a strengths-based approach for older adults in ltc · swartz, m. k. (2017). a strength-based...

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Non-Cognitive Predictors of Student Success: A Predictive Validity Comparison Between Domestic and International Students Non-Cognitive Predictors of Student Success: A Predictive Validity Comparison Between Domestic and International Students Take a picture to download the poster References Anderson, L & Heyne, L.A. (2012). Therapeutic recreation practice: A strengths approach. Illinois: Sagamore-Venture Publishing. Anderson, L. S., & Heyne, L. A. (2013). A strengths approach to assessment in therapeutic recreation tools for positive change. Therapeutic Recreation Journal, 47(2), 89–108. Beekman, A.T.F., Penninx, B.W.J.H., Deeg, D.J.H., de Beurs, E., Geerlings, S.W., van Tilburg, W. (2002). The impact of depression on the well-being, disability and use of services in older adults: A longitudinal perspective. Acta Psychiatrica Scandinavica 105, 20–27. Carruthers, C.P., & Hood, C.D. (2007). Building a life of meaning through therapeutic recreation: The leisure and well-being model, part 1. Therapeutic Recreation Journal, 41(4), 276–297. Gugliucci, M. R. (2014). Nursing home living: The complexities and potential. The Gerontologist, 54(4), 718–723. Jongenelis, K., Pot, A. M., Eisses, A. M. H., & Beekman, A. T. F. (2004). Prevalence and risk indicators of depression in elderly nursing home patients: The AGED study, 83, 135–142. Korten, D.C. (1990). Getting to the 21 st century; Voluntary action and the global agenda. West Hartford, CT: Kumarion Press. Lehto, V., Jolanki, O., Valvanne, J., Seinelä, L., & Jylhä, M. (2017). Understanding functional ability: Perspectives of nurses and older people living in long-term care. Journal of Aging Studies, 43, 15–22. McCormack, B. (2003). A conceptual framework for person-centred practice with older people. International Journal of Nursing Practice, 9(3), 202-209. Saarnio, L., Boström, A. M., Hedman, R., Gustavsson, P., & Öhlén, J. (2017). Enabling at-homeness for residents living in a nursing home: Reflected experience of nursing home staff. Journal of Aging Studies, 43, 40–45. Statistics Canada. (2017). Age and sex, and type of dwelling data: Key results from the 2016 Census The Daily Statistics Canada Catalogue no. 11-001-X. Statistics Canada Catalogue No. 11-001-X, Ottawa. Retrieved from http://www.statcan.gc.ca/daily-quotidien/170503/dq170503a-eng.pdf Sullivan, L., & Willis, D. G. (2018). Towards changing the long term care (LTC) paradigm: explicating the concept of thriving in older adults living in LTC. Issues in Mental Health Nursing, 39(5), 388–397. Swartz, M. K. (2017). A strength-based approach to care. Journal of Pediatric Health Care, 31(1), 1. Xie, H. (2013). Strengths-based approach for mental health recovery. Iranian Journal of Psychiatry and Behavioral Sciences, 7(2), 5–10. A Strengths-Based Approach for Older Adults in LTC A Shift from the Medical Model to a Person - Centred Approach By: Gillian Kirk, CTRS, MSRT Student Traditionally, the medical model has emphasized disabilities and diagnosis with the goal of care driven by the institution versus the individual. The shift to person-centred care emphasizes the self-determination of older people and partnership between the individual and the caregiver rather than the treatment of older people as objects of care (McCormack, 2003). One of the most prevailing health concerns amongst LTC residents is depression disorders and depressive symptoms (Jongenelis, Pot, Eisses, & Beekman, 2004). Often attributed to loneliness, depression contributes to higher mortality rates and decreases quality of life, well-being, and functioning (Beekman, Penninx, Deeg, de Beurs, Geerlings, & van Tilburg, 2002). With a focus on deficits and discrepancies in viewpoints between staff and residents, the medical model of care offers limited psycho-social resources to support the environment and the individual to “thrive.” Depression rates among LTC residents, range from 6% to 26% for major depression, from 11% to 50% for minor depression and from 30% to 48% for depressive symptoms (Jongenelis et al., 2004). Individual Strengths Environmental Strengths Person- Centred Approach Strengths are defined as a focus for development through recreation, leisure, and environment. The ecological approach utilizes and adapts environmental resources to support the individual to achieve their goals, dreams, and aspirations (Anderson & Heyne, 2012). The model outlines the importance of facilitating real choices for leisure, typical life rhythms, social supports, and inclusive and accessible environments. Allows for resident’s individual strengths to be acknowledged and utilized in health, well-being, and environmental decisions. Acknowledges strengths and transforms the relationship between staff and resident to include the resident as a team member. Creates an environment within LTC that supports abilities and facilitates growth enabling individuals to work towards their full potential. Figure 1. Flourishing Through Leisure: An Ecological Extension of the Leisure and Well-Being Model Model Connections Flourishing through Leisure: An Ecological Extension of the Leisure and Well-Being Model By Lynn Anderson & Linda Heyne Application to Recreational Therapy Practice 1 2 3 4 5 Utilize an assessment that emphasizes exploring dreams, goals, and strengths of the residents and environment instead of problems, issues, deficits, and diagnosis (Anderson & Heyne, 2013). Focus on a collaborative approach to gathering information from the resident, family, friends, and staff to holistically represent the individual. Incorporate residents into individual and global decision making processes, such as goal setting, care plans, food, meal times, sleeping patterns, leisure, and more. Support Residents’ Council meetings that provide residents with an opportunity to be informed, share ideas, and voice concerns regarding the improvement of the LTC facility. Modify the environment to increase accessibility and functionality for residents.. Approaches to Care 6 Be self-reflexive of personal viewpoints and perspectives, acknowledging that there are varying worldviews and values (example, individualistic vs collectivistic).

