What is rehabilitation?

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "What is rehabilitation?"

Transcription

1 Maximising rehabilitation potential in people living with dementia Aims for today What the current research evidence tell us about rehabilitation approaches for people with dementia Approaches to maximise abilities and potential Approaches that might create excess disability How to engage people in setting goals Implications for practice Varied definitions What is rehabilitation? At your tables come up with a definition. From the latin, habilitate. to make able Restoring to previous levels? Independence? Quality of life? WHO ICF framework Rehabilitation of people with disabilities is a process aimed at enabling them to reach and maintain their optimal physical, sensory, intellectual, psychological and social functional levels. Rehabilitation provides disabled people with the tools they need to attain independence and selfdetermination. Emphasises interplay of person and environmental factors in physical and psychosocial functioning and participation. 1

2 Defining rehab and dementia Worthy goal is stabilisation Preserving existing skills Compensating for existing deficits Rehab outcomes could include: Slowing deterioration Living at home for longer Improved well being (physical & psychological) Decreased stress & burden for carers Buchan et al 2011 Defining rehabilitation and dementia 3 primary goals: Maintain/improve function /engage in ADL to extent possible Restore/compensate for functional decline associated with other events/illness Carer education Reifler & Larson 1990 Defining rehabilitation & dementia The rumour is. 4 approaches Post acute illness (physical) Post acute dementia related episode Cognitive rehabilitation As a general approach to working with people living with dementia Mary Marshall (2004?) People with dementia don t have rehab potential.or do they? Rehabilitation potential What is rehabilitation potential? No accepted standard definition Predicted by observations of carryover & functional gain (Burton et al 2014) At your tables come up with a definition. & how does it get assessed in practice? Estimate of capacity of cooperating & making functional gains (New 2009) 2

3 How do we assess rehab potential? Service criteria Assumptions Timing Expectations patients should have the opportunity to demonstrate rehab potential by participation in therapy Burton et al (2014) Assessment static or dynamic? Static assessment identify & quantify degree of impairment compared with normative sample/external criteria Objective What does this tell us about the approach we should take or an intervention we should us? Assessment static or dynamic? Dynamic interactive procedure measuring response to cues, strategies, feedback, task conditions introduced during testing Intervention/approach embedded within assessment Focus on individual variations rather than typical performance zone of proximal development Toglia (2009) Dynamic assessment & dementia? hypotheses generated by standardised instruments should also be tested in more ecologically valid contexts Bourgeois & Hickey (????) Helps us set the just right challenge level Non-threatening opportunity to show best ability despite limited awareness, anxiety etc The historical perspective Downward spiral View of dementia as an inevitable decline Low expectations of others Denial of opportunity to participate Preconceptions of futility of interventions to restore/maintain function Further deskilling deskilling Very little research carried out More denial to participate Further lowering Of expectations Inability to participate 3

4 Glass is half empty Dialectical model of dementia Deteriorating condition No cure Few available drug treatments which have been shown to have only a modest effect size?hope D = P + B + H + NI + SP Clearly, people with dementia are rarely going to return to their level of functioning before they had dementia, but many can function a great deal better than they do at present Mary Marshall (2004) It is a paradox that dementia patients are sometimes regarded as having no rehabilitation potential when they have the most to gain from a problem solving multidisciplinary approach George J, Long S & Vincent C (2013) How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. Journal of the Royal Society of Medicine 106(9) Evidence of rehab potential. Range of therapeutic interventions showing positive impact Cognitive Rehabilitation COTiD TAP CST Activity Glass is half full? The right support + Supportive environment + Recognition of skills and abilities as well as disabilities = Living well with dementia 4

5 Rehab potential? Yes. But maybe we need a different emphasis. And different approaches So it is possible but do we know how, and is it happening routinely in practice? Some of the challenges. Can people with dementia learn? Stressed & distressed behaviours might disrupt therapeutic processes How best to support and encourage carer involvement to maximise benefit? What can we learn from the evidence base? We don t have all the answers.. Traditionally people with dementia excluded from rehab research Starting to change but often Small sample sizes Small effect sizes Lack of methodological rigor Focus on NH residents what does this mean for people living at home? Hallmark characteristics (Gitlin & Earhart 2010) But there are some emerging themes Tailored to individual capabilities & environmental context Involvement of family (education & support) Simplification strategies (communication, environment & task) Habilitative rather than a restorative framework 5

6 Best practice principles (Ciro 2013) Role-based & task-specific training Client & family driven goals Motor learning Errorless learning External memory strategies Ciro C (2013) Improving occupational performance in people with dementia through role-based, task specific training. OT Practice 18(3) 9-12 Key concepts (Marshall 2004) Teamwork Working with families/support networks Prostheses Removing excess disability Learning and motivation Provides a focus Therapeutic relationships What do these suggested approaches look like in practice? Essential Getting to know the person Establishing rapport - therapeutic visiting Taking our time Understanding individual capabilities Do our assessments talk about strengths and remaining abilities as well as challenges and impairments? Does our approach to risk allow abilities to be seen and supported in action? Do we create opportunities to understand what cues, strategies, feedback, task conditions, environmental conditions etc help? Context environ, task, roles Physical environment Social environment Role-based Task-specific 6

