About NAAP
Founded by Activity Professionals
for Activity Professionals...

NAAP is the only national group that
represents activity professionals in
geriatric settings exclusively. NAAP
serves as a catalyst for both professional
and personal growth and has come to be
recognized by government officials as
the voice of the activity profession on
national issues concerning long-term
care facilities, retirement living, assisted
living, adult day services, and senior
citizen centers. NAAP is nationwide in
scope with a growing membership in
Canada and Bermuda.

The National Association of Activity
Professionals recognizes the following
values:

The quality of life of the
client/resident/participant/patient served
is the primary reason for our services.

The strength of NAAP lies in the diversity
of its members.  NAAP recognizes the
rich cultural, and educational
backgrounds of its members and values
the variety of resources represented.

The strength of NAAP also lies in the
development and promotion of scientific
research which further defines and
supports the activity profession.

NAAP values the development and
maintenance of coalitions with
organizations whose mission is similar to
that of NAAP's for the purposes of
advocacy, research, education, and
promotion of activity services and
activity professionals.

NAAP values members who become
involved at the state and national level
to promote professional standards as well
as encourage employers to recognize
them as professionals.

NAAP affords Activity Professionals
across the country the opportunity to
speak with a common voice...

NAAP successfully worked with members
of Congress to secure a change in the
nursing home reform title of the 1987
Omnibus Budget Reconciliation Act
(OBRA). Through our efforts, it became
mandatory that an activity program,
directed by a qualified professional, be
provided in every nursing home that
receives Medicare and/or Medicaid
funds.

NAAP was the only professional activity
association to participate in HCFA's
workgroups that revised OBRA's
interpretive guidelines now in effect.

NAAP provides assistance at the state
level to promote certification of activity
professionals, working toward uniform
professional standards for activity
practice.
NAAP Mission Statement
To provide excellence in support services to activity professionals through education,
advocacy, technical assistance, promotion of standards,
fostering of research, and peer and industry relations.
MEMBERSHIP
WHY NOT JOIN NOW?

There are so many benefits when you
belong to NAAP!  Each member will
receive a newsletter which will give the
updated reports on Government
Relations, Special Interests,
International Updates, Professional
Development, Nominations, Standards
of Practice, Financial Updates and a
Membership Report. Along with this
comes an update from our President,
Diane Mockbee, and our Executive
Director, Charles Taylor.

Members will also receive a discounted
rate at the Annual Conference which is
held in March/April of each year.

Effective JAN 1, 2006 membership dues
are:
Active Membership = $75 US dollars
Associate Membership = $65 US dollars
International Membership (outside US) =
$65 USD
Student Membership = $55 US dollars
Supportive Membership = $99 US dollars

Email us for more information at
membership@thenaap.com.

Join Now!

You can download and mail in this
application with your payment or use our
new
online registration.
Providing Internet Resources
for Activity Professionals
in Long Term Care Settings
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The Activity Director's Office
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Disclaimer
The NAAP Page
National Association of Activity Professionals
Founded by Activity Professionals for Activity Professionals...
Join Today!  You can download and mail in this application with your payment or use our new online registration
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ACTIVITY DIRECTOR TODAY
Making Summertime Activities Safe and Fun
By Myrtle Klauer, ADC, CAP

Warmer weather signals the beginning of outdoor activities for the residents. Summer activities include
outdoor games, picnics, barbecues, baseball games and other field trips, walks around the grounds of the
facility, sitting outside talking to visitors or the staff, etc. Now that the residents are able to spend more time
outdoors, the activity staff needs to build in some precautions when planning outdoor summer activities.
Exposure to the sun, insect bites, heat exhaustion, storage and preparation of food, and dehydration can
put the residents and facility at risk.

Before planning summer outings, work with the director of nursing to develop a protocol for the different
kinds of trips you would like to take. Agree on a maximum safe temperature/humidity index. Determine
chaperone ratios and when a CNA or nurse should go along. Develop a list of “necessities” that must go
with the staff on each outing -- these may include a first aid kit and manual, bottled water, insect repellent,
sunscreen, latex gloves, incontinence products, hand sanitizer, disposable wipes, etc. Purchase several
backpacks to hold these items. Backpacks are much easier to manage when pushing wheelchairs and
escorting residents from place to place.

Many of the residents in long term care are on medications or medical treatments that make them very
susceptible to the burning rays of the sun. Just a few minutes in the hot sun can cause very serious burns.
Remember that even on a cloudy day or when sitting in a shaded area, you can get sunburned.
Before taking any resident on a summer outing or outdoors, check with the nurse to determine if he/she is
“sun sensitive.”  As a precaution, sun block should be applied to all residents before going outside or on
an outing where they will be outdoors for even a short period of time. Sun block should be reapplied as
directed on the bottle or according to the facility’s protocol.

Wearing a hat that shades the face and covers the head is advised. A baseball cap, or hat with a wide brim
works best; sun visors may shade the face, but do not protect the scalp from burning.
A lightweight, long-sleeved shirt or blouse can help keep the sun’s rays off of the resident’s arms.
Residents who are sensitive to the sun should also cover their legs and refrain from wearing shorts.
Encourage these residents to substitute lightweight slacks instead of wearing shorts, dresses, or skirts
when spending time outdoors.