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Page 1: A Strengths-Based Approach for Older Adults in LTC · Swartz, M. K. (2017). A strength-based approach to care. Journal of Pediatric Health Care, 31(1), 1. Xie, H. (2013). Strengths-based

Non-Cognitive Predictors of Student Success:A Predictive Validity Comparison Between Domestic and International Students

Non-Cognitive Predictors of Student Success:A Predictive Validity Comparison Between Domestic and International Students

Take a picture to download theposter

ReferencesAnderson, L & Heyne, L.A. (2012). Therapeutic recreation practice: A strengths

approach. Illinois: Sagamore-Venture Publishing. Anderson, L. S., & Heyne, L. A. (2013). A strengths approach to assessment in

therapeutic recreation tools for positive change. Therapeutic Recreation Journal, 47(2), 89–108.

Beekman, A.T.F., Penninx, B.W.J.H., Deeg, D.J.H., de Beurs, E., Geerlings, S.W., van Tilburg, W. (2002). The impact of depression on the well-being, disability and use of services in older adults: A longitudinal perspective. Acta PsychiatricaScandinavica 105, 20–27.

Carruthers, C.P., & Hood, C.D. (2007). Building a life of meaning through therapeutic recreation: The leisure and well-being model, part 1. Therapeutic Recreation Journal, 41(4), 276–297.

Gugliucci, M. R. (2014). Nursing home living: The complexities and potential. The Gerontologist, 54(4), 718–723.

Jongenelis, K., Pot, A. M., Eisses, A. M. H., & Beekman, A. T. F. (2004). Prevalence and risk indicators of depression in elderly nursing home patients: The AGED study, 83, 135–142.

Korten, D.C. (1990). Getting to the 21st century; Voluntary action and the global agenda. West Hartford, CT: Kumarion Press.

Lehto, V., Jolanki, O., Valvanne, J., Seinelä, L., & Jylhä, M. (2017). Understanding functional ability: Perspectives of nurses and older people living in long-term care. Journal of Aging Studies, 43, 15–22.

McCormack, B. (2003). A conceptual framework for person-centred practice with older people. International Journal of Nursing Practice, 9(3), 202-209.

