Lifestyle Redesign Themes within the programme and characteristics of the group session

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Lifestyle Redesign Themes within the programme
and characteristics of the group session
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The programme
The underlying philosophy - understanding the
relationship between occupation (meaningful
activity), health and well-being
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The American programme

• Two hour weekly group session delivered by
  occupational therapists over a nine month period
  based on a series of themes
• A monthly visit from the facilitator to support
  the person and help them to identify and pursue
  their individual goals

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The American programme (cont)

• Monthly visits or outings to provide the
  opportunity for group members to put skills/
  knowledge into practice

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Group sessions

• A needs analysis was undertaken
• The themes for the programme were based on the
  identified needs of older people living in the
  community

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Developing the programme

• Based on your knowledge of older people what type
  of needs do you think were identified during the
  research?
• How do you think that older people were affected
  by occupational deprivation and occupational
  imbalance?
• What type of themes might the programme then have
  covered to address these needs?

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Themes within the American Programme

• Occupation, health and ageing
• Transportation and occupation
• Finances and occupation
• Health through occupation physical and mental
  activity
• Dining as an occupation
• Time and occupation

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Themes (cont)

• Home and community safety
• Relationships and occupation
• Ending a group

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Questions

• How are these themes similar/different to the
  ones you have identified?
• Do you notice anything about the themes?
• How is this programme/similar to the types of OT
  intervention offered
• What might be the challenges of developing a
  programme for older people within the UK

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Developing the UK programme

• Highly individualised
• Needs to be culturally sensitive and population
  specific

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The UK programme selecting from a menu of
activities

• Beginnings celebration
• Activity and health
• The ageing process and activity
• Personal energy, time and activity
• Goals realising hopes and wishes
• Pulling things together how is activity related
  to health

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Ideas continued

• Maintaining mental wellbeing
• Sleep as an activity
• Keeping mentally active
• Memory
• Maintaining physical wellbeing
• Nutrition
• Pain
• Keeping physically active

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And more

• Occupation in the home and community
• Transportation
• Opportunities for new learning
• Experiencing new technologies
• Safety in and around the home
• Keeping safe in the community
• Keeping safe in the home

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Yet more.

• Personal circumstances
• Dealing with finance
• Social relationships and maintaining friendships
• Dining as an activity
• Interests and pastimes
• Caring for others, caring for self
• Spirituality
• Endings

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Characteristics of the group sessions
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Other ingredients.

• Occupational storytelling
• Occupational self-analysis

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Organisation of the session

• Introductory activity
• Discussion
• Practical activity
• Monthly visits or outings a way of putting
  skills into practice

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Maintaining mental well-being

• Aims
• Explore a range of coping mechanisms and identify
  potential sources of support
• Understand how stress and anxiety impacts on
  activity and also how activity can help to
  alleviate these feelings
• Practice a range of anxiety management techniques
• Be signposted to appropriate services that are
  available in the community

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Introductory activities

• Stress is.

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Stress is

• Not being able to concentrate, anxiety, feeling
  tense, worrying about worrying this snowballs
  out of hand, panic, unidentified noises, unusual
  perspiration, worrying about money, worrying
  about not being active, talking to yourself,
  disturbed sleep, going off food or overeating,
  headaches, not being able to remember things,
  regrets about not doing things, tense, afraid of
  being alone, worrying about family, worrying
  about illness/getting older/having time to worry

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Group discussion topics (examples)

• How can feeling stressed or worried affect our
  ability to take part in activities?
• What do you do to relax? Are there any activities
  you find particularly relaxing?
• Is stress a disease of todays society?
• How can feeling stressed or worried affect your
  health?

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Group activity ideas (examples)

• Exploring stressful situations understanding
  why these are so
• Stress response
• Top ten tips to beat stress
• Creative writing you know you are worried when
• Photography inner outer
• Performing stressful activities in non-stressful
  ways
• Practical element painting to music,
  visualisation, guided fantasy

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• What are your healthy and unhealthy pleasures?

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Further activities and opportunities for outings

• Tai chi
• Exploring community resources yoga, relaxation
  courses at community colleges
• Aromatherapy, hand massage
• Outing to a spa or leisure centre
• Problem solving techniques assertiveness,
  saying no
• Individual Sessions

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Questions

• In what way does the programme developed in the
  UK differ from that developed in America?
• How is this programme similar/differ from the
  interventions offered to older people within
  existing services?
• Could you see this model applied to your own
  services? If so, how?

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Developing your own ideas