Encourage the residents to wear sunglasses while outdoors. Just remember, that with certain diseases of
the eye and as we age, the pupils take longer to adjust from light to dark.  When helping a resident to go
indoors, remind the resident to remove his/her sunglasses before entering the building. It is also a good
idea to pause for several moments once inside the door, so that the resident’s eyes will have time to
adjust to the diminished light.  This is especially important for ambulatory residents and for those using
canes and walkers.

Ask each resident’s family to purchase sunscreen, sunglasses and a hat for their loved one. Have them
mark the items with the resident’s name so that they won’t get “lost” during an outing.
Some residents like to go outside the facility by themselves and enjoy the fresh air. Remind them to let
their nurse know that they are going.  If you notice that someone has been out for a long time, check on
them and make sure that they are not dehydrated or becoming burned. Encourage them to come inside for
a little while to “cool off.”

It is important that staff members be able to recognize the signs and symptoms of dehydration to promptly
assure correction and prevention of complications.  Without timely correction, dehydration can lead to
decreased functional ability, predisposition to falls due to orthostatic hypotension, constipation,
predisposition to infection, and death.

According to the chapter on “Dehydration: Prevention and Recognition” published by Long Term Care
Educator, staff members should be alert to the following symptoms:
  • • Confusion
  • • Poor skin turgor (elasticity) - skin will feel warm and moist  
  • • A dry mouth and dry furrowed tongue
  • • A decrease in blood pressure and increase in pulse
  • • A decrease in voiding, scanty output and concentrated urine

If any of the above symptoms are noted, steps should be taken as soon as possible to further assess the
resident for dehydration and take corrective action as necessary.
Many people are allergic to insect bites, especially bee stings. Know who these residents are and what
procedures need to be followed if he/she should get stung by a bee. When a nurse will be one of the
chaperones, be sure he/she takes a bee sting kit on the outing. During late summer when bees are more
of a problem, it would be wise to encourage the residents with severe reactions to bee stings, to remain
inside the facility.

It is very important to keep the residents hydrated while outdoors or on an outing. The best form of
hydration is water. Stay away from drinks with caffeine because these beverages dehydrate the system. Be
aware that residents often refuse something to drink because they fear they’ll have to use the restroom
more frequently and don’t want to “be a burden.”

As we age, our sense of thirst decreases and by the time the resident “feels thirsty,” they are already
dehydrated. Giving the resident a salty snack will encourage him/her to accept a drink.
Involve the residents and family members in establishing and meeting hydration goals. Make sure that the
residents, families, staff, and volunteers at your facility know the importance of hydration, not only for the
residents, but also for themselves.

Teach the interdisciplinary staff to use a direct, positive approach when administering fluids. Avoid asking,
“Do you want something to drink?” Instead say, “Here is some cool, refreshing water for you Mrs. Jones.”
Older people may not feel thirsty and may not recognize their need for fluid.

Consider giving residents water bottles (such as those used by athletes) to carry with them while outdoors.
On a regular basis, be sure to refill the residents’ water bottles with water or their favorite cool beverages.
Leaving the facility’s grounds and going to a forest preserve or park for a picnic can be a lot of fun. Enjoying
a meal outdoors is something the residents look forward to.  Before planning a picnic, meet with the dietary
supervisor and review safe food handling practices. Develop a protocol for outings involving food. Make
sure the coolers you’re using can maintain the proper temperature for the length of time needed. A good
rule is NEVER take any salad, sandwich or dish containing mayonnaise. Always dispose of leftover food
that has been out of the cooler for more than a few minutes.

Barbecues are another favorite activity during the summer. When grilling chicken, hamburgers, and other
raw meat, be sure not to serve food with the same utensils used to cook the raw meat. ALL meat must be
served well done, including hamburgers.  Facilities are being cited for serving residents grilled
hamburgers “partially cooked.”

According to the surveyors, “serving half-cooked hamburgers results in a citation with a scope and severity
of D.” According to the 1993 FDA Food Code, the internal temperature of ground meat, i.e., pork or
hamburger, should be 155 degrees Fahrenheit.  In today’s era of e. coli, “mad cow” disease, and other
threats, the staff must be very careful and not serve food to residents that may prove hazardous to their
health and well-being.

To prevent heat exhaustion, keep the residents out of the direct sun whenever possible. Have them wear
light colored, lightweight clothing and encourage them to dress in layers. Ask the residents to remove their
sweaters and lap robes as the temperature begins to rise or you notice the resident perspiring. Have them
cease physical activity and encourage the resident to drink a glass of water. Move them to a cooler location
if you expect heat exhaustion, but be careful that the area is not too cold as this will shock the resident’s
body and cause more problems.

As we age, our bodies have a more difficult time adjusting to temperature changes; therefore, try not to
have the common areas too cold. This can also shock the system when coming in from the outdoors
where it is very hot -- 85+° -- into the facility where it is 72° F.

When using buses to transport residents on outings, try to get one that is air-conditioned.  If this is not
possible, make sure that the windows open and that there is adequate ventilation while in the bus. Carry
ice water and disposable cups on the bus. It is also a good idea to take disposable washcloths along
If the bus breaks down, try to get the vehicle into the shade and open the windows for ventilation. If this is
not possible, try to move the residents into the shade. Encourage each resident to drink a glass of water at
frequent intervals. Wet the washcloths for the residents to use on their face, neck and arms -- the
evaporation will help cool them.

It is extremely important to educate the residents, family members, staff and volunteers about summer
safety issues through the facility newsletter and/or in-service training. Many of the hints contained in this
article apply to everyone and are especially important considerations for those living and working in long
term care.
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