Saarnio, L., Boström, A. M., Hedman, R., Gustavsson, P., & Öhlén, J. (2017). Enabling at-homeness for residents living in a nursing home: Reflected experience of nursing home staff. Journal of Aging Studies, 43, 40–45.

Statistics Canada. (2017). Age and sex, and type of dwelling data: Key results from the 2016 Census The Daily Statistics Canada Catalogue no. 11-001-X.

Statistics Canada Catalogue No. 11-001-X, Ottawa. Retrieved from http://www.statcan.gc.ca/daily-quotidien/170503/dq170503a-eng.pdf

Sullivan, L., & Willis, D. G. (2018). Towards changing the long term care (LTC) paradigm: explicating the concept of thriving in older adults living in LTC. Issues in Mental Health Nursing, 39(5), 388–397.

Swartz, M. K. (2017). A strength-based approach to care. Journal of Pediatric Health Care, 31(1), 1.

Xie, H. (2013). Strengths-based approach for mental health recovery. Iranian Journal of Psychiatry and Behavioral Sciences, 7(2), 5–10.

A Strengths-Based Approach for Older Adults in LTCA Shift from the Medical Model to a Person-Centred Approach

By: Gillian Kirk, CTRS, MSRT Student

• Traditionally, the medical model has emphasized disabilities and diagnosis with the goal of care driven by the institution versus the individual.• The shift to person-centred care emphasizes the self-determination of older

people and partnership between the individual and the caregiver rather than the treatment of older people as objects of care (McCormack, 2003).• One of the most prevailing health concerns amongst LTC residents is depression

disorders and depressive symptoms (Jongenelis, Pot, Eisses, & Beekman, 2004).• Often attributed to loneliness, depression contributes to higher mortality rates

and decreases quality of life, well-being, and functioning (Beekman, Penninx, Deeg, de Beurs, Geerlings, & van Tilburg, 2002).• With a focus on deficits and discrepancies in viewpoints between staff and

residents, the medical model of care offers limited psycho-social resources to support the environment and the individual to “thrive.”

Depression rates among LTC residents, range from 6% to 26% for majordepression, from 11% to 50% for minor depression and from 30% to 48% fordepressive symptoms

(Jongenelis et al., 2004).

Individual Strengths

Environmental Strengths

Person-Centred

Approach

• Strengths are defined as a focus for development through recreation, leisure, and environment.• The ecological approach utilizes and adapts environmental

resources to support the individual to achieve their goals, dreams, and aspirations (Anderson & Heyne, 2012).• The model outlines the importance of facilitating real choices

for leisure, typical life rhythms, social supports, and inclusive and accessible environments. • Allows for resident’s individual strengths to be acknowledged

and utilized in health, well-being, and environmental decisions.• Acknowledges strengths and transforms the relationship

between staff and resident to include the resident as a team member.• Creates an environment within LTC that supports abilities and

facilitates growth enabling individuals to work towards their full potential.

Figure 1. Flourishing Through Leisure: An Ecological Extension of the Leisure and Well-Being Model

Model ConnectionsFlourishing through Leisure: An Ecological Extension of the Leisure and Well-Being ModelBy Lynn Anderson & Linda Heyne

Application to Recreational Therapy Practice

1

2

3

4

5

Utilize an assessment that emphasizes exploring dreams, goals, and strengths of the residents and environment instead of problems, issues, deficits, and diagnosis (Anderson & Heyne, 2013).

Focus on a collaborative approach to gathering information from the resident, family, friends, and staff to holistically represent the individual.

Incorporate residents into individual and global decision making processes, such as goal setting, care plans, food, meal times, sleeping patterns, leisure, and more.

Support Residents’ Council meetings that provide residents with an opportunity to be informed, share ideas, and voice concerns regarding the improvement of the LTC facility.

Modify the environment to increase accessibility and functionality for residents..

Approaches to Care

6Be self-reflexive of personal viewpoints and perspectives, acknowledging that there are varying worldviews and values (example, individualistic vs collectivistic).

