Can we do better?
Where is the person in your person centred practice? “My equipment helps me do the things I want to do”
Assistive technology (AT) supports a person with function and meaningful activity. The National Disability Insurance Agency has recognised the role of AT in achieving goals.
NDIA Towards Solutions for Assistive Technology – Discussion paper, December 2014, www.ndis.gov.au
“When I am part of the process my equipment works for me”
A person’s engagement in equipment prescription is positively correlated to equipment acceptance and retention. In practice, equipment abandonment occurs often and has financial, social and participation impacts.
Strategies to consider Communication • Understand how the person communicates • Engage family or paid supports as needed • Really listen to the person’s perspective
Planning
Philips, B, Zhao, H. Predictors of Assistive Technology Abandonment. Assistive Technology 1993; 5.1:36-45
“If my therapist included me in decisions we’d have more wins”
• Don’t let time pressures or lack of information negatively impact the outcome • Be creative and open to different ideas
Person centred practice is not about a therapist deciding what they think is best for the person. The person is empowered to make their own informed choice.
Johnston, P., et al. Getting it “right”: How collaborative relationships between people with disabilities and professionals can lead to the acquisition of needed assistive technology. Disability and Rehabilitation: Assistive Technology, 2014
Challenge yourself A person wants to eat sandwiches for lunch and is at risk of aspiration
Where is the power balance?
A person wants to keep driving a power wheelchair and has previously had accidents
How much do your customers drive decision making?
A person wants to walk and they are at risk of falling
What is your responsibility for the person’s choice?
Rebekah Cranmer and Janelle Johanson –
[email protected] Occupational Therapists, Yooralla Health and Wellbeing Therapy Team
Index
Transparency • • • •
Define expectations about the process Be honest and open about your role/skills Keep the person informed at all stages Share technical information so the person can apply it to their own situation and make choices
Advocacy • Respect the person’s choice even if you would have made a different choice • Defend a person’s needs even if they are expensive or conflict with perceived norms