I have been living in the UK for seven years but before I was here I had already realised how CE documentation systems were not unified in the UK and strangely the CE terminology also differ from each other from place to place. I personally have made some efforts to raise awareness about this issue and do some acts towards working out a reasonable unification when I was invited to take part in founding a “professional body” which group came to known as CEPEG in 2005. On one occasion at an early CEPEG conference in 2006 I presented a system just to open free discussion about the possibility to find the way how we could use similar documentation strategy and terminology. People seemed to agree that some unifying was necessary but the subject was not taken forward and the desired change did not happen. Since, we did not agree on a unified CE documentation system and terminology. In the last two years Melanie Brown, director of NICE, looked into the possibilities of using the International Classification of Functioning, Disability and Health known as ICF and a researcher group started to work on finding the most relevant way of its use in CE earlier this year.
Furthermore, since 2005 under the umbrella of CEPEG, a conductor’s professional group - PCA - has born, too. The Professional Conductors Association organises a workshop once a year where the members try to change expertise and develop their services. This body is going to have its next workshop tomorrow on 20th November 2010.
Because of our documentation system and (the use of) terminology are still not similar throughout the UK my present colleagues and myself will have an attempt to come up with a new layout for the documentation (which recognising the system and structure of ICF and can be linked together) and a terminology and release them for professional discussion. I hope this time we step a bit further.
I share the terminology part below, you might have an opinion on it…
Coding System for Assessing Client and Note writing in Conductive Education
Assessing and Note writing are specific in CE. The present coding system is for explaining the amount of physical assistance the client requires for a particular task, or part of task, or function.
Any assistance, help is professionally regarded as facilitation in CE.
Coding categories:
Independent
The client can complete a task, or part of a task, or function without any physical facilitation from an individual or device in safe manner and within a reasonable time frame.
Distant Supervision
The client can complete a task, or part of the task, or function within fifty feet distance in safe manner and within reasonable time frame.
Close Supervision
The client can complete a task, or part of the task, or function within reaching distance in safe manner and within reasonable time frame.
Modified Independent
The client can complete the task, or part of the task, or function if given an assistive device (i.e. equipment to enable completion of activity) in safe manner and within a reasonable time frame.
Set Up Situation
Certain portions of task/function are completed in order to enable the client to perform the expected action (i.e. the rubbish bin is brought near to the individual in order to allow him to put waste in it).
Independent and assisted performance is often better /promptly available alongside with verbal facilitation. Verbal facilitations are:
Verbal Prompting
The client requires verbal prompting without physical contact or physical contact accompanied by verbal facilitation.
Consistent Verbal Prompting
Repeated prompting required during the task or function.
Occasional Verbal Prompting
4-6 prompts required to complete the task or function.
Minimal Verbal Prompting
Specified number of prompts under 4 required
Rhythmical Intention:
The client actively take part in trying or executing a task or function and receives and/or vocalising with a verbally/auditvely framed unit within a given time frame (i.e. counting until five, repeat a sentence, sing a song).
Verbal Correction
The client requires correcting his way of performing task or function.
Manual Prompt
The client requires body contact(s) physical facilitation (assistance) to complete the task or function. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires occasional manual prompt by her shoulders /finger touch/ to maintain her balance…)
Minimum (or Minimal) Manual Facilitation
The client requires physical facilitation (assistance) to complete the task or function. The client completes 75% or more of the effort for the task or function. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires minimum manual facilitation by her shoulders /holding on her shoulder/ to maintain her balance…).
Moderate Manual Facilitation
The client completes between 50-75% of the effort for the task or function. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires moderate manual facilitation to stretch her right leg out /pulling her R knee backwards/ whilst completing a step forward).
Maximum Manual Facilitation
The client completes between 25-50% of the effort for the task or function. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires maximum manual facilitation to lift her left arm up to shoulder height /facilitating by her L elbow and wrist to lift and stretch/).
2 or more Maximum Manual Facilitation
The client complete between 25-50% of the effort for the task or function by different body parts. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires maximum manual facilitation to lift her left arm up to shoulder height /facilitating by her L elbow and wrist to lift and stretch/ and also requires maximum manual facilitation to maintain her sitting position /holding on her hips and keeping her body on the chair/).
Equipment Facilitation
The client requires or learning to use a specific equipment to complete the task or function. The name and the way of using the equipment should be defined (i.e. X walks pushing a ladder-back chair in front of him holding on the third rang with both hands saying; I push the chair forward 1, I step up with L foot on the first rung 2, I step down 3, I push the chair and shift weight 4, I step up with R foot on the second rung 5, I step down 6, continuously).
Using Assistive Device(s)
The client requires a specific assistive device to complete the task or function. The name, the use of device and the body area where it is used should be specified (i.e. Sitting at the table, X puts a ring on a vertical stick with his right hand / for instance/ independently whilst wearing arm splints on her R arm.
Mechanical Facilitation
Using the facilitation based on the mechanics/physiology of the client’s body
Gravitational Facilitation
Any kind of use of gravity to facilitate the client to achieve the task, or part of the task, or function.
