{"id":263,"date":"2022-03-29T15:35:51","date_gmt":"2022-03-29T13:35:51","guid":{"rendered":"http:\/\/localhost\/hjernerehab\/?p=263"},"modified":"2022-10-08T08:43:32","modified_gmt":"2022-10-08T08:43:32","slug":"kick-off-paa-et-genoptraeningsforloeb","status":"publish","type":"post","link":"https:\/\/hjernerehab.dk\/index.php\/2022\/03\/29\/kick-off-paa-et-genoptraeningsforloeb\/","title":{"rendered":"Kick-off p\u00e5 et genoptr\u00e6ningsforl\u00f8b"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">N\u00e5r et genoptr\u00e6ningsforl\u00f8b begynder, b\u00f8r der ske f\u00f8lgende:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Der skal l\u00e6gges en <strong>plan<\/strong>, og den plan begynder med en <a referrerpolicy=\"origin\" href=\"https:\/\/hjernerehab.dk\/index.php\/2022\/03\/22\/en-smart-maalsaetning\/\" data-type=\"post\" data-id=\"109\">m\u00e5ls\u00e6tning<\/a>. Hvis m\u00e5let ikke er realistisk (i terapeutens \u00f8jne), skal terapeuten aftale mere realistiske delm\u00e5l med borgeren jf. trappemodellen beskrevet <a referrerpolicy=\"origin\" href=\"https:\/\/hjernerehab.dk\/index.php\/2022\/03\/22\/en-smart-maalsaetning\/\" data-type=\"post\" data-id=\"109\">her<\/a>. <\/li><li>Der skal skabes en stemning af, at nu er det det her, det g\u00e6lder, og borgeren er klar over, at intensivitet er en afg\u00f8rende faktor for fremgang, og at hen derfor skal lave s\u00e5 meget som muligt hjemme, og fokusere s\u00e5 meget som muligt p\u00e5 kvalitet i udf\u00f8relse af funktionelle ting i ADL.<\/li><li>Terapeuten skal bruge alle t\u00e6nkelige tricks for at l\u00f8fte borgerens motivation for tr\u00e6ningsforl\u00f8bet s\u00e5 h\u00f8jt, som overhovedet muligt. Tilbyd en symbolsk pr\u00e6mie (f.eks. et bolche), n\u00e5r et delm\u00e5l n\u00e5s. Eller der kan v\u00e6re et whiteboard i tr\u00e6ningslokalet, hvor niveauet og m\u00e5let synligg\u00f8res for alle. I DCPT (Dansk Center for Partikel Terapi) p\u00e5 AUH Skejby, har de en gong-gong, som patienterne m\u00e5 sl\u00e5 p\u00e5, n\u00e5r et str\u00e5leforl\u00f8b er afsluttet. Det er helt sikkert en vigtig ceremoni at se frem til for b\u00f8rnene, og hver gang gong-gongen lyder, kan alle ansatte i bygningen t\u00e6nke, at nu har de hjulpet endnu et menneske. Jeg er ret sikker p\u00e5, at den gong-gong er det mest geniale, jeg har set i hele min karriere som hjerneskadet. Kopier, kopier, kopier.  <\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Det indledende m\u00f8de, skal v\u00e6re et kombineret &#8220;kick-off&#8221;, planl\u00e6gnings- og motivationsevent, og ikke en <a href=\"https:\/\/hjernerehab.dk\/index.php\/2022\/03\/22\/forventningsafstemning\/\" data-type=\"post\" data-id=\"101\">forventningsafstemning<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dels skal det danne udgangspunkt for en plan, dels skal det s\u00e6tte forl\u00f8bet i gang p\u00e5 en m\u00e5de, der giver det bedst mulige resultat. Det f\u00f8rste begynder med en m\u00e5ls\u00e6tning, fuldst\u00e6ndigt tro mod al videnskab. S\u00e5 m\u00e5lbeskrivelsen skal v\u00e6re SMART, bare v\u00e6r opm\u00e6rksom omkring &#8216;R&#8217;-et alts\u00e5 det realistiske. Det er <strong>individets<\/strong> projekts m\u00e5ls\u00e6tning, og derfor er det hvad der er realistisk i <strong>individets<\/strong> \u00f8jne. Hvis det ikke er realistisk i terapeutens \u00f8jne, m\u00e5 der laves delm\u00e5l.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I skal ogs\u00e5 tale om tidshorisont. Det skal ikke v\u00e6re en knivskarp deadline, men terapeutens baggrundsviden kan fort\u00e6lle lidt om, hvorn\u00e5r I skal kunne se forbedring, eller hvorn\u00e5r I skal l\u00e6gge strategien om.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Det andet form\u00e5l med kick-off m\u00f8det er, at skabe en stemning af, at nu skal vi saft-suse-mig l\u00e6gge kr\u00e6fterne i. Borgeren skal forst\u00e5, at ligesom terapien virkelig g\u00e5r ind i det her projekt for at n\u00e5 de m\u00e5l, I lige har aftalt, forventes det ogs\u00e5, at borgeren giver den en skalle.  