Pre-clinical FTP 303 Family Centred Approach (FCA) ECI and SDG PDF

FCA, ECI & SDG Anri Human Paediatrics and child health  ICF Traditional medical vs Fa...

FCA, ECI & SDG Anri Human Paediatrics and child health  ICF Traditional medical vs Family resources, FCA priorities (impairments/biological deficits) IFSP Members of the team (partners) Family recognition Family facilitation Family collaboration Optimal family Education Family & child’s needs fx=optimal child Family diversity development Family: accessible, flexible & responsive Additional resource: Tecklin, J.S. (2015). (5th edn). Pediatric Africa LE, Human A, Tshabalala MD (2023). Participation patterns of children with cerebral palsy: A Physical therapy. Lippincott Williams & caregiver’s perspective. African Journal of Disability.12: 1-11. https://doi.org/10.4102/ajod.v12i0.1058 Wilkins, Wolters Kluwer:1-13.  “The family is one of nature's masterpieces.” George Santayana Adapt Stressors (real, perceived) & Support Bricker’s Transactional Model What Patient and Family Patient & Family Centered Care: Centred Care Means to Moments that Make all the Difference Me - Respect How can YOU make this Parental attitudes: Adult-Adolescent Parenting happen? Inventory (AAPI) Parental beliefs/perceptions: Perceptions of Parents & children are seen as agents of change parental Roles Scale https://www.youtube.com/watch?v=qasIQr7Z7pA https://www.youtube.com/watch?v=Tej5g6w34BA  Advantages/benefits of FCA ❖Improved child development and fx ❖Improved maternal knowledge (child development) ❖Maternal participation in intervention programmes ❖Appropriateness of the home programme ❖Parenting behaviours ❖Family fx ❖Psychological well-being (child, family) ❖Decreased parental anxiety, stress EARLY CHILDHOOD IDENTIFICATION & INTERVENTION (ECI) HRQoL Family measures participation (e.g. PedsQL) OUTCOME MEASURES The Home Observation for Measurement of the Environment (HOME) (information about caregiving environment) The Inventory of Socially Supportive Behaviours (measures aspects of social support) The Family Needs Survey (measures aspects of social support) The Family Routine inventory (perception of family roles and responsibilities)  A child with special needs is embedded within various systems (family/socio-cultural; health care ) All the systems are characterised by and respond to intrinsic and extrinsic stressors, many of which relate to available resources The physiotherapist’s role is multi-dimensional. Please also Intervention processes focus on various aspects such as: refer to your prescribed textbook empowering families providing support providing parent education providing comprehensive care through service co-ordination exploring a model of family centred functional therapy. Processes of early intervention: A: determination of the caregiver’s concerns, priorities and resources B: Assessment of the caregiving environment C: Initial observation of interactions between the child and caregivers D: Examination of the child’s competencies E: Determination of caregiver involvement with the child F: The individualised family service plan (IFSP) process G: Implementation of the intervention plan H: Evaluation of the intervention plan and caregiving environment C, D, G & H: traditionally the roles fulfilled by physiotherapists, it is however important to keep the holistic view in mind, ICF, FCA These guidelines encourage continued dialogue regarding the intervention process Ultimately elevate the child’s special needs to a higher level of function and to an equal status with other members of society (collaborative partnerships and optimising potential)  Physiotherapy is important! ✓Physiotherapists as part of the ECI, multi-disciplinary team (IPECP), provide interventions to promote a child’s physical activity and participation including motor learning, environmental adaptations, assistive technology, family education and support. ✓All systems (holistic Mx) ✓Promotion & prevention ✓Trans-disciplinary healthcare service delivery approach  The big ……..WHY? Early childhood assessment and intervention aims to promote health, address and correct disabilities, improve social and/or family functioning, improve health-related quality of life and the functional ability of the child Shonkoff & Hauser-Cram, 1987 Sustainability is development that satisfies the needs of the present without compromising the capacity of future generations, guaranteeing the balance between economic growth, care for the environment and social well-being 17 Which goals are related to Paediatrics?  Provide suggestions/recommendations on how we can improve the implementation of SDG within our South African healthcare setting: Examples… Importance of implementing SDG (benefits)? Invest in community health workers to extend health care and support to vulnerable households. Increase the value of the Child Support Grant to meet children’s nutritional needs and ensure it reaches all eligible children. Establish a broad social movement to address the root causes of malnutrition, promote intersectoral collaboration and advocate for child health equity. What else?  Any questions?