Ch 15: Rehab Tx Philosophies And Approaches Flashcards
Biomedical model
Treatment methods are concerned with changing individual
Ie: getting better
Functional model
Intervention methods are aimed at adapting the function of the individual for meaningful participation
Environmental model
Intervention is sought to address both physical and social environment of the individual
Sociopolitical model
The goal for the individual is inclusion, civil rights, and equal social status
Process vs progress
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
Critical components to facilitate and maintain a therapeutic relationship
- Person first language- individuals living with a brain injury
- humaneness- providing empathy, warmth, and respect
- communication- should reflect how provider would want to be treated
- question vs directives- give questions with a choice
- nonjudgmental approach- positive attitude
What is anosognosia?
difficulty with self awareness, inability to recognize deficits or problem circumstances caused by a neurological injury
self awareness is the strongest predictor of successful treatment outcome
What is the primary goal of brain injury rehab?
To maximize each individual’s cognitive, physical, and psychosocial ability while helping the individual to successfully respond emotionally to their specific life challenges
What percent of individuals who sustain a moderate to severe brain injury receive rehab?
Approximately 1/3
What are the hallmarks of an Interdisciplinary team?
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
Who needs post acute brain injury rehab?
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
Extender model
Nonclinical staff providing clinical skill to patient while being overseen by a clinician (ie: sitter providing de-escalation strategies)
Mora Model or Religious Model
Disability is thought of as a result of sin, evil or character flaw
Example of person first language
person with brain injury not brain injured or head injured person
Person centered care
treatment philosophy that empowers persons served to guide the rehabilitation team to focus on their priorities, values, and desired outcomes
