Monitor
Previous Topic 
Follow the steps involved in monitoring the person as they go through self-care rehabilitation.
- Re-assess difficulties with IADLs. Ask the same questions asked initially during the initial assessment.
- Review IADLs by asking for example the person who has been practising using transportation, how many times they were able to independently use transportation without assistance.
- Progress IADL interventions. For example, if the person finds taking public transport at quiet times ‘easy’, progress to taking public transport at busy times.
- Refer the person to other health providers if there are red flags or no improvement seen in IADLs.
Similarly, if a person has been taught how to practice using telephone and keeps forgetting how to make calls despite practicing memory strategies after about 2 weeks of frequent daily practice, refer to a medical specialist.
Note:
Remember to empower the person and caregiver (if there is one) to take control of their rehabilitation. (Refer to the steps in the ‘Introduction to Rehabilitation module)
Question
Remember Tevita?
Following Tevita’s complaint about her shopping difficulties, the health professional reviewed Tevita’s rehabilitation plan and suggested new interventions to help her with shopping. The health professional explained and demonstrated the interventions to Tevita.
On review 2 weeks later however, Tevita still forgets what she wants to buy and is unable to carry her shopping items.
What can be done to assist Tevita with shopping?
Select all that apply.
- a. Reassess Tevita’s difficulties with shopping.
- b. Review Tevita’s plan and ask her to practice making a list and carrying a basket to make sure she has understood the interventions.
- c. Refer Tevita to see a medical specialist if 2 weeks after you have made sure she understood the plan, she still has not improved.
- d. Discharge Tevita from rehabilitation as her difficulty does not require rehabilitation.
- e. All of the above.
If you selected a, b and c, you are correct.
At every visit, Tevita’s difficulties should be reassessed and the plan previously made, reviewed. It is also important that you ask Tevita to practice the intervention in your presence if possible to ensure that she has understood the instructions and can also do it safely at home. If after doing all this, Tevita, still doesn’t improve, it would be best to refer her to see a specialist.
Tevita’s inability to shop is a functioning difficulty with IADLs which may benefit from rehabilitation. She should therefore not be discharged.
You have completed Lesson two!
If you have any questions or comments, post them on the discussion forum.
