Important qualities in physiatrists: Perceptions of rehabilitation team members and patients

2000 ◽  
Vol 81 (6) ◽  
pp. 812-816 ◽  
Author(s):  
Alex Moroz ◽  
Neil Prufer ◽  
Zvi Rosen ◽  
Carol Eisenberg
Keyword(s):  
Rehabilitation Team ◽  
Team Members

Use of the functional independence measure in Japanese rehabilitation team interaction

2019 ◽  
Vol 21 (6) ◽  
pp. 660-689
Author(s):  
Hiroaki Izumi
Keyword(s):  
Clinical Decision Making ◽  
Collaborative Work ◽  
Functional Independence Measure ◽  
Clinical Decision ◽  
Functional Independence ◽  
Disabled Persons ◽  
Rehabilitation Team ◽  
Team Members ◽  
Team Interaction ◽  
Team Meetings

The functional independence measure (FIM) is a clinical scale which is used to evaluate the amount of assistance disabled persons need to conduct their daily living activities. Drawing on 65 video-recorded rehabilitation team meetings and medical records collected from a Japanese hospital, this article utilizes ethnomethodology and conversation analysis to uncover how Japanese rehabilitation team members use the FIM to track changes in the functional status of patients and decide the length of stay in ongoing interactional sequences. Analysis shows that a series of the FIM scores assembled and arranged in situ provide a sequential framework for members to understand the progress of rehabilitation and predict the plateau phase. Moreover, a particular expert is asked about patients’ capacity for further improvements and his or her opinions are treated as a basis for clinical decisions. In this way, diagnostic and clinical decision-making is produced through the ongoing collaborative work of various specialists.

scholarly journals The Meaning of Rehabilitation in the Home Environment After Acute Stroke From the Perspective of a Multiprofessional Team

2007 ◽  
Vol 87 (6) ◽  
pp. 778-788 ◽  
Author(s):  
Annica Wohlin Wottrich ◽  
Lena von Koch ◽  
Kerstin Tham
Keyword(s):  
Acute Stroke ◽  
Home Environment ◽  
Physical Therapists ◽  
Contextual Factors ◽  
Main Theme ◽  
Multiprofessional Team ◽  
Rehabilitation Team ◽  
Problem Solving Skills ◽  
Team Members ◽  
Home Based

Background and Purpose Intervention programs for home-based rehabilitation are not fully described in the literature, and rehabilitation team members' experiences and tacit understanding of working with patients after stroke in the home environment need to be further understood. The aim of this study was to identify the meaning of rehabilitation in the home environment after stroke from the perspective of members of a multiprofessional team. Subjects Thirteen members of a multiprofessional outreach team (physical therapists, occupational therapists, speech and language therapists, and a social worker) working at a geriatric hospital in Stockholm, Sweden, participated in the study. Methods A qualitative method (the Empirical Phenomenological Psychological method) was used, with data being obtained from retrospective interviews of the team members after completing home-based rehabilitation of patients after acute stroke. Results One main theme (“supporting continuity”) and 4 subthemes (“making a journey together from hospital to home,” “enabling experiences of functioning,” “refraining from interventions—encouraging patient problem-solving skills,” and “looking for a new phase—uncertain endings”) were revealed. Discussion and Conclusion The findings suggest that contextual factors, both environmental and personal, were considered to be of great importance by the members of the multiprofessional team and were accounted for when they were working in the home environment in the rehabilitation of patients after stroke. Contextual factors detected in the home environment gave valuable information to the team members, who used the information in their strategies to assist the patients in finding continuity in their daily life and to link the past to the present and the “new body” to the “old body.”

Preparing Students to Be Empathic Interdisciplinary Rehabilitation Team Members

2009 ◽  
Vol 23 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Lynn Koch ◽  
Dent Gitchel ◽  
Kristin Higgins
Keyword(s):  
Rehabilitation Team ◽  
Team Members ◽  
Interdisciplinary Rehabilitation

At-Home Cancer Rehabilitation, A Pioneering Concept in Cancer Care

1978 ◽  
Vol 9 (3) ◽  
pp. 79-82
Author(s):  
Mary Eve Sanford ◽  
Harry P. Bluhm ◽  
Don Glover
Keyword(s):  
Cancer Patients ◽  
Rehabilitation Program ◽  
Family Counseling ◽  
Cancer Rehabilitation ◽  
Rehabilitation Team ◽  
Team Members ◽  
Needs Assessments ◽  
Medical Needs ◽  
Appropriate Treatment ◽  
At Home

The case for an at-home rehabilitation program to meet the non-medical needs of controlled and “cured” cancer patients is outlined. A multi-disciplinary cancer rehabilitation team is charged with the responsibility to conduct needs assessments, evaluate case data, formulate appropriate treatment goals and strategies, and provide services required by participating cancer patients. The high incidence of emotional and psychophysical problems reported by the cancer patients dictated that team members spend considerable time in patient and family counseling.

scholarly journals Development and evaluation of a new model for person-centred goal setting using practice development and appreciative inquiry approaches in a rehabilitation unit

2021 ◽  
Vol 11 (2) ◽  
pp. 1-17
Author(s):  
Nicola Drayton ◽  
◽  
Virginia Stulz ◽  
Kirsty Blake ◽  
Tracy Gilbert ◽  
...  
Keyword(s):  
Goal Setting ◽  
Appreciative Inquiry ◽  
Client Satisfaction ◽  
Care Delivery ◽  
Goal Achievement ◽  
Team Approach ◽  
Rehabilitation Unit ◽  
Rehabilitation Team ◽  
Team Members ◽  
Practice Development

