ASSIGNMENT

Title: Discuss and illustrate understanding of the needs of people in care to have access to meaningful activities in the promotion of wellbeing and quality of life. 

Introduction

The first reason for my interest in the care of the elderly lies in my strong commitment to improve the quality of life for the old people and secondly my respect for the ageing population. It is what captivated me in my grandmother’s later years. This experience has made me realize that caring for the elderly is full of strange challenges and benefits.

In this role, I design and implement resident centered activity programs. I too would monitor some communal, social group activities and construct personalised therapy plans for each resident.

This project has its basis on the important functions of an activity coordinator in a nursing facility. To gain a basic comprehension of person-centered, therapeutic activities at their optimum, talk about the complexity of duties and responsibilities of the activity coordinator and acknowledge how satisfying acts enhance the quality & life & old people’s contentment. The purpose of this research exercise is to come up with strategies on how we can improve our ways of living through developing superior geriatrics care. 

Role of the Activity Coordinator in Care 

Activity coordinators play an important role in caring centres mostly geared towards the elderlies (World Health Organization, 2020). The main activity of this committee is generating a very large, but selective list, which includes diverse events for people with various abilities and interests. Such private activities as gardening, personal reading, painting classes, and music sessions are classified under such tasks. The activity coordinator works hand in hand with other caregivers so that each activity remains enjoyable, directed towards the resident’s movement goals, improvement cognition and social relationships.

Various cognition and motor capabilities of the persons should be put into account while planning the activities so as to give everyone equal opportunities. In order to develop relevant and exciting activities, the coordinator should regularly communicate with the residents and their families. This will enable them to understand the histories and the tastes of the residents. Activity coordinators often work with other organisations to bring in unique programmes and activities so as to enhance the quality of care provided to the residents.

For many reasons, healthcare facilities need to hire an activity coordinator. Research indicates that seniors enjoy tremendous improvement in their mental and emotional health prior to anything else, when they engage in meaningful activities before anything else. In care settings where the residents have limited capacity to initiate and participate in leisure and recreational activities, activity coordinators play an important role (Plys, 2019). This approach is important in the sense that it provides a systematic way through which these activities can be undertaken.

In addition, these coordinators act as a link between medical interventions and the state of holism. A coordinator of activities takes care of residents’ social, emotional and mental health needs, while the medical professionals deal with the residents’ physiological and health-related requirements (Owen et al., 2019). It is therefore imperative to put in place a comprehensive care approach in order to ensure that the inhabitants do not only survive but are happy in these environments.

As a result, activity coordinators’ diverse range of activities provide residents with a purpose, happiness, and a sense of direction. Engaging in such activities may promote cognitive functioning and may possibly inhibit the advancement of memory-related disorders. Additionally, coordinators play a vital role in helping the elderly overcome such issues such as loneliness and isolation through setting up socially involving group activities. Outcomes of these social interactions in the care setting may include increased content and self-esteem.

Understanding the Impact of Ageing 

Changes in age have a substantial effect on people’s emotional and psychological wellness (Mitina et al., 2020). Changes that could transpire include reduced physical and mental health, social bonds as a result of retirement, strained relationships, and alteration in family dynamics. In terms of emotional, the elderly can feel loss, autonomy, and knowing that they are mortal. Psychologically, these variables may add to feeling lonely, depressed, and anxious.

This represents one social issue, namely, the tendency of social networks to diminish with age. During the period of retirement, one is not constantly involved in working with others, and physical challenges can also limit chances of socializing. These societal changes may affect mental health negatively through isolation, and loneliness (Donovan and Blazer, 2020). In addition, the financial concerns of adults also change as they grow older. Financial strain and concerns regarding future housing and healthcare expenses may result if retirement income falls short of these requirements.

Preconceived notions and unfavourable attitudes towards the elderly are all too prevalent in healthcare facilities and among the general public. Preconceived notions regarding the elderly may encompass a spectrum of traits, including weakness, lack of autonomy, incapability to acquire new knowledge, and even opposition to change.

Such perspectives can lead to ageism, which degrades caregiving standards and shows disdain for the elderly. Due to the application of these broad generalisations, healthcare provision might lack individualization and fail to account for the unique requirements, preferences, and medical background of each patient.

Consistent social interaction has the potential to significantly enhance brain function, overall well-being, and emotional state. Engaging in collective endeavours not only provides individuals with an anticipated event, but also alleviates sentiments of solitude and seclusion (Astell-Burt et al., 2022). The elderly must participate in social interactions, whether through one-on-one conversations, community service, or group activities, in order to maintain their mental and emotional health.

