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2.2 BASE TEÓRICA

2.2.2 Ordenamiento Jurídico

2.2.3.12 El Derecho Comparado en el Delito de

Individuals with dementia offer a complex variety of needs. Interdisciplinary team members must know how to collaborate to provide the best service for these patients. The need for successful interdisciplinary teams and healthcare professionals is increasing as Alzheimer’s disease continues to affect more people. SLPs and OTs are professionals within interdisciplinary teams that commonly work with people with Alzheimer’s disease. Their scopes of practice are similar, which can lead to interprofessional conflict. This study shows that future and current SLPs and OTs recognize the interaction between their scopes of practice. Their education makes them feel prepared to work within an interdisciplinary team and collaborate with similar professionals. With an increased knowledge of their scopes of practice, an understanding of other professionals’ scopes of practice, and the motivation to resolve interprofessional conflict, interdisciplinary teams can provide optimal service for patients with complex needs.

APPENDIX A: Qualtrics survey

SLP and OT Perspectives on Altering Environments for People with Alzheimer's Disease

The purpose of this survey is to study how speech-language pathologists and occupational therapists view their scopes of practice. The aim is to discover how current and future clinicians perceive the roles when working with other professionals, specifically when caring for people with Alzheimer's disease. This study will provide insight on how SLPs and OTs feel about their education and how to help others feel prepared to enter the healthcare field.

This is a reminder that all responses will be recorded anonymously. Thank you for participating in this survey.

Q1 Current status

o Undergraduate student (1) o Graduate student (2) o Practicing clinician (3)

Q2 Does the university you attended/are attending have an SLP and an OT program? o Just SLP (1)

o Just OT (2)

o Both SLP and OT (3)

Display This Question:

If Q2 = Undergraduate student

Q3 Do you intend to become a speech-language pathologist or occupational therapist? o Yes (1)

o No (2)

Skip To: End of Survey If Q3 = No

Display This Question:

If Q2 = Undergraduate student

Q4 Year in school

▼ First year (1) ... Fifth year or more (5)

Q5 Undergraduate major

▼ Communication Science and Disorders (or equivalent) (1) ... Other (10)

Display This Question: If Q5 = Other

Q6 If other, please specify. ________________________________________________________________ Q7 Undergraduate minor(s) ________________________________________________________________ Q8 Undergraduate certificate(s) ________________________________________________________________ Q9 Undergraduate university

▼ Abilene Christian University (1) ... Other not listed above (268)

Display This Question:

If Q2 = Undergraduate student

Q10 Year in school

▼ First year (1) ... Fifth year or more (5)

Display This Question:

If Q2 = Undergraduate student

▼ Speech-Language Pathology (or equivalent) (1) ... Neither (3)

Skip To: End of Survey If Q11 = Neither

Display This Question:

If Q2 = Undergraduate student

Q12 Graduate university

▼ Abilene Christian University (1) ... Click to write Choice 3 (316)

Display This Question: If Q2 = Practicing clinician

Q13 Profession

▼ Speech Language Pathology (1) ... Neither (3)

Skip To: End of Survey If Q13 = Neither

Display This Question: If Q2 = Practicing clinician

Q14 Job title (occupational therapist, therapy department director, speech-language pathologist, etc.)

________________________________________________________________

Display This Question: If Q2 = Practicing clinician

Q15 Total number of years spent practicing ▼ <1 (1) ... >50 (52)

Display This Question: If Q2 = Practicing clinician

Q16 Select all settings at which you have worked. ▢ Hospital (1)

▢ School (2)

▢ Nursing/Assisted Living Home (3) ▢ Skilled Nursing Facility (4)

▢ Rehabilitation Center (5) ▢ Other (6)

Display This Question: If Q16 = Other

________________________________________________________________

Display This Question: If Q2 = Practicing clinician

Q18 Select all that describe the areas in which you have worked.

▢ Urbanized Areas (UAs) of 50,000+ people (i.e. Ithaca, NY, Cleveland, OH, Pittsburgh, PA, Harrisburg, PA, etc.) (1)

▢ Urban Clusters (UCs) of between 2,500 and 50,000 people (i.e. Ashland, PA, Altoona, PA, New Castle, PA, etc.) (2)

▢ Rural (all areas not encompassed within UAs and UCs) (3)

Q19 How did you hear about this survey? o Distributed to me by my professor (1) o SIG 15 (2)

o Other (3)

Q20 Rate the following statements by how much you agree/disagree.

Strongly disagree (1) Somewhat disagree (2) Neither agree nor disagree (3) Somewhat agree (4) Strongly agree (5)

a. SLPs and OTs have completely separate scopes of practice.

o o o o o

o o o o o c. There are parts of SLP and OT scopes of practice that are the same.

o o o o o

Display This Question:

If Q20 = There are parts of SLP and OT scopes of practice that are the same. [ Somewhat agree ]

And Q20 = There are parts of SLP and OT scopes of practice that are the same. [ Strongly agree ]

Q21 Which parts of SLP and OT scopes of practice overlap?

