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

The quality of life of the
served is the primary reason for our

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
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.

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
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

Email us for more information at

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
All Rights Reserved

Incorporating the Six Dimensional Wellness Model
Into Your Nursing Home/Activity Program
Debbie R. Bera/ADC
NAAP Public Relations Trustee

Part 2

In Part 1 you learned what the six dimensional wellness model is and why you should
consider incorporating it into the nursing home/activity program.  This second article will
speak to how to incorporate it and give you some specific examples.

Incorporating the six dimensional wellness model into your nursing home/activity program
may be as simple as changing your activity department philosophy, tweaking your policies
and procedures, and adding new and interesting activities to your already great program.  
But if you are still in the “bingo, birthday party and church” model of the old days, you will
have a lot more work ahead of you.

It does require you to change your focus to meeting individual needs, which corresponds
with the rewrite of the Interpretive Guidelines for F248/F249.  I also believe it will help
increase the participation of the younger generation we see in our Medicare residents, who
expect more and very different things than our 85/90 year olds.  Many of the suggested
activities that follow in the sections below are things that the “baby boomers” already do.  I
questioned a few “baby boomers” about their expectations of a nursing home stay and
here are a few responses I received (no surprise to me as I’m there myself):  We don’t want
a once a week shower going down the hall in a shower chair; spa treatment, massages and
the like are what we want; Computer labs and access to the Internet; choice for our meals
and setting our own daily agenda, maintain our independence and routine (we are a
generation who take care of ourselves and are used to getting our way after all!) are just a
few repeated comments I received.  These actually go beyond wants and are perceived as
expectations by many.  How does your facility fit in with these expectations?  Most likely,
there’s a long way to go to get here!  This is also what is coined as Culture Change
(another whole topic I won’t discuss here.)

I have separated the six dimensions and listed some specific activity programming ideas
that fall into each category.  I do not profess that these are an all-inclusive list.  They
should give you a good starting point in making some significant strides in assuring total
wellness for your residents within your facility and activity program.  

A person with physical wellness:
•        enjoys a healthy body and high energy levels
•        has good cardiovascular endurance, muscular flexibility, and muscular strength and
•        practices good nutritional choices, strives for balance and variety among the
recommended foods
•        exercises regularly
•        does flexibility and/or stretching exercises daily

Activities that would promote this are:  Anything promoting an active lifestyle, eating
nutritious foods and practicing proper self-care.  A general fitness workout for strength
building, Tai Chi, yoga (It can be done in the w/c, Creative Forecasting featured an article
on yoga in the past and I have incorporated that into our programming with much success
and have built on it by educating myself with DVD’s/Videos.  I have had success in
modifying my personal Tai Chi, yoga and Pilates DVD’s/Videos into w/c exercises.), weight
training (use light hand or ankle weights), range of motion exercises, walking clubs,
promote residents to self-propel w/c if they have the capability, recreational games
(tossing, catching, physically active games), stretching exercises (do daily in AM as Rise &
Shine or before lunch in the dining areas), make exercise fun and “disguise” it i.e.
parachute fun with rubber fish, duck, chicken tossed in the middle and they see  how high
they can make it jump (always creates a lot of laughs for us), volleyball, dusterball (use the
long handled dusters that are colorful and a soft ball and have them bat it back and forth
across a table), use swim noodles for Noodle ball (cut the swim noodles in half and have
them hit a balloon back and forth, can also use the noodles for doing simple stretching
exercises) *Make sure residents have doctors orders for participating in formal exercise
programs.  On the nutrition end: offer nutritious snacks at activities or as prizes, promote
good hydration by offering fluids, have speakers come and address the residents with
knowledge about good nutrition.  Encourage good medical self-care and appropriate use
of the medical system.

A person with social wellness:
•        has and maintains satisfying relationships
•        practices good communication skills
•        cultivates a support network of caring friends and family members
•        enjoys the friendship of diverse backgrounds and ethnic origins
•        participates in service projects and demonstrates concern for others
•        can appreciate lifestyles and opinions which may be different from one’s own
•        volunteers in the community
•        becomes involved in organizations/groups/clubs
•        handles conflict well

Activities that would promote this are:  activities that promote talking and sharing interests,
organized clubs i.e Red Hat Groups, Men’s Groups/Romeo’s, resident councils, food
committees, card clubs, gardening/green house clubs, having a sensory or serenity
garden, parties/social events, activities that include family members/community members, a
family room for family gatherings, Welcoming committees (residents welcome new
residents), Welcome Initiative (assigning a staff member to take a new resident under their
wing for a period of time to assist them in adjusting to the nursing home and resolving any
problems), promoting families to attend any/all activities with residents, resident volunteer
groups/opportunities (plant care taker, mail deliverer, newspaper deliverer, doing mailings,
leading activity groups, playing an instrument for other residents, reading to other
residents, visiting other residents), cultural or ethnic activities, bring community groups in i.
e. Hmong (or other cultural) dancers, ethnic festivals, adopt-a-grandparent, fundraising
activities that help the less fortunate i.e humane society, persons in disaster areas.  
Anything that promotes creation and maintenance of healthy relationships with others and

