Therapeutic Recreation: Divisional Therapy Assessment & Client Report

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This report presents a therapeutic recreation assessment of a 50-year-old female client, Mary, who suffers from tenosynovitis and carpal tunnel syndrome. The assessment covers her physical, social, cognitive, and emotional well-being, highlighting the impact of her injuries on her leisure activities. Mary expresses a strong desire to return to gardening and bush walking. The report proposes a leisure ability model intervention to re-engage her in recreational activities, improve her physical functioning, and enhance her overall quality of life. Specific goals include participating in nature walks and gardening, with objectives focused on improving her ability to perform these activities independently and consistently. The intervention aims to restore her fitness and enable her to enjoy outdoor recreational activities with her family. Desklib provides solved assignments and past papers for students.
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Running head: THERAPEUTIC RECREATION 1
Therapeutic Recreation
Student’s Name
Institutional Affiliation
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THERAPEUTIC RECREATION 2
Divisional Therapy Assessment Report (My Interview with a Client)
Physical
Mary is a 50 years old female who suffers from tenosynovitis injury and injury carpal tunnel
syndrome which she sustained from work. Due to the injuries she suffers pain, tiredness as
well as inflammation in the knees and right waist (Yoshida et al., 2017). Mary sometimes
finds it very difficult to climb stairs because of the problem on her knees. Moreover, the
injury has limited Mary’s physical function especially gardening and bush walking. Mary can
independently walk without the use aids such walking stick and but cannot walk long
distances. She also feels tired sometimes because of her physical impairment. Mary wears
contact lens, has no hearing aid and she is right hand dominance.
Social
Mary lives with her husband and three children in Western Sydney suburbs. The husband is
53 years while the elder son is 23 years whereas the other daughter and son are 18 years and
13 years respectively. She was born in Burma and migrated to Australia at a tender or young
age. She speaks fluent English, Malayalum as well as Burmeise. She is Christian and attends
church most of the Sundays. Mary is currently studying divisional therapy at the University
of Canberra. She is an outgoing person and likes music, bush walking, gardening and playing
the guitar. She used to work in hospital as an administration officer before her injury. She
likes to interact socially with other people and competitive with sport. Mary also enjoys
having a conversation with people especially clients in group settings, and making new
friends. She also likes to interact with staff members and love cats.
Cognitive
Mary does not current cognitive issues as a result of her tenosynovitis injury and injury carpal
tunnel syndrome. She also has no memory problems as a result of the injuries. She is able to
make decisions by herself and follow directions. She is also able to focus on her academic
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THERAPEUTIC RECREATION 3
studies and family. She speaks English, burmeise and malayalum fluently. She is oriented by
time and she likes focusing on time when undertaking any activity. She only suffers physical
pain from right waist and inflamed knees. Due to these injuries Mary finds it challenging to
participate in leisure activities more often.
Emotional
Prior to her injury Mary actively participated in physical activity and it is important to note
that the absence or inadequacy of physical activity in her life has resulted in a decline in her
physical fitness (Carbonneau et al., 2015). Mary is motivated and able to express her feelings
when it comes to leisure activities. She is confident and does not get agitated or phobias
when in a group settings and enjoys leisure participation. When Mary is tired it is hard for her
to concentrate especially when making decisions about her leisure. She is able to identify her
needs, plan leisure activity and creative with arts. Mary has a positive attitude and enjoys
humor.
Leisure Ability Model Plan
The assessment showed that Mary has a significant desire of returning to certain form of
recreational participation such as gardening and bush walking as well as some degree of
regular physical activity (Falk, 2016). Notably, via the implementation of a recreational
leisure intervention via the use or incorporation of the leisure ability model including Quebec
(Pommering et al., 2017), Mary can re-engage in recreational activities. To a greater extent,
this will improve or enhance her physical functioning prowess in preparation to engage in
outdoor recreational activities with her children.
Goals
The main goal is to improve leisure lifestyles via re-engagement in recreational activities
including gardening and bush walking. The assessment is also geared towards ensuring Mary
get to her normal fitness.
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THERAPEUTIC RECREATION 4
Functional Intervention Objective
Mary will have to participate in four-25 minute nature walk every day week for
approximately three weeks. She would also take ten minutes weeding in the garden every
morning for a maximum of four weeks. After four weeks of participation, the competitive
registered nurses will assess or examine her physical ability to independently complete or
finish a session of basic skills within 20-30 minutes.
Recreation Participation Objective
Mary will individualistically take a 20 minute nature with her 13 year old daughter, and
physically be capable of demonstrating the walking ability. She will also attend the garden
every morning for at least 10 minutes. Mary will be able to recurrently undertake the
aforementioned activities once a day for the entire 10 week practice.
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THERAPEUTIC RECREATION 5
References
Carbonneau, H., St-Onge, M., Morier, J., Roult, R., Cantin, R., & Berthiaume, R. (2015).
Quebec's recreation intervention model in health care and social services and its
implications for the National Council for Therapeutic Recreation Certification's
standards. World Leisure Journal, 57(1), 6-18.
Falk, E. (2016). Therapeutic Recreation Interventions and Multidisciplinary Teams in Long-
Term Care Settings.
Pommering, T. L., Manos, D. C., Singichetti, B., Brown, C. R., & Yang, J. (2017). Injuries
and illnesses occurring on a recreational bicycle tour: the Great Ohio Bicycle
Adventure. Wilderness & environmental medicine, 28(4), 299-306.
Yoshida, H., Imura, H., Goto, T., Nakamata, T., Daya, M. R., & Kamiya, T. (2017). Acute
Carpal Tunnel Syndrome Due to Pyogenic Flexor Tenosynovitis without Any
Antecedent Injury. Internal Medicine, 56(11), 1439-1442.
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