Patient-centered care is a turnaround from traditional approaches, where the clinician is in control of most clinical decisions. When the client is given enough information to choose, the result is an approach to clinical practice that empowers the client. Over time, one empowering decision leads to another, and soon the person with aphasia has taken back control of their goals and their life.
Do you do patient-centered care? Take this 5-item quiz and see how you do. Then register for our exciting, interactive conference: October 16-17, 2015, Hotel Indigo, St. Petersburg, FL. Get all the details here.
1. Do you discuss treatment goals with the client and family at the beginning of the course of treatment?
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A.Yes, always
B.Sometimes, when I can
C.Rarely or never
2. Which of the following do you typically do first?
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A.administer an impairment-based assessment
B.interview (with or without a clinical tool) the patient and/or family about activities, goals, and desires
3. Do you ask the patient and/or family about their rehabilitation goals?
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A.Yes, usually
B.Sometimes, when I can
C.Rarely or never
4. Which of the following best describes most of your goal-setting with patients?
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A.I establish the goals and frequency of therapy
B.I suggest goals and the patient and/or family responds
C.I engage in a fully collaborative goal-setting meeting whenever possible
5. Imagine that your client was formerly quite politically active, and now after stroke will have significant difficulties physically getting to and participating in political meetings. She expresses her desire to get on the internet as an alternative way to participate in her political efforts, but acknowledges that she doesn’t have a computer. Would you include any of this into a rehabilitation goal?
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A. Yes
B. No
C. Maybe
Scoring: Add up the points for each of your responses .
1: a = 3, b = 2, c = 1
2: a = 1, b = 2
3: a = 3, b = 2, c = 1
4: a = 1, b = 2, c = 3
5: a = 3, b = 1, c = 2
If you scored 10 or higher, you are taking every opportunity to engage in patient-centered care during goal-setting.
No matter what you think about patient-centered care, we need you as a part of our interactive conference. Discuss realistic techniques and approaches. Talk to clients about their experiences. See you at the conference!
Key references:
Leach, E., Cornwell, P., Fleming, J., & Haines, T. (2010). Patient-centered goal setting in a subacute rehabilitation setting. Disability and Rehabilitation, 32, 159-172.
Hersh, D., Sherratt, S., Howe, T., Worrall, L., Davidson, B. & Ferguson, A. (2012). An analysis of the ‘goal’ in aphasia rehabilitation. Aphasiology, 26, 971-984.