McKnight's Long Term Care News recently shared a study that shows that long-term care facilities that personalize treatment by initiating "culture change" see a decrease in survey deficiencies.
Researchers from Harvard Medical School and Dartmouth Institute for Health Policy and Clinical Practice examined 251 nursing homes that adopted culture change between 2004 and 2009. They compared these facilities to institutions that did not adopt culture change. The researchers found that "the adopting facilities exhibited a 14.6% decrease in health-related survey deficiencies relative to the comparison group."
Nursing centers and rehabilitation departments that adopt culture change aim to make their facilities more welcoming and less institutional. They recognize that each patient is unique and requires individualized, patient-centered care with patient preferences taken into account. This is why RehabCare therapists factor the patient's lifestyle, everyday activities and personal goals into treatment to return the patient to their prior level of functioning as fully as possible. Each of our patients undergoes a thorough evaluation before beginning treatment. Each patient is different, and a thorough preliminary assessment is necessary to uncover their goals and what will motivate them during therapy.
To access the culture change study, visit The Gerontologist.
I am a PT not a SLP but i think the same comments would apply to all our our inaooprrfessientl team. We need to know how to be safe, then to know how to assess properly so we can be progressive and try to help all our patients reach great functional outcomes and goals. I think in the comment you made it was clear you are assessing your skills and for the most part feel you are doing a really good job with your patients in several different settings. None of us is an expert in every area for every diagnosos and patient level. We do the best we can and then consider does the patient need more than I can deliver? If that is the case do we refer to someone with a particular area of expertise that the patient needs? That is not a failure as if we are generalists and doing a good job we need to know what we can do and when the patient should be referred or have a consult with another healthcare professional that could look with a new set of eyes and experience.Sounds like you are doing a really good job and have to deal with various settings which sure isn't easy!Donna Frownfelter PT, DPT, CCS, MA, RRT
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