Borgeren skal ende med at v\u00e6re topmotiveret for at komme s\u00e5 langt med genoptr\u00e6ningsforl\u00f8bet som muligt.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Det er vigtigt, at det bliver skrevet ned, og at borgeren har et stykke papir. Det g\u00f8r det nemmere for borgeren at forst\u00e5, at det er en <strong>aftale<\/strong>, og ikke bare en service man har ret til at modtage. At det i virkeligheden <em>er<\/em> en service, borgeren har ret til at modtage, er fordi systemet fejlagtigt er konstrueret fra paragrafferne og ned, og ikke fra borgeren og op. Men terapien skal g\u00f8re hvad den kan, for at overbevise borgeren om, at hen kommer meget l\u00e6ngere med sin genoptr\u00e6ning, hvis hen ser det som en aftale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sammen med aftalen skal borgeren ogs\u00e5 have intro til neuroplasticitet og lidt viden om vedkommendes sygdom. Herunder er input til papirer.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Aftale.pdf\" type=\"application\/pdf\" style=\"width:100%;height:450px\" aria-label=\"Embed Embed Aftale..\"><\/object><a id=\"wp-block-file--media-089c9e1c-a254-4c22-8e97-8375204bb8b0\" href=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Aftale.pdf\">Aftale<\/a><a href=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Aftale.pdf\" class=\"wp-block-file__button\" download aria-describedby=\"wp-block-file--media-089c9e1c-a254-4c22-8e97-8375204bb8b0\">Download<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Apopleksi-1.pdf\" type=\"application\/pdf\" style=\"width:100%;height:450px\" aria-label=\"Embed Embed Apopleksi-1..\"><\/object><a id=\"wp-block-file--media-00a1671e-456c-4b9e-98d4-0c0c76ed57df\" href=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Apopleksi-1.pdf\">Apopleksi-1<\/a><a href=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Apopleksi-1.pdf\" class=\"wp-block-file__button\" download aria-describedby=\"wp-block-file--media-00a1671e-456c-4b9e-98d4-0c0c76ed57df\">Download<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Nervecellen.pdf\" type=\"application\/pdf\" style=\"width:100%;height:450px\" aria-label=\"Embed Embed Nervecellen..\"><\/object><a id=\"wp-block-file--media-f0e3da77-9e6a-41fc-b034-8b8154d828b7\" href=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Nervecellen.pdf\">Nervecellen<\/a><a href=\"https:\/\/hjernerehab.dk\/wp-content\/uploads\/2022\/04\/Nervecellen.pdf\" class=\"wp-block-file__button\" download aria-describedby=\"wp-block-file--media-f0e3da77-9e6a-41fc-b034-8b8154d828b7\">Download<\/a><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>N\u00e5r et genoptr\u00e6ningsforl\u00f8b begynder, b\u00f8r der ske f\u00f8lgende: Der skal l\u00e6gges en plan, og den plan begynder med en m\u00e5ls\u00e6tning. Hvis m\u00e5let ikke er realistisk (i terapeutens \u00f8jne), skal terapeuten aftale mere realistiske delm\u00e5l med borgeren jf. trappemodellen beskrevet her. Der skal skabes en stemning af, at nu er det det her, det g\u00e6lder, og [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[5],"tags":[23,26,24,25],"class_list":["post-263","post","type-post","status-publish","format-standard","hentry","category-terapi","tag-kick-off","tag-maalsaetning","tag-motivation","tag-planlaegning"],"_links":{"self":[{"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/posts\/263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/comments?post=263"}],"version-history":[{"count":11,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/posts\/263\/revisions"}],"predecessor-version":[{"id":971,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/posts\/263\/revisions\/971"}],"wp:attachment":[{"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hjernerehab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}