8/10/2019 DR Jeffery Saini_Rehabilitation
1/22
Dr. Saini Jeffery
Consultant Rehabilitation Physician
KPJ KL Rehabilitation Centre
8/10/2019 DR Jeffery Saini_Rehabilitation
2/22
Origin of Quote?In Metaphysica
8/10/2019 DR Jeffery Saini_Rehabilitation
3/22
8/10/2019 DR Jeffery Saini_Rehabilitation
4/22
Interpretations
Max Wertheimer - founder of Gestalt Theory
Team Dynamics in learning skills - synergy activity
Team models in Rehabilitation Medicine
8/10/2019 DR Jeffery Saini_Rehabilitation
5/22
Rehabilitation
Process of helping a person to
reach the fullest physical, psychological, social,
vocational, avocational and educational
potential
consistent with his or her physiologic or
anatomical impairment, environmental
limitations, and desires and life plans
8/10/2019 DR Jeffery Saini_Rehabilitation
6/22
Rehabilitation
Comprehensive
Patient-centred
Maximising outcomes with from limitations
Prevention and early recognition
Outpatient, inpatient and extended care programmes
Anticipated outcomes: increased independence, shortened
LOS, improved QOL
8/10/2019 DR Jeffery Saini_Rehabilitation
7/22
Goal Oriented
Treatment plans are
generated from goals that
arise from problems list
developed during evaluation
Treatment plan is dynamic
8/10/2019 DR Jeffery Saini_Rehabilitation
8/22
Rehabilitation Process
Multiple Health-Care Providers
8/10/2019 DR Jeffery Saini_Rehabilitation
9/22
Potential for Chaos and Confusion?
8/10/2019 DR Jeffery Saini_Rehabilitation
10/22
Team Communication
Comprehensive medical rehabilitation requires
interaction of various caregivers
Primary goal of interactions is communication of
patients needs and coordination of their efforts in a
synergistic manner
4 models of interactions will be discussed
8/10/2019 DR Jeffery Saini_Rehabilitation
11/22
Medical Model
Physician attends to patient's
needs
If services of another
professional needed, general
or specific requests for
assistance are made
The caregiver would usuallydiscuss with referring doctor
regarding any additional
treatment identified before
proceeding
8/10/2019 DR Jeffery Saini_Rehabilitation
12/22
Advantages & Disadvantages
Advantage:
clear chain of responsibility well- respected medico-legally
Disadvantages:
Multiple professionals performing multiple tasks whichmay be similar
Difficult for attending physician to coordinate resulting
in less efficient patient care
8/10/2019 DR Jeffery Saini_Rehabilitation
13/22
Multi-disciplinary Team Model
8/10/2019 DR Jeffery Saini_Rehabilitation
14/22
8/10/2019 DR Jeffery Saini_Rehabilitation
15/22
Advantages & Disadvantages
Efficient team conference with clear line of
authority and control
Still directed by attending physician
Obstacle to optimum use of other professionals'expertise, negating group synergism
Not patient-centred
8/10/2019 DR Jeffery Saini_Rehabilitation
16/22
Interdisciplinary Team Model
Group decision making andgroup responsibility
Patient considered part ofplanning group and has acentral role in team'considerations
May be led by any team
member
Allow a freer exchange ofideas benefitting a groupsynergy concept
8/10/2019 DR Jeffery Saini_Rehabilitation
17/22
Disadvantages
Less time efficient
Considerable training needed
Physician may be uncomfortable as he is the one
that must assume medico-legal responsibility
Difficulty in having physician complete the
appropriate prescription if the plan differs from what
the physician recalled or desired
8/10/2019 DR Jeffery Saini_Rehabilitation
18/22
Transdisciplinary Team Model
8/10/2019 DR Jeffery Saini_Rehabilitation
19/22
Transdiciplinary Team Model
More recent development
Encourages cross-treatment between disciplines
Justified on basis of economic market forces and inadequate
number of therapists
Consistency of information exchange with patient intrinsic to
cotreatment
? Future rehabilitation generalists
? Competency of therapists
8/10/2019 DR Jeffery Saini_Rehabilitation
20/22
Most effective team model?
Lack of research
evidence
May be dependent on
practice environment
Combination of
models
8/10/2019 DR Jeffery Saini_Rehabilitation
21/22
Conclusion
Comprehensive rehabilitation can be a complex task
Desired goals are not disease specific
Patient is expected to make transition from passive
observer to an active participatory role
Planning and facilitating all desired interventions can
be achieved best by multiple disciplines and then
sharing of knowledge must take place to ensure a
cohesive treatment plan is formulated
8/10/2019 DR Jeffery Saini_Rehabilitation
22/22
Thank You
Top Related