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Healing Garden

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Rob Harrington

on 23 May 2012

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Transcript of Healing Garden

Sensory Wind Chimes
Integrate visual and auditory senses
Water Fountain
Promotes the sense of touch and provides visual enjoyment
Working Garden
Combines purposeful movement and stimulation of the senses as well as sense of personal ownership Allen Cognitive Model support abilities and compensate for losses
instill a sense of belonging and usefulness
provide opportunities to continue work/hobbies
reestablish connections to the familiar
establish sense of personal pride in surroundings
maintain sense of security
heighten awareness of nature, seasons, place and time
create places for physical exercise
maximize a sense of independence and freedom Therapeutic Goals Cognitive Disorder Level 6: Planned Actions 0% Cognitive Assistance Mentors others
Negotiates plans of action
Can take on supervisory role Level 5: Exploratory Actions Demonstrate teamwork within a variety of contexts
Self manages work rate
Recognizes opportunities to create and design
Uses fine motor actions in small spaces
Uses tools of different kinds Level 4: Goal Directed Activity 22%-6% Cognitive Assistance Awareness of sequences (beginning, middle, end)
Recognizes patterns from nature
Learns way around garden
Forms beliefs based on visible environment
Notices changes in environment Level 3: Manual Actions 42%-26% Cognitive Assistance 64%-46% Cognitive Assistance Reaches for, grasps, holds, and feels objects
Remembers past use of common objects
May wander off and get lost
Waits when told
Remembers what action was done a minute ago
Expresses surprise, satisfaction/dissatisfaction at task completion Level 2: Postural Actions 80%-74% Cognitive Assistance Achieve comfort with a desire to experience movement. Achieve arousal with no desire for distinct experiences. Sustain interest through the experience of touching. Comply with the visual experience of other's activities. Achieve self-control through the experience of inductive reasoning. Provide opportunities for self-reflection through the experience of deductive reasoning. Recognizes loved ones and favorite objects and smells
Notices caregiver's hands and other supports
Responds to universal non-verbal signals: helplessness, warning, submission, etc.
Notices different textures
Notices barriers above the knee
Follows people or goes where pointed
Listens to familiar sounds/songs Level 1: Automatic Actions 100%-88% Cognitive Assistance Aware of unpleasant stimuli
Notices sounds
Notices touch
Aware of pleasant smells
Turns head to locate and follow moving stimulus
Notices changes in climate: sunshine, rain, wind, humidity Sensorimotor Frame of Reference
Uses activities that:
stimulate the senses
produce purposeful movement
promote cognition and affect
use real-life tasks to approach the CNS in a systematic way Sensation is sensational!
All 5, plus vestibular and proprioceptive How does the sensorimotor approach work in a healing garden?
A therapist can systematically introduce sensations to the client, depending on the client's needs. The garden provides chances for various tactile, olfactory, visual, taste and auditory sensations. Working and walking in the garden encourages the use of the vestibular and proprioceptive senses. DESIGN MUST MINIMIZE CONFUSION DESIGN MUST MINIMIZE CONFUSION Volitional Subsystem Personal Causation Gardening is motivational because it provides immediate, short-term and long-term positive feedback. Interests The healing garden provides an opportunity to explore the occupation of gardening. Habituation Subsystem Habits Return visits to the garden can create a routine of outdoor exercise and caring for the plants Roles Clients can take on the identity of "Gardener," which is a valued role in our society Performance Capacity Gardening strengthens musculoskeletal capacity and this garden allows for graded activity Walking the paths, interacting with water and actively working with plants all provide sensory input to the CNS and PNS Gardening and walking are moderate cardiopulmonary exercises. Environment This garden allows for "Yes." It's paths invite the participant to walk and explore, while maintaining safety in an unobtrusive manner. MOHO Concepts of renewal, re-birth and the cycle of life are evident each time one enters a garden Diagnoses such as
schizophrenia, affective
disorders, dementia,
substance abuse,
developmental delays,
and traumatic brain injury. Village Green Garden Plan for clients to possibly experience disorientation, difficulty with spacial clarity, and trouble with way-finding. Paths Edges Districts Landmarks are:
reference points singled out in a setting.
"increasingly relied upon as a journey becomes more and more familiar". Provides the individual with happiness and enjoyment.
demonstrated as signs, arbors, fountains, and trees. Nodes Landmarks Garden Path Concept Design objective Maximize spatial orientation. Design patterns Sunny patio, lilac grove, a picnic in a grove of trees, white pine grove, quiet visiting alcove, purple martin house, birdbath, sun porch, Juneberry grove, a home for the birds, woodland path, flowering shrubs Gardens stimulate the senses by allowing individuals to observe the colors, sounds, textures, and scents all around them. Many individuals benefit from this because they are able to relieve stress and express their emotions in an effective way. districts of a garden may include:
gathering areas to promote interaction, cognition, walking and mainstreaming
working areas to promote a sense of accomplishment.
quiet, shaded, accessible seating areas to promote concentration and opportunities for independent thought Edges are the boundaries between two distinct areas. Edges should:
provide a circumference of safety and security.
promote independent navigation throughout the garden.
allow an enrichening, sensual experience
Eliminate frustration and anxiety. Paths should
be clear and recognizable.
be seen from anywhere in the setting.
lead to an entrance and an exit that is easily seen and understood as such.
lead to destinations that users can easily view. Incorporating familiar objects from the past can
trigger both memories and conversation. Nodes are destinations to which the user may travel. This may include:
path intersections.
places of increased activity. Well-planned districts can provide opportunities for both recreation and reminiscing. main entrance/exit should be obvious
pathway should wide enough for 2 people side by side
place familiar objects to invite movement along path
facilitate orientation by placing landmarks at appropriate spots
nightime lighting Lynch, K.(1960) The Image of the City. Cambridge, MA: MIT Press.
Tyson, Martha (1998) The Healing Landscape. McGraw-Hill.
Early, M.(2009) Mental Health Concepts & Techniques. Lippincott, Williams & Wilkins.
Earhart, Catherine (2006) Allen Diagnostic Module-2nd Ed. S&S Worldwide, Colchester, CT.
Kielhofner, Gary (1980) Model of Human Occupation. Lippincott, Williams & Wilkins. Provide for safety and security Design patterns Design objective Sun porch, open lawn, lilac grove, quiet visiting alcove, wildflower garden, benches under the trees, purple martin house, redbud grove, a home for the birds,
sunny patio, flowering shrubs References THE HEALING GARDEN DESIGN ELEMENTS Safety Occupational Therapy
Frames of Reference & Models SENSORY INTEGRATION MODEL
MODEL OF HUMAN OCCUPATION Emily Auck, Shannon Baruth, Dana Gieryn, Rob Harrington, Jacki Joyce, & Samantha Krebs Creators
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