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    DR Jeffery Saini - Rehabilitation

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    KPJConference
    This document discusses team models in rehabilitation medicine. It describes four models: the medical model, where a physician directs care and requests assistance from other providers; the multidisciplinary model, where multiple providers coordinate but a physician leads; the interdisciplinary model, where a team collaborates with the patient as a central part; and the transdisciplinary model, where providers cross-train and co-treat patients. While each model has advantages, the document concludes that the most effective approach may depend on the environment and involve a combination of models, with the overall goal of facilitating communication between all involved in a patient's rehabilitation.

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    DR Jeffery Saini - Rehabilitation

    Uploaded by

    KPJConference
    114 views22 pages
    This document discusses team models in rehabilitation medicine. It describes four models: the medical model, where a physician directs care and requests assistance from other providers; the multidisciplinary model, where multiple providers coordinate but a physician leads; the interdisciplinary model, where a team collaborates with the patient as a central part; and the transdisciplinary model, where providers cross-train and co-treat patients. While each model has advantages, the document concludes that the most effective approach may depend on the environment and involve a combination of models, with the overall goal of facilitating communication between all involved in a patient's rehabilitation.

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    Long terms care and Rehabilitation at KPJ Tawakkal Health Centre

    Original Title

    DR Jeffery Saini_Rehabilitation

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    This document discusses team models in rehabilitation medicine. It describes four models: the medical model, where a physician directs care and requests assistance from other providers; the multidisciplinary model, where multiple providers coordinate but a physician leads; the interdisciplinary model, where a team collaborates with the patient as a central part; and the transdisciplinary model, where providers cross-train and co-treat patients. While each model has advantages, the document concludes that the most effective approach may depend on the environment and involve a combination of models, with the overall goal of facilitating communication between all involved in a patient's rehabilitation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    114 views22 pages

    DR Jeffery Saini - Rehabilitation

    Uploaded by

    KPJConference
    This document discusses team models in rehabilitation medicine. It describes four models: the medical model, where a physician directs care and requests assistance from other providers; the multidisciplinary model, where multiple providers coordinate but a physician leads; the interdisciplinary model, where a team collaborates with the patient as a central part; and the transdisciplinary model, where providers cross-train and co-treat patients. While each model has advantages, the document concludes that the most effective approach may depend on the environment and involve a combination of models, with the overall goal of facilitating communication between all involved in a patient's rehabilitation.

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    Dr.

    Saini Jeffery
    Consultant Rehabilitation Physician
    KPJ KL Rehabilitation Centre

    Origin of Quote?
    In Metaphysica

    What Does it Mean?

    Interpretations

    Max Wertheimer - founder of Gestalt Theory


    Team Dynamics in learning skills - synergy activity

    Team models in Rehabilitation Medicine

    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

    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

    Goal Oriented

    Treatment plans are


    generated from goals that
    arise from problems list
    developed during evaluation
    Treatment plan is dynamic

    Rehabilitation Process

    Multiple Health-Care Providers

    Potential for Chaos and Confusion?

    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

    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 usually
    discuss with referring doctor
    regarding any additional
    treatment identified before
    proceeding

    Advantages & Disadvantages


    Advantage:
    clear chain of responsibility well- respected medicolegally
    Disadvantages:
    Multiple professionals performing multiple tasks which
    may be similar

    Difficult for attending physician to coordinate resulting


    in less efficient patient care

    Multi-disciplinary Team Model

    Multi-disciplinary Team Model

    Provide a means for multiple professionals to meet


    and coordinate efforts on a consistent basis
    Remains an attending physician controlled team
    Evolution of medical model

    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

    Interdisciplinary Team Model


    Group decision making and
    group responsibility
    Patient considered part of
    planning group and has a
    central role in team'
    considerations
    May be led by any team
    member
    Allow a freer exchange of
    ideas benefitting a group
    synergy concept

    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

    Transdisciplinary Team Model

    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

    Most effective team model?

    Lack of research
    evidence
    May be dependent on
    practice environment
    Combination of
    models

    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

    Thank You

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