CH 15 Rehabilitation Treatment Philosophies and Approaches Flashcards
What are the 4 models of disability as foundations for rehab?
-biomedical
-functional
-environmental
-sociopolitical
What are the tenets of the biomedical model?
-normal vs pathological
-focus on anat and phys
-ID of deficits implies something is wrong with the person
-treatment focuses on changing the individual
What are the tents of the functional model?
most individualized and personal model of disability
basis for person centered care
intervention methods are aimed at adapting th function of the individual for meaningful participation
What are the tents of the environmental model?
-environment can cause, define or exaggerate disability
-environment can facilitate of limit physical access
-most appropriate paradigm for conceptualizing psychological disabilities
What are the tenets of the sociopolitical model?
-goal for the individual is inclusion, civil rights, equal social status
-highlights society’s responsibility to accommodate ppl not the other way
-recognize that prejudice and discrimination are causal factors in disability
How does the concept of brain injury as a condition and rehabilitation as process inform care?
encourages the individual to own the process and IDs the clinician and family members as tools, supports and allies in the process
empowering concept b/c progress in contrast implies an end point
What are the tenants of person centered care?
autonomy
beneficence
non-maleficence
fidelity
justice
veracity
How does improved self-awareness impact treatment outcomes?
patients with 1 step more self-awareness are 30x more likely to be successful
all people have capacity for self direction with intervention most effective when requested
Provide example of humaneness
empathy, grieve with not for
Provide example of questions vs directives
use question snot commands, i.e. do you need help vs let me help you
Provide example of nonjudgmental appropach
don’t take things personally
In person-centered approach, who has articulate the goals and desired outcomes of rehabilitation?
the individual receiving the treatment, rooted in the functional model
How does the extender model “extend” rehabilitation services?
trained staff in particular therapy skills and supervised by professional staff member, esp in post-acute and long term settings
List 4 characteristics of individuals appropriate for PABIR (post-acute)
- in need of longer term intensive rehab
- manifest hazardous behavior
- unable to manage living independently
- lack adequate support while receiving outpatient tx
What is iatrogenesis?
inadvertently induced disease or problem cause by physician, therapy or medical setting itself
