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Activities 1-2 Week 9
Activities 1-2 Week 9
wheelchair in case the client needs to take a rest period between set due to low
endurance. Provide a board with images/commands in front of the clients where
they can point to what they want to express since they have difficulties with speech
(Giles, 2014).
Adaptations: Participants with Post-Traumatic Stress Disorder: PTSD is a
condition that develops in certain individuals who have experienced a shocking,
terrifying, or hazardous event (National Institute of Mental Health). Some of the
symptoms include: flashbacksreliving the shock more than one time (repetitively),
others signs such as physical symptoms like an increase in heart rate or sweating,
nightmares, etc. Some good adaptations could be restricting the use of any object,
word, or situation that reminds them the tragedy. Providing a calm environment for
the ambulation training activity in order to promote relaxation/enjoyment. Avoiding
thoughts or moods related to the traumatic episode to prevent re-experiencing
symptoms. The use of different relaxation skills (.e.g. conversations) while walking
will keep client concentrated in a new topic to prevent distraction regarding the
event.
Adaptations References
A Life Story Foundation. (n.d.). Retrieved from
https://www.alifestoryfoundation.org/learn/
ALS Association . (n.d.). Retrieved from http://www.alsa.org/about-als/what-isals.html
Benefits of Stress Management . (n.d.). Retrieved from
http://www.successfulaging.ca/programs/stress/11.html
HG. (n.d.). Retrieved from http://www.helpguide.org/articles/stress/stressmanagement.htm
National Institute of Mental Health. (n.d.). Retrieved from
https://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorderptsd/index.shtml#part_145375
WebMD. (n.d.). Retrieved from http://www.webmd.com/balance/stressmanagement/stress-management-relieving-stress
lightly in front of the body. Breathe deeply and return to the initial position. Fifth,
precede to the last position and the instructor will perform the following command:
Place the upper extremities on the knees with the fingers touching toward both.
Alternate bilateral knees in a circular movement, in the following order: left, back,
right and front like if we are doing a circle with both knees. The ideal movement is a
clockwise direction. Sixth, the instructor will conclude the activity by reviewing all
steps and providing feedback.
Leadership considerations: CTRS will be the instructor in this activity and at the
same time he/she has been approved to teach by the National Instruction
Coordination Committee (NICC). CTRS or staff /volunteers, recreational therapist
students must join regular training workshops and meet one time in a year for reaccreditation requirements to instruct Tai Chi. the staff to participants ratio should
be1:1, 1:2, 1:3, and 1:4 depending on the clients physical abilities.
Instructions/education regarding all safety issues include: fall precautions during
different positions, energy conservation techniques (rest periods between sets),
breathing techniques to promote relaxation, postural awareness, balance control,
etc. Some precautions should be taken into consideration including: appropriate
weather (preferably warm). The Tai Chi activity will last for 30 minutes. All
participants are allowed to ask questions at any time of the activity in order to
complete proper sequence of tasks.
Adaptations: Participants with Osteoporosis: According to National Institute of
Arthritis and Musculoskeletal and Skin Diseases, osteoporosis is a condition that
thins and deteriorates the bones. The bones become delicate and fracture easily,
particularly the bones in the hip, spine, and wrist. Some of the possible adaptations
include: provide some cuff weights or dumbbells in some of the positions to increase
weight bearing in order to improve bone density. Also, allow participants to perform
the activity early in the morning since they tend to fatiguing easily. Since they have
a high risk of fracture after any falls it is recommended to complete the activity on a
dry and level surface floor.
Adaptations: Participants who are Legally Deaf: According to Mayo Clinic,
deafness is generally the consequence of inner ear or nerve injury. It may be
affected by a congenital defect, damage, illness, certain pills, experience to loud
sound, or age-related process. Good adaptations that could help this population
include: the use of hearing device, having an interpreter in front of the group and
allowing these individuals in the first line of the activity. Provide a written or printed
text in a TV with the commands from the instructor about the different basic skills of
the activity, etc.
Adaptations References