________________________________________________________________

Q22 Rate the following statements by how much you agree/disagree.

Strongly disagree (1) Somewhat disagree (2) Neither agree nor disagree (3) Somewhat agree (4) Strongly agree (5)

a. There are parts of OTs' scopes of practice that are not in SLPs' scopes of practice.

o o o o o

b. There are parts of SLPs' scopes of practice that are not in OTs' scopes of practice.

Display This Question:

If Q22 = There are parts of OTs' scopes of practice that are not in SLPs' scopes of practice. [ Somewhat agree ]

And Q22 = There are parts of OTs' scopes of practice that are not in SLPs' scopes of practice. [ Strongly agree ]

Q23 Which parts of OTs' scopes of practice are not in SLPs' scopes of practice?

________________________________________________________________

Display This Question:

If Q22 = There are parts of SLPs' scopes of practice that are not in OTs' scopes of practice. [ Somewhat agree ]

And Q22 = There are parts of SLPs' scopes of practice that are not in OTs' scopes of practice. [ Strongly agree ]

Q24 Which parts of SLPs' scopes of practice are not in OTs' scopes of practice?

________________________________________________________________

Q25 Rate the following statement by how much you agree/disagree.

Strongly disagree (111) Somewhat disagree (112) Neither agree nor disagree (113) Somewhat agree (114) Strongly agree (115)

There are parts of SLP and OT scopes of practice where it is hard to tell which field it belongs in.

o o o o o

Display This Question:

If Q25 = There are parts of SLP and OT scopes of practice where it is hard to tell which field it belongs in. [ Somewhat agree ]

And Q25 = There are parts of SLP and OT scopes of practice where it is hard to tell which field it belongs in. [ Strongly agree ]

Q26 Which parts of SLP and OT scopes of practice are not clearly separated?

________________________________________________________________

Q27 Rate the following statements by how much you agree/disagree.

Strongly disagree (1) Somewhat disagree (2) Neither agree nor disagree (3) Somewhat agree (4) Strongly agree (5)

a. My past/current education explained the scope of practice of SLPs.

o o o o o

b. My past/current education explained the scope of practice of OTs.

o o o o o

c. My past/current education has discussed how SLPs and OTs work together in an interdisciplinary team.

o o o o o

d. My past/current education makes me feel prepared to work with clinicians from other fields in an interdisciplinary team.

o o o o o

e. The skills I've learned in preparation for working in an interdisciplinary team are useful.

o o o o o

Q28 Do you have experience working with people with Alzheimer's disease? o Yes (1)

o No (2)

Q29 If so, what experience do you have?

________________________________________________________________

Q30

Respond to the statement regarding the following scenario:

A nursing home resident with Alzheimer's disease has trouble remembering how to wash her hands after using the bathroom. To help her, a sign is placed above her bathroom sink with simple instructions on how to wash her hands. Putting a sign in a resident's bathroom is considered altering the patient's environment and is done by a healthcare professional

Altering patients' environments falls under the scope of practice of:

o SLPs only (1) o OTs only (2)

o Both SLPs and OTs (3)

Q31 Rate the following statements by how much you agree/disagree.

Strongly agree (1) Somewhat agree (2) Neither agree nor disagree (3) Somewhat disagree (4) Strongly disagree (5)

a. I thoroughly understand how SLPs care for people with Alzheimer's disease.

o o o o o

b. I thoroughly understand how OTs care for people with Alzheimer's disease.

o o o o o

You are about to complete and submit the survey. Please go back if there's anything you wish to change. Thank you for your time.

BIBLIOGRAPHY

Alzheimer's Association. (2017a). Health Care Professionals and Alzheimer's. Retrieved from

http://www.alz.org/health-care-professionals/medical-management-patient-care.asp

Alzheimer's Association. (2017b). What Is Alzheimer's? Retrieved from

http://www.alz.org/alzheimers_disease_what_is_alzheimers.asp

Alzheimer's Association. (2018a). Alzheimer's Disease. Retrieved from

https://www.alz.org/professionals_and_researchers_13519.asp

Alzheimer's Association. (2018b). Risk Factors. Retrieved from

https://www.alz.org/alzheimers_disease_causes_risk_factors.asp?gclid=Cj0KCQiAwp_U BRD7ARIsAMie3Xa3dlsrQkapkPCBCNn7-hFz8YWSpUQI-

FTZGL1dClSlCbv3BUD3d5waAl1jEALw_wcB

Alzheimer's Association. (2019). Stages of Alzheimer's. Retrieved from

https://www.alz.org/alzheimers-dementia/stages

Alzheimer's Society of Manitoba. (2014). Reducing Risk of Falls for People with Dementia. In. American Occupational Therapy Association. (2011). Definition of Occupational Therapy

Practice for the AOTA Model Practice Act.

