Article

This paper explains and demonstrates the pilot application of
Triangulated Proxy Reporting (TPR); a practical technique for enhancing
communication around people who have severe cognitive impairment (SCI). METHODS:
An introduction explains SCI and how this impacts on communication;
and consequently on quality of care and quality of life.
This is followed by an
explanation of TPR and its origins in triangulation research techniques. An
illustrative vignette explicates its utility and value in a group home for a
resident with profound multiple disabilities. The Discussion and Conclusion
sections propose the wider application of TPR for different cohorts of people
with SCIs, their communication partners and service providers. CONCLUSIONS: TPR
presents as a practical technique for enhancing communication interactions with
people who have SCI. The paper demonstrates the potential of the technique for
improving engagement amongst those with profound multiple disabilities, severe
acquired brain injury and advanced dementia and their partners in and across
different care settings. Implications for Rehabilitation Triangulated Proxy
Reporting (TPR) shows potential to improve communications between people with
severe cognitive impairments and their communication partners. TPR can lead to
improved quality of care and quality of life for people with profound multiple
disabilities, very advanced dementia and severe acquired brain injury, who
otherwise are very difficult to support. TPR is a relatively simple and
inexpensive technique that service providers can incorporate into practice to
improving communications between clients with severe cognitive impairments, their
carers and other support professionals.

Langue : ANGLAIS