Abstract In this paper I have explored the necessity of using nursing models in therapeutic recreation to enable registered nurses to provide individualised plans of care that are tailored to the individuals owns needs. I have also suggested who is responsible for implementing, planning, assessing and evaluating therapeutic recreation in an elderly care environment. Along with clarifying the role differences and similarities between nurses and other health care professionals. Finally I have discussed some of the limited research available in relation to recreational activities. INTRODUCTION Over the past six years I have been working as a Social Therapeutic and Recreational Nurse in an Elderly Persons Rehabilitation Unit.
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I have responsibility for assessing, planning, implementing and evaluating activities to aid in the rehabilitation process of the patients that are referred to the unit. As the unit is designated primarily an elderly care unit (65 years and over). I will limit the literature review to the benefits of that age group only.
There has been much research done in the field of therapeutic recreation on an international scale mainly America, Canada, Australia, and the United Kingdom (Buettner, L, L, Ferrario, J, (Date unknown). The literature I am using for the purpose of this paper is from the United States of America and the United Kingdom. The Recreational Therapist or Social Therapeutic and Recreation Nurse came into being in the United Kingdom in the early nineteen eighties through Theresa Brisco who was one of the first recreational therapists in the United Kingdom at this time. The concept of a social therapeutic and recreational nurse / recreational therapist was to utilise/use recreation as a way of promoting and maintaining an individuals social, psychological needs and increasing self-esteem (Vise, D. And Forte, D. The aims and objectives of therapeutic recreation, in the care of the elderly setting, seen by Vise et al (1994), was in order to preserve and maintain self-esteem, motivation, mobility, challenge, social interaction and mental agility in elderly patients.
How To Monitor Serial Port In Linux Arcade Alley Hoop To Hoop Manual Muscle. more. Nursing Models in Therapeutic Recreation The nursing profession has used the nursing process for a number of years in order to base care on an individual and holistic basis. The theory being that nursing care and intervention is tailored to meet the individuals needs.
This approach to care is helped by using nursing models, such as Roper Logan and Tierney (1985) systems approach 'Activities of Daily living' and Orem's (1991) developmental 'Self care defecit model'. Models are useful frameworks from which nurses can base their assessments of patients and decide and agree appropriate interventions from. (1990) state:- 'A model is a graphic and symbolic representation of a phenomenon that serves to objectify and present a certain perspective or point of view about its nature and/or function. The major nursing models identify concepts and describe their relationship to the phenomena of central concern to the discipline: person / client, environment, health, and nursing'. When using a model of nursing, nurses are expected to provide individualised plans of care aimed at identifying individual problems with the patient and agreeing interventions that will, hopefully, achieve resolution. All aspects, considered within the chosen model, need to be carefully thought about, including recreational needs.
(1985) identifies twelve 'Activities of Daily living' (appendix one). This Nursing model specifically includes recreation as one of the activities of daily living. Whereas Orem, D.(1991) in her self care defecit model, does not focus on recreation in such a direct manner. However the model does include time spent with others and time spent alone (appendix two). With using nursing documentation based on Orem's self care defecit model, it provides an opportunity for health care professionals to identify what self care abilities, and/or self care defecits, the elderly individual has. Whenever a nursing model is used the nurse, by virtue of the model framework, is accepting the responsibility of ensuring the individuals leisure/recreational needs are identified and documented and where a problem has been identified, an appropriate plan of care with realistic and achievable goals should be developed in conjunction with the individual. If the nurse fails to provide this they could be considered to be in breach of his/hers professional responsibilities, as stated in United Kingdom Central Council (1992) Code of Professional Conduct section two which states: 'Ensure that no action or omission on your part, or within your sphere of responsibility, is detrimental to the interests, conditions or safety of patients and clients.'