In the past, long term care and other types of health care relied on a physician-centered model, where physicians and other clinicians made decisions and then shared them with the person whose health was involved. In the last decade, though, a marked change has taken place—a trend toward person-centered care in all facets of health, including rehab services.
The implementation of the Affordable Care Act has increased the movement toward this type of care. In today’s health care, patients are encouraged to become educated consumers and active participants in their own health.
So what exactly is person-centered care, and what role does it play in rehab services?
Person- or resident-centered care revolves around the person, rather than the medical provider. Residents are asked to take an active role and are consulted as decisionmakers. In this way, person-centered care is consultative rather than clinician-dependent.
Using a resident-focused care model offers several benefits for seniors, including a stronger relationship with providers, better communication and enhanced trust. Apex Rehab Solutions builds person-centered care in several ways.
1.Involve Residents in Establishing a Rehab Services Care Plan
In long term care rehab services, successful discharge planning begins at admission. Effective planning begins with an initial evaluation and the formulation of rehab services plan. In order to create an optimal care plan, providers assess residents and their needs, including physical, mental, emotional and psychosocial needs.
Involving residents and their families at this stage of the process helps ensure the rehab services plan takes into consideration each resident’s support system, home environment, ability to provide self-care and any potential barriers to success following discharge.
Depending on this initial analysis, clinicians can formulate an individualized rehab services treatment plan that may include physical, occupational or speech therapy, or a combination of the three.
2.Keep Residents’ Goals and Preferred Treatment Time for Rehab Services Top of Mind
In addition to considering the circumstances of a resident’s lifestyle in formulating an initial rehab services treatment plan, it’s also important to remain cognizant of his or her personal goals. While clinical goals will primarily be established based on a resident’s abilities and physical status, the resident may have specific goals related to regaining certain skillsets or a desired method of reaching those achievements.
Long term care centers offering home- and community-based services (HCBS), in fact, are required under a Medicaid rule to provide residents with an active role in care planning, including defining goals and preferences for how to achieve them.
In addition, residents may also have a timeline in mind for care. While it will not always be possible to adhere to a desired treatment time, allowing the resident and his or her family to provide input and help steer the timeline will create a stronger relationship with care providers and establish trust.
3.Incorporate Residents’ Self-reports Into Clinical Documentation for Rehab Services
While it’s important to work with residents to establish a rehab services care plan and continually throughout therapy, it’s also key to carefully document resident self-reports as part of overall clinical documentation.
From a resident’s initial input in care planning to self-assessments of how therapy is progressing, be certain to tuck these details into the resident’s record, which will allow clinicians—and the resident and his or her family—to consult the information as needed.
Apex Rehab partners with your center’s multidisciplinary team to formulate person-centered rehab services plans, using our unique clinical programs.