Tuesday, March 25, 2014


Day Care Centre – Wilcock’s model
One of our main projects that we focused on in the community block was the day care centre. Have a look at how well it falls under the different areas that Wilcock labelled as 'essential' for living a healthy life.
Doing
Wilcock stated that, “People spend their lives almost constantly engaged in purposeful ‘doing’ even when free of obligation or necessity. They ‘do’ daily tasks including things they feel they must do, and others that they want to.” (Wilcock, A., 1998). The disabled individuals that attend the centre feel a sense of doing something purposeful when they are engaging in the programme that the centre has to offer. The intervention planned by the students for this component of the model is to take ownership of their own garden which they have begun. Another aspect of intervention will be based on a craft programme that will make use of recycled material and that will focus on performing activities that will improve the individual’s fine, gross and verbal skills.  

Being

“To ‘be’ in this sense requires that people have time to discover themselves, to think, to reflect and to simply exist.” (Wilcock, A., 1998) The day care centre was donated some learning material and books from the Down Syndrome Association. We made use of the centres and the communities resources in order to construct a shelf that was installed to store the books on. This results in material for leisure activities such as listening to stories being read out by the teachers or for the higher functioning individuals to read by themselves.

Becoming

 
“Occupational therapists are in the business of helping people transform their lives by facilitating talents and abilities not yet in full use through enabling them to do and to be.” (Wilcock, A., 1998) Our profession plays a huge role in an individual’s process of becoming which is why it is important to take the process of individuals very important. At the day care centre, six different conditions are found. The severity of the cognitive impairment varies greatly which is why it is so important to group the individuals into severity of their impairments. This was done by a previous student group. For further intervention on structuring we have decided to structure the physical environment by employing room dividers which are in the process of coming. The infrastructure of the facility is a real hazard as it puts the individuals at great risk of harm. This is the reason why we assisted the process through teaching the principle how to correctly address the issue with the relevant services that are available.

Belonging

This term was first used by Reibeiro et al. (2001) to describe the state an individual finds himself in when he is included in taking part in certain occupations that other individuals also benefit from. (Hammell, 2004)The Augmentative and alternative communication which the speech therapists have started to employ in the Day Care Centre , creates the opportunity for assisting the carers of a disabled individual to interpret  ‘non verbal communication signals’ such as touch, gestures and objects to help with ‘language and communication within an environment’. (Bloom, L., 1993) The speech therapy students have drawn up an ACC programme that consists of a morning ring, absent/present chart, placemats and name labels. All of these contribute towards the feeling of belonging. The individuals give back to the community and to the centre by making crafts that are sold on pension day. Another contribution will be the vegetables that will be growing in the garden.

 

Reference

Bloom, L. (1993) The Transition to Language: Acquiring the Power of Expression. Cambridge, UK: CUP.

Hammell, 2004, Canadian Journal of Occupational Therapy, 71(5), Canada, CAOT Publications Ace

 
Wilcock, A. (1998). Doing, being, becoming. Canadian Journal of Occupational Therapy, 65, 248–257.

 

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