Final Departmental Manual

Silverado Hospice Care Recreational Therapy
Department Manual
Carleigh Ashnault, Taylor Mair, Joseph Reyes, Marisa Zanetti
1
Table of Contents
Silverado Hospice Care Recreational Therapy Comprehensive Program Plan……………. 3
Silverado Hospice Care Facility Organizational Chart…………………………..……………… 4
Recreational Therapy Department Organizational Chart………………………………………... 5
Recreational Therapy Department Mission, Vision, and Goals……………………………….… 6
Recreational Therapy Department Intervention Programs………………………………………. 7
Silverado Hospice Care Recreational Therapy Program Management Plan…………….… 8

Clinical Documentation Policy and Procedure…………………………………….…………….. 9
Risk Management Policy and Procedure……………………………………..………………….
11
Ethical Conduct Policy and Procedure…………………………………………………………..
14
Quality Improvement Policy and Procedure……………………………………………………..
16
Incident Report Policy and Procedure……………………………………………………………
18
Patient Bill of Rights……………………………………………………………………………. 20
Risk Management for Conversing with Companions Program………………………………….
21
Infection Control Policy and Procedure………………………………………………………….
22
Recreational Therapy Department Kitchen Inventory Sign Out Sheet…………………………..
24
Silverado Hospice Care Recreational Therapy Fiscal Management Plan…………………..

25
Personnel Operating Budget………………………………………………...…………………...
26
Supplies Operating Budget………………………………………………………………………
27
Equipment Operating Budget……………………………………………………………………
28
Patient Volume for Eating Through the Ages Program………………………………………… 30
Activity Based Cost Operating Budget…………………………………………………………. 31
Capital Expenses……………………...………………………………………………………… 32
Revenue…………………………………………………………………………………………. 33
Silverado Hospice Care Recreational Therapy Human Resource Management Plan…..…

34
Recreational Therapy Department Manager Job Description……………………………..……..
35
Certified Therapeutic Recreation Specialist Job Description……………………………………
38
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Therapeutic Recreation Technician (Full Time) Job Description………………………………..
40
Therapeutic Recreation Technician (Part Time) Job Description………………………………..
42
Job Competencies……………………...………………………………………………………...
44
Orientation Policy and Procedure………………………………………………………………..
45
Recreational Therapy Department Calendar……………………………………………………. 47
Silverado Hospice Care Recreational Therapy Marketing and Advocacy Plan……………

59
Overview………………………………………...……………………………………………… 60
Patient Marketing Strategy………………………………………………………………………
62
Internal Marketing Strategy………………...……………………………………………………
63
External Marketing Strategy……………………………………………………………………. 64
Research Supporting Eating Through the Ages Program……………………………………

66
References………………………………………………………………………...……………. 67
Silverado Hospice Care Recreational Therapy
Comprehensive Program Plan
3
Silverado Hospice Care Facility Organizational Chart
4

Recreational Therapy Department Organizational Chart
5
Mission
6
To provide outstanding care to patients during the end of their life through meaningful recreation
and leisure interventions. And to provide services that aim to affirm the cycle of life to ensure
our patients, and their families, comfort and dignity.
Vision
To enhance the quality of life for patients and their families by providing personalized activity-
based interventions at the end of their life. We strive to help patients focus less on dying and
more on living with dignity by addressing their assessed needs while providing compassionate
care.
Our Goals
To maintain the comfort and dignity of our patients while navigating end of life challenges
through meaningful, personalized and purposeful recreation.
To affirm the patients’ cycle of life by providing a platform for patients communicate and
express to their life experiences with their loved ones and present communities.
To enhance the quality of life and establish a dignified standard of living for our patients and
their loved ones through individualized palliative recreation and leisure options during the last
stage of their life.
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Recreational Therapy Intervention Programs
Eating Through the Ages
The Eating Through the Ages program is designed to help process the changes of aging by
allowing patients to recreate a meal that is both personal and meaningful to them. This meal
could be something that was made for them when they were a child, a meal they would cook for
their loved ones, or even a meal from their first date with their significant other. The patient will
get to share and enjoy this meal with 7 people of their choice.
Goals
 Through this program, we will encourage patients to recall memories and follow recipes
to assist the patient in staying cognitively engaged
 To encourage residents to continue to be physically engaged with gross and fine motor
skill application, through completing the recipe with the assistance of the RT.
 To facilitate sensory stimulation to provoke emotional responses within the patients
Conversing with Companions

The Conversing with Companions program provides patients the opportunity to interact with
their loved ones and friends, as well as members of the community through conversation. This
will allow the patient to reflect upon all of their life experiences and share these experiences
which will allow their legacy to live on through generations.
Goals
 To encourage patients to reflect upon their life experiences and memories
 To empower older adults by allowing them to share wisdom with their loved ones and
people of the community
 To provide an opportunity for socialization with individuals who are not seen as medical
providers, or other hospital patients

Person-Centered Palliative Planning
The Person-Centered Palliative Planning Program is available to all hospice patients who wish to
play an active role in their time spent in hospice care. The recreational therapist will sit down
with the patient at the beginning of each week and provide them with a menu of 5-6 palliative
care treatments happening that week. There will be a variety of options which will allow patients
of all abilities to participate. Allowing patients to have this autonomy in their treatment planning
will maximize the amount of time they spend participating in activities of their choice.
Goals
 To provide patients with a variety of palliative care options each week
 To increase patient satisfaction with their life at the hospice facility by adhering to their
values and preferences
 To allow patients to exercise their right to have autonomy in developing their treatment
plan
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Silverado Hospice Care Recreational Therapy Program
Management Plan
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Section: Recreational Therapy Department
Subject: Clinical Documentation
Clinical Documentation
Outlined in this section is all documentation requirements for recreational therapy patients at the
Silverado Hospice Care facility. Documentation is required for each patient in the form of
assessment, treatment planning, plan implementation, reassessment, evaluation and discharge
planning. The standards by which this department will uphold are outlined in American
Therapeutic Recreation Association’s (ATRA’s) Standards of Practice. Documentation plays an
important role of connecting the program plan and the assessment plan with measurement of
program and patient outcomes.
Assessment: A recreational therapy assessment is required for each patient which will consist of
a record review and a patient interview utilizing the Preferences of Everyday Living Inventory
(PELI). A licensed recreational therapist will conduct a reassessment every 2 weeks or monthly,
depending on the patient’s goals and objectives. The purpose of an assessment is to collect
comprehensive and accurate data, needed for the development of an individualized treatment
plan.
 Record Review:
o The recreational therapist will carry out a record review within 24 hours of
admission to the facility. This will include reviewing: the admission notes, patient
history, patient physical functioning overview, and nursing care plan. A consent
document is provided during the intake process.
 Patient Interview
o The patient interview will be completed by the recreational therapist within 48
hours of admission to the facility. The patient interview is utilized to determine
appropriate interventions, patient strengths and limitations, patient leisure
interests, and patient’s needs while receiving hospice care. The structure of this
interview will be based off of questions located within the PELI. Patient behavior
will also be observed and documented during this interview.
 Reassessment
o A reassessment will be conducted every two weeks or monthly, depending on the
patient’s goals and objectives, through patient check-ins. Patient check-in will
consist of a follow up of the patient’s original interview to identify changes in
their desired leisure interests, strengths and limitations, and needs while receiving
hospice care.
The recreational therapist is responsible for analyzing patient assessment results and writing an
assessment summary.
Treatment Planning: The recreational therapist will utilize the assessment data to develop an
individualized treatment plan. This treatment plan will include goals and objectives to help
develop the purpose, content, and direction of the program. All patients reserve the right to be
informed of and play an active role in their treatment planning.
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Plan Implementation: All participation in recreational therapy treatment interventions is
voluntary and patients reserve the right to refuse recreational therapy treatment interventions at
any time. It is important to take note of the following factors:
 Interdisciplinary team plan
 Staff to patient ratio during interventions
 Attendance for documentation purposes
 Routine Documentation
o Routine Documentation: The recreational therapist is responsible for
documenting individual engagement in each intervention implementation directly
after the activity occurs using the SOAP note structure. Documenting for each
patient will provide the recreational therapist with condensed and concise
information to help with evaluation of the intervention.
Evaluation: The recreational therapist will evaluate the patient’s progress using patient
satisfaction surveys, post session reviews with the interdisciplinary team, and feedback from the
patient’s loved ones. Evaluation is essential to the recreational therapy process as it provides
summative data for the recreational therapist to monitor the patient’s response to interventions.
Discharge Planning:
 Within 48 hours of the medical director’s note of discharge or deceased patient, the
recreational therapist must submit a summative discharge evaluation. This evaluation
should include:
o Reason for discharge
o Interventions patient participated in
o Response to activities
 If the patient is being transferred to another facility include the following information as
well:
o Recommendations for continued care
o Level of functioning in all 5 domains
o Outcomes from interventions provided by RT
Prepared By: Approved By: Effective Revision