7 Involvement of family Widely recognised as important How do you involve family in your practice settings? What does this look like when it works really well? What are some of the challenges? Are people with dementia able to learn new skills and are we as professionals able to train them? Van Halteren et al (2007) All memory is not equal. Episodic memory & working memory more likely to be impaired earlier Semantic memory & non declarative memory may be relatively intact until later Implicit memory less affected than explicit memory Need to distinguish between explicit & implicit learning and exploit in interventions Motor learning Possible under the right conditions Constant practice conditions Visual feedback Verbal praise Errorless learning Errorless learning Implicit learning might be impacted by presence of errors e.g. more difficult to learn from mistakes Errorless learning = elimination or prevention of errors during encoding (Laffan et al 2010) Maximises exposure to correct material Not one particular protocol External vs internal strategies Suggested that external strategies may be more effective Particularly if embedded in relevant tasks Individualised approaches Internal strategies don t consistently improve performance 7

8 Simplification Just right fit Too easy undermines confidence, boring, reduced opportunities Too hard undermines confidence, stressful, opt out of opportunties Rehabilitation can be effective if therapists bring to the treatment context an understanding of the person and their environment, use effective communication strategies, providing a supportive and simplified environment in which new learning and tasks occur, and offering caregiver education, support and training What does this mean in practice and for your own practice? Take a few moments to jot down the best of now and anything you think could add to your current good practice. 8

Memory Rehabilitation in Early Dementia. Diana Golvers Clinical Psychologist Central Dementia Service

Memory Rehabilitation in Early Dementia. Diana Golvers Clinical Psychologist Central Dementia Service Memory Rehabilitation in Early Dementia Diana Golvers Clinical Psychologist Central Dementia Service Loss of Memory in AD Memory impairment earliest manifestation of AD and other dementias Major impact

More information

Neuropsychological Rehabilitation. Neuropsych Assessment. Neuropsych Assessment 2/23/11

Neuropsychological Rehabilitation. Neuropsych Assessment. Neuropsych Assessment 2/23/11 Neuropsychological Rehabilitation Neuropsych Assessment Rehabilitation requires a team approach Design evaluations to aid treatment team Identify breadth and depth of deficits Identify remaining strengths

More information

ISSUED BY: TITLE: ISSUED BY: TITLE: President

ISSUED BY: TITLE: ISSUED BY: TITLE: President CLINICAL PRACTICE GUIDELINE PROFESSIONAL PRACTICE TITLE: Stroke Care Rehabilitation Unit DATE OF ISSUE: 2005, 05 PAGE 1 OF 7 NUMBER: CPG 20-3 SUPERCEDES: New ISSUED BY: TITLE: Chief of Medical Staff ISSUED

More information

Creating Better Lives for People with Dementia

Creating Better Lives for People with Dementia Creating Better Lives for People with Dementia PRESENTED BY: Kim Warchol, OTR/L Founder and President of Dementia Care Specialists Objectives 1. Understand the value of implementing an abilitiesfocused

More information

www.projectlearnet.org WHAT IS COGNITIVE INTERVENTION/REHABILITATION?

www.projectlearnet.org WHAT IS COGNITIVE INTERVENTION/REHABILITATION? Tutorial: Cognitive Intervention/Rehabilitation (See Tutorials on Cognition; Transfer/Generalization; Instructional Routines; Attention; Memory and Memory Problems; Organization; Problem Solving; Concrete

More information

Occupational Therapy Assisting STARK STATE COLLEGE OF TECHNOLOGY

Occupational Therapy Assisting STARK STATE COLLEGE OF TECHNOLOGY Occupational Therapy Assisting STARK STATE COLLEGE OF TECHNOLOGY Presented by The OTA class of Spring 2010 What is Occupational Therapy? Occupation: Activity in which one engages Therapy: Treatment of

More information

Acute Rehabilitation Center

Acute Rehabilitation Center Acute Rehabilitation Center Acute Rehabilitation Courtyard Our Center Community Westview Hospital's Acute Rehabilitation Center and programs are specially designed to meet the needs of our patients and

More information

General Hospital Information

General Hospital Information Inpatient Programs General Hospital Information General Information The Melbourne Clinic is a purpose built psychiatric hospital established in 1975, intially privately owned by a group of psychiatrists

More information

BGS Autumn Conference 2015

BGS Autumn Conference 2015 Jolly Barrow Specialist Physiotherapist in Acute Rehabilitation Manchester Royal Infirmary Vicky Johnston Specialist Physiotherapist Cumbria Partnership NHS Foundation Trust Mrs Smith has no rehab potential.

