projekt hverdagsrehabilitering home based rehabilitation an inside – outside collaboration irma...
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PROJEKT HVERDAGSREHABILITERING
Home Based RehabilitationAn Inside – Outside Collaboration
Irma Edqvist, PhysiotherapistMerete Tonnesen, Anthropologist
PROJEKT HVERDAGSREHABILITERING
Municipality of Aarhus, Denmark
Aarhus 2012 - facts
• Population: 315.000• Divided into 9 districts
- 9000 citizens received services from Home Based Care in 2011
- 400 receive home based rehabilitation on a daily basis
PROJEKT HVERDAGSREHABILITERING
Cease Everyday Life!
• Training and support in everyday life• Doing for doing with• Care prevention• Late early intervention• Longterm short, intensive
intervention
PROJEKT HVERDAGSREHABILITERING
Interdisciplinary Team
OT
PT
§ visitator
Nurse
Home coaches
Relatives
PROJEKT HVERDAGSREHABILITERING
Grete, 84 years old
Prior to pacemaker: no help
After: very weak, got a depression.
Home based rehab. for two months: Grete’s able to look after herself again
PROJEKT HVERDAGSREHABILITERING
Crossing Borders 1
• Each district = crossing borders between 2 units
Health staffPTOT
Nurse
Home careHome
helpers/care giversNurse aid
Vis $§
PROJEKT HVERDAGSREHABILITERING
Crossing Borders 2 - levels of collaboration
• Citizens - professionals• Primary care - secondary care• Health care - social service• Private - public
PROJEKT HVERDAGSREHABILITERING
624 citizen statements on significant daily activites
Method: Using COPM: Canadian Occupational Performance
MessureSemi structured interviewICF:Classified in the list of activity and participation
Results:3 most important domains emerge: Domestic life Mobility Self-care
PROJEKT HVERDAGSREHABILITERING
Top 10 significant activities :
1. Doing housework2. Moving around in different locations 3. Washing oneself4. Preparing meals5. Dressing 6. Using transportation7. Acquisition of goods and services8. Changing and maintaining body position9. Moving around using equipment10.Caring for body parts
PROJEKT HVERDAGSREHABILITERING
Development in COPM score (N:361)
PROJEKT HVERDAGSREHABILITERING
Lesson learnt:COPM helps us crossing borders
Focus on each individual citizen +
creation of common goals throughnegotiation (Inside + outside perspectives)
=Draws away attention on structural and organizational issues
Creates more effective and faster courses
PROJEKT HVERDAGSREHABILITERING
Contact information
Irma Edqvist: [email protected]
Merete Tonnesen: [email protected]
PROJEKT HVERDAGSREHABILITERING
”I am fond of everyday life. Most of all I am fond of everyday life”
Dan Turell (1946-1993)Danish poet and provocateur