Achieving a comprehensive understanding of the ageing process thus requires recognising the complex interplay between financial, social, emotive, and psychological factors. We can achieve respect, care, and a high quality of life for the ageing population by dispelling myths and promoting social participation. It is imperative that we, as a society, develop an understanding of ageing that is compassionate, all-encompassing, and beneficial to the elderly in every aspect of their existence.

Importance of Promoting a Positive Culture in Care 

A positive culture is distinguished by values such as respect, inclusivity, and nurturing within care environments (Markey et al., 2021). It is imperative in order to safeguard the welfare, independence, and esteem of the elderly demographic. Such a culture enhances employee contentment and morale, benefiting all parties. When an optimistic environment is valued, staff members are more likely to be enthusiastic about providing exceptional care to residents, and seniors are more likely to feel appreciated and understood.

At its core lies the understanding that each of them is a unique entity with different life history, tastes, and demands. The residents are encouraged to preserve their uniqueness as they live in a friendly community accepting diversity. This method significantly enhances the mental and emotional health of residents by fostering a sense of community and belonging.

Construction of a robust culture of compassion is dependent on effective communication (Men and Yue, 2019). It is essential to demonstrate empathy, understanding, and respect, in addition to engaging in the exchange of knowledge. Effective communication is what guarantees citizens' concerns and desires are addressed expeditiously and appropriately, as well as ensures that their voices are acknowledged.

Consistency, transparency, and honesty in communication among care professionals, residents, and their families are critical components of effective care environments. Regular forums, meetings, and feedback sessions are beneficial for ensuring that all individuals' viewpoints are acknowledged and valued. Providing employees with training in effective communication is of equal significance, particularly in regards to managing sensitive or challenging subjects.

A proactive and comprehensive approach is required to attain or enhance the ethos of care environments. Leadership that exemplifies and promotes inclusiveness, empathy, and respect is where everything begins (Seijts and Milani, 2022).

Staff training programmes ought to encompass instruction in both tangible and intangible competencies, including collaboration, empathy, and effective communication. It is vital to incorporate the opinions of residents and their families into decision-making processes. To facilitate ongoing enhancements, valuable insights regarding the preferences and requirements of inhabitants can be obtained via periodic surveys, suggestion receptacles, and family councils. 

Additionally, a positive culture can be developed by providing residents with social opportunities and meaningful activities to engage in. An enhanced sense of community can be fostered through the commemoration of significant events, the coordination of communal gatherings, and the promotion of resident participation in the exchange of knowledge and expertise.

Importance of a Person-Centred Approach 

Care directed towards a client by taking into consideration his or her wishes is known as person centered care (Eklund et al., 2019). Person-based care is premised for the reason that every person has their respective necessities, perspectives, and background stories. This ideology is centered on ones identity, dignity as a person as well self esteem. They are even more significant unlike age and disability. Patient agency, individualized care, compassion make up the three main pillars of this approach.

Shifting the traditional power relation between providers and recipients gives people a chance to be actively involved in decision-making regarding their health care. The person receiving care must be the lead when it comes to making decisions regarding their health and lifestyle, as well as the care they receive.

People’s participation constitutes an important part of a person centred approach towards self-developed care (Kang et al., 2022). It facilitates ensuring the respect of people’s autonomy and dignity on condition that treatment must provide for specific needs and preferences. Involvement of people in their own treatment plan formation leads to enhanced well-being and happiness due to the feeling of their self-determination and dignity.

By gaining a better awareness of person-centred background, interests and life-story, carers can become involved in care planning in such a way as to be able to develop meaningful interventions and activities as part of interventions. Healthcare organisations need to undergo the paradigm shift and make person-centered care effectively implemented. It is important to train the staffs to ensure that they are knowledgeable and committed to the principles of person-centered care. The core of the discipline’s teaching should include methods for involving patients in the development of their own care plans, empathic listening, and effective communication.

Care facilities can use their person-centered methods by regularly consulting with residents and their families (Robinson et al., 2021). It is very important to use this input in order to upgrade the care procedures. Moreover, while designing care facilities, consideration should be given on the individual tastes and preference of the residents as it will make them feel comfortable.

Therefore, care plans should be assessed and revised at times as individual needs and preferences may change. This dynamic approach seeks to adapt care to the changing needs of each individual. 

Benefits of Therapeutic and Recreational Activities 

Such activities ensure that individuals are able to move around with ease, maintain their endurance and body coordination which are important in carrying out daily activities to enable them to remain independent. Regular exercise not only improves the ability to withstand stress but also reduces the chances of developing chronic diseases and helps sleep.