RT Department Director of Patient Care and Date: Date:
Manager: Services: 10/19/2020 10/19/2020
Marisa Zanetti Melissa Zahl
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Subject: Risk Management
Risk Management
The Recreational Therapy Department follows all Risk Management Protocol set forth by
Silverado Hospice Care and the American Therapeutic Recreation Association (ATRA)
Standards of Practice. Additional protocols and procedures may be followed by the Recreational
Therapy Department for specific programs. Risk management policies and procedures are
necessary to improve patient and staff safety by planning for prevention and reduction of risks in
order to prevent injury and/or potential harm.
Procedure:
The following items and areas have been determined as possible risks that are associated with the
patient population and the specific programs offered by the recreational therapy department.
Patients:
 Possible Risks: The following risks have been identified due to population and
participation in a recreational therapy program.
o Falls
o Pressure Sores/Bedsores
o Weight Bearing Limit
o Triggers
o Flight-risks
o Self-harm
o Aggression
o Medication reactions
o Disorientation of patients during activity
Programs: Discussed below are the possible concerns and risks associated with
participation in each of the specific programs offered by the recreational therapy
department.
 Eating Through the Ages Program: The Eating Through the Ages Program is
designed to help process the changes of aging by allowing patients to recreate a
meal that is both personal and meaningful to them.
 Eating through the Ages Program possible risks:
o Sharp tools and/or equipment
 Knives
 Forks
 Scissors
 Can opener
 Blender
 Food Processor
 Broken glass/materials
o Food Allergies
 Nut allergies
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 Dairy
 Wheat
o Hot tools and equipment
 Stove
 Oven
 Pots
 Pans
 Hot Liquids
o Latex Allergies
 Gloves used when cooking, as required by food safety regulations
o Raw/uncooked foods
o Falls/Slips
 Liquid Spills
 Corners
 Protruding objects
 Medical Equipment
o Triggers
o Infection Control
 Conversing with Your Companions Program: The Conversing with Your
Companions Program is designed to provide time for patients to share stories
from their lives with family members and members of the community.
 Conversing with Your Companions Program possible risks:
o Triggers
o Falls
 Chairs
 Moving to different sitting areas
 Increased foot traffic
 Protruding objects
 Medical equipment
o Mental and Physical Fatigue
o Infection Control
 Person-Centered Palliative Planning Program: The Person-Centered Palliative
Planning Program provides patients with a menu of 5-6 palliative treatment
options for the week that aim at stimulating the senses.
 Person-Centered Palliative Planning Program possible risks:
o Triggers
o Allergies
 Latex
 Animal/Insects
 Pollen
o Temperature Sensitivities
Supplies/Equipment:
 Supplies/equipment that could be a possible risk include:
o Sharp kitchen tools and equipment
 Knives
 Forks
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 Scissors
 Can opener
 Blender
 Food Processor
 Broken glass/materials
o Hot kitchen tools and appliances
 Stove
 Oven
 Pots
 Pans
 Hot Liquids
o Latex gloves

