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Activities Portfolio # 8
Michelle Wilson
LEI4724
Activities Portfolio # 8
Michelle Wilson
orient them to place and time. Other participants and staff members may consider wearing name tags so
that the participant is able to identify with the staff and their peers.
Adaptations: Participants with schizophrenia: Schizophrenia spectrum and other psychotic disorders
are complex in nature. Each diagnosis has a specific set of symptoms found in one or more of five
categories: delusions, hallucinations, disordered thinking or speech, grossly disorganized or abnormal
motor behavior (including catatonia), and negative symptoms. All of the disorders in SSD are diagnosed
based on the symptoms described above and based on the prevalence and length of time of the symptoms
were present (Dattilo, 2016). Participants with schizophrenia may need medication management to
manage delusions and hallucinations. Participants may need close monitoring by another staff member
depending on the complexity of the disorder and to manage disruptions from the group. In conjunction
with TR the participant may also need cognitive adaptation training to use strategies to compensate for the
cognitive deficits and improve daily functioning. Participants need consistency with the same session
time and treatment team or staff and positive reinforcement.
Adaptation References
Alzheimers Disease Fact Sheet. Retrieved October 28, 2016. From
https://www.nia.nih.gov/alzheimers/publication/alzheimers-disease-fact-sheet.
Butcher, J., Hooley, J., Mineka, S. (2014). Abnormal Psychology. Sixteenth edition. Upper Saddle
River, NJ. Pearson Education, Inc.
Cognitive Adaptation Training for Schizophrenia. Retrieved October 28, 2016. From
http://www.div12.org/psychological-treatments/treatments/cognitive-adaptation-training-cat-forschizophrenia/
Dattilo, J., & McKenney, A. (2016) Facilitation Techniques in Therapeutic Recreation. Third edition.
State College, PA: Venture Publishing, Inc.
Psychology Works Fact Sheet: Environmental Adaptations to Dementia. Retrieved October 28, 2016.
http://www.cpa.ca/docs/File/Publications/FactSheets/PsychologyWorksFactSheet_Environmental
AdaptationsToDementia.pdf.
Porter, Heather. (2015). Recreational Therapy for Specific Diagnoses and Conditions. Enumclaw, WA:
Idyll Arbor, Inc.
Using Equipment and making adaptations at home. Retrieved October 28, 2016.
From
https://www.alzheimers.org.uk/site/scripts/documents_info.php?
documentID=157.
LEI4724
Activities Portfolio # 8
Michelle Wilson
LEI4724
Activities Portfolio # 8
Michelle Wilson
an infectious illness, surgery or immunization and paralysis within three to four weeks. GBS affects the
sensory functioning and motor functioning but varies depending on the progression of the disease.
Participants with GBS may need assistance from another participant or staff member to assist with fine
motor skills, like cutting out the circle or tracing the cup depending on the location of the paralysis or
paresis. Decreasing the session time is important secondary to the patient having low endurance or
activity tolerance and autonomic dysfunction. Providing rest breaks and performing the activity seated in
a chair is important due to weakness usually starts in the feet and legs, for safety and comfort limited
standing is imperative. Participants may need medication to manage pain prior or post session.
Participants will need space for mobility devices, wheelchairs and walkers, if in wheelchairs the
participants may need a pressure relief cushion to prevent pressure ulcers.
Adaptations: Participants with Osteoarthritis: Osteoarthritis is one of the most common types of
degenerative joint diseases. OA is considered wear and tear arthritis if usually is asymmetrical and only
affects one joint instead of both, for example it may only affect the right knee but the left knee, hips and
shoulder may not be affected. OA is the reduction or break down of cartilage in a joint that causes the
bones to rub against each other that eventually causes pain, swelling, tenderness and loss of motion in the
joint (Dattilo, 2016). OA can affect any joint space and can have a variety of causes from injury, genetics,
occupation, age, weight and athletics. Adaptations for participants with OA would be to have chairs
present depending on the location of the OA, the participant may need to sit and rest depending on the
pain level or may have impaired mobility and may need a cane or walker for support. Participants will
need medication to relieve joint pain prior or post the activity. Participants may need education on joint
care and an exercises/stretching routine prior to the session. Again depending on the location of the OA,
the participant may need a partner or staff member to assist with fine motor skills and/or gripping the
glass secondary to limited range of motion. Participants may also need adaptive equipment like
specialized scissors, pencils or a gripper to assist with fine motor skills. After the session participants
may need cryotherapy to decrease joint pain.
Adaptation References
Dattilo, J., & McKenney, A. (2016) Facilitation Techniques in Therapeutic Recreation. Third edition.
State College, PA: Venture Publishing, Inc.
How to Make a Coin Disappear. Retrieved October 27, 2016.
From http://www.wikihow.com/Make-a-Coin-Disappear.
Mann, Denise. Assistive Devices: Living Better with Arthritis. Retrieved October 28, 2016. From
http://www.webmd.com/osteoarthritis/features/living-easier-arthritis-devices#1.
Porter, Heather. (2015). Recreational Therapy for Specific Diagnoses and Conditions. Enumclaw, WA:
Idyll Arbor, Inc.
Tempest-Roe, Jane. (2000). After GBS Information for Patients Recovering from Guillian-Barre
Syndrome. GBS Support Group of the United Kingdom. Retrieved October 28, 2016. From
http://www.giavelli.eu/NEUROPATIA/Pdf/B_aftergbs.pdf .
LEI4724
Activities Portfolio # 8
Michelle Wilson