Ch 15: Rehab Tx Philosophies And Approaches

Question 1

Biomedical model

Answer 1

Treatment methods are concerned with changing individual

Ie: getting better

Question 2

Functional model

Answer 2

Intervention methods are aimed at adapting the function of the individual for meaningful participation

Question 3

Environmental model

Answer 3

Intervention is sought to address both physical and social environment of the individual

Question 4

Sociopolitical model

Answer 4

The goal for the individual is inclusion, civil rights, and equal social status

Question 5

Process vs progress

Answer 5

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

Question 6

Critical components to facilitated person centered care

Answer 6

• Person first language
• humaneness
• communication
• question vs directives
• nonjudgmental approach

Question 7

Influence of Self awareness

Answer 7

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

Question 8

What is the primary goal of brain injury rehab?

Answer 8

To maximize each individual’s cognitive, physical, and psychosocial ability while helping the individual to successfully respond emotionally to their specific life challenges

Question 9

What percent of individuals who sustain a moderate to severe brain injury receive rehab?

Answer 9

Approximately 1/3

Question 10

What are the hallmarks of an Interdisciplinary team?

Answer 10

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

Question 11

Post acute brain injury rehab

Answer 11

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

Question 12

Extender model

Answer 12

Nonclinical staff providing clinical skill to patient while being overseen by a clinician (ie: sitter providing de-escalation strategies)

Question 13

ATC

Answer 13

Assistive technology for cognition