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Multidisciplinary, Interdisciplinary, or Transdisciplinary?

Teams use many different words to describe themselves. A team recently asked me to help them decide whether they are a multidisciplinary or an interdisciplinary team. The background information provided perfectly illustrated the difficulty in defining the team, as illustrated in this figure. (here) The question prompted me to write this blog post to show …

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Pain in PDOC

PDOC stands for Prolonged Disorder of Consciousness; the term covers two previously defined states: the vegetative state, and the minimally conscious state. This post considers the question, “Does a person in a prolonged disorder of consciousness experience pain?” This question covers both pain caused by care or treatment, and also pain arising secondary to consequences …

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Goal attainment scaling.

One Friday 2nd July 2021 (at 05.00 hrs) I took part in a debate organised by Professor Barbara Wilson and hosted, virtually, in Melbourne, Australia. The debate concerned the use of goal attainment scaling (GAS). Two speakers supported its use clinically, in audit, and in research and two speakers opposed its use. At the outset …

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Do no harm

I have learned much about making decisions on people in a prolonged disorder of consciousness from The Honourable Justice Hayden, Vice President of the Court of Protection. This post discusses a comment made at the most recent case I attended. He referred, indirectly’ to the saying in the Hippocratic corpus: “‘The physician must… have two …

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Help change rehab.

This is a true incident. A friend of mine is helping out as a physiotherapist during this pandemic. Recently, in order to get a patient who had just been discharged from the hospital seen, she had to spend nearly three hours inputing three different sets of referral data, all covering the same basic information, into …

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Rehabilitation professions.

Team members face an uneasy tension between being a member of a multidisciplinary rehabilitation team and being a member of a professional group. On the one hand, they have a special expertise in and commitment to rehabilitation. On the other hand, they have a special expertise in and commitment to the activities of their profession. …

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Rehabilitation for Long-Covid

Medical services responded rapidly to the very obvious, severe acute challenge of increasing numbers of people severely ill with Covid-19. The challenge to rehabilitation services is likely to be ten times as big, given that long-covid arises after less severe acute illness as well as after severe illness. Yet, despite the longer lead time which …

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