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

SCDLMCB3 Lead and manage the provision of care services that deals effectively with transitions and significant life events

SCDLMCB3 Lead and manage the provision of care services that deals effectively with transitions and significant life events Lead and manage the provision of care services that deals effectively with transitions and significant life events Overview This standard identifies the requirements associated with leading and managing

More information

Occupational Therapy Treatment for People with Cognitive Limitations: Position paper

Occupational Therapy Treatment for People with Cognitive Limitations: Position paper Occupational Therapy Treatment for People with Cognitive Limitations: Position paper Background The purpose of a position paper is to present the professional stance regarding a given topic. The Senior

More information

Occupational Therapy in Cognitive Rehabilitation

Occupational Therapy in Cognitive Rehabilitation Occupational Therapy in Cognitive Rehabilitation Connie MS Lee Occupational therapist Queen Mary Hospital Hong Kong Cognition Cognition refers to mental processes that include the abilities to concentrate,

More information

Tessa Hart, PhD Moss Rehabilitation Research Institute Elkins Park, PA, USA

Tessa Hart, PhD Moss Rehabilitation Research Institute Elkins Park, PA, USA Tessa Hart, PhD Moss Rehabilitation Research Institute Elkins Park, PA, USA Interdisciplinary team Physical Medicine & Rehabilitation: John Whyte, MD, PhD Sociology: Marcel Dijkers, PhD Psychology: (moi)

More information

Post-Acute Rehab: Community Re-Entry After Stroke? Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System

Post-Acute Rehab: Community Re-Entry After Stroke? Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System Post-Acute Rehab: Community Re-Entry After Stroke? Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System 2014 Neurocognitive Deficits After Stroke: The Hidden Disability Sheldon

More information

Cheshire and Merseyside Rehabilitation Network Referral Criteria

Cheshire and Merseyside Rehabilitation Network Referral Criteria Cheshire and Merseyside Rehabilitation Network Referral Criteria Date Approved: September 2014 Effective From: September 2014 Review Date: August 2015 1. Rehabilitation Definition Rehabilitation is an

More information

Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections

Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections Adrian Lewis, Senior Occupational Therapist, Department of Old Age Psychiatry, HSE Dublin South Central alewis@stjames.ie

More information

Health Professionals who Support People Living with Dementia

Health Professionals who Support People Living with Dementia Clinical Access and Redesign Unit Health Professionals who Support People Living with Dementia (in alphabetical order) Health Professional Description Role in care of people with dementia Dieticians and

More information

AUSTRALASIAN REHABILITATION NURSES ASSOCIATION

AUSTRALASIAN REHABILITATION NURSES ASSOCIATION UNDERGRADUATE NURSING CURRICULA POSITION STATEMENT AUSTRALASIAN REHABILITATION NURSES ASSOCIATION 1. OUTLINE The purpose of this document is to set out the content of undergraduate nursing curricula that

More information

ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT

ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT MRS PHIL MAHON 7 APRIL 2006 ENHANCING PRIMARY AND COMMUNITY CARE Community Rehabilitation Sub Group 1. Introduction 1.1

More information

The Rehab Professional s Role in Dining for Persons with Dementia. By: Bonnie Saunders PT, MPA, CDP

The Rehab Professional s Role in Dining for Persons with Dementia. By: Bonnie Saunders PT, MPA, CDP The Rehab Professional s Role in Dining for Persons with Dementia By: Bonnie Saunders PT, MPA, CDP There have been many advances that have brought about an increased understanding of the etiologies and

More information

Learning Disabilities Nursing: Field Specific Competencies

Learning Disabilities Nursing: Field Specific Competencies Learning Disabilities Nursing: Field Specific Competencies Page 7 Learning Disabilities Nursing: Field Specific Competencies Competency (Learning disabilities) and application Domain and ESC Suitable items

More information

Restorative Care. Policy, Procedures and Training Package

Restorative Care. Policy, Procedures and Training Package Restorative Care Policy, Procedures and Training Package Release Date: December 17, 2010 Disclaimer The Ontario Association of Non-Profit Homes and Services for Seniors (OANHSS) Long-Term Care Homes Act

More information

Job description: Occupational Therapist

Job description: Occupational Therapist Job description: Occupational Therapist Organisational Chart Responsible to: Therapeutic Services Manager Salary: PURPOSE OF THE JOB: To ensure that you fulfil your role as an Academy Occupational Therapist,

More information

Neurorehabilitation Strategy Briefing Document and Position Paper

Neurorehabilitation Strategy Briefing Document and Position Paper Neurorehabilitation Strategy Briefing Document and Position Paper Background What is neurorehabilitation? The World Health Organisation defines neurorehabilitation as: A problem-solving process in which

More information

Guidelines for Medical Necessity Determination for Occupational Therapy

Guidelines for Medical Necessity Determination for Occupational Therapy Guidelines for Medical Necessity Determination for Occupational Therapy These Guidelines for Medical Necessity Determination (Guidelines) identify the clinical information MassHealth needs to determine

More information

Client Information Package. Hills Outreach Clinic

Client Information Package. Hills Outreach Clinic Client Information Package Hills Outreach Clinic CONTENTS 1. Nordoff-Robbins Music Therapy Australia 2 a. Nordoff-Robbins Music Therapy b. Music Therapy at the Hills - for children with disability c. Music

More information

Dr Trevor Chan Locum Consultant Psychiatrist in Learning Disabilities Dr Vicky Turk Consultant Clinical Psychologist, Learning Disabilities

