happiness, and organizational outcomes. Therefore, a healthcare setting is therapeutic when it supports clinical fineness in the cure of the physical body and produces assessable positive influences on patients’ medical outcomes and staff efficiency. Montefiore home is situated in a storey building which has five floors in Montefiore home; the first base is for laundry and kitchen where tidiness and food preparation takes place. The next floor is for reception and management offices. The third storey is an arrangement of a hostel and individual care for those patients with the worst conducts. The fourth floor contains a tending home where all ailments identification and individual healing are taken care of by nurses and Doctors (Anker, 2001).
Quality management (monitoring, assessment, action, follow up and feedback)
The information of the patient whom I attended to was called Julie, who was 92 years old born on, 20th October 1919. The patient is currently not obtaining any advanced care from other doctors but previously stayed at Montefiore home. Julie suffered from a fractured arm and consequently her movement was reduced and, therefore, required assistance in showering and use of toilets. Julie moved to the care hospital because she was unsteady in her balance and could not maintain the body posture at all times. The client is getting medication of some drugs directed to her on an everyday basis that consists of Morphine, pethidine, sulphur and codeine. The hospital requires that the languages of each patient are determined, and it was identified that Julie speaks Spanish, French, Italian, and Arabic (Masson, 1985).
Staff selection and support
Nursing is vital to what is distinctive about Montefiore. The vision holds that the maximum standards of quality in client and family-centered care, which is achieved through teamwork. The nurses contribute in nursing control and are supported by in progress instruction and training that improves professional growth.
Budget/resources
It is the single leading company in the borough, with over 8,000 employees and a yearly budget of $350 million. Its Federal Medicare resources for the aged are the leading of any infirmary in the country.
Time management
All patients are accorded equal time for treatment and check up services by qualified nurses. Time is essential in ensuring that no patient skips the required exercises and, therefore, is managed adequately at the hospital.
Selection and sequencing of activities
Nature, needs, interests and expectation of selected target group
The old patients require specialised treatment that will ensure and enhance quick recovery of the ailments. The interests and expectation of the old clients and their families was to facilitate and restore the happiness of the people concerned.
Aims of quality improvement project
Quality improvement is aimed at offering the better health care service provision to the patients. This is achieved by offering modern treatment to patients and individual attention to each of the clients.
Expected outcomes of quality improvement project
The expected outcome is that all the patients receive quality treatment that enables them to be fit again. This aids in the quality improvement of all the departments that handle the patients.
Sequence of experiences
The sequence of experiences gained helped a lot in the service provision of treatment to the respective patients. This consisted of taking of personal details and history of the sicknesses that the patients experienced.
Teaching/learning methods/strategies (adult learning, guided discovery learning)
Teaching method was through observation and sometimes administration of medication to the clients. This was only applicable in the presence of qualified nurse or care givers at the hospital.
Evaluation
The program has beneficial impacts, which are infrequent in the living homes, which are assisted. This is because it encompasses personalized training, which facilitates for direct interactions since it is unsophisticated. Development of a program aimed at assisting the disabled requires personnel who are knowledgeable through training. This will enable the provision of professional services to clients (Ellenberger, 2000). Therefore, such programs only involve relevant personnel. Also, the programs are characterized by offering of activities, which augment white blood cells production to bolster the immunity to resist predominant diseases. The program, however, has some shortcomings in the there is deterioration of the learning levels as age advances are realized. The program requires close monitoring to avoid strain during the program activities. The client chooses the suitable program their needs hence the program has the priorities of the client. The program incorporates the responses of the client concerning aspects like her hobbies and interests while in school. I observed that the days that I brought colored pictures to her, performance was visibly better. She excited about the program and was impressed by my drawings depicting a dog, which she positively identified. This activity aimed at enhancing the wellbeing of the client ensuring a better life brought about positive outcomes, which were encouraging. This is based on the evaluation outcomes of the program derived from the responses of the client. The program is straightforward and involves the implementation of tasks, which are simplistic in nature. The program will strive to develop the talent that is naturally existent in the client and interests, without the employment of medication or chemicals due to the concern of side effects. There will be a corporation between the administration and clients involved in the program to bolster the realization of positive developments and ensure comfort for the client during their living days. The effects of dementia can be minimized through interactive sessions and reminding the client constantly on forgotten issues. Physical therapy will facilitate a hastened recovery of fracture. This is, however, dependent on the corporation rendered by the client, which is imperative at this stage. The ability of clients to participate in painting pictures is a plausible occurrence in the program. If the overall program achieves success, it shall be afforded to other clients facing similar conditions. This will be, however, dependent on various factors including age among other circumstances. Outcomes expected from recreation and leisure programs are integrated with simplified activities, which may include perusal of photo albums to enhance learning. The [program will be availed to other individual based on their interests on activities like plaiting, decorating, weaving and pottery.
Personal Comments
The Experience
The program has enabled me to outline the experiences of the elderly in shelters. This is based on the observation of the challenges experienced by the elderly, and how to enhance their livelihoods, to ensure they enjoy a comfortable stay in their last days. This includes involving them in activities, which interest them to bolster their lives quality.
The Value
The program is efficient in ensuring that life’s quality of the home inhabitants is enhanced. This is using various activities, which interest the clients. This will result in the management of symptoms of diseases and also bolster the immune systems, in addition, the clients will become happier hence enjoy life more. The program is, therefore, valuable in ensuring the wellbeing of the clients.
The Future
The future of the program is promising since its expansion will result in better living for home inhabitants. If successful, the program will be replicated across homes ensuring similar benefits for clients.
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