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quiz 3

TermDefinition
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
Created by: ecr2001
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