Dr Trevor Chan Locum Consultant Psychiatrist in Learning Disabilities Dr Vicky Turk Consultant Clinical Psychologist, Learning Disabilities Dementia in People with Learning Disabilities Dr Trevor Chan Locum Consultant Psychiatrist in Learning Disabilities Dr Vicky Turk Consultant Clinical Psychologist, Learning Disabilities Overview Context

More information

11:30 12:40. Younger people with demen1a. Karen East, Head of Care and Quality, Dukeries Healthcare

11:30 12:40. Younger people with demen1a. Karen East, Head of Care and Quality, Dukeries Healthcare 11:30 12:40 Younger people with demen1a No Brainer: A care pathway for people with alcohol related brain injury Karen East, Head of Care and Quality, Dukeries Healthcare Towards a care pathway for people

More information

Cognitive rehabilitation in MS

Cognitive rehabilitation in MS 14th MS Nurse International Workshop Lyon, France, October 9th 2012 Cognitive and psychological issues in MS Cognitive rehabilitation in MS Psychological Unit Neurological Department San Raffaele Hospital

More information

EPPING SCHOOL DISTRICT OCCUPATIONAL THERAPIST JOB DESCRIPTION

EPPING SCHOOL DISTRICT OCCUPATIONAL THERAPIST JOB DESCRIPTION EPPING SCHOOL DISTRICT OCCUPATIONAL THERAPIST JOB DESCRIPTION TITLE: OCCUPATIONAL THERAPIST (OT) GENERAL DESCRIPTION: The Occupational Therapist provides services for the purpose of promoting health and

More information

Scope of Practice in Speech Pathology

Scope of Practice in Speech Pathology Level 2 / 11-19 Bank Place T 61 3 9642 4899 office@speechpathologyaustralia.org.au Melbourne Victoria 3000 F 61 3 9642 4922 www.speechpathologyaustralia.org.au Scope of Practice in Speech Pathology Revised

More information

Interdisciplinary Care in Pediatric Chronic Pain

Interdisciplinary Care in Pediatric Chronic Pain + Interdisciplinary Care in Pediatric Chronic Pain Emily Law, PhD Assistant Professor Department of Anesthesiology & Pain Medicine University of Washington & Seattle Children s Hospital + Efficacy: Psychological

More information

Rehabilitation: A Journey to. Independence By: Lauren Smith, CCC-SLP, CBIS and Nicole Bylander, OTR/L, CBIS 5/5/16

Rehabilitation: A Journey to. Independence By: Lauren Smith, CCC-SLP, CBIS and Nicole Bylander, OTR/L, CBIS 5/5/16 Rehabilitation: A Journey to Independence By: Lauren Smith, CCC-SLP, CBIS and Nicole Bylander, OTR/L, CBIS Rehabilitation: A Journey to Independence Purpose: Describe the rehabilitation process and the

More information

Pre-budget Submission 2016. Joint Committee on Finance, Public Expenditure and Reform

Pre-budget Submission 2016. Joint Committee on Finance, Public Expenditure and Reform Pre-budget Submission 2016 Joint Committee on Finance, Public Expenditure and Reform July 2015 SUMMARY POINTS Acquired Brain Injury Ireland (ABI Ireland) is asking the Government to support people living

More information

Neurological Rehabilitation in Practice

Neurological Rehabilitation in Practice Neurological Rehabilitation in Practice Christopher Ward Professor & Consultant in Rehabilitation Medicine University of Nottingham School of Community Health Sciences Derby Hospitals Foundation Trust

More information

Standardised care process (SCP): depression

Standardised care process (SCP): depression Standardised care process (SCP): depression Topic Identifying and responding to symptoms of depression Objective To promote evidence-based practice in how staff identify and respond to symptoms of depression

More information

Multidisciplinary Approach to Symptom Management in MS

Multidisciplinary Approach to Symptom Management in MS Multidisciplinary Approach to Symptom Management in MS Emily Cade, M.S., CCM, CRC, CLCP Program Manager Andrew C. Carlos MS Institute Shepherd Center Atlanta, Georgia A Complex Disease A Comprehensive

More information

Where Should Rehabilitation Take Place?!

Where Should Rehabilitation Take Place?! Where Should Rehabilitation Take Place?! Three Basic Questions! 1. Is rehabilitation effective in improving a patient s functional abilities?!yes" yes" 2. Is rehabilitation cost effective?!yes" where"

More information

[KQ 804] FEBRUARY 2007 Sub. Code: 9105

[KQ 804] FEBRUARY 2007 Sub. Code: 9105 [KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A

More information

Clinical guideline Published: 28 January 2009 nice.org.uk/guidance/cg78

Clinical guideline Published: 28 January 2009 nice.org.uk/guidance/cg78 Borderline personality disorder: recognition and management Clinical guideline Published: 28 January 2009 nice.org.uk/guidance/cg78 NICE 2009. All rights reserved. Your responsibility The recommendations

More information

REHABILITATION LEARNING OBJECTIVES

REHABILITATION LEARNING OBJECTIVES REHABILITATION LEARNING OBJECTIVES LECTURE DR MEHER AHSAN DUHS /DMC To understand the concept of REHABILITATION To evaluate the the public health issues faced by the disabled and the policy makers. To