Furthermore, since 2005 under the umbrella of CEPEG, a conductor’s professional group - PCA - has born, too. The Professional Conductors Association organises a workshop once a year where the members try to change expertise and develop their services. This body is going to have its next workshop tomorrow on 20th November 2010.
Because of our documentation system and (the use of) terminology are still not similar throughout the UK my present colleagues and myself will have an attempt to come up with a new layout for the documentation (which recognising the system and structure of ICF and can be linked together) and a terminology and release them for professional discussion. I hope this time we step a bit further.
I share the terminology part below, you might have an opinion on it…
Coding System for Assessing Client and Note writing in Conductive Education
Assessing and Note writing are specific in CE. The present coding system is for explaining the amount of physical assistance the client requires for a particular task, or part of task, or function.
Any assistance, help is professionally regarded as facilitation in CE.
Coding categories:
Independent
The client can complete a task, or part of a task, or function without any physical facilitation from an individual or device in safe manner and within a reasonable time frame.
Distant Supervision
The client can complete a task, or part of the task, or function within fifty feet distance in safe manner and within reasonable time frame.
Close Supervision
The client can complete a task, or part of the task, or function within reaching distance in safe manner and within reasonable time frame.
Modified Independent
The client can complete the task, or part of the task, or function if given an assistive device (i.e. equipment to enable completion of activity) in safe manner and within a reasonable time frame.
Set Up Situation
Certain portions of task/function are completed in order to enable the client to perform the expected action (i.e. the rubbish bin is brought near to the individual in order to allow him to put waste in it).
Independent and assisted performance is often better /promptly available alongside with verbal facilitation. Verbal facilitations are:
Verbal Prompting
The client requires verbal prompting without physical contact or physical contact accompanied by verbal facilitation.
Consistent Verbal Prompting
Repeated prompting required during the task or function.
Occasional Verbal Prompting
4-6 prompts required to complete the task or function.
Minimal Verbal Prompting
Specified number of prompts under 4 required
Rhythmical Intention:
The client actively take part in trying or executing a task or function and receives and/or vocalising with a verbally/auditvely framed unit within a given time frame (i.e. counting until five, repeat a sentence, sing a song).
Verbal Correction
The client requires correcting his way of performing task or function.
Manual Prompt
The client requires body contact(s) physical facilitation (assistance) to complete the task or function. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires occasional manual prompt by her shoulders /finger touch/ to maintain her balance…)
Minimum (or Minimal) Manual Facilitation
The client requires physical facilitation (assistance) to complete the task or function. The client completes 75% or more of the effort for the task or function. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires minimum manual facilitation by her shoulders /holding on her shoulder/ to maintain her balance…).
Moderate Manual Facilitation
The client completes between 50-75% of the effort for the task or function. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires moderate manual facilitation to stretch her right leg out /pulling her R knee backwards/ whilst completing a step forward).
Maximum Manual Facilitation
The client completes between 25-50% of the effort for the task or function. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires maximum manual facilitation to lift her left arm up to shoulder height /facilitating by her L elbow and wrist to lift and stretch/).
2 or more Maximum Manual Facilitation
The client complete between 25-50% of the effort for the task or function by different body parts. The place/area and the way of the manual contact facilitation can be specified with short sentences (i.e. X requires maximum manual facilitation to lift her left arm up to shoulder height /facilitating by her L elbow and wrist to lift and stretch/ and also requires maximum manual facilitation to maintain her sitting position /holding on her hips and keeping her body on the chair/).
Equipment Facilitation
The client requires or learning to use a specific equipment to complete the task or function. The name and the way of using the equipment should be defined (i.e. X walks pushing a ladder-back chair in front of him holding on the third rang with both hands saying; I push the chair forward 1, I step up with L foot on the first rung 2, I step down 3, I push the chair and shift weight 4, I step up with R foot on the second rung 5, I step down 6, continuously).
Using Assistive Device(s)
The client requires a specific assistive device to complete the task or function. The name, the use of device and the body area where it is used should be specified (i.e. Sitting at the table, X puts a ring on a vertical stick with his right hand / for instance/ independently whilst wearing arm splints on her R arm.
Mechanical Facilitation
Using the facilitation based on the mechanics/physiology of the client’s body
Gravitational Facilitation
Any kind of use of gravity to facilitate the client to achieve the task, or part of the task, or function.
5 comments:
Laci, Please can you tell us about the process involved in becoming a member of the PCA, Professional Conductor's Association.
Is it an association only for conductors working in the UK? Or is it an association open for members to join from all over the world?
Hi Susie,
The PCA in UK is very similar to the Conductor's Association in Germany with similar aims as well. Actually, more or less, but everybody (conductors) knows about it in UK if involved with CE. The PCA has been created in the same manner as we did found the German Association; "fur Deutchland tatigen konduktoren" for those conductors who practicing in the UK. However,a support status or membership without voting right status possibly is available. So far I am not aware if anyone applied for the membership form out of UK.
Laci
Presumably further details on the aims etc. are available on the website, as they are in Germany).
What is the URL?
A.
Website is on the way as far as I know...
The Association of Conductors, Germany did not have a proper and great informative webpage for quite some time. It is a process to get to that stage. They were 10 years old this year...
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