Clinical vs social approaches to pediatric patient care: the benefits and resistance of therapeutic recreation

Kathleen Lefevre
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Abstract

This presentation outlines the work I did as a Service Aid at the Montreal Children’s Hospital (MCH) from January 2022 to May 2022. I discuss the benefits and setbacks of the work I did with adolescent patients in the MCH psychiatry ward as the “art and play lady”. I also discuss the staff resistance I experienced in this role of offering therapeutic recreation with an embedded social (as opposed to more traditionally clinical) approach. As a teacher with an MA in art education, I also talk about how I was not treated as a professional by a number of the staff who told me I was “just a teacher”. This is not formal research but is instead an anecdotal and narrative account of my experiences in a role with a less traditional, socially based, patient-centered approach to patient care. The presentation also offers interesting examples of patient artwork that resulted from this experience. Overall, my story points toward the need for greater shifts in the hospital culture to occur to make it more feasible for therapeutic recreation to be available to patients. My story also suggests that more funding and education are needed to make social approaches to patient care more accepted by hospital systems.
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儿科患者护理的临床方法与社会方法:治疗性娱乐的益处与阻力
本演讲概述了我于 2022 年 1 月至 2022 年 5 月期间在蒙特利尔儿童医院(MCH)担任服务助理的工作情况。我将讨论我作为 "艺术与游戏女士 "在蒙特利尔儿童医院精神科病房为青少年患者所做工作的益处和挫折。我还讨论了我在以嵌入式社会(相对于更传统的临床)方法提供治疗性娱乐时所遇到的员工阻力。作为一名拥有艺术教育硕士学位的教师,我还谈到了一些工作人员是如何不把我当做专业人士对待的,他们告诉我,我 "只是一名教师"。这并不是正式的研究,而是以轶事和叙述的方式讲述了我在不太传统、以社会为基础、以病人为中心的病人护理方法中的经历。演讲中还举例说明了由这段经历创作的有趣的病人艺术作品。总的来说,我的故事表明,医院文化需要发生更大的转变,以便为病人提供更多的治疗性娱乐。我的故事还表明,医院系统需要更多的资金和教育,使病人护理的社会方法被更多人接受。
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