Page 2: A Strengths-Based Approach for Older Adults in LTC · Swartz, M. K. (2017). A strength-based approach to care. Journal of Pediatric Health Care, 31(1), 1. Xie, H. (2013). Strengths-based

Poster title: A Strengths-Based Approach for Older Adults in LTC

Name: Gillian Kirk

Email address: [email protected] [email protected]

Abstract: Traditionally in LTC, the medical model has emphasized disabilities and diagnosis with the goal of care driven by the institution versus the individual. The shift to person-centered care “emphasizes the self-determination of older people and partnership between the individual and the caregiver rather than the treatment of older people as objects of care” (McCormack, 2003). Utilizing a strength-based approach allows the care team (including the Resident) to emphasize assets, focusing on potential over deficits. These concepts form the foundation of the Flourishing through Leisure Model: An Ecological Extension of the Leisure and Well-Being Model (Anderson & Heyne, 2012). Exploring and educating those working in LTC on the strengths-based approach supports the “shift” away from the medical model of care and improve the treatment of residents so they can continue to thrive and contribute to their environment.

Full list of references:

Anderson, L & Heyne, L.A. (2012). Therapeutic recreation practice: A strengths approach. Illinois: Sagamore-Venture Publishing.

Anderson, L. S., & Heyne, L. A. (2013). A strengths approach to assessment in therapeutic recreation tools for positive change. Therapeutic Recreation Journal, 47(2), 89–108.

Beekman, A.T.F., Penninx, B.W.J.H., Deeg, D.J.H., de Beurs, E., Geerlings, S.W., van Tilburg, W. (2002). The impact of depression on the well-being, disability and use of services in older adults: A longitudinal perspective. Acta Psychiatrica Scandinavica 105, 20–27.

Carruthers, C.P., & Hood, C.D. (2007). Building a life of meaning through therapeutic recreation: The leisure and well-being model, part 1. Therapeutic Recreation Journal, 41(4), 276–297.

Gugliucci, M. R. (2014). Nursing home living: The complexities and potential. The Gerontologist, 54(4), 718–723.

Jongenelis, K., Pot, A. M., Eisses, A. M. H., & Beekman, A. T. F. (2004). Prevalence and risk indicators of depression in elderly nursing home patients: The AGED study, 83, 135–142.

Korten, D.C. (1990). Getting to the 21st century; Voluntary action and the global agenda. West Hartford, CT: Kumarion Press.

Lehto, V., Jolanki, O., Valvanne, J., Seinelä, L., & Jylhä, M. (2017). Understanding functional ability: Perspectives of nurses and older people living in long-term care. Journal of Aging Studies, 43, 15–22.

Page 3: A Strengths-Based Approach for Older Adults in LTC · Swartz, M. K. (2017). A strength-based approach to care. Journal of Pediatric Health Care, 31(1), 1. Xie, H. (2013). Strengths-based

McCormack, B. (2003). A conceptual framework for person-centred practice with older people. International Journal of Nursing Practice, 9(3), 202-209.

Saarnio, L., Boström, A. M., Hedman, R., Gustavsson, P., & Öhlén, J. (2017). Enabling at-homeness for residents living in a nursing home: Reflected experience of nursing home staff. Journal of Aging Studies, 43, 40–45.

Statistics Canada. (2017). Age and sex, and type of dwelling data: Key results from the 2016 Census The Daily Statistics Canada Catalogue no. 11-001-X. Statistics Canada Catalogue No. 11-001-X, Ottawa. Retrieved from http://www.statcan.gc.ca/daily-quotidien/170503/dq170503a-eng.pdf

Sullivan, L., & Willis, D. G. (2018). Towards changing the long term care (LTC) paradigm: explicating the concept of thriving in older adults living in LTC. Issues in Mental Health Nursing, 39(5), 388–397.

Swartz, M. K. (2017). A strength-based approach to care. Journal of Pediatric Health Care, 31(1), 1.

Xie, H. (2013). Strengths-based approach for mental health recovery. Iranian Journal of Psychiatry and Behavioral Sciences, 7(2), 5–10.