Background: This article explores the use of a mixed-methods participatory approach to bring about transformative change to goal setting in an 18-bed, subacute rehabilitation unit in New South Wales. Aim: To use a blended approach underpinned by practice development and appreciative inquiry approaches, to develop and evaluate a model of person-centred goal setting for rehabilitation clients. Methods: Evaluative methods were co-designed and co-agreed by members of the rehabilitation team, based on what the team hoped to achieve in terms of establishing goals for clients in their care and what this meant to clients and each other. Data sources included team discussions, semi-structured interviews with individual team members and clients, a survey and stories using emotional touchpoints. Interpretation of the data involved content analysis for generation of themes and the use of Statistical Package for Social Science software for analysis of the survey. Results: Nine themes emerged. Clients highlighted: barriers to goal achievement; incorporation of goals into daily care; goal achievement; and a sense of purpose. The rehabilitation team highlighted: becoming person-centred; their role in goal setting; and barriers to establishing goals. The survey responses showed the team used person-centred approaches to achieve person-centred goals. Conclusion: Changes to goal setting allowed staff to feel person-centred in their care delivery and gave them the satisfaction of knowing they were doing something meaningful for those in their care. There was strong agreement that a unified team approach to goal setting was key to client satisfaction and achievement of the goals. Clients felt valued and included in making decisions surrounding their care. Implications for practice: • Using the practice development principle of developing collaborative partnerships among healthcare teams leads to greater involvement of clients in their care • Involving clients in goal setting leads to greater success and improved client satisfaction • Appreciative inquiry and practice development approaches are effective in developing partnerships between team members • Staff who treat clients with dignity and respect improve participation in goal setting by the clients • Creating a space in which the emotional needs of clients can be heard and acted on is crucial for success in goal achievement • Appreciative inquiry generates a greater appreciation and understanding of how to deliver person-centred care

Important qualities in physiatrists: Perceptions of rehabilitation team members and patients

2000 ◽  
Vol 81 (6) ◽  
pp. 812-816
Author(s):  
Alex Moroz ◽  
Neil Prufer ◽  
Zvi Rosen ◽  
Carol Eisenberg
Keyword(s):  
Rehabilitation Team ◽  
Team Members

scholarly journals Effectiveness of the Home-based Habilitation Programme for Children with Cerebral Palsy

2014 ◽  
Vol 25 (1) ◽  
pp. 6-12
Author(s):  
Maja Racic ◽  
Srebrenka Kusmuk ◽  
Vesna Krstovic-Spremo
Keyword(s):  
Cerebral Palsy ◽  
Muscle Strength ◽  
Muscle Tone ◽  
Gross Motor ◽  
Motor Functions ◽  
Rehabilitation Team ◽  
Team Members ◽  
Home Based ◽  
Children With Cerebral Palsy ◽  
Banja Luka

Abstract Objective This study was undertaken with the aim to compare the effects of home-based habilitation programmes with the effects of hospital-based habilitation programme for children with cerebral palsy (CP) on motor performance and daily functioning. Patients and methods The study was conducted on a sample of 60 children with cerebral palsy. First group included 30 children, 5 to 12 years old, who had a continued physical home treatment and education in public/special school. The second group consisted of 30 children, from Banja Luka region, who continued inpatient habilitation programme and training. Habilitation outcomes were analysed by measuring muscle tone (using original Tardieu Scale), muscle strength, range of motion (ROM), gross motor functions (gross motor function measure-88) and the Barthel Index of activities of daily living (ADL). Results The proportion of clinically significant change in gross motor functions, ADLs, ROM and muscle strength didn't show major differences between the two groups. Conclusion There were no significant differences in effectiveness between home-based and hospital-based habilitation programmes according to the treatment outcomes. The effectiveness of home-based programme increases when supplemented by frequent consultations with the rehabilitation team members and occasional out-patient physical therapy treatment, education as well as counselling and support for parents.

scholarly journals Cultivating Acute Care Rehabilitation Team Collaboration Using the Kawa Model

2019 ◽  
Author(s):  
Jayme Ober ◽  
Jennifer Lape
Keyword(s):  
Acute Care ◽  
Physical Therapists ◽  
Healthcare Team ◽  
Team Collaboration ◽  
Rehabilitation Team ◽  
Team Members ◽  
High Productivity ◽  
Speech Language Pathologist ◽  
Survey Responses ◽  
The Impact

Purpose: Effective healthcare team collaboration is imperative for quality client-centered care, job satisfaction, and overall morale. Rehabilitation team collaboration can be impacted by high productivity demands, differing backgrounds of individual team members, and the unpredictable healthcare environment. The Kawa (river) model, a culturally-neutral model of occupational therapy practice, has been shown to improve communication and collaboration with its use of metaphors, but its utility in various contexts to enhance collaborative practice is still being explored. The purpose of this study was to implement an evidence-based teambuilding intervention with use of the Kawa model to investigate the impact on acute care rehabilitation team collaboration. Method: A 5-week pretest-posttest study was completed with a group of eight rehabilitation team members, consisting of occupational therapists, physical therapists, and a speech language pathologist, in an acute care setting. Pre and post-surveys were utilized to gather quantitative and qualitative data on perceptions of team collaboration, knowledge of the Kawa model, and the model’s utility for collaboration. Results: Outcomes showed overall mean improvements in agreement that the Kawa model provides a common method of communication, and 100% of the participants agreed or strongly agreed that use of the Kawa model can improve acute care rehabilitation team collaboration. Qualitative post-survey responses indicated an enhanced understanding of the components of effective team collaboration. Conclusions & Recommendations: Team collaboration was cultivated with use of the Kawa model. The model provided a successful method for the acute care team to openly discuss and collaboratively problem-solve how to maximize their team flow. Further study of the Kawa model’s utility to improve collaboration in various contexts with broader participant groups is recommended, as well as study of longitudinal effects of a teambuilding intervention with use of the Kawa model.

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