PTHA 1225 Communication in Health Care (2020) PDF

PTHA 1225 Communication in Health Care Tips for Success in Communications Form study groups – a forum to learn from each other Writing skills – use medical terminology, be clear, concise, and accurate when communicating Learn to utilize databases effectively, i.e. a dictionary (aka google...

PTHA 1225 Communication in Health Care Tips for Success in Communications Form study groups – a forum to learn from each other Writing skills – use medical terminology, be clear, concise, and accurate when communicating Learn to utilize databases effectively, i.e. a dictionary (aka google) Seek out someone who can help teach you Exercise turned in e semes - Begin creating your professional portfolio ADAje - last Trust common sense with tests and in practice -resume READ YOUR BOOK!! * sevic projects Objectives Explain the purpose of the Americans with Disabilities Act (ADA) Describe the titles of the ADA - I , I , I , IV Identify ADA standards for the most common architectural barriers Loading… Discuss consultant roles related to the ADA Describe the basic components for the assessment of a home, workplace, and community Describe specifications for a wheelchair-accessible home Discuss Value Based Behaviors for the PTA Discuss what it means to be an advocate Discuss academic integrity The Role of the PTA Professionalism: Understanding that you will be in a position of power over your patients as a healthcare provider This will require you to develop a unique interpersonal relationship with your patients To help guide your professional relationship, the APTA developed a document in 2009: Values-Based Behaviors for the PTA  Values-Based Behaviors for the PTA * 1. Altruism pulting pt ahead of self - 2. Caring and Compassion caring-kindreds compassion empathetic - - 3. Continuing competence Loading… -continuing education field in 4. Duty -our standard to keep the safe + eviduce based 5. Integrity Being honest+ - listing receptive of a practiceo good moral their creb 6. PT/PTA collaboration feedback w/ PTcoupus & about educating ~ communication , 7. Responsibility owning up : patient obligation safety providing to 8. Social Responsibility , quality car , Clinic up to code ↑ of war organizations outside responsibly - ADA for patients work home , Public compliance in , ADA - mandate - Federal - - Purpose: A clear and comprehensive national mandate for the elimination of discrimination against individuals with disabilities. The Americans with Disabilities Act is federal antidiscrimination legislation that was signed into law in 1990 and amended in 2008. Designed to reduce barriers to allow for the potential for higher levels of independent function for the disabled citizen. It also provides enforceable standards for citizens to pursue, if they feel this civil right has been obstructed. Civil Suit can occur Let’s define disability… A physical or mental impairment that substantially limits one or more major life activities. like working , dressing one self , community The person has a record of such an impairment. -have to paperwork or have visual impairment The person is regarded to as having such an impairment. Does the ADA specifically address every disability? - No-more broad How many types of disabilities are there? unlimited  Implementation In July 2004, the United States Access Board (USAB) updated the accessibility guidelines for new or renovated facilities. The ADA Amendment Act of 2008 made it easier for an individual seeking protection under the ADA to establish themselves as disabled The amendment also incorporated the Architectural Barrier Act (ABA) of 1968 to ensure consistency between the levels of access required for the two types of facilities. A Guide to the New ADA-ABA Accessibility Guidelines can be downloaded from www.access-board.gov  ADA: Five Titles Any public place needs to accommodate Divided into: Title I: Employment: Applies if >15 employees - Employment Title II: Public Services and Transportation mos Title III: Public Building Accommodations: Applies to all businesses im Title IV: Telecommunications Title V: Miscellaneous/relationship to other statutes Therapists are usually involved with Titles II & III since these address physical accessibility Title II provides for accessibility to all public entities such as schools, municipal buildings & transportation. Title III provides for building accommodations for public enjoyment such as hotels, restaurants, parks, work places. Accessible Housing: Universal Design vs Adaptable Housing Universal Design: when Design products # - - we can The design of products and environments to be used by all people Focused on applying accessibility from the inception of the project or product Adaptable Housing: An existing home or structure is modified Not all modifications may be completed at the same time! There are many factors that may limit the changes that need to occur. Universal Design Concepts Permit mobility and functional activities Provide a safe environment Provide an environment that encourages energy conservation Loading… Some examples of universal design features for the home include: wider doors and halls lever-type doorknobs and faucet handles; relocation of lighting controls and electrical outlets recessed areas under sinks, cabinets, and work counters varied heights of countertops; and relocation of cabinets for easier access Reasonable Accommodations Purpose is to allow a person to perform essential functions of a job. Does not require modifications that pose undue hardship (significant difficulty or expense). Not every aisle at the grocery store needs