More information

Service Specification: BNSSG Community Children s Speech and Language Therapy January 2016

Service Specification: BNSSG Community Children s Speech and Language Therapy January 2016 1. Population Needs 1.1 Local context Bristol, North Somerset and South Gloucestershire Clinical Commissioning Groups (CCG) recognise that community children s speech and language therapy services play

More information

SENATE EDUCATION AND EMPLOYMENT REFERENCES COMMITTEE

SENATE EDUCATION AND EMPLOYMENT REFERENCES COMMITTEE SENATE EDUCATION AND EMPLOYMENT REFERENCES COMMITTEE INQUIRY INTO CURRENT LEVELS OF ACCESS AND ATTAINMENT FOR STUDENTS WITH DISABILITY IN THE SCHOOL SYSTEM, AND THE IMPACT ON STUDENTS AND FAMILIES ASSOCIATED

More information

TEST OF COMPETENCE PART 1 - NURSING TEST. Please do NOT book your online Test of Competence until you have studied and reviewed the following modules.

TEST OF COMPETENCE PART 1 - NURSING TEST. Please do NOT book your online Test of Competence until you have studied and reviewed the following modules. CBT STUDY GUIDE TEST OF COMPETENCE PART 1 - NURSING TEST Please do NOT book your online Test of Competence until you have studied and reviewed the following modules. This Guide is to be used in conjunction

More information

Ability to develop a formulation

Ability to develop a formulation Ability to develop a formulation Formulation competencies are not a stand alone description of competencies, and should be read as part of the competency framework for individuals with personality disorder.

More information

Improving the Rehabilitation and Recovery Service Model in Leeds

Improving the Rehabilitation and Recovery Service Model in Leeds Improving the Rehabilitation and Recovery Service Model in Leeds Presenters: Emma Brown (Care Coordinator) James Byrne (Recovery Worker Leeds Mind) Nigel Whelan (Care Coordinator) Introduction Provide

More information

PTSD Ehlers and Clark model

PTSD Ehlers and Clark model Problem-specific competences describe the knowledge and skills needed when applying CBT principles to specific conditions. They are not a stand-alone description of competences, and should be read as part

More information

Second Year Fall. Spring

Second Year Fall. Spring Occupational Therapy Program Curriculum (3+3 Students = OTFY courses; first year only.) Please note, course descriptions are updated periodically. First Year Fall Credits GMOT 6110/OTFY 4110 Functional

More information

Behaviour Management: Partnering To Bridge The Continuum. Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP.

Behaviour Management: Partnering To Bridge The Continuum. Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP. Behaviour Management: Partnering To Bridge The Continuum Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP Objectives Review some of the behaviours exhibited by patients with

More information

Recovery and Rehabilitation after Stroke

Recovery and Rehabilitation after Stroke Recovery and Rehabilitation after Stroke NICK WARD UCL INSTITUTE OF NEUROLOGY QUEEN SQUARE n.ward@ucl.ac.uk Follow us on Twitter @WardLab For more information go to http://www.ucl.ac.uk/ion/departments/sobell/research/nward

More information

Rehabilitation after critical illness

Rehabilitation after critical illness Quick reference guide Issue date: March 2009 Rehabilitation after critical illness NICE clinical guideline 83 Developed by the Centre for Clinical Practice at NICE Patient-centred care This is a quick

More information

Borderline personality disorder

Borderline personality disorder Borderline personality disorder Treatment and management Issued: January 2009 NICE clinical guideline 78 guidance.nice.org.uk/cg78 NICE 2009 Contents Introduction... 3 Person-centred care... 5 Key priorities

More information

Stephen L. Benson, Psy.D. November 17, 2015

Stephen L. Benson, Psy.D. November 17, 2015 Stephen L. Benson, Psy.D. November 17, 2015 Biomedical view of dementia Lyman (1989) suggested that the biomedical view of dementia includes three features: First, dementia is pathological and individual,

More information

The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia

The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia Laura N. Gitlin, Ph.D. Director, Jefferson Center for Applied

More information

BHA Design, Inc. Landscape Architecture Site Planning Urban Design. Core Design Values: Sustainable Therapeutic Fun

BHA Design, Inc. Landscape Architecture Site Planning Urban Design. Core Design Values: Sustainable Therapeutic Fun BHA Design, Inc. Landscape Architecture Site Planning Urban Design Core Design Values: Sustainable Therapeutic Fun Burr Oak Office Building, Fort Collins, CO Sustainable Site Design LEED Projects: Burr

More information

Disability Act 2006 A guide for disability service providers

Disability Act 2006 A guide for disability service providers Disability Act 2006 A guide for disability service providers ii Disabilty Act 2006 A guide for disability service providers Published by the Victorian Government Department of Human Services, Melbourne,

More information

Preparing Occupational Therapists to Work in Palliative Care

Preparing Occupational Therapists to Work in Palliative Care Preparing Occupational Therapists to Work in Palliative Care Dr Pamela Meredith Division of Occupational Therapy School of Health and Rehabilitation Sciences Acknowledgements Assistance from Judy Desha,

