APPENDIX D (LEI 4940):

WEEKLY REPORT COVER SHEET

DATE/WEEK OF REPORT

Week #__5___ Dates: 09 / 19 / 16 to 09 / 23 / 16

TOTAL HOURS THIS WEEK:

27

CUMULATIVE HOURS TO DATE:

136

Student Name:

Joely Ramos

Panthersoft ID (PID):

4054482

Student Email:

Jramo138@fiu.edu

Student Phone#:

954-815-3109

Name of Agency:

Life Care Center at Inverrary

Agency Phone#:

(954) 485-6144

Name of Supervisor:

Maria De Marziani

Supervisor Email:

Maria_DeMarziani@lcca.com

Supervisor Phone#:

(954) 485-6144, ext. 140

9/27/2016
Students Signature: __________________________________________________________ Date: _________________________
9/27/2016
Agency Signature: ____________________________________________________________ Date: __________________________
Universitys Signature: _______________________________________________________ Date: _________________________

**Upon getting the appropriate signatures, scan this form and save as a PDF (NO PHOTOS!) and
submit to Blackboard with your other required documentation.

APPENDIX E:
FIELD- WORK WEEKLY REPORT
LEI 4940: INTERNSHIP 1

Date/Week of Report:

Week #__5___ Dates: 09 / 19 / 16 to 09 / 23 / 16

Name of Student:

Joely Ramos

Panthersoft ID (PID):

4054482

Name of Agency:

Life Care Center at Inverrary

Name of Supervisor:

Maria De Marziani

To complete your weekly report, type directly into this word document. You must then print it
out, have your supervisor read and sign each page, and then scan the entire document in ONE
PDF attachment (NO PHOTOS!) and submit on Blackboard. If you can only scan and save your
report one page at a time, you can merge your files using the website: www.pdfmerge.com
Make sure to attach Appendix D (signed cover sheet with correctly weekly/cumulative hours)
with the same corresponding dates to accompany each of your written reports. You will not get
credit if the two are not together. Therefore, make sure you complete it in a timely manner for
your agency supervisor to review before the submission due date in your folder.
*PLEASE NOTE EVERY PAGE OF YOUR REPORT MUST BE SIGNED BY YOUR SUPERVISOR!!!
This written report must be typed (double spaced) and should cover at least 2 full pages.
Please answer the following with thoughtful, thorough and insightful answers.

1. List professional practice activities in which you participated this week.

2. What problems did you face this week? How did you handle the problems?
3. Among the various activities in which you participated, which activity do you consider the most
valuable and why?
4. Identify at least one new professional insight you experienced this week?
5. Generally, what were the most important things you learned this week?
Signature of Supervisor:
Printed Name of Supervisor:

Maria J. De Marziani

Date:

9/27/16

APPENDIX E:
FIELD- WORK WEEKLY REPORT
LEI 4940: INTERNSHIP 1

Internship I (Clinical) : Week 5

Now that I am starting to warm up to Life Care Center at Inverrary (LCCA), its almost the
end of my rotation; but, I know this wont be my last encounter. This week at LCCA, I participated in
a good amount of activities to end my internship off strong. I researched, explored, crafted, and
mentally assessed in different activities throughout the week. My supervisor challenged me and my
co-intern to look more into the various stages and types of dementia through research. We had
some prior knowledge from our Abnormal Psychology (CLP 4146) and Introduction to Recreational
Therapy (LEI 3703) classes. Deeper inquiry taught us how little we really knew about this growing
topic which is commonly found in geriatrics. Later in the week, I explored nature with Robert
through a crafty Horticulture Therapy activity that set the mellow mood for this autumn season.
The residents were able to make beautiful decorations with fall leaves that hung from their
bedroom doors, bringing a holiday season to the whole building. Also, in the upstairs unit at LCCA
where painting class was held, hidden talents and new likings were revealed as people tried
painting on a canvas for the first time in a long time. They followed my lead as we used simple
shapes to paint the silhouette of a small bird sitting on a tree branch against a fading sunset. Last
but not least, observing and practicing mock client assessments, documentations, and evaluations
alongside my supervisor, was one of the most important lessons to be a part of this week. It went
hand in hand with the LEI 4711 class I am currently taking called Client Assessment,
Documentation, and Evaluation in Recreational Therapy, providing me with some enriching face-toface and hands-on knowledge. No doubt, it was a busy but very efficient time this week at LCCA.
With great triumphs, come great battles, and vice versa. During the process of learning how
Signature of Supervisor:
Printed Name of Supervisor:

Maria J. De Marziani

Date:

9/27/16

APPENDIX E:
FIELD- WORK WEEKLY REPORT
LEI 4940: INTERNSHIP 1

to effectively evaluate, cam many challenges. With working in a nursing skilled facility comes the
nature of unexpected admissions, discharges, emergencies, moments of fatigue, moments of
outburst, and so on. Finding the time where a participant is relaxed and in their room with
adequate amount of privacy, is a challenge in itself. Merging this time with the limited time that
activities department staff has to meet the daily need of clients, along with the necessary
documentation is a daily struggle. In the instants when assessments and evaluations could be done
by the CTRS, clients would either not be in their room, eating, sleeping, or unavailable due to other
treatment. Once the client was in their room, it was common for staff to be preoccupied doing
something else with another client or an activity elsewhere. In addition to this, some patients were
unable to clearly communicate or understand the questions being asked to them due to their
cognitive state at the moment. For example, a patient on medicine that makes them drowsy or very
relaxed, might not answer questions the same way they would in their full alertness. Another
example is when a patient cannot verbally express themselves, communicating likes and dislikes
becomes a challenge for both parties. However, I noted many solutions to these various and random
encounters. For one, if an immediate family member or spouse is present, when willing they are
able to answer and communicate leisure interest and past references of the client being
documented. If an immediate family member is not present and the patient is not able to answer
questions, family can be called and questioned for therapeutic purposes. If none of the above works,
many times participants will be asked to engage in as many activities as planned until their likes
and dislikes are unveiled, eventually answering most of the inquiries on the activity assessment.
Alternatives include looking for the best time to see a patient and shifting the assessment process to
more of a conversational approach rather than a step by step/fill out form approach, which can be
Signature of Supervisor:
Printed Name of Supervisor:

Maria J. De Marziani

Date:

9/27/16

APPENDIX E:
FIELD- WORK WEEKLY REPORT
LEI 4940: INTERNSHIP 1

intimidating and frustrating for many people in this environment. Overall, I saw the difficulties of
getting paperwork done, but the creative ways these many obstacles can be overcome.
Indeed, my time watching my supervisor assess and evaluate clients, along with the
research on dementia that I did, were the most valuable activities I did this week. Understanding
the different stages and types of dementia opened my mind to the reasons on why certain
participants did what they did in specific moments that I questioned their actions. I learned about
the different areas of the brain that are affected in the time span of this progressive disease, and
what to expect as it continues in someones life. I was able to spot out which of the clients had
certain stages and it helped me to understand how I could better engage them in the next activity,
rather than just thinking that they were refusing to participate. For instance, a client with stage
three of any dementia will probably not speak or speak very little. In these scenarios, sensory
activities are very useful because even if they cannot tell me what they like or dont like, their facial
expression and other senses will be clear to me through nonverbal cues. In addition to this activity,
the assessments that I participated in listening to were very enriching and great experience for my
future as a CTRS. I was able to see how getting down to eye level with patients and starting
conversations with them about themselves was more effective in getting the necessary information
for care planning than reading questions one by one was. Overall, these two activities were both
interesting and valuable to my future.
Week five at LCCA came with some great professional insight. Ive learned that I need to be
flexible with time and creative with my problem fixing skills if I want to work in a therapeutic
recreation setting with the elderly population, and really any population of people living with
disability. I was able to experience the great joy of seeing a patient who didnt ever participate in
Signature of Supervisor:
Printed Name of Supervisor:

Maria J. De Marziani

Date:

9/27/16

APPENDIX E:
FIELD- WORK WEEKLY REPORT
LEI 4940: INTERNSHIP 1

anything, try out painting and enjoy it to the point of requesting more activities similar to it. It was
insightful to know that in my profession, even bystanders who seem to just be watching, are
experiencing some form of encouragement to engage and eventually receive the full therapeutic
benefits of participating in leisure activities, like painting. Without a doubt, everything I have
learned up to this point was reinforced this week, and more was added to the list of professionalism
building inside of me.
All in all, the most important things that Ive learned this week are the significance of being
aware of your patients disabilities, knowing their abilities and strengths, and using what you know
to help improve peoples quality of life. Yes, evaluation of patients is important, but more important
than that I have learned is knowing that people are happier when they focus on where they can
succeed. Sometimes succeeding means adapting areas, people, or equipment, but that does not
make success any smaller. I learned the important of recording progress in order to remind others
of the hope that awaits them and to keep oneself out of legal trouble. Ive seen the product of simple
including people even if they choose not to participate, and how those small actions make big
differences. To conclude, "I'm a firm believer now that even the baby steps we take, if done in
multitudes, will eventually cover a lot of ground (Mary Friesen, Recreation Therapist at Grand River
Hospital, Ontario)."

Signature of Supervisor:
Printed Name of Supervisor:

Maria J. De Marziani

Date:

9/27/16