to be accessible, just 20%. Not just for W/C, but for the broad spectrum of all disabilities. ADA doesn't say "every" needs thing to be accessible Examples of Title III Removal of Barriers Categories public Accessibility Building - Providing curb cuts in sidewalks and entrances Repositioning shelves Rearranging tables, chairs, vending machines, display racks, and other furniture Repositioning telephones Adding raised markings on elevator control buttons Installing grab bars in toilet stalls Rearranging toilet partitions to increase maneuvering space Installing a raised toilet seat Widening doors Removing high-pile, low-density carpeting Creating designated accessible parking spaces  Accommodations Accessible route Grab bars / handrails Assembly seating Floor surfaces Check-out counters Hotel accommodations Clear space areas Parking spaces Control mechanisms Platform lifts Curbs Ramps Doors and doorways Reach ranges Drinking fountains Restrooms Elevators Stairs What else? A qualified and knowledgeable health care professional consultant is a valuable resource for an employer. Activities or roles that could be expected of such a consultant are: Educate employers and employees, and persons with disabilities about Americans with Disabilities Act (ADA), particularly Titles I and III. Identify essential job functions. Perform an on-site environmental evaluation. Help develop function-based job descriptions. Advise on job-related accommodation needs. Advise on the removal of physical barriers and the improvement of access to internally and externally. help develop policies procedures + compliant · ADA o be Perform physical capacity and functional ability testing of current and prospective  employees based on essential job functions. The PTA role PT The Guide to Physical Therapist Practice includes PT examination of environmental home, and work (job/school/play) barriers. The PTA should have an understanding of all aspects of the patient’s community, home and work PTA Be aware of both exterior and interior environmental barriers Wheelchair Requirements I know for Ramps: 36-48 inches wide, handrails. 12 inches of length for each inch of rise Doorways: minimum of 32 inch width, 36 is preferable Hallway: minimum of 32 inches width, 40 is preferable Forward reach: comfortable reach in seated is 20-44 inches Parking spaces: 96 inches wide, 240 inches in length, adjacent aisle 60 inches wide, 2% of spaces must be accessible. At least 2 % My notes: The number of parking spaces required to be accessible is to be calculated separately for each parking facility 2% of the parking sports need to be accessible to individuals with disabilities. 208.2.4 Van Parking Spaces. For every six or fraction of six parking spaces required by 8 feet wide 208.2 to comply with 502, at least one shall be a van parking space complying with 502. 20 feet in length In parking facilities that do not serve a particular building or facility, parking spaces 5 feet for the aisle ( some of the lots are side by side)- only needs to be one complying with 502 shall be located on the shortest accessible route to an accessible location on each individual parking lot. pedestrian entrance of the parking facility. Van accessible space: 11 feet wide Access aisle 5 feet OR 8 feet wide with 8 foot wide access aisle Should be the shortest distance to the building they serve Aisles should have diagonals for entering or exiting the vehicle (only has to be one side not both Must have sign indicating who the parking spot is for Van accessible MUST have a sign that states what’s what it is Cannot be on a slope or angle (if is on a slope cannot rise larger than an inch for every 48 inches (4 feet) Must always be visible and well kept for easy viewing and access It is recommended based on how many entrances there are into the building that they have accessible parking spots at each entrance Regulating Agencies & Resources for patents EEOC (Equal Employment Opportunity Commission) www.eeoc.gov Department of Justice - www.usdoj.gov These are 2 of several agencies responsible for developing and enforcing the rules, regulations and laws. More resources… Texas Accessibility Standards (TAS) Texas Specifically Under the umbrella of Texas Department of Licensing and Regulations. Available at: https://www.tdlr.texas.gov/ab/abtas.htm Certified as equivalent to ADA regulations in September 1996.  for patients Advocate -ADA does this Noun : a person who argues for or supports a cause or policy : a person who works for a cause or group : a person who argues for the cause of another person in a court of law Verb: to assert oneself to represent the needs of a particular group or individual out of Social Big P Why does this matter to me as a PTA? - ADA Advocates - Great for impaired Groups and organizations (such as the ones listed below) have all advocated for improvement in mobility, access, and employment opportunities for persons with health conditions and disabilities. Equal Employment Commission President's Committee on Employment of People with Disabilities National Easter Seals Society Paralyzed Veterans of America Multiple Sclerosis Society Arthritis Foundation American Physical Therapy Association  PTA as an Advocate Dir Slide - centered care orgually - patient empathetic - acture listing , support - empowerment + Education take of self t to care - teach pt how advocate Professional conduct - protect pt rights - Barrier removal - help wI physical , financed , transportation - Transportation - Continuous Improvement - Best practice , emerging research , Legislature to a healthcare Respect http://www.youtube.com/watch?v=l8kAXWIRGh8