Ch 15: Rehab Tx Philosophies And Approaches Flashcards
Biomedical model
Treatment methods are concerned with changing individual
Ie: getting better
Functional model
Intervention methods are aimed at adapting the function of the individual for meaningful participation
Environmental model
Intervention is sought to address both physical and social environment of the individual
Sociopolitical model
The goal for the individual is inclusion, civil rights, and equal social status
Process vs progress
Acknowledgement of brain injury rehab as a process encourages the individual participating in rehab to own the process and identifies clinicians and family members as tools, supports, and allies in the process. This is an important and empowering concept for successful brain injury rehab
Critical components to facilitated person centered care
- Person first language
- humaneness
- communication
- question vs directives
- nonjudgmental approach
Influence of Self awareness
Anosagnosia makes therapy difficult and leads to poorer outcomes, as individuals are not able to recognize the benefits of treatment/their deficits.
In a study, those whose self awareness improved by at least one level, were almost 30x more likely to be in the successful tx outcome group
What is the primary goal of brain injury rehab?
To maximize each individual’s cognitive, physical, and psychosocial ability while helping the individual to successfully respond emotionally to their specific life challenges
What percent of individuals who sustain a moderate to severe brain injury receive rehab?
Approximately 1/3
What are the hallmarks of an Interdisciplinary team?
Collaboration in setting rehab goals, developing individualized treatment plans to reach goals, and assessing progress toward goals
**Effectively communicates cooperates and challenges itself to push beyond that easy and expected treatment approaches
Post acute brain injury rehab
Individuals who are in need of a longer-term intensive rehab, manifest hazardous behaviors, are unable to manage living independently, or who lack adequate support while receiving outpatient therapy are candidates for PABIR
** without adequate services along the continuum of rehab, iatrogenic behavior problems may emerge. If not addressed can cause problems for caregivers
Extender model
Nonclinical staff providing clinical skill to patient while being overseen by a clinician (ie: sitter providing de-escalation strategies)
ATC
Assistive technology for cognition