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cmd 465
quiz 3
Term | Definition |
---|---|
successful counseling tips | -active listening -open ended questions -focus on solution -summarize |
3 goals of intervention (EMT) | -eliminate/alleviate -modify the disorder -teach compensatory strategies |
types of clinical documentation | -progress report -SOAP notes -evaluations -insurance forms -discharge summary -goals/objectives |
who do clinicians communicate with? | -families -insurance companies -private/state agencies -medical doctors -interdisciplinary team (IDT) |
what types of scenarios require clinical communication? | -interviews/evaluations -referrals -lack of progress -behaviors -attendance -not enough therapy |
counseling do's | -Listen respectfully -acknowledge feelings/perspectives -solution focused approach -positive -believe attitude -respect and caring -validate feelings |
counseling don'ts | -Judgemental -criticism -interrupting -lack of structure/control -frustration-anger (reacting emotionally) -nonverbal "i don't care" |
solution focused techniques | -prepare location/space/time -follow up on what was said/heard -focus on what's next -follow up visit -"stick the landing" |
what does HIPAA stand for? | Health Insurance of Portability and Accountability Act |
aspects of a clinical evaluation | -reason for referral -background info -tests/assessments administered and results -behavioral observations -interpretation -summary -recommendations |
planning treatment for children | -individualized education program (IEP) -individualized family service plan (IFSP) done every 6 months from birth to 3 y/o -2005 IDEA Act (every student succeeds) -done annually from 3 - 21 years |
planning treatment for adults | -plan of care (POC) -prognostic statement -functional goals/quality of life -medical needs -document progress for insurance reasons |
SMART goals | -Specific -Measurable -Achievable -Relevant -Timebound |
creating goals for treatment | -Patient/family/client centered -Everyday tasks/routines - what they want/need -Focus on independence, engagement, social relationships -Multiple deficits, severity -Include IDT; family, teachers, caregivers -Address most important barriers first |
skilled services (IDEAAA) | -Evaluate -Diagnose -Improve, increase -Analyze -Adapt -Assess |
unskilled services | -Passive, not detailed or analytic “Played go fish child named animal” “Fed patient puree diet” “Read story” |
what is a goal | -describes what will be done -describes intended target -observable and measurable |
6 step approach to intervention decisions | 1. develop PICO question 2. internal evidence 3. external evidence 4. evaluate external evidence 5. integrate internal and external evidence 6. apply and evaluate outcome |
3 components of EBP | -clinical expertise -evidence -client/patient/caregiver perspectives |
framing the question (PICO) | -population -intervention -comparison -outcome |
gathering evidence | -Internal: unique client, families needs/values, performance over time, progress-clinician experiences, work environment -External: scientific literature-conclusions from all evidence not created equal -strong? weak? |
internal evidence | -Is client demonstrating a response to the intervention? -Is response significant, especially for the client? -How much longer should you continue intervention? -Is it time to change therapy target, intervention approach, or service delivery model? |
external evidence | -determine the relevance to your question -appraise the validity and trustworthiness -review the results and conclusions |
how does a client DECIDE what to do? | -Define question -Extrapolate information -Consider clinical expertise -Incorporate needs of client -Develop treatment plan -Evaluate decision |
hierarchy of evidence | -Meta analysis -Systematic reviews -Randomized controlled trials -Cohort studies -Case control studies -Case series/case reports -Animal studies/laboratory studies |