Re-Creative Resources
By Kimberly Grandal, BA, CTRS, ACC, Executive Director
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Executive Director
Re-Creative Resources
About Kim

Kimberly Grandal, Founder
and Executive Director of Re-
Creative Resources, Inc., is a
strong advocate for the field of
Therapeutic Recreation and
Activities, with over fifteen
years of experience working
with the elderly in numerous
management and consultant
positions.  She is an Activity
Consultant Certified and a
Certified Therapeutic
Recreation Specialist. Kim is a
member of the New Jersey
Activity Professionals
Association and the New
Jersey/Eastern Pennsylvania
Therapeutic Recreation

In 1990, Kim graduated from
William Paterson University
with a BA in Sociology and
later studied gerontology
courses at Union County
College and Therapeutic
Recreation courses at Kean
University. Throughout her
career, Kim has been the
Director of Therapeutic
Recreation for several long-
term care facilities, including
one of NJ’s largest.

In 2006, Kim founded Re-
Creative Resources Inc. She is
a speaker for various state and
local activity associations such
as NJAPA, MOCAP, and
NJACA, as well as the Society
of Licensed Nursing Home
Administrators of NJ. She also
offers lectures for Re-Creative
Resources Inc., local colleges,
and community groups, and
provides consultation and
support to numerous facilities
in the state.

Kim is the editor and writer for
the “The Rec-Room", a
monthly newsletter published
by her company. In addition,
she writes monthly articles for
the Activity Directors Office
newsletter, and has contributed
articles to Creative Forecasting
Magazine, and The
Continuing Care Insite

Kim is a recipient of the
Kessler Institute of
Rehabilitation 1997 Triumph
of the Human Spirit Award.  
Her passion is to promote the
field of Therapeutic
Recreation and Activities and
to unite Recreation Therapists
and Activity Professionals. Kim
currently serves on the NJAPA
board as the Chairperson for
the Legislation Committee.
Resources Inc.

Re-Creative Resources, Inc. is
committed to enhancing the
lives of long-term care
residents through the use of
Therapeutic Recreation. We
provide a variety of services
such as Therapeutic
Recreation seminars,
in-services, resources, form
development, program analysis
and development,
consultation, and support for
activity professionals and
recreational therapists. A
selection of downloadable
training materials and forms
are available for your
convenience as well as a free
job posting site.
Subscribe to Kimberly's Newsletter
See Kim's You-Tube videos (Click Here)
Meaningful Recreational Activities:
A Thirty Minute In-Service for Facility Staff
By Kimberly Grandal BA, CTRS, ACC/EDU

Activity Directors are required to provide inservices to educate the facility staff regarding
various approaches to providing individualized and meaningful activities. Below are a
few ideas that you can share with facility staff. This will only take about 30 minutes or
less and can be done directly on the nursing unit or nearby conference room. The
following is an excerpt from the Re-Creative Resources Inc. In-service entitled
“Breaking Down The Barriers: An Interdisciplinary Approach to Quality of Life”.

Benefits of Meaningful Recreational Activities

Improved Cognitive Skills
•        Ability to follow simple directions
•        Communication
•        Interpersonal Skills
•        Decision Making
•        Attention Span
•        Sensory Awareness
•        Environmental Awareness
•        Ability to make needs known
•        Memory Skills
•        Self-Expression

Improved Physical Skills
•        Fine/gross motor skills
•        Endurance
•        Mobility and Range of Motion
•        Hand/Eye Coordination
•        ADL Skills/Body Awareness
•        Strength and Flexibility
•        Sleep Patterns
•        Skin Integrity
•        Appetite
•        Incontinence
•        Decrease use of pain medications

Improved Emotional Well-Being
•        Socialization
•        Motivation
•        Creative Expression
•        Self Esteem and Confidence
•        Depression
•        Boredom
•        Stress Management Skills
•        Decrease Learned Helplessness
•        Increased Independence

Decreased Behavior Issues
•        Wandering
•        Sundown Syndrome
•        Agitation
•        Anxiety
•        Repetitive Motions
•        Yelling and Screaming
•        Use of physical restraints
•        Use of chemical restraints

Examples of how YOU can enhance a resident’s quality of life through meaningful
recreational activity.

One to One Visits
•        Have friendly conversation ie. talk about resident’s favorite interests, their family,
•        Play a quick game of cards or other game
•        Talk about current events, facility news, or read a quick story
•        Bring outside, to the activity room, lobby, etc.

Tactile Stimulation
•        Give a hug, hand massage, or hold hands
•        Offer a variety of tactile equipment

Environmental Awareness
•        Talk about the environment i.e.  Do you hear that music?
•        Inform the resident that the Activity Room is down the hall, etc.
•        Point out facility signs i.e. bathrooms, dining room, phone, etc.
•        Divert to fish tanks, rummage areas, multi-sensory rooms, birds, plants, etc.

•        Put on appropriate music or television stations in resident rooms or the day room.
•        Remember that, each resident or patient has a preference.  
•        Ask the Recreation staff for specific details.

Parallel Programming
•        Work with residents who are not involved in the group activity.
•        Group/seat residents according to functional abilities and interests
•        Provide activities that meet the interests and abilities of the residents i.e. hand out
magazines/books, offer pictures to color, provide manicures, encourage residents to
put on makeup or comb hair, table games, diversional/sensory activities, range of
motion, massages, talk one on one with residents, etc.) Provide any activity the resident
would enjoy!
•        Utilize supplies in dayroom; return when finished
•        Encourage resident independence
•        Adapt activities and/or use adapted equipment

        Other Interventions
•        Assist recreation staff with motivating residents to participate in activities.
•        Assist in transporting residents to the day room or to special events.
•        When applicable, monitor safety and positioning of residents; release restraints
•        “Talk up” activities. Notify residents of the scheduled activities for the day.
•        Help to motivate the residents and congratulate them on their achievements.
•        Validate/re-assure cognitively impaired residents
•        Your trash may be treasure! Bring in magazines, books, music, knick-knacks,
videos, etc.
•        Participate in large events such as parties, talent shows, BBQ’s, etc.  It’s fun work!

Copyright Kimberly Grandal, 2007. All rights reserved.

Breaking Down the Silos: An Interdisciplinary Approach to Quality of Life In-Service ($25)
Do you need to educate healthcare providers in your facility about the importance of an
interdisciplinary approach to quality of life? Yes, we all do, especially since the
implementation of the revised CMS guidance to surveyors for Activities, F248 and the
MDS 3.0. This in-service will help you “break down the silos” in your facility and create a
person-centered environment. You receive an outline, PowerPoint presentation with
teacher’s notes, a student manual, an icebreaker activity, and a post-test. To order this
in-service visit