Module 2 Flashcards
What is patient centred practice? (summary)
-The person is the centre of the decision making process, rather than the practitioners themselves
* Aligns with patient autonomy
-Work collaboratively in respectful relationships
-Appropriate level of language- avoiding medical jargon when talking to clients, not dumbing down but using everyday language to facilitate effective communication
-Management plan is focussed upon goals that are important to person/family
-Aim to build capacity and independence- empowerment and encouraging self management
-Treating them as a person, not a diagnosis or problem- not referring to them as their diagnosis ‘the stroke patient’ etc
Different facets of patient centred practice
Creating a safe space, respecting patient autonomy, technical expertise, facilitating dialogue and negotiation, including carers as valuable allies, reflective learning in each new relationship and positively engaging with clients
How to be a person centred practitioner?
-Listen respectfully and take them seriously
-Explaining the what and why
-Understand from PT perspectives and ensuring patient understands
-Giving them time to speak and communicate- acknowledging what is important to them
-Compassion for their situation
-Acknowledging misjudgements and mistakes
-Keeping them informed
-Eye contact and friendly demeanour
-Recognising diversity
-Trustworthy and reliable
-Offer and arrange health care interpreters
-Respect dignity and maintaining privacy
What is the biomedical model of healthcare?
-Prominent for many decades
-Health is the absence of disease or injury
-Doctor knows best
-Strong focus on body machinery and the causes that impede optimal function
* Beneficial as practitioners need to have a comprehensive understanding of anatomy etc
-Neglects people’s experience of health that is subjective
-Has the patients best interest at heart however it is incredibly paternalistic- not a partnership
-Suitable for emergency management
-Advanced care directive
* Personal or religious beliefs- JEHOVAHS WITNESSES BLOOD TRANSFUSION, do not resuscitate
What is the biopsychosocial model of care?
-Health is a positive state of wellbeing
-Illness is a health problem as seen from person’s subjective view point
-Disease/injury= objective state of the body
-More holistic view of health, illness and injury, which acknowledges psychological and social impact, as well as the biological disorder
-Each person will experience disease/injury in an individual manner
-Patient centred focus of care
What is the social model of disability?
-Challenges the notion that biomedical presents- health is not an absence of disease/condition
-Promotes notion that people with a disability are not ill and so the concept of being cured or fixed is inappropriate
-Impairments that occur with a disability have the potential to prevent individuals from participating fully in desired occupations and being part of the life of their community
* Disability has a social impact (lack of accessibility for wheelchairs etc)
-One has to see beyond the impairments and to seek ways to decrease the barriers of social participation
* Aged care
What is the ICF?
The International Classification of Functioning, Disability and Health (ICF) is a framework for describing and organising information on functioning and disability. It provides a standard language and a conceptual basis for the definition and measurement of health and disability.
What are the different facets of the ICF?
Body structure and function, activities, impairments, activity limitations, participation restrictions, personal factors and environmental factors
What is body structure (ICF)?
Anatomical part of the body (broken humerus)
What is body function?
Physiological function of body systems (poor balance, unable to move arm, swelling and throbbing)
What is impairments (ICF)?
Problems in body structure and function (cant move or place weight, cant pick anything up)
What is activity limitations (ICF)?
Difficulty in moving around or managing other activities (ADLS, domestic ADLS) (Unable to feed herself, using right armed gait aid)
What is participation restrictions? (ICF)
How an individual is affected in terms of being in their community (cant drive to the shops, cant play bowls etc)
What is personal factors (ICF)?
-Age, gender, marital status, occupation, personality etc (reluctant to treatment, poor attitude, widowed and retired)
What is environmental factors (ICF)?
Family support, environment, stairs, lifts etc (one story unit no stairs, daughters are close by etc)
