This Source is the first evaluation tool AND therapy manual to address patient safety issues from a cognitive framework. Use it to retrain adults to recognize, reason, and problem solve for safety concerns in the hospital, at home, and in the community.
- Reason and problem solve to improve safety awareness and the ability to respond to situations safely
- Increase independence and enjoyment of life
- Use results from The Source for Safety Evaluation to support discharge planning
The Source for Safety Evaluation tool and the therapy content are coordinated so you can efficiently identify areas of concern and intervene. Safety awareness and independence are addressed in the areas of:
- Room/Bedroom and Bathroom
- Wheelchairs and Assistive Devices
- Swallowing and Diet
- Medications and Health
- Floors and Stairs
- Kitchen and Appliances
- Home Safety
- General Precautions
The evaluation subtests and treatment materials are divided into two to three levels of cognitive difficulty. The evaluation scores and treatment difficulty levels are correlated with the FIM™, ASHA's Functional Communication Measures (FCMs), and Minimum Data Set (MDS) Levels.
The evaluation is easy to administer, score, and interpret. The 16-page evaluation form may be reproduced from the book or purchased separately in booklet form as The Source for Safety Evaluation. Use the evaluation results to:
- describe and quantify a patient's cognitive awareness and communication of problem-solving abilities
- make safe and appropriate discharge decisions
- set appropriate goals
- target intervention to meet safety needs
Treatment is provided through questions that stimulate convergent, divergent, and evaluative thinking. The questions present challenging real-life situations to consider and solve. Clients respond to safety questions, discuss safety-related situations, and rehearse responses.
SLPs and other therapists working in any level of medical care (e.g., acute, rehabilitation, long-term) and in any setting (e.g., clinic, home health, private practice) will find content to help identify and resolve their clients' safety concerns. Copy the activity pages or print them from the FREE CD.
An efficacy study of The Source for Safety Evaluation and the treatment program as outlined in The Source for Safety Cognitive Retraining for Independent Living was completed on 42 patients and clients. There was a mean gain of 35% in the specific content areas presented during therapy over a two- to six-week period. In addition, therapy directed to specific areas of safety awareness and problem solving carried over at a significant level to safety areas not specifically addressed during therapy (Fogle, Reece, & White, 2008).
Copyright © 2008
According to the American Speech-Language-Hearing Association (ASHA) Guidelines for Speech-Language Pathologists in Rehabilitation of Children and Adults with Cognitive-Communicative Disorders After Brain Injury, Division 40 (Clinical Neuropsychology) of the American Psychological Association (APA), and the Royal College of Speech and Language Therapists' (RCSLT) Clinical Guidelines, the following principles are supported:
Speech-language pathologists' assessments generally center around:
- A battery of speech, language, and cognitive tests resulting in judgments about areas of strengths and weaknesses. Treatment considerations and planning are based on the assessment results. Likewise, measures of gains in treatment may be based on re-evaluation using the same battery of tests.
- Systematically exploring strategies, task modifications, supports, and intervention procedures that will provide functional improvement and support independent living.
Speech-language pathologists' primary treatment goals are:
- To improve an individual's performance by eliminating or reducing underlying cognitive impairments through restorative and/or compensatory methods.
- To achieve functional objectives and participate in chosen, real-world activities that improve performance of specific functional tasks, thereby reducing the disability without necessarily reducing the underlying impairment.
The intended intervention outcome of The Source for Safety Cognitive Retraining for Independent Living therapy manual is for individuals to increase their personal independence and take responsibility for their personal safety as much as possible in the hospital, at home, and in the community. An efficacy study of 42 patients and clients showed a mean gain of 35% in the specific content areas presented during therapy over a two- to six-week period. In addition, therapy directed to specific areas of safety awareness and problem solving carried over at a significant level to safety areas not specifically addressed during therapy.