From a psychological standpoint, engaging in enjoyable activities can significantly improve one's mood, alleviate tension and anxiety, and stimulate cognitive function. Engaging in arts and crafts, solving puzzles, and reading are examples of mentally stimulating activities that can aid in delaying cognitive decline and enhancing mental agility.

Seniors who frequently experience feelings of isolation and loneliness may be assisted by involving them in group activities (Jansson et al., 2021). The emotional well-being of inhabitants is contingent upon their capacity to establish relationships, narrate anecdotes, and maintain social competencies—all of which are enhanced through these interactions.

Exercising individuals to participate in events requires meticulous organisation. Involving residents in the planning process enables them to exert influence over the assortment of activities that are provided. Their enthusiasm and commitment to participating are elevated by this degree of engagement. Residents can also be motivated by the participation of family members and members of the care team; therefore, it is essential to encourage them to engage in activities or at the very least express their support.

Event planning should be guided by the diverse abilities and interests of residents. Variety is crucial in this regard as each individual is guaranteed to find something to his taste. Moreover, acknowledgment of achievements and the encouragement can fuel people with a desire to continue.

Such barriers are usually shortage of manpower, materials, equipment, and other resources. However, these resources can be supplemented by collaborative efforts among local community organisations, families, and volunteers. There are diverse capacities and health conditions of the residents that may limit their participation in physical activities. This issue can be addressed by providing customized support and adjusting activities to meet the varying needs.

Another potential constraint is the unwillingness of the local communities to be involved, which is usually caused by not enough questioning or fear of change (Townsend et al., 2021). Building a positive relationship with the residents will help to overcome their reservations and to get an insight into their preference in order to surmount their reservations and get an understanding of their preference in order to know why their reservations. Getting individuals to participate into something new regularly and encouraging them to do so smilingly, it is an excellent way of generating interest and breaking barriers to participation. 

Conclusion and Recommendations

Activity coordinators are key for geriatric research, and their importance is related to the complexities of aging, positive culture, effectiveness of person-centered approach and therapeutic activities. It is critical to consider these crucial aspects to address the emotional, psychological, and social needs for the best elderly care.

The activity coordinators highly improve the quality of life of the elderly through emotional, psychological, and social development. It is important to understand the depth of aging, especially the psychological, emotional, and social effects. Effective care requires actively challenging negative stereotypes.

Patient safety is associated with the creation of a positive environment in care settings and strong communication. Person-centered approach, which takes into account distinctness of each person and invites them to take part in care planning, has great meaning.

These findings, therefore, generate some significant recommendations. However, comprehensive care that addresses the diverse needs of seniors should always come first.

For this reason, it is necessary to recruit and train skilled activity coordinators to offer stimulating and fruitful programs. Enacting the approach that puts consideration of their health and independence at the forefront, including them in discussions regarding their care is the best way to enhance their wellness and independence.

Furthermore, care settings need to demolish the stereotypes and build a culture of respect and dignity. The care environment can also be improved by encouraging family and community involvement which is very significant in enhancing the quality of care given to the elderly patients.

SKILLS REPORT

Title: A comprehensive report for a chosen client in the care setting. 

Client Profile

At our nursing home resides an elderly gentleman John O’Reilly aged 75. I am pleased to have developed a personalised care plan for him. John joined our community in January 2020 following a six-month hospital stay for stroke. His success on retirement at Dublin Dockyards is proof of his hardworking nature. His zealousness for intellectual and physical challenges is apparent in undertakings like hill trekking, swimming, and crossword puzzles.

John’s treatment is unique and is required because of his current medical status. He uses a rollator to gain independent mobility. He had a stroke which partially paralyzed his left side. This, therefore, calls for enhanced care in our support and involvement. In spite of his impairment, John has demonstrated considerable independence through the successful accomplishment of a self-transfer. The strength of his character and courage is admirable. I strive to follow in his footsteps as much as I can when on the job.

His stroke leads to him speaking with difficulty at times. Therefore, to communicate with John effectively, we need to show some level of patience and understand his likes and wants. We have concentrated on this aspect of his health, aiming to foster a good relation with his caregiver through frank and sensitive discussion.

In the development of John’s treatment plan, I did not only consider his medical needs, but also his personal interests and previous lifestyle. The main objective is to ensure that an equilibrium is struck that maintains his physical and emotional balance at the same time that it upholds his independence and decisions. We hope that John finds a place that he will be included and he will grow to feel belonging.

John’s story is not just a clinical case for me; it is an interaction with a person whose soul is profound and is full of life.

