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Client-Centered and Family-Centered Care: Refinement of the Concepts

机译：以客户为中心和以家庭为中心的护理：概念的完善

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Occupational therapy has emphasized the relationship between the therapist and the client. The occupational therapy guidelines for client-centered practice produced in the 1980s by the Canadian Department of National Health and Welfare and the Canadian Association of Occupational Therapists (Task Force on Guidelines for the Practice of Occupational Therapy, 1983) has had variable use over the years. While occupational therapists believe in the principles of client-centered care, the philosophical concepts have been difficult to fully implement and also seem narrow in light of all the external forces and challenges posed by today's clients and their rights, and the ethics of medicine. Other concepts need to be in place to facilitate the true constructs of client-centered care. A historical overview of the medical perspective and the occupational therapy perspectives on client-centered and family-centered care are reviewed. Lessons learned from the various iterations of client-centered and family-centered care are posed for consideration of a newer more inclusive relationship-centered concept for occupational therapy.
机译：职业治疗强调了治疗师和服务对象之间的关系。加拿大国家卫生与福利部和加拿大职业治疗师协会于1980年代制定的以客户为中心的职业职业治疗指南（职业治疗实践指南工作组，1983年）在过去的几年中使用情况有所不同。虽然职业治疗师相信以患者为中心的护理原则，但由于当今患者及其权利，医学伦理等方面的种种外在力量和挑战，因此很难完全实施这些哲学概念，而且这些概念也显得狭窄。需要采用其他概念来促进以客户为中心的护理的真正构建。回顾了有关以客户为中心和以家庭为中心的护理的医学观点和职业治疗观点的历史概述。从以客户为中心和以家庭为中心的护理的各种迭代中汲取的经验教训被认为是考虑采用更新的，更具包容性的以关系为中心的职业治疗概念。

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