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作为跨专业协作实践载体的联合治疗:物理治疗师与言语语言病理学家在重度残疾儿童护理中的协作

Cotreatment as a Vehicle for Interprofessional Collaborative Practice: Physical Therapists and Speech-Language Pathologists Collaborating in the Care of Children With Severe Disabilities.

作者信息

Sylvester Lorraine, Ogletree Billy T, Lunnen Karen

机构信息

Oklahoma University Health Sciences Center, Oklahoma City.

Western Carolina University, Cullowhee, NC.

出版信息

Am J Speech Lang Pathol. 2017 May 17;26(2):206-216. doi: 10.1044/2017_AJSLP-15-0179.

Abstract

PURPOSE

This article defines interprofessional collaborative practice and links its key features with accepted practice conceptualizations of physical therapy. Cotreatment with speech-language pathology is described as a vehicle for interprofessional collaborative practice for children with severe disabilities.

METHOD

The article reviews the International Classification of Functioning, Disability, and Health (WHO, 2015) and the Hypothesis-Oriented Algorithm for Clinicians II (Rothstein, Echternach, & Riddle, 2003) as existing service-delivery frameworks in physical therapy and discusses how interprofessional collaborative practice between speech-language pathologists and physical therapists can be useful within these practice guidelines.

RESULTS

A case illustration featuring interprofessional collaborative practice during cotreatment for a child with severe disabilities through physical therapy and speech-language pathology showed more seamless care and better progress in the pursuit of three main goals: physical movement, communication of needs, and participation in classroom activities.

CONCLUSIONS

Interprofessional collaborative practice is supported as a recommended practice methodology for physical therapists and speech-language pathologists serving persons with severe disabilities.

摘要

目的

本文定义了跨专业协作实践,并将其关键特征与物理治疗公认的实践概念相联系。言语病理学与物理治疗的联合治疗被描述为为重度残疾儿童提供跨专业协作实践的一种方式。

方法

本文回顾了《国际功能、残疾和健康分类》(世界卫生组织,2015年)以及面向临床医生的假设导向算法II(罗斯坦、埃希特纳赫和里德尔,2003年),将其作为物理治疗中现有的服务提供框架,并讨论了言语病理学家和物理治疗师之间的跨专业协作实践在这些实践指南中如何发挥作用。

结果

一个案例展示了通过物理治疗和言语病理学对一名重度残疾儿童进行联合治疗期间的跨专业协作实践,在实现身体运动、需求沟通和参与课堂活动这三个主要目标方面,展现出了更无缝的护理和更好的进展。

结论

跨专业协作实践被支持作为为重度残疾人士服务的物理治疗师和言语病理学家的推荐实践方法。

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