A person with emotional wellness:
•        is self-confident and respectful of others
•        has a healthy sense of play and humor
•        gets satisfaction from simple, everyday pleasures
•        is comfortable with asking for help with problems when necessary
•        copes well with stressful situations
•        feels comfortable expressing thoughts and feelings to others
•        becomes involved in programs and activities that require skills and talents
•        is able to say “no” without feeling guilty
•        enjoys relaxation without using drugs

Activities that would promote this are: relaxation activities, yoga, meditation, deep
breathing exercises, sensory rooms, massage, sensory/serenity gardens, guided imagery,
support groups within the facility or community, laughter clubs, clean joke club, promoting
residents expression of feelings, encouraging daily decision making, building up residents
self-esteem.  Anything that promotes awareness and acceptance of feelings and the ability
to manage feelings and behaviors.

A person with intellectual wellness:
•        welcomes new ideas and experiences
•        sets realistic personal and professional goals
•        understands that learning is life-long
•        questions and thinks critically
•        has a healthy sense of creativity, curiosity and humor
•        seeks to learn new things that challenge and motivate thinking
•        gets involved in discussions with others who may have different outlooks or
perceptions on a topic
•        uses libraries/reads/keeps up on current events
•        becomes computer “literate”

Activities that would promote this are:  any creative pursuit, stimulating discussions,
learning opportunities, Art appreciation, museums, plays, musical performance,
photography, dance, poetry reading, travel, foreign languages, politics, crosswords
(independent or as a group), word searches, trivia (weekend trivia handouts, daily trivia
board, trivia groups or 1:1), discussion groups, reminiscing groups, reading (independent
or as a group and discussing), current events groups, computer classes or individual
instruction or learning on ones own, games like Millionaire, Family Feud, Password,
Jeopardy, Wheel of Fortune, Bunco, Scrabble, Yatzee, cards, and many, many others that
require the use of the mind (I call this Mind Arobics), speakers, anything that teaches them
something new, taking up a new hobby, crafts.  Anything that encourages individuals to
expand their knowledge and skills through a variety of resources and cultural activities.

A person with occupational wellness:
•        determines occupational interests
•        achieves personal satisfaction through meaningful activities
•        participates in volunteer work
•        learns a trade
•        pursues a hobby

Activities that would promote this are:  resident council, food committee, reminiscing about
past jobs/careers, spot lighting residents (newsletter articles), having them speak about
their careers to a group of residents, offering volunteer opportunities (plant care taker,
mail deliverer, newspaper deliverer, doing mailings, leading activity groups, playing an
instrument for other residents, reading to other residents, visiting other residents),
genealogy, finding independent projects for individuals related to past work i.e. sanding
wood for woodworker, PVC piping for a former plumber, briefcase and supplies for a former
businessman, creating themed Memory Boxes or bags, can crushing, shredding paper,
sorting, helping them to pursue former hobbies i.e. winding yarn, cutting quilt squares or
sorting quilt squares, floral arranging with artificial or real flowers.  Do you get those lovely
funeral arrangements donated that are a constant reminder to residents about death?  
Disassemble them and take them to residents to arrange for dining areas or to deliver to
residents who are feeling down or not well.  Anything that provides meaningful activity to
the individual and gives them a sense of accomplishment and helping the larger world.

A person with spiritual wellness:
•        seeks inner peace and well-being
•        has compassion and a sense of justice about global concerns
•        experiences forgiveness and acceptance
•        has reservoirs of strength for times of loneliness, suffering and loss
•        learns to meditate or pray
•        learns more about their faith
•        is part of a spiritual community
•        practices a spiritual discipline that brings meaning to one’s life
•        shares one’s spiritual journey with others who hold similar views

Activities that would promote this are:  scheduled church services of different
denominations, religious groups, prayer groups, rosary groups, devotional groups, daily
devotionals, serenity gardens (or other quiet places for reflection, contemplation,
meditation, prayer), Spa activities, Memorial Services (formal service to recognize a
collective group), Memorial Remembrances (an area created to set up a Memorial for each
resident as they pass away), Comfort Carts, Meditation groups, Yoga, walking in nature,
simply sitting quietly alone, practicing mindfulness, keeping a daily gratitude journal or any
journaling.  The spiritual dimension is a very personal matter.  It’s seeking meaning and
purpose in human existence, including developing a strong sense of personal values and

The six dimensional wellness model gives you a new way to market your facility and activity
program.  Today’s residents are much more informed on the long term care market and
they increasingly have greater expectations of service and a desire to be actively engaged
in life.  We, as Activity Professionals, are better prepared to assure that our residents have
choices toward a more optimal existence – wellness of the body, mind, and spirit!
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