Creating Functional Home Programs in Adult Rehab
Presented by Sarah Baar
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Person-centered care is emphasized as a best practice in general health care as well as in speech pathology. This course looks at applying a person-centered, functional approach to the final part of the clinical process: the home program (or homework). Mass practice is needed for new skills and strategies to be implemented in one’s daily life, in addition to interesting, relevant stimuli. However, many times home programs are assigned that do not relate to everyday life (workbook sheets, card games, etc). This section will explain the importance of using home programs to practice and carry over skills in real environments. Several ideas of personally relevant home programs will be discussed for both language and cognitive goals. This course will use evidence and practical ideas across the continuum to give the SLP simple tools and ways to implement a functional, person-centered approach for the home program piece of treating adult neurogenic disorders, including language and cognitive home program ideas.
Meet your instructor
Sarah Baar
Sarah is a speech-language pathologist in Grand Rapids, Michigan. She has had the opportunity to work in many settings across the continuum, including acute care, acute rehab, home and community, and outpatient therapy, and has been involved in various leadership projects. In 2016, she started the Honeycomb Speech Therapy…
Chapters & learning objectives
1. The Current Status of Home Programs
This chapter identifies current tools, and patient reactions to traditional speech therapy home programs. The discrepancy between this approach and person-centered care will be introduced. We will look at what the evidence says for why we assign home programs and what components those home programs should include.
2. Person-Centered Care as a Solution
This chapter introduces person-centered care as a definition and describes the evidence for using this type of approach. A model workflow for using a person-centered approach in a home program will be discussed.
3. Tools for a Person-Centered Home Program
An SLP may desire to provide more functional, person-centered home programs yet be unsure about how to begin. In this chapter, simple tools will be shared that can be used to set up measurable, functional homework.
4. Case Study: Two Approaches
This chapter includes a video that compares and contrasts a patient’s home program with both a medical model and a person-centered model.
5. Reimagining Home Programs With a Person-Centered Approach
How can we use our knowledge about person-centered care to create a more meaningful and effective home program? This chapter includes includes ideas for functional home programs across the continuum. Examples from acute care, home health, subacute rehab, and outpatient therapy are included. These examples will be contrasted with a traditional medical model approach.
