Frequently Asked Questions (FAQs)

At KMS we assist clients in making choices (choosing behaviors) that support the clients outcome and goals, empowering them to be independent thereby creating the highest level of quality of life and best value for payers.

Yes, because we transition (or as we call it “graduate”) clients to greater independence regularly, we typically have space available in both our residential and case management programs or on the waiting list. If you are interested in learning more about KMS, please visit the CONTACT US PAGE and send us a message. We also request that you have a copy of Medical Records and information about Finances because we do not arrange funding – we look forward to hearing from you!

We are staffed 24hrs, 7days a week, with supervisory staff on-call 24hours.

It depends on the functionality of the client. Some clients at KMS have higher need and in these instances we manage and dispense all medication, schedule and accompany clients to doctor appointments and clinical therapy appointments thereby managing the entire medical case. We also monitor and offer additional assistance as recommended or prescribed by the doctor. As clients demonstrate increasingly levels of independence we bring them alongside us in the management and coordination of their medical case to ensure a successful transition back into community once they graduate.

The time period needed for home and workplace schedule accommodations varies for each individual however a variety of promising practices, like the ones listed below, help clients successfully manage their home and/or work-life:

  • Schedule-reminders (telephone, email, iPhone, alarm clocks)
  • Scheduled rest breaks to prevent stimulus overload and fatigue
  • Work task checklists and clipboards
  • Tape recorders as memory aids
  • Stop watches for time management
  • Job coaches who make frequent, scheduled site visits
  • Supportive phone calls after work
  • Role playing exercises related to the job
  • Periodic evaluation forms completed by supervisors and/or job coaches
  • Job-site accommodations including adaptive technology
  • Job sharing with another employee
  • