Evaluation and evidence-based practice in recreational therapy (due

1) Minimum 6 pages  (No word count per page)-   Follow the 3 x 3 rule: minimum of three paragraphs per page ( minimum 300 words per page)

You must strictly comply with the number of paragraphs requested per page.  

The number of words in each paragraph should be similar

Part 1: minimum 3 pages

Part 2: minimum 3 pages

2)¨******APA norms

        The number of words in each paragraph should be similar

        Must be written in the third person

         All paragraphs must be narrative and cited in the text- each paragraph

         The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information. 

         Bulleted responses are not accepted

         Don’t write in the first person 

  Do not use subtitles or titles      

         Don’t copy and paste the questions.

         Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

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4) Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed 

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

 Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

_______________________________________________________________________________

Part 1: Evaluation and Evidence-Based Practice in Recreational Therapy

Case: 

Margaret Mae is a 70-year-old retired therapeutic recreation university professor. She has no siblings or family members but maintains a close relationship with her best friend and colleague, Cheryl. She has two dogs that she loves deeply and has kept horses and an array of pets for years. Cheryl is her primary caregiver and support. She lived on a ranch in a rural community and was recently relocated to the assisted living facility. She enjoyed walks, visits to old friends, church, and concerts while able to travel. Margaret was highly respected in the field of recreation and very social. Cheryl first noticed Margaret showing signs of memory lapses; for example, losing reader glasses, poor driving judgment and position on the road, difficulty with checkbook calculations, forgetfulness, changes in reasoning capabilities, unnecessary purchases including a second home approximately two years prior to diagnosis. Cheryl voiced concerns to her primary care physician, but no testing was done until much later. Diagnostic MRI confirmed Cheryl’s suspicion of senior vascular dementia and Alzheimer’s dementia. Margaret became unable to care for herself and was placed in an assisted living facility. She was moved to your facility after an incident of elopement. You are a CTRS at the assisted living facility where Margaret now resides. You review

Significant past medical history: 

– Family history of Alzheimer’s dementia, father and maternal grandmother. 

– Mild hypothyroid treated with medication. 

-Rheumatoid arthritis with minimal impact to mobility.

–  Client had an incident of being overmedicated with psychotropic drugs, which led to a period of severe reduction in her overall function and ability to communicate and ambulate and masked a stroke that occurred; stroke induced aphasia. 

– Once taken off these drugs, she began a 6-month period of regaining better overall functioning but never fully recovering

Medications: Levothyroxine (Synthroid) once daily.

Cognition/perception: 

-Alzheimer’s dementia. Client has been admitted nonverbal but is alert and aware of environment.

– She reacts with head nods and smiles. 

-She communicates with body language and occasionally will speak a few simple words.

Aphasia is present. 

Physical examination: 

-Client was examined upon entrance to the assisted living facility all physical functions with in normal limits. 

-Stroke affected her left side minimally and she can ambulate without assistance.

Client Goals

1- Opportunities to socialize without pressure of speaking 

2- Meaningful and safe activities to pass the time 

3-  Physical activity to assist with balance and coordination

1. Create a treatment plan for Margaret Mae, using evidence-based practice to guide your decision on appropriate interventions following the DENT problem solving method.

a. Define the problem: Clearly identify and articulate the specific problem or challenge that needs to be addressed. This involves understanding the current situation, desired outcomes, and any constraints or limitations (1 paragraph)

b.Explore possible solutions: Generate a range of potential solutions or approaches to solving the problem. Encourage creative thinking and consider different perspectives or alternative options.(1 paragraph)

c. Narrow down options: Evaluate the potential solutions and select the most feasible and effective ones. Consider the advantages, disadvantages, and potential risks associated with each option.(1 paragraph)

d. Take action: Implement the chosen solution or solutions. Develop a plan, allocate resources, and set specific goals and timelines for execution. (1 paragraph)

2. What assessment would be most appropriate for you to give to Margaret? (1 paragraph: Question 2 and Question 3)

3. What factors must be considered when planning Margaret’s treatment 

4. What is your PICO question? (1 paragraph: Question 4 and Question 5)

5. “What outcomes do you anticipate from your treatment plan? 