More information

Psychosocial Rehabilitation Program Services

Psychosocial Rehabilitation Program Services Psychosocial Rehabilitation Program Services 2013 Overview Objectives Definitions What it is not What it is Who can provide What to focus on Populations of Service Documentation Requirements 2 Objectives

More information

Objectives. Maintenance Myths. Maintenance Therapy in Home Health. Cindy Krafft PT, MS. Define the medical necessity of maintenance therapy

Objectives. Maintenance Myths. Maintenance Therapy in Home Health. Cindy Krafft PT, MS. Define the medical necessity of maintenance therapy Maintenance Therapy in Home Health Cindy Krafft PT, MS Director of Rehabilitation Consulting Services President Home Health Section APTA Objectives Define the medical necessity of maintenance therapy Understand

More information

Chapter 42a Occupational Therapy Practice Act. Part 1 General Provisions

Chapter 42a Occupational Therapy Practice Act. Part 1 General Provisions Chapter 42a Occupational Therapy Practice Act Part 1 General Provisions 58-42a-101 Title. This chapter is known as the "Occupational Therapy Practice Act." Enacted by Chapter 240, 1994 General Session

More information

Mental Health Needs Assessment Personality Disorder Prevalence and models of care

Mental Health Needs Assessment Personality Disorder Prevalence and models of care Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual

More information

Functional Treatment Ideas

Functional Treatment Ideas I n t e r n a t i o n a l C l i n i c a l E d u c a t o r s, i n c. Functional Treatment Ideas and Strategies In Adult Hemiplegia s e c o n d e d i t i o n By Jan Davis, MS, OTR/L Video Registration No.

More information

NMC Standards of Competence required by all Nurses to work in the UK

NMC Standards of Competence required by all Nurses to work in the UK NMC Standards of Competence required by all Nurses to work in the UK NMC Standards of Competence Required by all Nurses to work in the UK The Nursing and Midwifery Council (NMC) is the nursing and midwifery

More information

Your local specialist mental health services

Your local specialist mental health services Your local specialist mental health services Primary Care Liaison Service B&NES Primary Care Mental Health Liaison service is a short-term support service to help people with mental health difficulties

More information

WHERE HAS HE GONE? GRIEF AND LOSS IN DEMENTIA. Di Moncrieff Dr Thomas Dellmann

WHERE HAS HE GONE? GRIEF AND LOSS IN DEMENTIA. Di Moncrieff Dr Thomas Dellmann WHERE HAS HE GONE? GRIEF AND LOSS IN DEMENTIA Di Moncrieff Dr Thomas Dellmann The dark clouds of disease can cover up the essence of the person. 1 in 10 people would avoid spending time with a person with

More information

Learning Disabilities

Learning Disabilities Learning Disabilities Positive Practice Guide January 2009 Relieving distress, transforming lives Learning Disabilities Positive Practice Guide January 2009 Contents 1. Background and policy framework

More information

DISABILITY AND NON COMMUNICABLE DISEASES

DISABILITY AND NON COMMUNICABLE DISEASES DISABILITY AND NON COMMUNICABLE DISEASES Context An estimated 1 billion people, or 15% of the world s population, have a disability 1, and the increase in diabetes, cardiovascular diseases (heart disease

More information

Specialist Occupational Therapist Band 6 (Stroke Rehabilitation) Factors Essential % Desirable %

Specialist Occupational Therapist Band 6 (Stroke Rehabilitation) Factors Essential % Desirable % PERSONNEL SPECIFICATION POST: Specialist Occupational Therapist Band 6 (Stroke Rehabilitation) DEPARTMENT: Occupational Therapy LOCATION: Western Health & Social Care Trust DATE: July 2013 Factors Essential

More information

P O S I T I O N D E S C R I P T I O N POSITION # MANAGEMENT EXCLUDED BARGAINING UNIT

P O S I T I O N D E S C R I P T I O N POSITION # MANAGEMENT EXCLUDED BARGAINING UNIT P O S I T I O N D E S C R I P T I O N SECTION A: Position Identification POSITION TITLE: CLASSIFICATION Rehab Assistant DEPARTMENT DIVISION POSITION # MANAGEMENT EXCLUDED BARGAINING UNIT SECTION B: Reporting

More information

LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization)

LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization) UNUM Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring

More information

COURSE APPROVAL GUIDELINES APS COLLEGE OF CLINICAL NEUROPSYCHOLOGISTS

COURSE APPROVAL GUIDELINES APS COLLEGE OF CLINICAL NEUROPSYCHOLOGISTS Page 1 COURSE APPROVAL GUIDELINES APS COLLEGE OF CLINICAL NEUROPSYCHOLOGISTS Updated October 2000 Page 2 1. General Introduction and Principles Clinical neuropsychology is a division of psychology concerned

More information

Psychological reaction to brain tumour. Dr Orazio Giuffrida Consultant Clinical Neuropsychologist

