Interdisciplinary team assessment in holistic neuropsychological rehabilitation formulation
•
1 like•1,585 views
This poster has just been presented by Dr Jill Winegardner and Dr Jess Fish at the #nrsigwfnr2017 Neuropsychological Rehabilitation Special Interest Group of WFNR at a meeting in Cape Town, South Africa
![A novel approach to interdisciplinary team assessment: Joining the dots
N=22 (18 clients, 4 family)
CONCLUSIONS
Clients view this assessment as therapeutic
while staff create a fully informed
formulation to kick start rehabilitation. The
process is both efficient and effective.
THE MODEL
AIM We present a model of interdisciplinary team assessment that results in a holistic
formulation for rehabilitation and a therapeutic experience for the client and family.
Psych, OT, SALT
9 clinical
sessions
2 meetings
METHOD/ RESULTS
Mood assessment
Lunch with clients
Functional task
Community observation
Family interview
Cognitive testing Group participationFeedback to client and family
Clinical interview
FORMULATION
Jill Winegardner and Jessica Fish
Oliver Zangwill Centre, Ely, UK
“… in 2 days a little
button clicked and gave
me hope that I may just
understand myself a little
better and understand a
little more about the
effects of a brain injury.”
“Thank you so
much for
listening…I can
now have
hope for the
future.”
“Created a
very
supportive,
safe, and
welcoming
environment”
“ My
views
were
respected
and
listened
to.”
“…all the team put my son at
ease, they totally understood
his needs…Much time was
also given to me to enable me
to understand things more
clearly.”
HopeUnderstanding BIUnderstanding meRespectSafety/
welcoming
Cognitive
• Bright
• Good processing speed
• Memory challenges
• Attention problems
• Dual-tasking
• Maintaining focus
• Executive functions
• Emotion regulation
• Novel problem solving
• Planning & organising
• Goal neglect
• Rigid thinking
• Hot goals
Functional
• Independent with personal care
• Support for other daily activities
• Not working
• Not driving
• Reduced social/leisure activities
Physical
• Good physical recovery generally
• Fatigue and poor sleep
• Headaches
• Pain (Left heel, leg and back)
• Loss of coordination
• Balance reduced with fatigue
• Loss of smell, taste & appetite
• Temperature changes
• Seizures (under control)
• Pre-existing GI tract problems
Self-belief
Feel valued
See a way
forward
Mum
Goals
Mood
• Low self-esteem
• Very self-critical
• Feeling hopeless
• Short fuse/anger
• Post-traumatic stress
• Copes with distraction & avoidance
• Hard to trust self
• Difficult finding meaning
• Anxiety and depression
• Resilience
• Family stress
Transition to
independent
living
Case
manager
To get my head in a
better place.
Meaningful activity
Small steps towards
independence
Stay more level
[Driving licence]
Dave
Family & Social
Mum, Anne
Vicky(24) & Bill (22)
Fido
Half-sister Molly
Home rehab team
Identity
‘Rescuer’
Passionate
Workaholic
Fair
Independent
Dave (29)
RTA, August 2010
Severe brain injury
Left frontal bleed
5 THEMES DERIVED
0 Unlikely Extremely Likely 6
5.8
How likely are you to recommend our service?](https://image.slidesharecdn.com/2017capetownposter27june1-170713132055/85/Interdisciplinary-team-assessment-in-holistic-neuropsychological-rehabilitation-formulation-1-320.jpg)
Recommended
More Related Content
What's hot
What's hot (17)
Similar to Interdisciplinary team assessment in holistic neuropsychological rehabilitation formulation
Similar to Interdisciplinary team assessment in holistic neuropsychological rehabilitation formulation (20)
More from Andrew Bateman
More from Andrew Bateman (20)
Recently uploaded
Recently uploaded (20)
Interdisciplinary team assessment in holistic neuropsychological rehabilitation formulation
- 1. A novel approach to interdisciplinary team assessment: Joining the dots N=22 (18 clients, 4 family) CONCLUSIONS Clients view this assessment as therapeutic while staff create a fully informed formulation to kick start rehabilitation. The process is both efficient and effective. THE MODEL AIM We present a model of interdisciplinary team assessment that results in a holistic formulation for rehabilitation and a therapeutic experience for the client and family. Psych, OT, SALT 9 clinical sessions 2 meetings METHOD/ RESULTS Mood assessment Lunch with clients Functional task Community observation Family interview Cognitive testing Group participationFeedback to client and family Clinical interview FORMULATION Jill Winegardner and Jessica Fish Oliver Zangwill Centre, Ely, UK “… in 2 days a little button clicked and gave me hope that I may just understand myself a little better and understand a little more about the effects of a brain injury.” “Thank you so much for listening…I can now have hope for the future.” “Created a very supportive, safe, and welcoming environment” “ My views were respected and listened to.” “…all the team put my son at ease, they totally understood his needs…Much time was also given to me to enable me to understand things more clearly.” HopeUnderstanding BIUnderstanding meRespectSafety/ welcoming Cognitive • Bright • Good processing speed • Memory challenges • Attention problems • Dual-tasking • Maintaining focus • Executive functions • Emotion regulation • Novel problem solving • Planning & organising • Goal neglect • Rigid thinking • Hot goals Functional • Independent with personal care • Support for other daily activities • Not working • Not driving • Reduced social/leisure activities Physical • Good physical recovery generally • Fatigue and poor sleep • Headaches • Pain (Left heel, leg and back) • Loss of coordination • Balance reduced with fatigue • Loss of smell, taste & appetite • Temperature changes • Seizures (under control) • Pre-existing GI tract problems Self-belief Feel valued See a way forward Mum Goals Mood • Low self-esteem • Very self-critical • Feeling hopeless • Short fuse/anger • Post-traumatic stress • Copes with distraction & avoidance • Hard to trust self • Difficult finding meaning • Anxiety and depression • Resilience • Family stress Transition to independent living Case manager To get my head in a better place. Meaningful activity Small steps towards independence Stay more level [Driving licence] Dave Family & Social Mum, Anne Vicky(24) & Bill (22) Fido Half-sister Molly Home rehab team Identity ‘Rescuer’ Passionate Workaholic Fair Independent Dave (29) RTA, August 2010 Severe brain injury Left frontal bleed 5 THEMES DERIVED 0 Unlikely Extremely Likely 6 5.8 How likely are you to recommend our service?