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Subject: Ethical Conduct
Ethical Conduct
The Recreational Therapy Department at Silverado Hospice Care adheres to the ethical conduct
established by American Therapeutic Recreation Association’s (ATRA’s) Code of Ethics.
Abiding by the Code of Ethics will allow the recreational therapist to deliver patient
intervention/care that is professional.
Procedure:
 Once hired, each professional is required to read through ATRA’s Code of Ethics. The
performance of the therapists will be assessed annually using the ATRA structure criteria,
process criteria, and outcome criteria for ethical conduct located in the ATRA Standards
of Practice.
 Each professional is trained in the process of writing incident reports, specifically for
reporting unethical conduct to the Recreational Therapy Manager. The recreational
therapy manager then forwards the report to the Facility Administrator who begins an
investigation.
 If unethical conduct is found by the Facility Administrator, disciplinary action will be
taken.
Code of Ethics:
 Beneficence:
o Recreational Therapy personnel shall treat persons served in an ethical manner by
actively making efforts to provide for their well-being by maximizing possible
benefits and relieving, lessening, or minimizing possible harm.
 Nonmaleficence:
o Recreational Therapy personnel have an obligation to use their knowledge, skills,
abilities, and judgment to help persons while respecting their decisions and
protecting them from harm.
 Autonomy:
o Recreational Therapy personnel have a duty to preserve and protect the right of
each individual to make his/her own choices. Each individual is to be given the
opportunity to determine his/her own course of action in accordance with a plan
freely chosen. In the case of individuals who are unable to exercise autonomy
with regard to their care, recreational therapy personnel have the duty to respect
the decisions of their qualified legal representative
 Justice:
o Recreational Therapy personnel are responsible for ensuring that individuals are
served fairly and that there is equity in the distribution of services. Individuals
should receive services without regard to race, color, creed, gender, sexual
orientation, age, disease/disability, social and financial status.
 Fidelity:
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o Recreational Therapy personnel have an obligation, first and foremost, to be loyal,
faithful, and meet commitments made to persons receiving services. In addition,
Recreational Therapy personnel have a secondary obligation to colleagues,
agencies, and the profession.
 Veracity:
o Recreational Therapy personnel shall be truthful and honest. Deception, by being
dishonest or omitting what is true, should always be avoided.
 Informed Consent:
o Recreational Therapy personnel should provide services characterized by mutual
respect and shared decision making. These personnel are responsible for
providing each individual receiving service with information regarding the
services, benefits, outcomes, length of treatment, expected activities, risk and
limitations, including the professional’s training and credentials. Informed
consent is obtained when information needed to make a reasoned decision is
provided by the professional to competent persons seeking services who then
decide whether or not to accept the treatment.
 Confidentiality & Privacy:
o Recreational Therapy personnel have a duty to disclose all relevant information to
persons seeking services: they also have a corresponding duty not to disclose
private information to third parties. If a situation arises that requires disclosure of
confidential information about an individual (ie: to protect the individual’s
welfare or the interest of others) the professional has the responsibility to inform
the individual served of the circumstances.
 Competence:
o Recreational Therapy personnel have the responsibility to maintain and improve
their knowledge related to the profession and demonstrate current, competent
practice to persons served. In addition, personnel have an obligation to maintain
their credential.
 Compliance with Laws and Regulations:
o Recreational Therapy personnel are responsible for complying with local, state
and federal laws, regulations and ATRA policies governing the profession of
Recreational Therapy.
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Subject: Quality Improvement
Quality Improvement
Quality improvement plans are an aspect of ethical practice that work to continually improve
patient safety and quality of patient care. The recreational therapist will use Standard 10 of the
American Therapeutic Recreation Association’s (ATRA’s) Standards of Practice to understand
the guidelines for quality improvement.
Procedure: The following sections outline the quality improvement procedures for Infection
Control, Emergency Codes, and Quality Indicators. Along with these procedures, the
recreational therapist should also follow the policies set in place by the facility.
Infection Control:
 All RTs will be educated on adequate sanitary procedures that must be followed
when at the hospice facility. These include the following:
o Proper hand washing
o Proper disinfection of all supplies/equipment used within recreational
therapy interventions
o Proper food handling
o Symptoms that indicate the recreational therapist should not come into the
facility
o COVID-19 response
o For further details, see the Infection Control Procedures (p. 14)
Emergency Codes:
 Code Red: Fire
 Code Blue: Adult medical emergency that cannot be moved, most frequently
cardiac arrest
 Code Yellow: Bomb threat
 Code Pink/Purple: Infant/child abduction
 Code Silver: Person with a weapon/active shooter
 Code Orange: Hazardous material spill/release
 Code Gray: Combative Person
Quality Indicators:
 State and government guidelines
 Fire department and health department codes
 First aid kit & AED
 Incident reports
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 Patient satisfaction surveys
o In event of a live discharge, patient will be asked complete survey prior to
discharge
o In event of a terminal discharge, patient’s family/representative will be
asked to complete survey prior to discharge
Weekly Program Reviews:

 The recreational therapy departmental staff will hold a weekly program review
that will review patient data in order to identify areas for improvement of the
program and will also properly address the assessed needs of the patient.
 The recreational therapist will participate in monthly interdisciplinary treatment
team reviews to address the status of individual patient health outcomes and
possible changes to the interdisciplinary treatment plan that will benefit the
patient.
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Subject: Incident Report
Incident Report
In the event of an incident either during a recreational therapy program or witnessed by a
member of the recreational therapy staff, the recreational therapy staff member will manage and
report the event to the best of their ability and within their scope of practice. Incident reports are
used to document any harm, malfeasance, or maladaptive behavior pertaining to patients or
patient care. The recreational therapy department of Silverado Hospice Care will utilize the
agency incident report format and plan.
Procedure:
All incident reports must be turned into the Facility Administrator within 24 hours of the incident
occurring.
 The recreational therapist will first address all of the following parties immediately after
the incident occurs:
o Nurse on duty
o Attending Physician
o Case Manager
o Family/Patient Representative
o Recreational Therapy Manager/Director
 The recreational therapist will then fill out an incident report form that will ask for the
following details:
o Patient’s name
o Date of incident
o Time of incident
o Duration of incident
o Name and roles of others involved
o Indicate type of incident
 Abuse/Neglect/Exploitation
 Aspiration/choking
 Compromised environment
 Drugs and alcohol
 Fatality
 Injury
 Medication errors
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 Missing person
 Property destruction
 Seizure
 Suicide attempt/ threat
o Describe incident in detail; including how each person was involved
o Staff member signature and title, time
 The recreational therapist will then submit the form to the Facility Administrator
o Facility Administrator Signature and Title will also be required on the incident
report form
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Subject: Patient Bill of Rights
Patient Bill of Rights

The recreational therapy department will respect and follow the ATRA Patient Bill of Rights.
The Patient Bill of Rights is posted for all patients to see and provided to all patients and their
families/representatives upon admission to the hospice center. Patient Rights are important for
the patient as it guarantees them fair treatment, access to information, and a voice in their
treatment planning.
As the patient receiving recreational therapy treatment and care, you have the right to:
1. Receive appropriate treatment and care that respects you as a person and maintains your
dignity regardless of race, color, creed, gender, sexual orientation, age, disability or
disease, social and/or financial status.
2. Receive information in understandable terms about your strengths and limitations
identified through an individualized assessment process that is sensitive to your
developmental, cultural, and individual lifestyle qualities and characteristics.
3. Receive information in understandable terms about the proposed course of recreational
therapy treatment as well as a review of the potential risks and expected outcomes so that
you can make informed choices regarding your care.
4. Participate in the treatment planning, implementation, and evaluation process including
identifying, monitoring, and revising personal goals for treatment and in establishing
plans for discharge from treatment or transition into other types of treatment or care, as
appropriate.
5. Refuse treatment to the extent provided by the law
6. Reasonable accommodations to use resources, facilities, and/or adaptive/assistive
technology that allows you to plan and participate in treatment interventions and
activities designed to improve your physical, cognitive, social or emotional functioning to
enhance your health, well-being and quality of life.
7. Safe, quality care provided by a qualified and competent, recreational therapist or
recreational therapy assistant who adheres to ATRA’s Standards for the Practice of
Recreational Therapy and Code of Ethics as well as all local, state, and/or federal laws
and regulations.
8. Benefit from and not be harmed by any recreational therapy treatment interventions or
activities.
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9. To be informed when and under what circumstances disclosure of personal information is
necessary for your welfare or that of others and to have information about you or your
care treated in a confidential manner.
10. Appeal decisions about your care and to report grievances to the facility staff or other
designated persons on your behalf.

