Week 13- final Flashcards
What is there an increase demand for rehab assistants?
-increase cost of healthcare
-changes in priority population
-changes in healthcare delivery
6 core principles of rehab
- collaborative care teams
- care coordination
- equitable access
- patient centre care
- evidence-based care
- appropriate care setting
Collaborative Care Teams
patients have access to a team who work collaboratively
Care coordination
patient care is communicated among providers, across healthcare setting
Equitable access
access to rehab services in the most appropriate setting and in a timely manner
Patient Centred Care
rehab services promote enablement based on patients 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
Rehab Goal
-identification of functional limit
-patient actively involved in goal setting
-enablement
-short to long term
Client-centered Goal Setting
- power
- listening and communication
- partnership
- choice
- hope
Goal setting
- one discipline or multilateral-diciplines
- team members need to work together
Reasons goals arent achieved
- therapists do not engage in goal setting
- goals are too vague
- conflict between clients & therapists
- concern for unrealistic choices
- tx do not evaluate the effects of intervention
SMART Goals
- specific
- measurable
- attainable
- relevant
- timely
Key concepts of collaboration
-Sharing: responsibility, values, perspectives, treatment planning/intervention
-Partnerships: common activity/goals, open communication, trust/respect
-Interdependency: common desire to address patients’ needs
3 Types of Team concepts
- Multidisciplinary
- Interdisciplinary
- Trans Disciplinary
Multidisciplinary
- different professionals work independently on a patients case
- same or different settings
- patient problems divided among professionals
- hierarchically organized
Interdisciplinary
- Separate assessment, work and collab toward a common goal
- work independently in same setting
- team meeting
Trans-Disciplinary
- blurred roles/boundaries
- team share role functions
What do role boundaries depend on
- qualifications: certain health professions have clearer roles
- practice context: rehab vs. acute vs. community
- characteristics of health professionals: knowledge, experience, demographics
Integration of team roles
- more complex; more team
- clearly defined medical conditions
Challenges to IPC
-how HCP are educated
- how care is delivered
- traditional ways of working
-lack of clear role
- need flexibility
Enablers for IPC
-organizational supports
-individual/team factors
-educational supports
-evidence
