I used the MOHO approach and Rehabilitative frame of reference to guide my patient’s evaluation. MOHO approach was used because we were looking at her holistically. Treatment goals were client-centered. We considered her habits, roles, and values when we were discussing goals for her evaluation. The rehabilitative frame of reference was used because her goals and treatment plan were focused on ADLs and IADLs. The patient has plans to return home and needs to be independent in ADLs and be able to do her household chores.
Outcome based practice is centred on results for people in the following areas: gains in health, mobility and skills, prevention of deterioration, increases in confidence, engagement and feeling they are in control and finally changes in behaviour. It is assessed and planned
After implementing these strategies, the patient’s weight will be measured and recorded weekly to track the progress (Ramont, Niedringhaus, & Towle, 2012). The level of food intake will also be measured considered plus random questions to determine the memory of the patient. However food intake will be at top of the list, this is because most of the issues surrounding the patient usually have a direct effect on the food intake of the patient. The other technique will be through observation where I will observe whether her joints are healing and whether the inflammation is reducing. Moreover, lack of depression will be determined by how happy she is which is also noticeable through observation (Daly, 2012).
Measuring health status and treatment effects has become increasingly important for occupational therapists working with clients. To justify treatment methods utilized in therapy, it is crucial to collect outcome measures supported by evidence-based research (Berghmans, Lenssen, Can Rhijn, & De Bie, 2015). In working with Mr. Jones, who recently suffered a total hip replacement, I can assess his progress and health status by utilizing evidence-based assessment scales. As we progress through therapy together I want to assure Mr. Jones is regaining his independence and reaching his goals. Through the Patient-Specific Functional Scale (PSFS) and the Medical Outcome Study Short Form
Interventions provided during this service: Individual rehab services were provided. WYP discussed with the client about the CSP objectives. The client is being compliant with his mother (talking to her more, coming home before curfew, going to school, and understanding his mother better), the client is using his copping skills (basketball, deep breathing, and exercising) to decrease his irritable outbursts (throwing objects, yelling, and foul languages), the client's has improved his independent living skills (taking care of his son, going to school, working with his stepfather, playing basketball, and doing chores). WYP assisted the client with practicing his coping skills by randomly commanding the client to use one of his coping skills.
If one method isn't getting through to the person, others should be tried out and integrated into the recovery schedule. This helps the person fine-tune their treatment and makes it more successful. It also gives them a feeling of control in a situation in which they may have little.
D: Met with client for an individual session and treatment plan review. Client presented a good attitude and outlook, response to treatment appears positive. Reported no use of alcohol or other substances. Reported taking medications for anxiety, stress, and chronic physical pains as prescribed. Reported taking Antabuse for alcohol use disorder as court ordered. Client indicated main area of concern is attending self-help meeting. Client demonstrated variable compliance with treatment expectations, such as treatment group attendance, UA result was negative for alcohol and other substances. Client showed improvement on relapse prevention and problem solving skills, and is working on establishing and maintaining meaningful, intimate interpersonal relationship.
Preliminary treatment plans are followed by a comprehensive, master treatment plan within a short time period (days to weeks). A comprehensive treatment plan is developed to manage the client's most debilitating symptoms by matching current needs in recovery to realistic and actionable goals. The master treatment plan is formalized after a comprehensive assessment and accumulated data and problem lists from any diagnostic or cognitive tests.
McKay, J. R., Alterman, A. I., McLellan, A. T., & Snider, E. C. (1994). Treatment goals, continuity of care, and outcome in a day hospital substance abuse rehabilitation program. American Journal of Psychiatry, 151(2), 254-259.
Similarly, there are also many people who believe that prison is an institution that aids in the betterment, improvement, and recuperation of these criminal offenders. The second dogma would be the rehabilitative model. This states that the law considers that these prisoners are socially (and collectively) ill, in which society has an ethical responsibility to aid in the correction and recuperation of these individuals. The main principle of this dogma is to correct, recuperate, and alter negative behavior to ultimately re-integrate these convicts back into society, providing that they will not be alienated as individuals in society as well.
Throughout the years, many processes have been created to form the rehabilitation process of criminal justice. This process has reached out to many offenders and their families by allowing them to return to the community as changed individuals. Rehabilitation has many different process, but most, if not all have been proven successful in returning offenders to the community as changed individuals.
Thou rehabilitation can be delivered in numerous ways, Correctional Facilities often distribute programs based on the individuals personal record for the crime they were incarcerated in. This allows the offender to gain relative guidance on troubled areas that will affect the offenders mental and psychical health. Although each Correctional Facility conducts interventions in various forms, a vast majority are all Cognitive Behavioural Therapy (CBT) and Risk Need Responsivity (RNR) based. CBT is a psychological based treatment that deeply assists with a wide spectrum of mental illnesses which all prove promising towards offending. CBT aims to induce prisoners into believing that they are criminals, characterized by cognitive deficits. When this
One important distinction is an individuals’ goal orientation, which can be approach-oriented or avoidance-oriented. Approach goals align with a more positive, needs-based approach to rehabilitation because they focus on approaching an intended outcome, as opposed to avoiding an unwanted outcome (risk). The importance of an approach orientation for a fulfilled life was described by Roskes and colleagues (2014) when they wrote, “Avoidance goals are designed for surviving and approach goals are designed for thriving.” The benefits of an approach goal orientation over an avoidance goal orientation have been researched in a variety of settings. Approach goals were found to be important in interpersonal settings like romantic relationships and therapeutic
Mrs Smith, 5 days prior to visiting hospital tripped and fell, her injury’s prevented her from standing up. At hospital she was diagnosed with a left fractured neck of the femur (L NOF) and required an immediate left total hip replacement surgery. Mrs Smith is 85 years old, lives with her husband at home, has no children however has a strong social support network through her church. She is involved in her community and continues to teach piano. Mrs Smith only known medicine issue is urinary incontinence. 10 days’ post-surgery Mrs Smith developed a urinary tract infection increasing her length of stay in the hospital. This led to the diagnosis of delirium, worsening of her continence issues impacting negatively on her mental health. This has resulted in slow progress in mobility and delay of her rehabilitation plan. Mrs Smith’s anxiety levels are heightened as she is fearful of falling again and is concerned whether she will be able to return home as her mother passed away shortly after she broke her hip. This case study will examine if Mrs Smith will be able to return home with an effective management & discharge plan based on a multidisciplinary team using a person centred approach. The treatment plan will endeavour to assist Mrs Smith to return home. A full health, coordination and function analysis is scheduled to assess to identify any underlying medical condition and possible risk factors for further falls.
Psychosocial rehabilitation models the ultimate patient-centered interventions; it effectively supplements the individual’s recovery. Recovery is deeply
In this essay I will discuss theoretical principals of rehabilitation of a particular patient I cared for while on clinical placement. It will focus on the role of the multidisciplinary team involved in this rehabilitation process post acute myocardial infarction and the education and support given to the patient and her family during the discharge planning process. Also I will be including statistics and evidence of pathophysiology. The National Service Framework for Older People (Department of Health, 2001) sets out eight standards including standard three about intermediate care services that promote independence and provide effective rehabilitation services. Active rehabilitation is seen to reduce the risks of hospital readmission,