9/10c PT/Patient Collab Model Flashcards
What is the significance of the patient practitioner relationship?
- occurs as soon as we become aware of each other
- sets the framework for communication
- is often based on generalizations and stereotypes
Important relationship factors
location purpose structure length of time power balance/status
important behaviors for professional relationships
active listening and patient-centered approach
Therapeutic alliance***
- agreement on goals of treatment, tasks, and bonds between the client and therapist
- promoting self-efficacy
- evidence based approach
what is the most significant piece of EBP research on Therapeutic Alliance***
2013 article that addressed low back pain. it was a RCT with Working Alliance Inventory (WAI) pre and post 8 week treatment. Utilizing TA and treatment the most highly correlated to overall improved outcomes. The patient had a really high perception of their therapist
what should be the PT’s priority when working with patients?
Attitude of caring
trust
dignity
collaboration
Patient/practitioner collab model purpose
- individualize treatment plan
- improve adherence
- promote successful outcomes
Breakdown of the patient-practitioner collab model
- Therapeutic relationship
- diagnostic process of mutual inquiry
- negotiate common ground
- intervention/follow up
when is the therapeutic relationship the most important between PT and patient?
in the beginning stages of the relationship
Diagnositc process of mutual inquiry*****
responsibility to go through clinical and nonclinical data during examination and eval, can’t just be measurements and scores, need a behavioral diagnosis
Keys for intervention and follow up within the PPC
Educate and empower your patient
evaluate your patient’s treatment effect and adherence
problem solve to eliminate barriers
why is patient centered approach better than provider centered approach?
it acknowledges the patient more on a personal level rather than just a disease or a disorder
Efficient interactions include?
when you have sufficient time and efficient communication, you relay to your patients in a much better manner.
impeding behaviors
verbal - cutting people off, not asking patients about their concerns, medical jargon
nonverbal - acting busy, reading notes, doing tasks, showing very little empathy
Collaborative language
compliance -yielding to a request -acceding to orders -following directions adherence -steady observance -persistence in practice