Subject: Risk Management for Conversing with Companions Program
Risk Management for Conversing with Companions Program

The Conversing with Companions program provides patients the opportunity to interact with
their loved ones and friends, as well as members of the community through conversation. The
recreational therapist will follow the procedures and rules outlined below when implementing the
Conversing with Companions program for patients.
Prior to activity beginning:

The recreational therapist will:
 Ensure that a quiet and calm space, free of distractions, is available for use for the
intervention to take place
 Ensure that each patient who is planning on attending the activity will have a companion
to converse with during the scheduled time
 Disinfect seats and surfaces prior to the event beginning
 Have individuals from the community sanitize their hands before interacting with patients
 Ensure all family/community members have signed in at the front desk
During the activity
 Ensure that appropriate physical contact is maintained between patient and companion
 Monitor conversation topics to ensure they remain appropriate for the duration of the
activity
After the activity finishes:
 Ensure that all patients properly disinfect their hands
 Properly disinfect all equipment/supplies used during the activity
 Ensure all family/community members have signed out at the front desk
Identified Risks:
 Triggers
 Falls
o Chairs
o Moving to different sitting areas
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o Increased foot traffic
o Protruding objects
o Medical Equipment
 Mental and Physical Fatigue
 Infection Control


Subject: Infection Control
Infection Control
Infection Control is set forth for the protection of workers, patients, and visitors within the
Silverado Hospice Care facility. The recreational therapist will do everything in their scope of
practice to prevent the spread of infectious disease/viral infections.
Procedure: Listed below are the expected behaviors of all recreational therapy department staff
in regard to illness and the COVID-19 pandemic. Also included are behaviors that will be
encouraged of patients, volunteer staff, and family members/visitors.
In the case of illness:

 Patients will
o Routinely wash hands
o Limit socialization with infected & stay in room when feeling ill
o Be encouraged to follow proper hygiene etiquette (i.e. sneezing into arm)
 Staff will
o Continuously monitor personal health
o Consult manager if they feel ill to determine a further course of action
 Volunteers will
o Continuously monitor personal health
o Not come in for a volunteer session if feeling ill
 Family/visitors will
o Limit visiting if feeling ill
COVID-19 Response:
As a response to the COVID-19 pandemic, the following parameters have been set in place.
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 NOT come into the facility if they are experiencing any COVID-19 symptoms
 Ensure that they are wearing proper PPE when working with patients
 Will require all patients to wear proper PPE during group activities
 Will help everyone maintain a proper distance of 6 feet from each other
 Will require all parties (including themselves) to use hand sanitizer before and after all
activities
 Will ensure safety of all patients by not allowing those who are symptomatic to
participate in activities
 Will remind patients to not touch their face

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Recreational Therapy Department Kitchen Inventory
DATE ITEM TIME OUT TIME IN PRINT NAME SIGNATURE
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Silverado Hospice Care Recreational Therapy Fiscal
Management Plan
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Personnel Operating Budget
The chart above indicates what the Recreational Therapy Department employees will be paid for
the 2020 fiscal year. An extensive staff is needed to provide personalized care to all hospice
patients, allowing for the development of individualized treatment plans.
Recreational Therapy Manager (MTRS, CTRS)

The Recreational Therapy Manager oversees the entire Recreational Therapy Department at
Silverado Hospice Care, including the recreational therapists. This individual has completed a
master’s degree in Therapeutic Recreation (MTRS) showing dedication and persistence in the
profession. This individual will be paid $30.00/hour to acknowledge the value of their higher
education.
Certified Therapeutic Recreation Specialist (TRS, CTRS)

Two Certified Therapeutic Recreation Specialists (CTRS) work under the Recreational Therapy
Manager. These individuals have passed the NCTRC Certification Exam after completing a
bachelor’s degree. Each CTRS will be paid $20.00/hour based on the average CTRS salary in
Utah.
Therapeutic Recreation Technician (TRT)

Each CTRS will have two Therapeutic Recreation Technicians (TRT) assisting them. These
individuals have received 90 hours of instruction from an MTRS and passed the state exam. Two
TRTs work part time to assist when four full time TRTs are not needed.
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Supplies Operating Budget
Cleaning Supplies
The cleaning supplies has a forecasted budget of $162.00, the list above indicates appropriate
supplies required to clean the kitchen before, during, and after the program takes place. The
supplies outlined are necessary to carry out proper sanitary procedures in order to prevent the
spread of infectious disease and viral infections to ensure the safety of Silverado Hospice Care
patients.

Single-use supplies
Single-use supplies have a forecasted budget of $106.00 and are needed to assist in the cleaning
process and proper storage of food. These supplies also aid in the preparation of many different
meals and will be needed frequently.
Food
Food has a forecasted budget of $4,800.00 which allows for a variety of meal options. Each
week an individual is given a budget of $100 to make a meal of their choice that will feed 8
people.
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Equipment Operating Budget
Kitchen Appliances forecasted budget is:

The kitchen appliances have a forecasted budget of $150.00. The appliances outlined in the chart
above are found in most kitchens. These are appliances that the facility does not already own
that will be needed to properly run the Eating Through the Ages program. These appliances are
used to create a variety of dishes.
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Dinnerware and Drinkware forecasted budget is:
The dinnerware and drinkware have a forecasted budget of $108.00. Dinnerware and Drinkware
are necessary when eating and serving a meal. All individuals participating in the program will
be encouraged to sit down and eat the meal together. Enough dinnerware and drinkware need to
be purchased to serve a maximum of 8 individuals.
General Kitchen Tools forecasted budget is:

The general kitchen tools have a forecasted budget of $436.00. Many different kitchen tools are
needed for preparing a meal. A variety of kitchen tools is necessary to cook each individual's
preferred dish.
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Patient Volume for Eating Through the Ages Program
Our total volume came out to be 1,504 patient engagement per unit. This volume was calculated
using a 15-minute unit and forecasting for 8 patients in this program, that will occur four times a
month. The maximum number of patients that can be catered to in the Eating Through the Ages
program is 8 individuals per session. However, it is assumed that during the holiday season
participation would be lower, so the expected number of patients per session for the month of
December was reduced to 6.
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Activity Based Cost Operating Budget
The chart above shows the breakdown of the Activity Based Cost for the Eating Through the
Ages Program. The activity unit cost is $61.63.
Our volume budget indicated a total volume number of 1,504 participants per unit. Using this
information and the 1:4 staff to patient ratio, it was decided that two therapists will be needed to
run the Eating Through the Ages program. The staff cost shown above indicates that the
program will be run by one CTRS and one full time TRT employee. With all of these factors we
have identified the Activity Unit Cost to be $61.62. There are many great benefits related to this
intervention that we feel outweigh the cost associated to this event such as, social engagement,
exercise of motor skills and cognitive skills, stimulation of senses, and evoking emotional
responses. The cost of this event will be fully covered by revenue from grants, donations, and
fundraisers.
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Capital Expenses
KitchenAid Electric Stand Mixer

