The Conceptual Model of Leisure Engagement for Quality of Life in Nursing Home Residents (LEQoL-NH) aims to demonstrate the interrelationship between four factors: principles of occupational justice, continuity theory, leisure engagement, and resulting quality of life. Each is considered as important in improving quality of life. This model recognizes persons as occupational beings with valued lifelong interests/activities. When the persons are enabled towards occupational engagement, participation in life results is increased. The model emphases that engagement in meaning or valued occupation is necessary to promote optimal quality of life. It is based on continuity theory, which suggests that people maintain interests, behaviors, and values across the lifespan, with combination of occupational justice ideologies, to support individual client choices and resulting quality of life through leisure engagement. As most nursing homes focus on activities of daily living, this model emphasizes that residents should be offered access to self-perceived meaning occupation for enjoyment to maintain the sense of self-identify. Due to varying needs of residents for ideal functional performance, individualized supports are also required for occupational justice. Moreover, consideration of interest and value, and maintenance of core identity and sense of self are necessary to enhance quality of life. Lack of opportunity to access in valued occupation results in occupational injustices can lead to negative physical, social, emotional, cognitive, and social outcomes. Interventions that minimize leisure constraints should incorporate patterns of leisure activities and interests, compensate for the residents’ declining abilities in older age, increase available resources for leisure engagement, provide appropriate staff education and create cultural changes within institutionalized settings to promote resident autonomy and choice. Occupational therapists can use assessments (e.g., interest checklist, Best Friend’s Assessment, in conjunction with detailed life history) to identify continued value leisure activities individually, and to make recommendations for resources and environmental alterations and supports.
- Macey Cho
- Model (conceptual)
Domain of occupation
The model aims to promote quality of life for nursing home residents through leisure engagement.
Causey-Upton, R. (2015). A model for quality of life: Occupational justice and leisure continuity for nursing home residents. Physical & Occupational Therapy In Geriatrics, 33(3), 175-188.
- Renee Causey-Upton
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