Assessment of Client’s Needs

In order to gain a comprehensive understanding of John O'Reilly's characteristics and inclinations, I employed the PAL (Pool Activity Level) Instrument Tool. Each activity has four statements representing different levels of ability: Planned (P), Exploratory (E), Sensory (S), and Reflex (R).

John exhibits a remarkable level of independence in defiance of the impairment of his physical capabilities caused by the stroke. He is capable of independently moving around by utilising a rollator. However, specific factors should be taken into account when planning his exercises and activities in light of his partial paralysis on the left side. 

In his consciousness, John is completely present and attentive. Intellectually demanding tasks, such as crossword puzzles, captivate his interest. An indication of his capacity to participate in and profit from activities that enhance cognitive acuity is provided by his exceptionally sharp cognitive abilities. 

When visiting family and friends, John feels most comfortable in the company of others. His enthusiasm for involvement and sociability show that he can be a great asset in team efforts. He needs social connections since they are not only enjoyable but very essential to his mental and emotional health.

John is a resolute individual who hankers for freedom. In spite of his physical fraility, he is very sociable and intellectually superior. He has to find a suitable balance between activities that challenge his cognitive and social capabilities and those which accommodate his physical constraints for his care to be vital. I will strive to create a comprehensive care plan that will cover all aspects of his care needs, enabling him to remain active and energetic as I take care of him. 

Chosen Activities

I will have John do crossword puzzles as one of the tasks. I made this choice because of his tendency to indulge in intellectual activities. He can specifically improve his memory, reasoning, and language by doing crossword puzzles.

These puzzles provide a sense of accomplishment and mental engagement which is closely related to the cognitive health maintenance of such individuals as John who are particularly drawn to intellectual challenges. I propose to engage him in crossword puzzles of various complexities to stimulate his mind as well as keep him busy.
This would allow for both his current cognitive skills and his potential decline in those skills.

In order to fit John’s physical activity preferences and requirements, I have made sure to include indoor swimming in his weekly schedule. Swimming for example is a form of physiotherapy that greatly helps John who is partially paralysed.

This low intensity exercise is designed to build his muscles as well as cardiovascular system and to enable him to improve on his overall health without any injuries. Additionally, being buoyant in water permits for more liberated movement than on land. John uses swimming as an opportunity to unwind and calm, which can have a beneficial effect on his disposition and sense of routine.

Group storytelling sessions have been integrated into the programme, focusing on John's experience working at Dublin Dockyards, in order to enhance his interpersonal abilities and leverage his rich personal history. During these meetings, John will have the opportunity to make new acquaintances and discuss personal matters, both of which will strengthen his sense of belonging to the group.

Narrating stories is an excellent method for bringing people together and preserving memories. John is capable of both connecting with others and reflecting on his past through a shared social experience. By engaging in this activity, he will enhance his communication abilities and maintain connections with his social circle at the care facility.

Planning of weekly activity schedule

Due to John's partial paralysis and dependence on a rollator, it is of the utmost importance that all utilised areas be secure and conveniently accessible for him. For the safety of swimmers, indoor pools must have nonslip flooring and readily accessible entrances. I have arranged for comfortable, well-lit, and serene seating areas that are ideal for unwinding with stories and completing crossword puzzles.

John has been provided with specialised crossword books featuring varying degrees of difficulty, which serves as an intellectual challenge for him. In order to facilitate his physical limitations and enable him to swim securely, we have made arrangements for him to utilise specialised swimming devices. My acquisition of artefacts such as photographs, which show John’s past employment at Dublin Dockyards, will stimulate memory and dialogue among participants during storytelling sessions.

I have held extensive talks with John, his family members, as well as the caretakers on the arrangements of these occasions. These talks also helped in determining the ideal way of accomplishing each action and understanding John’s likings. By listening to his family, we were able to understand his interests, which in turn gave us the capacity to accommodate his interests.

Activities are organized in consideration of John’s daily schedule and stamina levels. The most vigil and the active times of him are in the morning and the afternoon; that is where most of our plans get done. In this way, he reaps the most from every undertaking.

Staff levels are also given special attention to ensure quick response and close supervision, particularly during swimming. John is given the freedom to undertake hobbies that require minimal supervision, such as puzzles and storytelling.

The approach is based on periodic risk assessment. These entail keeping track of John’s reaction to each of the tasks and making adjustments if his health condition allows so. Evaluations are regularly conducted to ensure that the activities continue to be safe and appropriate to him as his needs and abilities develop and change.

Weekly activity chart of plan:
 

A mixed schedule of intellectual, physical, and social activities will be distributed across the week in this schedule. The tasks are designed to be accomplished at John’s peak energy and concentration periods each day.