The cost of the KitchenAid Electric Stand Mixer is $300.00. While this is an expensive item,
many individuals in hospice care may be experiencing atrophy and therefore may be unable to
mix ingredients by hand due to a lack of fine motor skills. Also having this item would allow
therapists to provide the best care during this program as the mixer would be able to support an
extensive list of recipes due to its many attachments.
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Revenue
Grant(s):
Silverado Hospice Care applied for and received a federal government grant. 5% of this grant
($500) was allocated towards the Recreational Therapy Department to fund programs.
Donation(s):
Smith's Food and Drug donation: will to cover ¼ of the total cost of food for the year. Receiving
this amount of food will save the equivalent of around $1,203 in food expenses.
A private donor has allocated $3,000 to the Recreational Therapy Department at Silverado
Hospice Care. $2,250 of this donation will be used to directly fund the Eating Through the Ages
Program.
Fundraiser(s):
Annual Awareness Walk Fundraiser: The recreational therapy department at Silverado Hospice
Care will host a yearly fundraiser walk that helps to raise money for the Recreational Therapy
Department Programs at Silverado Hospice Care. 70% of the revenue from the registration fees
will be given to the Eating Through the Ages Program. Expecting around 100 fundraiser
participants, all paying a $20 registration fee, $1,400 will be generated for the Eating Through
the Ages Program. The expected revenue outside of registration fees is estimated to be roughly
$3,000. These funds will be distributed throughout the Recreational Therapy Department
programs at Silverado Hospice Care based on need, allowing for the full funding of the Eating
Through the Ages program.
Total Revenue:
Grant(s): $500
Donation(s): $3,453
Fundraiser(s): $2,121
Total: $6,074
34
Silverado Hospice Care Recreational Therapy Human
Resource Management Plan
35
Silverado Hospice Care Job Description
Recreational Therapy Department Manager
Department: Recreational Therapy Department
Prepared Date: 11/06/2020
Reports to: Director of Patient Care and Services
Position Summary:
Silverado Hospice Care aims to maintain the dignity and comfort of our patients and their
families while they work together to overcome end of life challenges. Silverado Hospice Care
employees are expected to provide personalized and compassionate care to all patients. The
recreational therapy department manager is responsible for and will aid recreational therapy
departmental staff in the development of treatment plans and implementation of department
programs. The manager will also be responsible for overseeing the entire department and play an
integral role in communicating the effects of a patient’s treatment to their interdisciplinary team.
Qualifications:
 Education
o Bachelor’s degree in Recreational Therapy or related field
 MTRS
o Must be licensed to practice Recreation Therapy in the state of Utah as a Master
Therapeutic Recreation Specialist
 CTRS
o Must be certified through the National Certification for Therapeutic Recreation
Association
 Suicide Prevention Training
o Provide and maintain a certificate if available, or provide training upon hire if
needed
 BLS and First Aid Certified
o Must obtain certification from American Heart Association every 2 years or upon
expiration.
o Provide and maintain a certificate if available or provide upon hire if needed
 HIPAA Training
o Complete HIPAA training provided by the facility.
 Food Handler’s Permit
o Must have a current food handler’s permit or be willing to obtain one
 Preferred two years of experience working in a hospice care environment
 Preferred management experience
Essential Duties and Responsibilities:

 Managerial Duties
o Scheduling for the recreational therapy department
o Run department meetings
36
o Ensure the licensure and certification of all recreational therapy department staff
is current and viable
o Act as the liaison between the recreational therapy department and the rest of the
Silverado Hospice Care departments
o Oversee that all recreational therapy department staff is following the stated
policies and procedures located on pages 8-24 of the Silverado Hospice Care
Recreational Therapy Department Manual
o Act as a mediator for inter and intra department conflicts.
o Address incidents that occur in the recreational therapy department and ensure
that an incident report is properly filled out as described on page 18.
 Documentation for Assigned Patients
o Document patient progress after each intervention
o Complete a full record review for every patient receiving recreational therapy
services
o Complete and document a full intake assessment for each patient
o Upon discharge of patient, complete a discharge summary
 Program Planning
o Develops, plans, and implements program interventions and activities to assist in
recreational therapy department programming
o Identifies needs for future programs
o Establishes relationships with outside organizations in order to coordinate joint program
opportunities
o Continuously developing new programs for the recreational therapy department
 Other Responsibilities
o Facilitate the decoration of the recreational therapy department for various
holidays/community events
o Ensure a safe and comfortable environment for employees and patient.
o Any other duties assigned
Knowledge, Skills and Abilities

 Knowledge
o Full understanding of the Recreational Therapy process
o Knowledge of community recreation opportunities and facilities
o Understanding of the ATRA Standards of Practice
o Understanding of the most current Medicare and Medicaid policies
o Knowledge of local policies and regulations
o Understanding the proper use of evidence-based practice within interventions.
 Skills and Abilities
o Be able to lift at least 50 pounds
o Ability to learn new techniques and adapt to new settings
o Ability to utilize, perform, and understand research
o Ability to act as an approachable and effective clinical supervisor
o Ability to apply and obtain funding from various sources
o Ability to work in high stress situations and remain calm
o Ability to manage people and fairly delegate department responsibilities
37
Legal Notifications:
 Background check
o Upon hire, background checks will be completed for all employees
 Drug Screening
o Upon hire, all Silverado Hospice Care employees are required to complete a full
panel drug screening. All Silverado Hospice Care employees are subject to
random drug screenings.
38
Certified Therapeutic Recreation Specialist (CTRS)
Reports to: Recreational Therapy Department Manager
Position Summary:
employees are expected to provide personalized and compassionate care to all patients. The
CTRS will work to develop treatment plans and implement department programs. This will be
done by utilizing all steps of the recreational therapy process and developing professional
relationships with their assigned patients. The CTRS will work closely with their assigned
Therapeutic Recreation Technicians.
Qualifications:
 Education
o Bachelor’s degree in Recreational Therapy or related field
 CTRS
o Must be certified through the National Certification for Therapeutic Recreation
Association
o Took proper steps to obtain TRS and is therefore licensed to practice in the state
of Utah
needed
expiration.
 HIPAA Training

o Document patient progress after each intervention
services
o Complete and document a full intake assessment for each patient
o Upon discharge of patient, complete a discharge summary
39
o Develops, plans, and implements program interventions and activities to assist in
recreational therapy department programming
o Identifies needs for future programs
o Continuously developing new programs for the recreational therapy department
o Brings safety concerns related to programs to manager
o Act as an approachable and effective clinical supervisor for their assigned TRTs
o Assist in the decoration of the recreational therapy department for various
o Contribute to creating a safe and comfortable environment for employees and
patients.

 Knowledge
o Understanding the proper use of evidence-based practice within interventions
o Assist the recreational therapy department manager in applying for and obtaining
funding from various sources
o Ability to understand and take on responsibilities delegated by the recreational
therapy department manager
o Ability to act as an effective supervisee under the clinical supervision of the
recreational therapy department manager
 Drug Screening
40
41
Therapeutic Recreation Technician (TRT) | Full Time
Reports to: Assigned CTRS Supervisor
Position Summary:
employees are expected to provide personalized and compassionate care to all patients. The TRT
will assist the CTRS to develop treatment plans and implement department programs. This will
be done by utilizing all steps of the recreational therapy process and developing professional
relationships with their assigned patients and assigned CTRS. The TRT will be given guidance
from their assigned CTRS. As a full time TRT they will be required to work 40 hours per week.
Qualifications:
 Education
o High school diploma or GED
 TRT
o Completed a 90-hour training course under the instruction of a licensed MTRS

needed
expiration.
 HIPAA Training

o Aid in the completion of patient progress after each intervention
services
o Aid in the completion and document a full intake assessment for each patient
o Upon discharge of patient, aid in completing a discharge summary
o Aid in developing, planning, and implementing program interventions and
activities to assist in recreational therapy department programming
o Aid in identifying needs for future programs
42
o Aid in establishing relationships with outside organizations in order to coordinate
joint program opportunities
o Aid in continuously developing new programs for the recreational therapy
department
o Aid in the decoration of the recreational therapy department for various
o Aid in creating a safe and comfortable environment for employees and patients.

