1
What does IPP stand for?
Interprofessional Practice
________ to ____: can be open or closed.
Invitations to talk
Hospice - what happens after 6 months?
hospice benefits (skilled services) doesn't end
Competency 1:
- related to _____ & ______
- apply to what?
(Values/Ethics for Interprofessional Practice)
Work with individuals of other professions to maintain a climate of mutual respect and shared values.
What does a DPAHC PoA for healthcare do?
If the patient cannot participate fully at the time of service, and there is no living will. DPAHC chooses what will happen in medical circumstances.
Define close & open invitations.
open
- client leads discussion and facilitate opportunities
- prompt client to expand
closed
- structure the client's words to a few words
IPP is seen as a means of improving what?
IPP is seen as a means of improving the client/patient/student experience of care.
-IPP teams the emphasis is on consensus-building and mutual respect
Competency 2:
- related to _____ & ______
- apply to what?
(Roles/Responsibilities)
Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations.
Medicare & dementia?
Medicare has alerted claims reviewers that they cannot automatically deny a claim based on a diagnosis of dementia.
This allows for the provision of reasonable and necessary skilled services to those patients with dementia who can benefit from them.
Durable Power of Attorney includes these 3 things.
Medical: DPAHC Durable power of attorney for healthcare
Financial
Next of Kin: Child-Parent, Spouse, Sibling, or First born adult child
Medicare provides hospice under these (3) conditions.
- terminally ill (<6 months)
- physician certified
- ill patients choose to do this
Competency 3:
- related to _____ & ______
- apply to what?
(Interprofessional Communication)
Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease.
SLPs contribute to overall QOL near end of life.
The goal of intervention at this point is not _________, but is _________.
The goal of intervention at this point is not rehabilitative, but facilitative.
summarizing discussions provide what 3 things?
opportunities to:
1. Initiate a specific topic.
2. Explore a particular subject.
3. Explain a conclusion.
Patterns of Function with Aging/End of Life (4)
Sensory Changes- vision, hearing, smell, neuropathy and arthritis, hand functioning
Communication Changes-voice and language
Cognitive Changes-Mild Cognitive Impairment (MCI)
Swallowing Changes-altered sensory and motor functions, need strategies
Competency 4:
- related to _____ & ______
- apply to what?
(Teams and Teamwork)
Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan, deliver, and evaluate patient/population centered care and population health programs and policies that are safe, timely, efficient, effective, and equitable.
What are the 3 attending behaviors? Explain each.
silent listening (actively listening)
verbal following (clinician tracks client's comments and repeats them aka parroting)
nonverbal communication (note eye contact, posturing, personal space, & body movments)
Describe & name the 5 parts of the grieving process.
Denial – When the bereaved denies that the loss/illness has actually occurred. This is at the initial time of loss, cannot believe what has actually happened.
Anger – Grief causes anger at the situation. The bereaved focus anger toward themselves.
Bargaining – This stage is when the bereaved tries to bargain with God or themselves to make what they are grieving for reappear.
Depression – Depression is anger turned toward themselves, feeling powerless and helpless, also fear about what the future will be like. Depression is a time of extreme sadness, vulnerability, and hopelessness. Loss of identity may appear. Anxiety and confusion may be present.
Acceptance – theoretical “end” of the grieving process, begins to realize that the loss is real, and accept the fact that they must move on in some way. Acceptance does not mean grief/loss is forgotten or ignored; situation is accepted and begin to rebuild life.
IPP
Important professions we interact with include:
physiatrist
radiologist
neurologist
psychiatrist
otolaryngologist (ENT)
Integrating a session has these 5 components.
Increase response time for answers (give clients time to process feelings).
Use multi-modality response options (include gestures, drawing, writing, and/or using key words).
Use pictographic systems (use faces or symbols to represent feelings).
Verify understanding (confirm your perception of client’s feelings, i.e., “You feel ___”).
Focus on client’s feelings by Asking Open (vs. Closed) Questions