COMING HOME: From Tragedy To Triumph In life there are always undesirable things, so in order to feel better you just need to look at life from another direction. CASE E.T. 43 year old Male Filipino Previously working as a truck driver in Dubai s/p Cerebral Hemorrhage due to Vehicular Accident Slightly slurred speech, right sided hemiparesis GOALS FOR THE PATIENT: SHORT TERM continue PT rehab, help more in the household chores, controlling the blood pressure and cholesterol levels, prevention of CAD complication. LONG TERM back to the community and to continue his work abroad or in the Philippines. Benefits of a Active Lifestyle for Persons with Disability The following presentation will go over: Immediate Benefits from Leisure & Recreation Long Term Benefits from Leisure & Recreation Strengthening of Friendship Improve Self Concept or Self-Esteem Communication Skills Interaction & Socialization Skills Reinforced Academic & Daily Living Skills Learn & Practice Decision Making Skills Development of Coping Skills Develop Motor Skills Physical Benefits Benefits of an Active Lifestyle Leisure & Recreation Benefits Strengthening of Friendship Improve Self Concept or Self-Esteem Communication Skills Interaction & Socialization Long Term Benefits Leisure & Recreation Reinforced academic & daily Living Skills Learn & practice decision making skills Development of Coping Skills Develop Motor skills Strengthening of Friendship Establish friendships regardless of abilities Indicates preference of friends Learn to mutually share during play Invites friends to engage in fun activities Learn to respond to friends invitations Improve Self Concept & Esteem Appraises own strengths & abilities Demonstrates & develops confidence in abilities Expresses opinions Raises awareness of cultural, spiritual & ethnic self Accepts challenges & adventure Embraces humor Communication Skills Communicate with others Make choices & decisions Follow instruction Respond appropriately to questions Use alternate means of communication Greet others Interaction & Socialization Skills Initiate & sustain social interactions Learn & maintain socially acceptable behavior Accept assistance & feedback from others Learn to share & take turns with others Learns to follow directions & procedures Academic & Daily Living Skills Aware of Life Direction Able to discriminate color, shapes & sizes Aware of spatial relations Able to use resource materials: Telephone Book, Newspaper Applies money management skills Applies Telephone skills Use Organizational skills Decision Making Skills Express preferences Select activities from available options Make choices during activity Recognize need to prioritize Develop planning skills Development of Coping Skills Develop strategies for coping Utilizes stress reduction techniques Develop natural supports Learn when to ask for help Develop Motor Skills Develops strength, flexibility & coordination Improve & maintains physical fitness & health Improves gross & fine & motor skills Physical Benefits Improved vigor/endurance Improved cardiovascular health Control of body weight Enhanced muscular fitness Improved immune responses Lessens the likelihood of depression Physical Activity & Healthy Lifestyles Concerns 70% of people with disabilities are physically inactive. ALACD 2002 Second to the use of tobacco, the major contributing factor to poor health and chronic disease is Physical Inactivity. Bauman, A. MD, Ph.D. Physical Inactivity The neglected risk factor, What to do about it? Promoting Health Managing ones health is key to becoming self- sufficient, maintaining independence and enjoying full participation in society. A regular regimen of minutes of physical activity will reduce the risk of developing coronary heart disease, hypertension, colon cancer and diabetes. Surgeon General 1996 Promoting the Health of People With Disabilities Promoting Health Leading Health Indicators Physical activity Substance abuse Tobacco use Mental Health Overweight & obesity Responsible sexual behavior Injury and violence Environmental quality Immunization Access to health care Common Excuses Im a person with a disability. I cant exercise! I have no time. I cant afford it. I cant get transportation. I dont know what to do. I dont like exercise. There are no facilities for us or it is not accessible. There are no fitness trainers for us or fitness trainers are not trained to include me. What fits your busy schedule better, exercising one hour a day or being dead 24 hours a day? Randy Glasbergen 2003 Healthy Lifestyles Model A Holistic approach to healthy living is used considering: Emotional Health Physical Health Meaningful Activities Social Health Spiritual Health Wellness Wheel Friends Families Communiti es Stress Crises Self-Esteem Love Hope Charity Purpose Fitness Nutrition Self-Care Abuse Skills- building Job satisfaction Personal Growth Education Career Achievement Achieve a Healthy Life The key is for each person to explore what they need to change in one or more of the 5 areas to live a healthier life. The hardest part of healthy living is doing that one small thing to get you started. Whenever I feel like exercise, I lie down until the feeling passes. Robert M. Hutchins So How Do You Get Started? Start slow & listen to your body Choose activities you enjoy that fit with your lifestyle Set realistic goals & reward yourself