 Knowledge
o Act as an effective and teachable supervisee to the CTRS
 Drug Screening
43
Therapeutic Recreation Technician (TRT) | Part Time
Reports to: Assigned CTRS Supervisor
Position Summary:
employees are expected to provide personalized and compassionate care to all patients. The TRT
will assist the CTRS to develop treatment plans and implement department programs. This will
be done by utilizing all steps of the recreational therapy process and developing professional
relationships with their assigned patients and assigned CTRS. The TRT will be given guidance
from their assigned CTRS. As a part time TRT they will be required to work 20 hours per week.
Qualifications:
 Education
o High school diploma or GED
 TRT
o Completed a 90-hour training course under the instruction of a licensed MTRS
o Passed the NCTRC Therapeutic Recreation Technician Laws and Rules Exam
needed
expiration.
 HIPAA Training

o Aid in the documentation of patient progress after each intervention
services
o Aid in the completion and document a full intake assessment for each patient
o Upon discharge of patient, aid in completing a discharge summary
o Aid in developing, planning, and implementing program interventions and
activities to assist in recreational therapy department programming
o Aid in identifying needs for future programs
44
o Aid in establishing relationships with outside organizations in order to coordinate
joint program opportunities
o Aid in continuously developing new programs for the recreational therapy
department
o Aid in the decoration of the recreational therapy department for various
o Aid in creating a safe and comfortable environment for employees and patients.

 Knowledge
o Act as an effective and teachable supervisee to the CTRS
 Drug Screening
45
Job Competencies
The Recreational Therapist is responsible for:
 Creating/maintaining a safe/therapeutic environment
 Establishing/ maintaining effective working relationships
 Establishing therapeutic relationships with person(s) served
 Monitoring/addressing safety concerns
 Complying with standards/regulations
 Adhering to professional Standards of Practice/code of ethics
 Documenting occurrences relating to risk management
 Using leadership/facilitation/adaption techniques
 Following risk management practices
 Documenting behavioral observations
 Obtaining/reviewing pertinent information
 Observing for responses to intervention/program
 Monitoring effectiveness of intervention/program
 Evaluating changes in functioning
 Professionalism
 Advocacy for persons serves
 Foundational knowledge of:
o Theories and concepts
o Practice guidelines
o Diagnostic groupings
 Personnel/intern/volunteer management
46
Orientation Policy and Procedure
Recreational Therapy Department Orientation
All recreational therapy department employees will complete a professional orientation for the
recreational therapy department within 1 weeks of work. Orientation is required to ensure a
complete understanding of the facility and department policies and procedures.
Policy
Employees will complete two orientations upon hire at the facility. They will need to complete a
Silverado Hospice Care orientation and a recreational therapy department orientation. For the
recreational therapy department orientation, employees will be oriented individually by the
recreational therapy manager. This orientation will include a tour of the department as well as
training and education on the recreational therapy department’s policies and procedures. The
employee will be required to sign a verification form, located in the back of the recreational
therapy department manual, upon completion of the department orientation. The employee will
be given a photocopy of the signed department manual for their own reference; however, the
original signed copy will be filed. Orientation to the recreation therapy department must be
completed within the first week of employment. If revisions are made to department policies and
procedures, employees will be notified immediately and be required to read the revisions and
sign an updated verification form that will be returned to the recreational therapy department
manager.
Procedure
1. The manager of the Recreational Therapy Department will provide a comprehensive
orientation upon each new hire within the department. Upon being hired, the department
manager will provide new staff with:
a) Recreational Therapy Department Manual which includes:
i) Department Policies and Procedures
ii) Job Description and Competencies
b) Orientation Checklist
c) Employee Badge and Keys
2. Within 1 week of employment, employee will have completed
a) Recreational Therapy Department Orientation
b) Signed the Recreational Therapy Department Manual to convey they have read and
understand the department policies and procedures, as well as the responsibilities of their
employment position
3. Within 30 days of employment, the employee will have completed:
a) Silverado Hospice Care Orientation
b) Signed the Facility Manual
c) Suicide Prevention Training provided by the facility
d) Basic Life Support training through the American Heart Association provided by the
facility
e) HIPAA training provided by the facility
f) Food Handlers Permit which is NOT provided by the facility as it must be completed
through the state of Utah
g) Administrative healthcare trainings provided by the facility
47
4. 90-day probationary period
a) Upon employment, the employee will be placed on a 90 day long probation period to
assess if they are truly a good fit for the facility. If within these 90 days the department
decides the employee is not a good fit, the department reserve the right to terminate the
employee.
5. Department Manual will be updated annually
6. All recreational therapy staff are responsible for maintaining current licenses and
certifications
a) Failure to maintain current licenses and certifications will result in the therapist ceasing
practice and may result in termination
7. All recreational therapy staff are responsible for completing Silverado Hospice Care
requirements
8. Upon being terminated, staff are required to return their facility badge and keys into the
recreational therapy department manager

