What do I say? What do I need to do? How can I help? How do you handle a case, when they refuse care? What is the best approach? These are a few of many questions that linger in my thoughts when dealing with individuals looking for care. To be honest, I don’t think there is a gold standard for Clinicians to rely on in these types of situation. It is even more challenging when the majority of the clients I see are for short term, Off-The-Shelf devices, which prevents me from building a rapport with them.
As Clinicians, we are tasked to fit and dispense the device that has been prescribed by the Physician. This task can be challenging. A fitting appointment can turn into a counselling appointment. Once you close the door, we are faced with the bombardment of questions. These questions can be related or unrelated to the device. Where do you draw the line? When do you step in to say, “That’s enough?”
I say, start with a sincere introduction. Perception of care is my approach. Proceed with the thought that patient has needs, and satisfying these needs would provide a positive perception of care. Instead of listing Maslow’s Hierarchy of needs, I incorporate three needs to my interaction with clients and these needs are autonomy, competence, and relatedness.
So how do you promote or foster needs satisfaction? A good approach would be providing an environment that provides autonomy, structure and involvement. Environments that foster volition and choice would promote the need of autonomy. A structured environment would promote competence through positive feedback, specific instructions and a chance to practice. Whereas, an environment that promotes involvement would create a perception of connectedness and which will satisfy their clients’ need for relatedness.
Overall, the approach challenges us to adapt to the cliental. Do we tailor our approach differently from client to client? The answer is yes, but as long as you provide the environments that are optimal for need satisfaction, the outcome should be a positive perception of care”
-Sovoeun Muon, Clinician at Niagara Prosthetics & Orthotics