An Inter-disciplinary approach to persons with aphasia

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Objectives : This study aimed to analyze factors affecting the QOL of the aphasics, to investigate the team approach presently made in rehabilitation settings, and to develop an interdisciplinary educational program for the aphasics.Method : Analyses based on observation and interview.Results The attitudes of health professional toward the aphasics were very important. Health professional's positive and understanding attitudes toward the aphasics affected patient' QOL. Prior contacts, frequency of contact, and kind of occupation were significantly related to such attitudes.The team approach presently made involved the following : 1.Uniformity of patient's data among team members and introduction of electron clinical records 2.Through team meetings they shared the patient' goal and developed uniform treatment plan. 3.Team members shared a staff station and a staff room. 4.Physical and occupational therapists took part in patient care (care of ADL) in the evenings and mornings. 5.Patient's services and responsibilities were shared, normal boundaries of the health professionals blurred, and their identity conflicts arose. 5.Speech therapists could provide to other members appropriate methods based on patient's daily activities on the floor.Conclusions : Problems facing persons with aphasia are so complex that no single discipline can possibly respond to them effectively. In the rehabilitation settings an atypical strategy called trans-disciplinary approach has been developed, whereby the central focus is to improve patient care in which responsibilities are shared and normal boundaries of the various health professionals are blurred. These finding suggest that in nursing education inter/trans-^disciplinary health education will be new demands for the very future