Psychological reaction to brain tumour. Dr Orazio Giuffrida Consultant Clinical Neuropsychologist Psychological reaction to brain tumour Dr Orazio Giuffrida Consultant Clinical Neuropsychologist Psychological Reaction To Brain Tumour Diagnosis A Key word to understand is Adjustment Adjustment refers

More information

Neuro-rehabilitation in Stroke. Amit Kumar Neuro-Occupational Therapist

Neuro-rehabilitation in Stroke. Amit Kumar Neuro-Occupational Therapist Neuro-rehabilitation in Stroke Amit Kumar Neuro-Occupational Therapist Neuro-rehabilitation A process whereby patients who suffer from impairment following neurologic diseases regain their former abilities

More information

IMPROVING YOUR EXPERIENCE

IMPROVING YOUR EXPERIENCE Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community),

More information

LEGISLATIVE COUNCIL PANEL ON WELFARE SERVICES PANEL ON HEALTH SERVICES JOINT SUBCOMMITEE ON LONG-TERM CARE POLICY

LEGISLATIVE COUNCIL PANEL ON WELFARE SERVICES PANEL ON HEALTH SERVICES JOINT SUBCOMMITEE ON LONG-TERM CARE POLICY For information on 28 November 2013 LC Paper No. CB(2)352/13-14(01) LEGISLATIVE COUNCIL PANEL ON WELFARE SERVICES PANEL ON HEALTH SERVICES JOINT SUBCOMMITEE ON LONG-TERM CARE POLICY Support for Persons

More information

NAVIGATING ETHICAL APPROVAL AND ACCESS IN SOCIAL CARE RESEARCH

NAVIGATING ETHICAL APPROVAL AND ACCESS IN SOCIAL CARE RESEARCH NAVIGATING ETHICAL APPROVAL AND ACCESS IN SOCIAL CARE RESEARCH January 2014 Preamble This document has been produced by the Scottish Government, the Association of Directors of Social Work (ADSW) and the

More information

Clinical Medical Policy Outpatient Rehab Therapies (PT & OT) for Members With Special Needs

Clinical Medical Policy Outpatient Rehab Therapies (PT & OT) for Members With Special Needs Benefit Coverage Rehabilitative services, (PT, OT,) are covered for members with neurodevelopmental disorders when recommended by a medical provider to address a specific condition, deficit, or dysfunction,

More information

Job Descriptions. All jobs with Heart to Heart Hospice require reliable transportation as well as valid and current auto liability insurance.

Job Descriptions. All jobs with Heart to Heart Hospice require reliable transportation as well as valid and current auto liability insurance. Job Descriptions All jobs with Heart to Heart Hospice require reliable transportation as well as valid and current auto liability insurance. Administrator Primary function is to assume overall responsibility

More information

Good Samaritan Inpatient Rehabilitation Program

Good Samaritan Inpatient Rehabilitation Program Good Samaritan Inpatient Rehabilitation Program Living at your full potential. Welcome When people are sick or injured, our goal is their maximum recovery. We help people live to their full potential.

More information

Doncaster Community Health Team for Learning Disabilities. Information for health professionals. RDaSH. Learning Disability Services

Doncaster Community Health Team for Learning Disabilities. Information for health professionals. RDaSH. Learning Disability Services Doncaster Community Health Team for Learning Disabilities. Information for health professionals RDaSH Learning Disability Services Useful contact numbers General enquiries: 01302 796467 Duty nurse number:

More information

Submission by Cerebral Palsy Alliance to the Productivity Commission on Disability Care and Support: Draft Inquiry Report

Submission by Cerebral Palsy Alliance to the Productivity Commission on Disability Care and Support: Draft Inquiry Report Submission by Cerebral Palsy Alliance to the Productivity Commission on Disability Care and Support: Draft Inquiry Report Cerebral Palsy Alliance welcomes the recommendations of the draft report and offers

More information

Churchill School. Job Description: Occupational therapist

Churchill School. Job Description: Occupational therapist Job Description: Occupational therapist Responsible to: Headteacher Job Purpose/ Summary of Role: To provide a high quality specialist Occupational Therapy service to a caseload of children with Autism

More information

NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES

NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES POLICY GUIDELINES Version 2015-1 Page 1 of 11 Table of Contents SECTION I REQUIREMENTS FOR PARTICIPATION IN MEDICAID 3 QUALIFIED PRACTITIONERS. 3

More information

Mental Health, Disability and Work: Inpatient Medical Rehabilitation

Mental Health, Disability and Work: Inpatient Medical Rehabilitation Mental Health, Disability and Work: Inpatient Medical Rehabilitation Prof. Michael Linden Head of the Rehabilitation Center Seehof of the German Pension Fund and Director of the Department of Behavioral

More information

Q: Rehabilitation Nursing

Q: Rehabilitation Nursing Q: Rehabilitation Nursing Alberta Licensed Practical Nurses Competency Profile 163 Priority: One Competency: Q-1 Apply the Rehabilitation Process Q-1-1 Q-1-2 Q-1-3 Q-1-4 Q-1-5 Q-1-6 Demonstrate knowledge