6. How will you evaluate the outcomes of your treatment plan? (1 paragraph: Question 6 and Question 7)

7. How will you evaluate the outcomes of your treatment plan?

8. What contraindications should you consider in Margaret’s treatment? (1 paragraph: Question 8 and Question 9)

9. What recreational activities would be appropriate considering Margaret’s interests, goals, and current functioning level?  

10. How would you communicate your recommendations to Margaret? (1 paragraph: Question 10 and Question 11)

11. How will you include Cheryl, Margaret’s caregiver, in your intervention plan?

 

Part 2: Evaluation and Evidence-Based Practice in Recreational Therapy

Case: 

“The  ClientDan  Brown  is  a  47-year-old  Mexican  American  who  holds  a  master’s  degree  in  recreation/sports  management  as  well  as  a  bronze  medal  in  quad  rugby  from  the  Paralympic games. He lives independently with his wife and works for the facility. He has also written a book, co-starred in a movie, and is a disability advocate and public speaker.  He  enjoys  participating  in  sports  activities  in  addition  to  volunteering  at  his  church  and  being  an  advocate  in  adaptive  and  competitive  wheelchair  sports.  At  the  age of 9, Bob contracted a rare form of meningitis. To save his life, all four limbs had to be amputated. Dan uses prosthetic upper limbs to assist with dressing, driving, and activities as needed. He competes all ADLs independently.Dan  comes  to  you,  the  intern  at  the  training  facility,  to  generate  new  ideas.  Dan  shares the following information from his background so you can begin brainstorming

Significant  past  medical  history:  

-Childhood  meningitis  resulting  in  amputation  of four limbs. 

-After amputations, Dan has had over 20 surgeries for skin grafts and plastic surgeries to reshape face and residual limb damage from the illness. 

-Dan had a car accident, which resulted in the further amputation of the left residual limb. 

-He also had a broken collarbone and minor hip fraction from this accident.

Medications: Claritin and multivitamin for men over 40.3.

Cognition/perception: 

WNL4.

Physical examination

a. Sensation:  Light  touch  pain  at  the  end  of  all  residual  limbs.  Phantom  pain  in  amputated legs periodically.

b.ROM: WNL

c.Strength:  Above normal limits. Can bench press 150 lbs.

d.Balance: WNL 

e.Pain: Phantom pain lower limbs”

Mobility

a.Uses a Performax manual wheelchair, drives independently with hand controls.  

Uses prosthetic arms for fine motor skills.

 b.Transfers: Independently, including placing chair in car for driving

Client  Goals

1.Continue playing competitive wheelchair sports: wheelchair rugby and tennis

2.Travel to places I’ve wanted to go; to Miami and Rome, Italy

3.To stay active in community and church community

4.Travel for book promotion  

1. Create an inclusion plan for Dan Brown, using evidence-based practice to guide your decision on appropriate interventions following the DENT problem-solving method.

a. Define the problem: Clearly identify and articulate the specific problem or challenge that needs to be addressed. This involves understanding the current situation, desired outcomes, and any constraints or limitations (1 paragraph)

b.Explore possible solutions: Generate a range of potential solutions or approaches to solving the problem. Encourage creative thinking and consider different perspectives or alternative options.(1 paragraph)

c. Narrow down options: Evaluate the potential solutions and select the most feasible and effective ones. Consider the advantages, disadvantages, and potential risks associated with each option.(1 paragraph)

d. Take action: Implement the chosen solution or solutions. Develop a plan, allocate resources, and set specific goals and timelines for execution. (1 paragraph)

2. What assessment would be most appropriate for you to give to Dan (1 paragraph: Question 2 and Question 3)

3. What factors must be considered when planning Dan’s intervention?

4. What is your PICO question?(1 paragraph: Question 4 and Question 5)

5.What outcomes do you anticipate from your treatment plan?

6.How will you evaluate the outcomes of your treatment plan?(1 paragraph: Question 6 and Question 7)

7.What contraindications should you consider in Dan’s treatment?

8.What recreational activities would be appropriate considering Dan’s interests, goals, and current functioning level? (1 paragraph)

9.How would you communicate your recommendations to Dan?” (1 paragraph)