along the way Include variety in the choices you make Remember your motivation, Health is Wealth. Focus on what you are doing right Seek support for motivation & encouragement Putting Your Ideas into Motion Include food patterns that reflect the Filipino Food Pyramid recommendations Address feelings of having a purpose in life & developing as a person Focus on intimacy & close relationships Apply techniques that support stress prevention & rest Incorporate self initiated health behaviors Focus on taking responsibility for your health Make Change Your Way Readiness to Change Ruler Not Already Prepared I___________I______________I____________I___________I Changing To change How will you know when its time to think about changing? What will make you put your mark further to the right? Pick one barrier and list some things to help you overcome this barrier Strategies for Changing Health Behaviors, Georgetown University Ask yourself Whos in Charge? People, problems and things are beyond your ability to affect control or change? (Strategies for Changing Health Behaviors, Georgetown University) Do not let what you cannot do interfere with what you can do. (Wilford A. Peterson) Adopt a Healthy Outlook Be aware of how your brain tells stories. If you have committed yourself to healthy living & have convinced yourself that it is a lifestyle and not a fad you have won half the battle. (Strategies for Changing Health Behaviors, Georgetown University) Take Risks & Trust Yourself Before you can do something that you have never done before, you have to be able to imagine it is possible. (unknown) This dog was born on Christmas Eve in the year He was born with 2 legs. He of course could not walk when he was born. Even his mother did not want him. His first owner also did not think that he could survive and he was thinking of 'putting him to sleep'. But then, his present owner met him and wanted to take care of him. She became determined to teach and train this little dog to walk by himself. She named him 'Faith'. FOR THE FAMILY & THE COMMUNITY: Creating an Inclusive Environment For People with Disabilities Overview What an inclusive atmosphere is. What some of the barriers are to an inclusive atmosphere. Some facts & misperceptions. How to create an inclusive atmosphere. What inclusion will give people. Many people with a disability, who are not members of a community, experience, on a daily basis, characteristics such as: A sense of separateness from the world Constant boredom. An overriding sense of dependency on others A sense of failure. A sense of being controlled in regards to many aspects of their daily life. Loneliness and a poverty of relationships. Little if no opportunities for personal growth & development through new challenges. Total isolation on a daily basis, as a consequence of their support arrangements. What is an inclusive atmosphere? Inclusion An inclusive atmosphere is open and non- discriminatory, and provides opportunities for people with and without disabilities to experience recreation together. An Inclusive Atmosphere is CONSUMER DIRECTED! What are some of the barriers to an inclusive atmosphere? ATTITUDE! Service providers, parents, and the general public often believe that inclusion of people with limited abilities is impossible or more trouble than it is worth. IN FACT: Inclusion can be achieved through simple changes to regular programs. Examples: Aerobic instructor being more descriptive in explanations. Lowering nets when playing basketball MISPERCEPTION People with disabilities have no interest in belonging to recreational organizations to which able bodied people belong IN FACT: The benefits of recreation are essential to everyones well-being. The desire to access recreational facilities & belong to the community is important to anyones healthy lifestyle. MISINFORMATION Only professionals with specialized training & specialized equipment can help people with disabilities to participate. IN FACT: Aiding someone with a disability can be as simple as moving the seat on a machine so that someone in a wheelchair can access it. How can you create an inclusive atmosphere? How to Create Inclusion An inclusive atmosphere is created when staff are aware of people with different abilities and are willing to aid and demonstrate techniques that accommodate recreation for everyone. How to Create Inclusion Sufficient roaming staff with disability awareness training to answer questions, help out if needed and ensure the safety of all is beneficial to everyone participating in programs or using the fitness facilities Inclusion will Create Inclusion will give people with a disability A sense of belonging to and being part of their community A sense of adventure & challenge A sense of being A sense of freedom Control & power over their lives Companionship, increased social networks, new & stronger friendships ACKNOWLEDGEMENT This Healthy Lifestyle and Person with Disabilities Initiative is a partnership between the Canadian Association of Independent Living Centres (CAILC) and the Active Living Alliance for Canadians with a Disability (ALACD). This partnership and its outcomes were made possible through funding from the Public Health Agency of Canada. These power point presentations were created by the Winnipeg & St. Johns Independent Living Centres and modified by the current presentor/reactor.