More information

MAPLES /PHOENIX REHABILITATION REFERRAL REFERRAL DETAILS:

MAPLES /PHOENIX REHABILITATION REFERRAL REFERRAL DETAILS: MAPLES /PHOENIX REHABILITATION REFERRAL Each section must be completed by the treating health professional and goals for rehabilitation must be indicated. Once completed, please post the referral form

More information

Competencies for entry to the register: Adult Nursing

Competencies for entry to the register: Adult Nursing for entry to the register: Adult Nursing Domain 1: Professional values All nurses must act first and foremost to care for and safeguard the public. They must practise autonomously and be responsible and

More information

Occupational Therapy - Urgent Care Service South Tyneside

Occupational Therapy - Urgent Care Service South Tyneside Occupational Therapy - Urgent Care Service South Tyneside Profile of Learning Opportunities February 2010 GUIDANCE FOR STUDENTS AND EDUCATORS This profile is a comprehensive document, detailing all the

More information

SCOPE OF PRACTICE. Statement of Purpose The purpose of this document is to define the scope of practice in occupational therapy in order to

SCOPE OF PRACTICE. Statement of Purpose The purpose of this document is to define the scope of practice in occupational therapy in order to SCOPE OF PRACTICE Statement of Purpose The purpose of this document is to define the scope of practice in occupational therapy in order to 1. delineate the domain of occupational therapy practice that

More information

Section 2. Physical Therapy and Occupational Therapy Services

Section 2. Physical Therapy and Occupational Therapy Services Division of Medicaid and Health Financing Updated July 2015 Section 2 Table of Contents 1 General Information... 2 1-1 General Policy... 2 1-2 Fee-For-Service or Managed Care... 3 1-3 Definitions... 3

More information

HEALTH SECTOR CHALLENGING BEHAVIOURS POSITIVE OUTCOMES GUIDELINES

HEALTH SECTOR CHALLENGING BEHAVIOURS POSITIVE OUTCOMES GUIDELINES UNCONTROLLED WHEN PRINTED HEALTH SECTOR CHALLENGING BEHAVIOURS POSITIVE OUTCOMES GUIDELINES PURPOSE To provide guidelines for working with people with challenging behavior in residential aged care facilities

More information

Parkinson s Disease: Factsheet

Parkinson s Disease: Factsheet Parkinson s Disease: Factsheet Tower Hamlets Joint Strategic Needs Assessment 2010-2011 Executive Summary Parkinson s disease (PD) is a progressive neuro-degenerative condition that affects a person s

More information

Occupational Therapy Strategy. Mental health and wellbeing

Occupational Therapy Strategy. Mental health and wellbeing Occupational Therapy Strategy Mental health and wellbeing 2015 2020 2015 2020 Background Occupational Therapy (OT) is an integral part of the services Derbyshire Healthcare NHS Foundation Trust (DHCFT)

More information

Cognitive Impairment. LPT Gondar Mental Health Group.

Cognitive Impairment. LPT Gondar Mental Health Group. Cognitive Impairment LPT Gondar Mental Health Group www.le.ac.uk Areas to be covered Causes of cognitive impairment Delirium Definition and causes Clinical features Management principles Dementia Common

More information

HUSSON UNIVERSITY SCHOOL OF OCCUPATIONAL THERAPY MSOT PROGRAM COURSE DESCRIPTIONS APPLICABLE TO FALL 2014

HUSSON UNIVERSITY SCHOOL OF OCCUPATIONAL THERAPY MSOT PROGRAM COURSE DESCRIPTIONS APPLICABLE TO FALL 2014 HUSSON UNIVERSITY SCHOOL OF OCCUPATIONAL THERAPY MSOT PROGRAM COURSE DESCRIPTIONS APPLICABLE TO FALL 2014 BA 310 Organization and Management This course focuses on how to design organization systems and

More information

Supporting Employee Success. A Tool to Plan Accommodations that Support Success at Work

Supporting Employee Success. A Tool to Plan Accommodations that Support Success at Work Supporting Employee A Tool to Plan Accommodations that Support at Work Supporting Employee A Tool to Plan Accommodations that Support at Work Table of Contents Background... Page 1 How the process works...

More information

Occupational Therapy Protocol Checklist

Occupational Therapy Protocol Checklist Occupational Therapy Protocol Checklist Service Recipient s Name Date of Birth (Last, First) Reviewer s Name (Last, First) Date Request Submitted Technical Review YES NO Is the correct funding source,

More information

Complex Care Planning in the Emergency Department: Demonstrating Rehabilitation Contributions

Complex Care Planning in the Emergency Department: Demonstrating Rehabilitation Contributions Complex Care Planning in the Emergency Department: Demonstrating Rehabilitation Contributions CAOT Conference 2016 Inspired for Higher Summits Banff, AB No conflict of interest Project Team all from Sunnybrook

More information

Meath School Occupational Therapy Department Professional Practice Policy Document

Meath School Occupational Therapy Department Professional Practice Policy Document Meath School Occupational Therapy Department Professional Practice Policy Document Principles of Delivery of Service by the Occupational Therapy Department at Meath School (to include Sensory Integration

More information