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Home Based Rehabilitation An Inside – Outside Collaboration

Home Based Rehabilitation An Inside – Outside Collaboration. Irma Edqvist, Physiotherapist Merete Tonnesen, Anthropologist. Municipality of Aarhus, Denmark. Aarhus 2012 - facts. Population: 315.000 Divided into 9 districts

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Home Based Rehabilitation An Inside – Outside Collaboration

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  1. Home Based RehabilitationAn Inside – Outside Collaboration Irma Edqvist, PhysiotherapistMerete Tonnesen, Anthropologist

  2. Municipality of Aarhus, Denmark Aarhus 2012 - facts Population: 315.000 Dividedinto 9 districts - 9000 citizensreceived services from Home BasedCare in 2011 - 400 receivehomebased rehabilitation on a daily basis

  3. Training and support in everyday life Doing for doing with Care prevention Late early intervention Longterm short, intensive intervention CeaseEveryday Life!

  4. Interdisciplinary Team

  5. Grete, 84 yearsold Prior to pacemaker: nohelpAfter: veryweak, got a depression. Home basedrehab. for twomonths: Grete’sable to look afterherselfagain

  6. CrossingBorders 1 • Each district = crossing borders between 2 units Vis $§ Health staffPTOT Nurse Home careHome helpers/care giversNurse aid

  7. CrossingBorders 2 - levels of collaboration • Citizens - professionals • Primarycare - secondarycare • Health care - social service • Private - public

  8. 624 citizen statements onsignificantdailyactivites Method: Using COPM: Canadian Occupational Performance Messure Semistructured interview ICF:Classified in the list of activity and participation Results: 3 most important domains emerge: • Domesticlife • Mobility • Self-care

  9. Top 10 significantactivities : • Doinghousework • Movingaround in different locations • Washingoneself • Preparingmeals • Dressing • Usingtransportation • Acquisition of goods and services • Changing and maintainingbody position • Movingaroundusingequipment • Caring for body parts

  10. Development in COPM score (N:361)

  11. Lessonlearnt:COPM helpsuscrossingborders Focusoneachindividualcitizen + creation of commongoalsthroughnegotiation (Inside + outsideperspectives) =Draws away attention onstructural and organizationalissues Creates more effective and faster courses

  12. Contact information Irma Edqvist: iked@aarhus.dkMerete Tonnesen: mto@aarhus.dk

  13. ”I am fond of everydaylife. Most of all I am fond of everydaylife” Dan Turell (1946-1993)Danish poet and provocateur

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