Comfort and ease of access are essential when selecting the locations, as well as having enough staff present, particularly during swimming sessions. This will involve regular changes in accordance with John’s behavior and any changes in his physical condition. The strategy aims at improving the life of John by encouraging him to interact with others, maintaining his interest and stimulating him. 

Implementation of the planned activities

On occasion, John mispronounces words, which compels me to communicate more slowly and precisely. We can ensure that he receives the directions and is able to freely express himself by following this path. My insistence that all use this mode of communication makes it possible for John to participate actively in group storytelling and other activities. As a result, no one will be in a hurry or feel misunderstood.

Safety should come first before participating in physically strenuous activities such as swimming. During these training sessions, I make sure that John is supervised by a physiotherapist and a lifeguard at all times. The appropriate safety apparatus and protocols would be readily available to deal with the incident promptly in the event of a pool area emergency. I ensure that John is able to participate on other matters by making enough seating and ensuring that he can make his way through.

I constantly check the extent to which John engages and comfortable each activity. Surveillance is very important to assess how he reacts to the activities and adjust if necessary. It is important to me that John likes and participates in these.

According to me, personalized encouragement is powerful. I seek to maximise John’s experience by tailoring the activities to suit him. For example, at the dockyard story time, we could talk on topics that are connected with the location. This customised approach motivates John to actively participate, thereby increasing his level of involvement and perception of accomplishment.

In order to respect John's inclination towards autonomy, I provide minimal physical assistance for the majority of his undertakings. However, supplementary support is offered throughout the swimming lessons in order to ensure his well-being and assist him in maximising the physical benefits of the endeavour.

I endeavour to establish a congenial and hospitable ambiance during collaborative exercises such as storytelling. John is more at ease in this environment because he is encouraged to converse, share anecdotes, and listen to others. By organising these social gatherings, I hope to enhance his mental well-being and foster a sense of belonging within the care facility.

Activity Chart Outcome:
 

Important Remarks:

John has significantly improved his performance in completing crossword puzzles. He maintains a direct line of sight and demonstrates intense concentration on the task at hand. As a result of the individualised nature of the activity, attendance at these sessions is inherently lower; however, communication remains effective. He appears at ease and actively engaged throughout.

John exhibits a notable dedication to swimming throughout their exercise regimens. He is visibly appreciating and unwinding considerably as a consequence of the exercise. His communication is adequate despite the fact that his interaction is somewhat restricted due to the nature of the activity. Your mental and physical health will significantly improve as a result of attending the sessions.

John is most receptive and involved in these sessions. He appears fully engaged and present as he listens to others and shares his personal experiences. Evidently affectionate of interacting with others, he possesses outstanding verbal and nonverbal communication abilities. His level of concentration fluctuates throughout the course of the conversation; nevertheless, he invariably experiences an improvement in mood subsequent to it.

Evaluation of outcomes

I have conducted an exhaustive examination of the outcomes subsequent to the implementation of the premeditated procedures for John O'Reilly. 

The findings from the activity chart indicate a substantial enhancement in John's demeanour and degree of cognitive involvement. His capacity for critical thinking and concentration has vastly improved since he began doing crossword puzzles. The sessions have contributed to an improvement in his disposition by providing him with a feeling of accomplishment and intellectual engagement. The fact that his demeanour has improved as a result of the indoor swimming sessions, in addition to maintaining his physical health, is a clear indication of the beneficial effects of exercise on mental health.

According to the initial assessment conducted using the PAL Instrument, the activities that were chosen for John were highly compatible with his personal preferences and physical capabilities. His particular cognitive capacity, physical health, and social interests were taken into consideration in the design process. To accomplish our objective of delivering comprehensive care, we ensured that he participated in a balanced regimen of cognitive, physical, and social activities.

John has expressed notable praise regarding the group storytelling sessions in particular. Maintaining social connections is of utmost importance to him, and he has expressed a particular fondness for exchanging personal experiences and listening to those of others. This is extremely useful because it not only verifies the success of the activities but also indicates his preferences.

Although the current initiatives have produced favourable outcomes, they could potentially achieve even greater success. Expanding the scope of group activities could serve as a viable approach for future research. John could benefit from engaging in a wider range of social activities, which would expose him to new experiences and expand his social circle. Engaging in exercise classes, art therapy sessions, or small group excursions could potentially enhance John's social life by providing it with a greater sense of stimulation and fulfilment.

In essence, the results analysis demonstrates that John's requirements have been met by the actions. However, we remain committed to continuous experimentation until we discover the optimal approach to John's care that ensures his active participation in his treatment.

 

Top Nursing Samples
 

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