48
Joe Reyes Melissa Zahl
49
January 2021
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
27 28 29 30 31 1 2
8:00am-
Department
Meeting
1:00-
HIPPA Training
10 11 12 13 14 15 16
8:00am-
Department
7:30pm- Support
Meeting
group for Family/
Loved ones
1:00-
BLS Training
17 18 19 20 21 22 23
8:00am-
Department
Meeting
1:00- Quarterly
Admin Healthcare
Training
24 25 26 27 28 29 30
8:00am-
4:00-
Department
Interdisciplinary
Meeting
Team Meeting
31 1 2 3 4 5 6
50
February 2021
31 1 2 3 4 5 6
February is
recreational
8:00am-
therapy month!
Department
Come hear about
Meeting
recreational
therapy and get a
free donut!
7 8 9 10 11 12 13
8:00am-
7:30pm- Support
Department
group for Family/
Meeting
Loved ones
14 15 16 17 18 19 20
8:00am-
Department
St. Valentine's Meeting
Ash Wednesday
Day
1:00- Living with
Terminal Illness
21 22 23 24 25 26 27
8:00am-
4:00-
Department
Interdisciplinary
Meeting
Team Meeting
28 1 2 3 4 5 6
51
March 2021
28 1 2 3 4 5 6
8:00am-
Department
URTA conference
Meeting
(time pending)
URTA conference
(online)
7 8 9 10 11 12 13
7:30pm- Support 8:00am-
group for Family/ Department
Loved ones Meeting
14 15 16 17 18 19 20
8:00am-
St. Patrick's Day Department
Meeting
21 22 23 24 25 26 27
8:00am-
Department
Meeting
28 29 30 31 1 2 3
52
4:00-
Palm Sunday Interdisciplinary
Team Meeting
April 2021
28 29 30 31 1 2 3
Good Friday
8:00am-
Department
Meeting
4 5 6 7 8 9 10
8:00am-
Department
Meeting
Easter 4:00- Spring into
Palliative Care:
Latest
Techniques and
11 12 13 14 15 Treatments 16 17
Loved ones Meeting
18 19 20 21 22 23 24
8:00am-
Department
Meeting
25 26 27 28 29 30 1
53
8:00am-
Department
4:00- Meeting
Interdisciplinary
Team Meeting 1:00- Quarterly
Admin
Healthcare
May 2021
25 26 27 28 29 30 1
2 3 4 5 6 7 8
8:00am-
Department
Meeting
9 10 11 12 13 14 15
8:00am-
Department
Meeting
7:30pm- Support
group for Family/
4:00- Self-Care in
Loved ones
Healthcare:
Mindfulness and
Meditation
16 17 18 19 20 21 22
8:00am-
Department
Meeting
23 24 25 26 27 28 29
54
8:00am-
Department
Meeting
30 31 1 2 3 4 5
4:00-
Interdisciplinary
Team Meeting
June 2021
30 31 1 2 3 4 5
8:00am-
Department
Meeting
6 7 8 9 10 11 12
8:00am-
Department
Meeting
4:00- No Worries
on Wheels:
Wheelchair Safety
Training
13 14 15 16 17 18 19
Loved ones Meeting
55
20 21 22 23 24 25 26
8:00am-
Department
Meeting
27 28 29 30 1 2 3
4:00-
Interdisciplinary
Team Meeting
July 2021
27 28 29 30 1 2 3
8:00am-
Department
Meeting
4 5 6 7 8 9 10
8:00am-
Department
Meeting
11 12 13 14 15 16 17
8:00am-
Department
The second week
7:30pm- Support 12:00pm- Staff Meeting
of July is
group for Family/ Party Potluck
Therapeutic
Loved ones Lunch 4:00- Cultural
Recreation week
Competencies and
Health Disparities
18 19 20 21 22 23 24
56
8:00am-
Department
Meeting
25 26 27 28 29 30 31
8:00am-
Department
Meeting
4:00-
Interdisciplinary
Team Meeting
1:00- Quarterly
Admin Healthcare
Training
August 2021
1 2 3 4 5 6 7
8:00am-
Department
Meeting
8 9 10 11 12 13 14
8:00am-
Department
Meeting
7:30pm- Support
group for Family/
1:00-
Loved ones
Understanding
Cancer (staff
training)
15 16 17 18 19 20 21
57
8:00am-
Department
Meeting
22 23 24 25 26 27 28
8:00am-
Department
Meeting
29 30 31 1 2 3 4
4:00-
Interdisciplinary
Team Meeting
September 2021
29 30 31 1 2 3 4
8:00am-
Department
Meeting
5 6 7 8 9 10 11
8:00am-
Department
Meeting
4:00- Assistive
Technology
Education and
Demonstration
12 13 14 15 16 17 18
58
Loved ones Meeting
19 20 21 22 23 24 25
8:00am-
Department
Meeting
26 27 28 29 30 1 2
4:00-
Interdisciplinary
Team Meeting
October 2021
26 27 28 29 30 1 2
8:00am-
Department
Meeting
3 4 5 6 7 8 9
8:00am-
Department
Meeting
10 11 12 13 14 15 16
8:00am-
7:30pm- Support ATRA
Department
group for Family/ Conference Day 1
Meeting
Loved ones (time pending)
17 18 19 20 21 22 23
59
ATRA ATRA ATRA ATRA 8:00am-
Conference Day 2 Conference Day 3 Conference Day 4 Conference Day 5 Department
(time pending) (time pending) (time pending) (time pending) Meeting
24 25 26 27 28 29 30
8:00am-
Department
4:00- Meeting
Interdisciplinary
Team Meeting 1:00- Quarterly
Admin Healthcare
Training
31 1 2 3 4 5 6
All Hallows Eve
November 2021
31 1 2 3 4 5 6
8:00am-
Department
Meeting
7 8 9 10 11 12 13
8:00am-
Department
Meeting
7:30pm- Support
group for Family/ 4:00- Seasonal
Loved ones Depression
Awareness
Seminar
60
14 15 16 17 18 19 20
8:00am-
Department
Meeting
21 22 23 24 25 26 27
8:00am-
Thanksgiving Department
(USA) Meeting
28 29 30 1 2 3 4
4:00-
Interdisciplinary
Team Meeting
December 2021
28 29 30 1 2 3 4
8:00am-
Department
Meeting
5 6 7 8 9 10 11
8:00am-
Department
Meeting
4:00- Family
Assisted Transfer
Training
12 13 14 15 16 17 18
61
8:00am-
Department
7:30pm- Support Meeting
group for Family/
Loved ones 1:00- Suicide
Prevention
Training
19 20 21 22 23 24 25
8:00am-
Department Christmas
Meeting
26 27 28 29 30 31 1
8:00am-
4:00-
Department
Interdisciplinary
Meeting
Team Meeting
62
Silverado Hospice Care Recreational Therapy Marketing
and Advocacy Plan
63
Overview
The purpose of the Recreational Therapy Department’s Marketing and Advocacy Plan is to
establish ways to inform patients, co-workers, and families/caregivers of the various programs
that the recreational therapy department offers.
The recreational therapy department offers various intervention programs to the patients at
Silverado Hospice Care. See page 7 of the Silverado Hospice Care Recreational Therapy
Department Manual for further information on these programs.
Highlighted below are three programs that are the most current additions to our recreational
therapy department:
 Eating Through the Ages Program
o The Eating Through the Ages Program provides patients with personalized care
by giving them an opportunity to recreate a meal of their choice and share it with
their loved ones.
 Conversing with Companions Program
o The Conversing with Companions Program designates a specific period of time
for patients to converse with loved ones and members of the community.
 Person-Centered Palliative Planning Program
o The Person-Centered Palliative Planning Program provides patients with a menu
of 5-6 palliative treatment options for the week that aim at stimulating the senses.
Recreational therapy utilizes a holistic focus through activity-based interventions to assist in

increasing one’s quality of life for individuals in a hospice care setting. Interventions provided
by RTs are personalized and acknowledge the individual’s input in their therapy in order to
provide the most appropriate treatment and care for the residents of Silverado Hospice Care.
The Eating Through the Ages Program

