WEEK 13 Flashcards
Why is there an increasing demand for rehabilitation assistants?
1) Increasing cost of health care
2) Changes in priority populations (e.g. aging population, complex conditions)
3)Changes in healthcare delivery (e.g. long-term care, homecare, primary care, etc.)
4)Driven interest in developing new models of service delivery to
- Respond to the need for greater access to rehabilitation services
- Achieve cost efective care
True or False:
For therapists, there is a change in their relationship with patients when an OTA PTA is involved and some consider this to be a loss
What are the Six Core Principles of Rehabilitation?
Collaborative care teams – patients have access to a team of health professionals with diverse skills and expertise
Care coordination – patient care is communicated among providers, across healthcare settings
Equitable access- absence of differences among groups of people.
Patient centred care – Rehabilitation services promote enablement based on patient’s goals.
Evidence based care – best practices are followed to support safe and effective care
Appropriate care setting – Patients receive rehabilitation services in the most appropriate setting based on needs and criteria for admission and discharge
What is client-centered goal setting
- Power
- Listening and Communication
- Partnership
- Choice
- Hope
What is SMART goals?
S-pecific
M-easurable
A-ttainable
R-elevant
T-imely
What can a patient do to be able to reach their goal?
Implement steps or objectives
-these are activities, skills and/or behaviours the patient needs to be able to do to reach their goal
Example: Leave medications in plain view
2. Sort medications in pill container
3. Set an alarm
What are the three levels in the ICF Framework?
level of impairment
level of activity
level of participation
What are some benefits of clear rehab goals?
1) Allows patients to monitor their own progress
2) Assists therapists in developing an effective, person-centered treatment plan and modifying it as needed
3) Demonstrates accountability to the patient, healthcare organization in terms of measurable outcomes
4) Assists in team communication
What are the key concepts of Collaboration?
Sharing: shared responsibilities, values, perspectives, treatment planning and intervention
Partnership: common activity(ies) and goal(s), open communication, trust, respect for others’ contribution
Interdependency: “common desire to address the patient’s needs”
Power: dependent upon relationship among team members;
MultiDisciplinary
- different professionals work independently on different aspects of the patient’s case
-may work in same setting or different settings
-hierarchically organized; there is a designated program leader
-rather than integrated care, patients’ problems are divided among professionals and treated in parallel
InterDisciplinary
- separate assessments, work and collaboration towards common goal
-work interdependently in the same setting
-systematic process to share information e.g. team meetings
-maximizes skills and abilities of every team member
TransDisciplinary
- Blurred discipline roles and boundaries
-Team members share role functions to a high degree.
Multi/Inter/Transdisciplinary?
Mrs. Pang is a 52 year old patient, admitted for cardiac arrest. They are currently under the care of the MD, RN, PT, OT and RT. The team meets daily during “rounds” to discuss the patient’s progress.
During rounds this morning, each professional shared their assessment and treatment results. They talked about the goals by discipline and shared them to form a single patient plan. Each team member will now implement part of the plan for which their disciplines are responsible.
Inter
Multi/Inter/Transdisciplinary?
Mr. Pearson has schizophrenia. He lives alone in an appartment, and is seen regularly by a community-based mental health team. Building a trusting relationship is difficult because of paranoid thoughts associated with his mental health condition.The team is composed of the PT, RN, OT, psychiatrist and SW.
Mr. Pearson accepted to see some team members and is refusing to see others. The team has to meet to plan integrated care, with keeping in mind the importance of continuing to build a trusting relationship with the patient.
Trans
Multi/Inter/Transdisciplinary?
Emily is a 5 year old girl, seen at the emergency department for a hand fracture.
She was seen by the MD, who prescribed pain medication and a splint. She was also referred to the OT for a splint fabrication and follow up. The MD and OT met with the patient separately, and developed/implemented separate plans for intervention within their own discipline.
Multi