American Speech-Language-Hearing Association. (2017a). Dementia. Retrieved from

https://www.asha.org/public/speech/disorders/dementia/

American Speech-Language-Hearing Association. (2017b). Speech-Language Pathologists. Retrieved from http://www.asha.org/Students/Speech-Language-Pathologists/

Behm, J., & Gray, N. (2012). Chapter 5: Interdisciplinary Rehabilitation Team. In K. L. Mauk (Ed.), Rehabilitation nursing: a contemporary approach to practice (pp. 51-62). Sudbury, MA: Jones &amp; Bartlett Learning.

Buring, S. M., Bhushan, A., Broeseker, A., Conway, S., Duncan-Hewitt, W., Hansen, L., & Westberg, S. (2009). Interprofessional education: definitions, student competencies, and guidelines for implementation. American journal of pharmaceutical education, 73(4), 59- 59.

Callahan, C. M., Boustani, M. A., Unverzagt, F. W., & et al. (2006). Effectiveness of collaborative care for older adults with alzheimer disease in primary care: A randomized controlled trial. JAMA, 295(18), 2148-2157. doi:10.1001/jama.295.18.2148

Cambridge Dictionary. (2017). Syndrome. Retrieved from

http://dictionary.cambridge.org/us/dictionary/english/syndrome

Cherry, K. (2017, July 05, 2017). The Basics of Cognition. Retrieved from

https://www.verywell.com/what-is-cognition-2794982

Institute for Quality and Efficiency in Health Care. (2009). Alzheimer's disease: How effective are cholinesterase inhibitors? In: IQWiG (Institute for Quality and Efficiency in Health Care).

Institute for Quality and Efficiency in Health Care. (2011). Alzheimer's disease: Does memantine help? In: IQWiG (Institute for Quality and Efficiency in Health Care).

Kim, L. Y., Giannitrapani, K. F., Huynh, A. K., Ganz, D. A., Hamilton, A. B., Yano, E. M., . . . Stockdale, S. E. (2019). What makes team communication effective: a qualitative analysis of interprofessional primary care team members’ perspectives. Journal of Interprofessional Care, 1-3. doi:10.1080/13561820.2019.1577809

Lewis, L., Ellis, K., Stewart, M., Freeman, T. R., & Kasperski, M. J. (2011). Conflict on interprofessional primary health care teams – can it be resolved? AU - Brown, Judith. Journal of Interprofessional Care, 25(1), 4-10. doi:10.3109/13561820.2010.497750 Markova, T., Mateo, M., & Roth, L. (2018). Implementing Teams in a Patient-Centered Medical

Home Residency Practice: Lessons Learned. Retrieved from

http://www.jabfm.org/content/25/2/224.full#ref-list-1

Mayo Clinic. (2017). Dementia. Retrieved from http://www.mayoclinic.org/diseases- conditions/dementia/diagnosis-treatment/drc-20352019

National Aphasia Association. (2018). Aphasia Definitions. Retrieved from

https://www.aphasia.org/aphasia-definitions/

National Center for Complementary and Integrative Health. (2017, September 24, 2017). Cognitive Function, Dementia, and Alzheimer's Disease. Retrieved from

https://nccih.nih.gov/health/alzheimer

National Council on Aging. (2017). Fall Prevention Facts. Retrieved from

https://www.ncoa.org/news/resources-for-reporters/get-the-facts/falls-prevention-facts/

Nester, J. (2016). The importance of interprofessional practice and education in the era of accountable care. North Carolina medical journal, 77(2), 128-132.

Peranich, L., Reynolds, B., O'Brien, S., Bosch, J., & Cranfill, T. (2010). The Roles of Occupational Therapy, Physical Therapy, and Speech/Language Pathology in Primary Care. The Journal for Nurse Practitioners, 6(1), 43.

The American Occupational Therapy Association Inc. (2017). Alzheimer's Disease Tip Sheet. Retrieved from https://www.aota.org/About-Occupational-Therapy/Patients- Clients/Adults/Alzheimers.aspx

Weller, C. (2017). Inside the Dutch 'dementia village' that offers beer, bingo, and top-notch healthcare. Retrieved from http://www.businessinsider.com/inside-hogewey-dementia- village-2017-7/#hogeweyk-started-in-1993-as-your-typical-hospital-style-nursing-home- but-the-staff-soon-realized-there-was-a-better-more-humane-way-to-offer-care-1

World Health Organization. (2017). Dementia. Retrieved from

http://www.who.int/mediacentre/factsheets/fs362/en/

World Health Organization. (2018). WHOQOL: Measuring Quality of Life. Retrieved from

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