1: Community Care Flashcards
Levels of Care in BC
- Independent Living
- Assisted Living
- Long term Care
Determinants of Level of care:
- Age
- Physical abilities
- Functional limitations
- Medical needs
- Cognitive abilities
- Mental health
- Person and family’s wishes
- Socioeconomic status
What does Frailty mean?
ability to bounce back from a stressor. Emotional, social & physical effects
What does the Right to live at risk mean?
-assumes that every person 19+ is capable of making their own decisions unless demonstrated otherwise
-adults are entitled to live in the manner they wish + to accept or refuse support, assistance or protection as long as they do not harm others
Guiding principles of the Right to live at risk:
- Must be capable of making their own decisions + do not harm others
- Receive the least restrictive/intrusive form of support, assistance, or protection
- Court should not appoint, guardians unless alternatives, such as the provision of support and assistance, have been tried or carefully considered
Community Care
Help provided in the community, rather than in a residential institution, is community care
Day program
Structured program with activities, respite for caregivers, provides meals
Rec programs
targeted to a specific population, promote socialization
home care nursing/supports
nursing care at home, assessed by a nurse, carried out by a care aid, public/private
meal programs
nutritious meals and social support for elderly, disabled, injured.
support groups
people with similar conditions, meet for support, encouragement etc.
transportation
help people get to appointments, into the community, etc.- financial support, accessible services
Community Rehab
home based physiotherapy & occupational therapy services in order to promote and maintain optimal functional independence at home
Home environment differences: Whose space?
on the clients turf, dynamic changes, can learn more about them
Home environment differences: family
The client is usually part of a family unit, must be adaptable/creative to provide services, have varying levels of involvement
Home environment differences: Goals
Goals may change once a client is home, you have the benefit of seeing their setup, may change goals
Community Physio:
-Provides interventions to prevent/manage chronic conditions +promote healthier aging
- Focus on maintaining/improving mobility, function +physical activity
- Aim to maximize independence of participants through exercise and self-management
Populations community physios treat:
Orthopedic
Cardiac
Neurological
Chest
Frail elderly
Physical impairments can contribute to:
o Loss of functional independence
o Decreased strength
o Decreased stability
o Cardiovascular or pulmonary capacity
o Impaired sensation
o Loss of balance or coordination
Community TA role:
- Indirect supervision
- Develop communication plan, are responsible for reporting changes in status
- Report to physio if you think they need a different referral.
- Discuss with supervisor what you will do if you’re uncomfortable w environment/client
- working alone safety plan
- more open perameters
Private Practice PT
- Work in community or in private clinics
- Since 2001, can assess w/o doctors referral in BC
- Can specialize in different fields
- Accessing PT
ICBC, WorkSafe, DVA, RCMP have automatically approved physiotherapy visits
- assessment, physical therapy diagnosis, and treatment plan
manual therapy
specialized hands-on physical treatment used to treat musculoskeletal pain & disability
- Cannot be delegated by a PT to a PTA
- CPTBC
exists to protect the public
- Grants physical therapists the right to practice and individual license is renewed each year
- sport physio
Physiotherapists can work with teams and assess injured athletes on the field, slope, court, etc.