The Eating Through the Ages Program is a cooking intervention opportunity for a patient to
choose a memorable meal to cook and will be able to share this experience with 7 people of their
choice. The act of cooking and eating a meaningful meal has the potential to address the needs of
each patient. The benefits of this program include social engagement, motor skills, cognitive
skills, stimulation of senses, and emotional responses. Utilization of these skills and abilities will
work to aid in affirming the patient’s cycle of life. Through understanding each patient’s
assessed needs, the recreational therapy departmental staff will use the Eating Through the Ages
Program to help the patients focus less on dying, and more on living with dignity and comfort.
Goal of the Recreational Therapy Department Marketing and Advocacy Plan: To increase
patients’
participation in the Eating Through to Ages Program
 Objective #1: The recreational therapy departmental staff will invite, remind, and
encourage patients to attend recreational therapy departmental programs 3x throughout
the week.
 Objective #2: Once a week, the recreational therapy departmental staff will communicate
via email with other departments regarding which patients will be attending the Eating
Through the Ages Program to prevent scheduling conflicts.
64
 Objective #3: Recreational therapy departmental staff will inform loved ones of the
Eating Through the Ages Program through flyers and weekly emails.
65
Patient Strategy
Target Population
 The target population for this marketing strategy would be all Silverado Hospice Care
patients.
Strategy: Verbal Reminder of Activity
 On Monday mornings, the recreational therapy departmental staff will go from room to
room, inviting patients to all departmental programs. When speaking on the Eating
Through the Ages programs, the recreational therapy departmental staff should be sure to
touch on the benefits of participating in the program. These include social interaction,
exercising cognitive skills through memory recall and instruction following, stimulation
of the senses and exercising both fine and gross motor skills.
 On Monday mornings, the recreational therapy departmental staff will confirm which
patient will be choosing the meal to be prepared during the Eating Through the Ages
program for the week, and which other 7 people they would like to attend with them.
These other 7 people could include other residents, loved ones, and friends. If the patient
chose to invite other hospice care patients, the recreational therapy departmental staff will
go to their room and invite them by the end of the day. If the patient chose to invite loved
ones or friends from the community, they will be contacted via email to inform them of
the time and location of the event, as well as the meal being prepared. An RSVP will be
requested by the end of day by Tuesday night
 On Tuesday mornings, the recreational therapy departmental staff will remind the
specific patient and their chosen guests of the Eating Through the Ages Program
happening at 3:30 p.m. on Wednesday. If the patient chose to invite other hospice care
patients, the recreational therapy departmental staff will go to these patient’s rooms and
remind them. If the patient chose a loved one or friend from the community and they
have not yet RSVP’d, a second email will be sent requesting an RSVP by the end of the
day.
 On Wednesday mornings, the recreational therapy departmental staff will get the patients
ready and excited for the program taking place later that day. The recreational therapy
departmental staff will bring aprons to the hospice care patients that are participating in
the program for the week. Other participants from the community will receive an apron
upon arrival. The recreational therapy departmental staff will inform the patient of the
week if one of their guests is not able to attend, and that all ingredients have been
purchased.
66
Internal Strategy
Strategy: Email Blast to Other Departments - Conversation/word of mouth
 On Monday afternoons, the recreational therapy departmental staff will send an email to
the other departments of Silverado Hospice Care, to inform them of the specific patient(s)
that will be participating in the Eating Through the Ages Program that week, in an effort
to avoid scheduling conflicts. The time and location of The Eating Through the Ages
Program will be provided in the email. The email will also ask the Silverado Hospice
Care staff to remind participating patients of this event and encourage other patients to
get involved with this program in upcoming weeks.
 The email will also include the benefits the patients will receive by participating in the
program. These benefits will help inform other staff members of the importance and the
efficacy of recreational therapy for patients. Educating on the importance of recreational
therapy in end of life care will help to advocate for the recreational therapy profession as
a whole.
67
External Strategy
Physical Strategy: Informational Flyer
 An informational flyer will be provided to loved ones and friends when they visit the
Silverado Hospice Care Facility. Flyers will also be updated and posted around the
facility throughout the year. A copy of the flyer can be found below.
68
Digital Strategy: Email blast to Loved ones
 An email blast informing loved ones and friends about the Eating Through the Ages
Program will be sent out once a month to encourage participation. A copy of the email
can be found below. A copy of the flyer will be attached to the email.
Silverado Family and Friends,
The Recreational Therapy Department at Silverado Hospice Care would like to share one of our
favorite programs this year, called Eating Through the Ages, with you. Eating Through the Ages
provides your loved one with a tasty opportunity to recreate a meal that journeys them back in
time, and allow them to share it with their loved ones and friends. We love providing this
program because it brings our patients joy and happiness as they reminisce on the meaning
behind their meal. This program is free to our patients, their loved ones, and friends! It is offered
every Wednesday at 3:30 p.m. at our Salt Lake City location; the address can be found below.
We invite you and your loved one receiving hospice care to sign up by calling or emailing us.
Please feel free to contact us with any questions you may have. We look forward to hearing from
you!
Bon Appétit,
The Recreational Therapy Department at Silverado Hospice Care
(844) 333-7344
855 East 4800 South
Suite 240
69
Research Supporting Eating Through the Ages Program
https://journals.sagepub.com/doi/pdf/10.1177/1090198117736352
70
References
American Therapeutic Recreation Association. (2009, July). Code of Ethics. https://www.atra-
online.com/general/custom.asp?page=Ethics.
American Therapeutic Recreation Association. (2015). Standards for the practice of recreational
therapy: & self-assessment guide.
Farmer, N., Touchton-Leonard, K., & Ross, A. (2017). Psychosocial Benefits of Cooking
Interventions: A Systematic Review. Health Education & Behavior, 45(2), 167-180.
https://doi.org/10.1177/1090198117736352.
National Council for Therapeutic Recreation Certification. (2020). Job Analysis Report.
nctrc.org. https://www.nctrc.org/wp-content/uploads/2019/05/JobAnalysisReport.pdf.
71

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Silverado Hospice Care Recreational Therapy

Carleigh Ashnault, Taylor Mair, Joseph Reyes, Marisa Zanetti

Silverado Hospice Care Recreational Therapy Program Management Plan…………….… 8

Silverado Hospice Care Recreational Therapy Fiscal Management Plan…………………..

Silverado Hospice Care Recreational Therapy Human Resource Management Plan…..…

Silverado Hospice Care Recreational Therapy Marketing and Advocacy Plan……………

Research Supporting Eating Through the Ages Program……………………………………

Recreational Therapy Department Organizational Chart

Conversing with Companions

Prepared By: Approved By: Effective Revision

Prepared By: Approved By: Effective Revision

Section: Recreational Therapy Department

Section: Recreational Therapy Department

Weekly Program Reviews:

Section: Recreational Therapy Department

Patient Bill of Rights

Section: Recreational Therapy Department

Risk Management for Conversing with Companions Program

Prior to activity beginning:

Prepared By: Approved By: Effective Revision

Section: Recreational Therapy Department

In the case of illness:

Prepared By: Approved By: Effective Revision

DATE ITEM TIME OUT TIME IN PRINT NAME SIGNATURE

Recreational Therapy Manager (MTRS, CTRS)

Certified Therapeutic Recreation Specialist (TRS, CTRS)

Therapeutic Recreation Technician (TRT)

Kitchen Appliances forecasted budget is:

General Kitchen Tools forecasted budget is:

KitchenAid Electric Stand Mixer

Essential Duties and Responsibilities:

Knowledge, Skills and Abilities

Essential Duties and Responsibilities:

Knowledge, Skills and Abilities

 Suicide Prevention Training

Essential Duties and Responsibilities:

Knowledge, Skills and Abilities

Essential Duties and Responsibilities:

Knowledge, Skills and Abilities

Prepared By: Approved By: Effective Revision

All Hallows Eve

Recreational therapy utilizes a holistic focus through activity-based interventions to assist in

The Eating Through the Ages Program

Silverado Family and Friends,

American Therapeutic Recreation Association. (2009, July). Code of Ethics. https://www.atra-

therapy: & self-assessment guide.

Interventions: A Systematic Review. Health Education & Behavior, 45(2), 167-180.

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