Development of Critical Paths for Postacute Brain Injury Rehabilitation: Lessons Learned.

One important tool for case management is critical path analysis. This article explains four critical pathways developed by an interdisciplinary team for a postacute brain injury rehabilitation program. The heterogeneity of the brain injury population mandates the need for systematic coordination of...

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Publicado en:American Journal of Occupational Therapy Vol. 50; no. 6; pp. 417 - 428
Autores principales: Abreu, Beatriz C., Seale, Gary, Podlesak, Joyce, Hartley, Leila
Formato: case study tables/charts Journal Article
Publicado: American Occupational Therapy Association Jun1996
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun1996
      vid: 50
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Development of Critical Paths for Postacute Brain Injury Rehabilitation: Lessons Learned.
      aug:
        au:
          Abreu, Beatriz C.
          Seale, Gary
          Podlesak, Joyce
          Hartley, Leila
        affil: Director of Occupational Therapy, Transitional Learning Community at Galveston, 1528 Postoffice Street, Galveston, Texas 77550, and Clinical Associate Professor, University of Texas Medical Branch, Galveston, Texas
      sug:
        subj:
          Critical Path
          Rehabilitation, Psychosocial
          Brain Injuries Rehabilitation
          Rehabilitation, Vocational
          Functional Status
          Activities of Daily Living
          Job Re-Entry
          School Re-Entry
          Rehabilitation Centers
          Treatment Outcomes
          Quality Improvement
          Texas
          Self Care
          Case Management
          Adult
          Male
          Female
          Adult: 19-44 years
          Male
          Female
      ab: One important tool for case management is critical path analysis. This article explains four critical pathways developed by an interdisciplinary team for a postacute brain injury rehabilitation program. The heterogeneity of the brain injury population mandates the need for systematic coordination of direct care services. Yet, variations in the neurobehavioral consequences of brain injury necessitate differing goals and treatment tracks for individual clients. The critical pathways in this setting define and describe the procedures and services to be rendered from admission to discharge to achieve optimal goals for four treatment program tracks: Return to Work, Return to School, Functional Independence, and Neurorehabilitation. The tracks reflect a hierarchy of expectations for information processing and functional performance. Critical pathways provide a tool for enhancing communication among service providers and external case managers and for determining the extent to which a client's course of treatment compares with a clinical standard considered to be ideal. This article compares the four critical pathways, provides representative case samples, and discusses lessons learned in the development and implementation process.
      pubtype: Academic Journal
      doctype:
        case study
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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