IBR VERSUS CBR.ppt........................

IBR vs CBR

2. FEATURES IBR CBR
DURATION AND
LOCATION OF TRAINING
FOUR YEARS DEGREE
INSTITUTIONALLY
TRAINED
3 MONTHS TO 1 YEAR
LOCALLY TRAINED
TYPE OF TRAINING TRAINED TO MANAGE
ACUTE/COMPLEX CASES
BY USING SOPHISTICATED
TECHNOLOGY
TRAINED TO TEACH
FAMILY AND CLIENT TO
COPE WITH
CONSEQUENCES OF
DISABILITY WITH IN THE
COMMUNITY USING
LOCALLY AVAILABLE
RESOURSES
EXTENT OF TRAINING INTERVENTIONS LIMITED
TO SKILL TRAINING FOR
CLIENTS
TO FULLFILL THE NEEDS
OF CLIENT REQUIRE
DAILY LIVING ACTIVITIES
IN THEIR HOME
GOALSOF TRAINING INTERVENTIONS TO
DISCHARGE PATIENTS
FROM HOSPITAL
TO PREPARE RE ENTRY OF
THE CLIENTS TO HIS
HOME

3. FEATURES IBR CBR
SETTING FOR
INTERVENTION
INSTITUTION CLIENTS HOME
RESOURSES NEEDED FOR
INTERVENTION
SOLUTION ARE BASED ON
TECHNOLOGICALLY
ADVANCED EQUIPMENT
SOLUTIONS ARE BASED
ON RESOURCES IN
COMMUNITY
KNOWLEDGE LEVEL OF
THE TRAINER
USE OF MANUAL
HIGHLYTRAINED,
KNOWN MEDICAL
TERMINOLOGY
DESCRIBING STATE OF
ART TECHNOLOGY
POORLY TRAINED,
UNFAMILIAR WITH
MEDICAL TERMINOLOGY
LANGUAGEOF MANUAL UNIVERSAL LANGUAGE
ENGLISH
MANUAL SHOULD BE IN
CONTEST OF LOCAL
CULTURE AND
TRADITION
TYPE OF CLIENTS MINORITY OF DISABLED
PERSONSWHO NEED
SOPHISTICATED TECH
FOR REHAB, HIGH RISK
PATIENTS
MAJORITY OF DISABLLED
PERSONS WHO REQUIRE
ONLY SIMPLE TECHNIQUE
FOR THEIR REHAB
LOW RISK PATIENT

4. DIFFERENCE BETWEEN CBR AND IBR
IBR CBR
PATIENT ADMITTED TO IN AN
INSTITUTION WHERE HE IS
TREATED
PATIENT IS TREATED BUT
CONTINUE TO STAY WITH THIS
COMMUNITY
TREATMENT BY PROFESSIONALS
SOPHISTICATEDCARE AVAILABLE
LOCAL PEOPLE ARE TRAINED TO
PROFESSIONALS,SOPHISTICATED
CARE MAY NOT BE AVAILABLE
ACCESS TO LATEST TECHNOLOGY
,MEDICINE
NO ACCESS, DO WITH WHAT IS
AVAILABLE
EXPENSIVE NOT EXPENSIVE
PATIENT ISOLATED FROM FAMILY.
MAJORITY OF TIMES PATIENT IS
FULLY AND PROPERLY
REHABLITATED
PATIENT NOT ISOLATED,
PSYCHOLOGICAL SUPPORT.
LIMITED LEVEL OF REHABLITATION.

5. DIFFERENCES IN PT ROLES
PT IN IBR
DIRECT SERVICE PROVISION TO THE CLIENT
PREDOMINANTLY 1:1 THERAPIST CLIENT RATIO
PERSON RECEIVING SERVICES USUALLY ADDRESSED AS
PATIENT
RARELY WORKS IN GRPS
IDEAL CARE FOR FEW
ALLOCATES THERAPY TIME ACCORDING TO INDIVIDUAL NEED
PERCEIVED HIGHER PROFESSIONAL STATUS
CAN FOCUS ON A STRONG BIOMEDICAL MODEL , ALTHOUGH
ATTITUDES AND APPROACHES ARE CHANGING

6. PT IN CBR
PREVENTING DISABILITY AND DEFORMITY
EDUCATING/TRAINING DISABLED PEOPLE TO MOVE AROUND
PROMOTING SELF CARE
EDUCATING , TRAINING AND TRANSFERRING SKILLS TO OTHER
STAFF
CONSULTANCY , ADVICE, SUPPORT AND SUPERVISION TO
OTHER HEALTH CARE PERSONNEL
HEALTH PROMOTION AND DISEASE PREVENTION
CURATIVE AND REHAB SERVICES
INVESTIGATORS OF CBR SERVICES

7. TEAM LEADERS AND MANAGERS
PROVIDERS OF DIRECT CARE
ADVOCATES FOR DISABLED PEOPLE, LOCAL COMMUNITIES AS
WELL AS THE PROFESSION
ADVISORS TO GOVT, NGO AND LOCAL COMMUNITIES ON
ESTABLISHING CBR PROGRAM
MAINLY INDIRECT
1 THERAPIST TO GIVEN POPULATION
PERSON RECEIVING SERVICES ADDRESSED AS CLIENTS
WORKS IN A GROUP
GOOD BASIC CARE FOR ALL
ALLOCATE TIME BASED ON THE NEEDS OF POPULATION

8. PERCEIVED LOWER PROFESSIONAL STATUS
USE A STRONG SOCIAL MODEL
TEACHES/TRAINS LOCAL HEALTH WORKERS AND FAMILIES TO
CARRY OUT DAY TO DAY THERAPY
ACTS AS AN EXPERT RESOURCE