Patient centered goal-setting in a subacute rehabilitation setting

Leach, Emma; Cornwell, Petrea; Fleming, Jennifer; Haines, Terrence Peter

doi:10.1080/09638280903036605

Cited by 55 publications

(101 citation statements)

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“…43 Therapists perceived that the activitylimitation goals they had set for the patient were in line with the patients' functional goals. 51 They had reported that patient-centredness in goal setting would improve patient's motivation, effective use of time and contribute to holistic planning. 51 Despite these perceptions, the evidence showed that the patients' social and occupational needs were not explicitly incorporated into the treatment goals by therapists, thereby reflecting a perceptual practice gap.…”

Section: ) Perceptions Of Patients Regarding Patient-centredness In mentioning

confidence: 99%

A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation

2011

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Section: ) Perceptions Of Patients Regarding Patient-centredness In mentioning

confidence: 99%

A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation

2011

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“…Goals set by therapists, when categorised according to the International Classification of Functioning, Disability and Health (ICF; World Health Organization, 2001), were predominantly based around the concepts of impairment and activity limitation (Leach, Cornwell, Fleming, & Haines, 2010), whereas the goals of people with aphasia are spread across the spectrum of the ICF, with most goals linked to activities and participation . This finding of discrepancy in perspectives is supported by other research from Australia and Scotland, which suggests that while commonality exists, the views of people with aphasia do not necessarily coincide with those of aphasia practitioners in relation to service provision (Law et al, 2010;Rohde, Townley-O'Neill, Trendall, Worrall, & Cornwell, 2012).…”

Section: Clinical Expertise As a Component Of Evidence-based Practicementioning

confidence: 99%

Turning the tide: Putting acute aphasia management back on the agenda through evidence-based practice

Foster¹,

Worrall²,

Rose³

et al. 2013

Aphasiology

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Background: The role of speech pathologists working in the acute hospital setting has evolved away from service provision to people with aphasia and their families towards a stronger focus on dysphagia. Evidence-based practice (EBP) can be conceptualised as the integration of four streams of evidence: research-based clinical evidence, clinical expertise, patient preferences and values, and the practice context. EBP is an important tenet in current healthcare. However, it is not clear whether speech pathologists in the acute setting are using EBP to support their aphasia management. Not adopting evidence-based approaches to care has the potential to result in a negative impact on people with aphasia and their families, healthcare services, and speech pathologists, who experience a sense of dissonance related to their current service provision This paper explores acute aphasia management through an EBP lens in an attempt to better understand this dilemma. Aims: This paper applies the conceptual framework of EBP to acute aphasia management. An extensive, systematically conducted review of the international literature relating to health professionals was undertaken. The findings are presented as a narrative literature review. Main Contribution: This paper describes and evaluates how the different streams of research evidence, clinical expertise, patient preferences and values, and the practice context contribute to speech pathologists' management of acute aphasia. Further, the paper identifies current gaps in the literature and suggests a research agenda for the field. Conclusions: Little is known about how speech pathologists integrate and implement the different streams of evidence in EBP, and how these contribute to acute aphasia practice. Speech pathologists report that clinical guidelines containing low-level evidence are the main source of research information. Other sources of knowledge include colleagues, professional development events, and websites. Additional challenges to the management of people with aphasia in the acute hospital setting may be posed by the physical environment, the culture of the acute hospital setting, and the provision of leadership to support evidence-based approaches to care. The challenge of using a person-centred approach to care for people with aphasia is acknowledged. Further research exploring speech pathologists' perceptions of their role in acute aphasia management, the clinical decision-making process of speech pathologists in relation to acute aphasia management, and the experiences of people with aphasia and their families in the acute setting is required. This will

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“…In Deutschland existieren fl ä chendeckend 29 akkreditierte Phase-II-Einrichtungen, die sich in der Bundesarbeitsgemeinschaft medizinisch-berufl icher Rehabilitationszentren ( www.mbreha.de ) zusammengeschlossen haben. Die medizinisch-berufl iche Rehabilitation kommt in der Neurologie vor allem f ü r solche Rehabilitanden in Betracht, bei denen Einleitung ▼ Das biopsychosoziale Modell der Internationalen Klassifi kation der Funktionsf ä higkeit, Behinderung und Gesundheit (ICF) der Weltgesundheitsorganisation stellt die Teilhabe am sozialen Leben ins Zentrum der Betrachtung [1] . Die Rehabilitation muss sich an diesem Ziel messen lassen.…”

Section: Berufliche Teilhabe Von Neurologischen Rehabilitanden -Langzunclassified

Berufliche Teilhabe von neurologischen Rehabilitanden - Langzeitergebnisse eines medizinisch-beruflichen Rehabilitationszentrums (Phase II)

Rollnik

Allmann²

2011

Rehabilitation

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Occupational rehabilitation in Germany is done in specialized centres (so-called "Phase II" centres). In the present study, long-term outcome data of 237 neurological rehabilitation patients (mean age 38.3 years) were analyzed. Most of the patients had suffered brain injuries. The examination took place some 7 years after the end of occupational rehabilitation and approximately 10 years after the injury. About 60% of patients returned to work (35% worked, 9.3% were seeking a job, 13.5% underwent training). Positive predictors for return to work were lower age and high educational level. The results from this study suggest that occupational rehabilitation is effective. Controlled and multi-centre studies should be carried out.

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Patient centered goal-setting in a subacute rehabilitation setting

Cited by 55 publications

References 0 publications

A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation

A systematic review and synthesis of the quantitative and qualitative evidence behind patient-centred goal setting in stroke rehabilitation

Turning the tide: Putting acute aphasia management back on the agenda through evidence-based practice

Berufliche Teilhabe von neurologischen Rehabilitanden - Langzeitergebnisse eines medizinisch-beruflichen Rehabilitationszentrums (Phase II)

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