Final presentation ICHCI Course Enabling clientresponsibility in health care. Elien, Filipa, Ida, Marieke, Peter, Stefanie

Transcription

1 Final presentation ICHCI Course Enabling clientresponsibility in health care

2 Nurses: Ana Filipa Rodrigues, Instituto Politécnico de Setúbal, Portugal Ida V.Nordeide, Nursing, Bergen University College, Norway Marieke Koopman, HAN University of applied sciences, the Netherlands Stefanie Strynckx, Hogeschool-Universiteit Brussel, Belgium Nutrition & Dietetics: Elien de Vries, Hanze University Groningen, the Netherlands Occupational therapist: Peter Baeten, Provinciale Hogeschool Limburg, Belgium

3 Client group Care center Diseases Clients problems Main problems Interventions Professions Reflection

4 Founded by 4 women in 1979 Home Care (80 users) Sports Children Elderly Poorest people in Setúbal Departements Day Care Unit (80 users) Continuous care unit (24 beds) Residency (48 users) (Lati)

5 4 patients Mrs. C. : stroke, atrial fibrilation, hypertension, asthma Continuous Care Unit Mr. P. : stroke, hypertension, Vertigo syndrome, prostate tumor Continuous Care Unit

6 Mr. S. : Prostate tumor, hypercholesterol, hypertension, hernia (operated, recidive), cataract Residency Mrs. M. : Guillain-Barré, chronic alcoholism Day Care Center

7 Guiding list of questions Individual interviews 1patient 2 students 1 translator Observing non verbal communication Good experience

8 No english Low SES Low or some education Poor

9 Mrs. C. Disfunction left hand Mr. P. Rest Lack of motivation Insecure feeling Loss of sensitivity left hand Risk of falling

10 Mr. S. Loss of eyesight Risk of falling Mrs. M. Being dependent (ADL) Unable to walk Risk of falling

11 Left hand disfunctioning (safe) walking

12 Cause: CVA (2x) Guillain-Barré Goals Gardening Domestic Care ADL independancy

13 Making contact (gaining trust) Stimulating left hand Positive thinking Functional use of the left hand

14 Introduction Handmassage Guideline (Huybrechts, 2010) Instruction Origami (Tsuboi, 2007) Positive abilities and thinking (University of Pennsylvania, 2007) Antonovsky (Eriksson, Lindström, 2005) Workshop positive psychology Helena Marujo Balloon play Ending & thanking

15 Asking Non-verbal communication (facial expression) Verbal communication

16 Occupational therapist Handmassage Questioning model on quality of life (University of Toronto, 2010) Lot of aids, could be used more efficient Nurse Motivation ADL care Questions on daily live activity (patterns of Gordon) (Scribd, 2007)

17 Dietician Questions on food/diet Physiotherapist Walking skills Speach & language therapist Teeth/ left corner of the mouth behind Holistic view

18 Different disciplines 4 Nurses, 1 Occupational Therapist, 1 Dietician Interprofessional approach Paradigms of each discipline First discussion, later agreement

19 Similarities & differences Looking at solutions Different countries & cultures Nursing patterns of Gordon (Scribd, 2007) 14 Necessities of Henderson

20 Good activity Client centered approach Good patients participation -> self responsibility Positive feedback Verbal & non-verbal

21 Improvement: continue, translator was talking a lot Co-working: positive, natural role dividing, cultural influences Conclusion: we did a good job

22 Eriksson, M., & Lindström, B. (2005). The JECH gallery. Opgeroepen op 2012, van Journal of Epidemiology and Community Health: Huybrechts, M. (2010). Workshop lichaamsgebonden benaderingswijzen. Mol CVO-VSPW. LATI. (2012). Opgeroepen op 2012, van Centro Comunotario Du Bocage: Scribd. (2007, juli 16). Gordon's 11 Functional Health Patterns. Opgeroepen op 2012, van Scribd: Patterns Tsuboi, M. (2007, april 16). OU campus. Opgeroepen op 2012, van Origami has big benefits: University of Pennsylvania. (2007). Seligman Bio. Opgeroepen op 2012, van Positive Psychology center: University of Toronto. (2010, april). The KAWA Model. Opgeroepen op 2012, van Occupational Science & Occupational Therapy:

23 Thanks for your attention

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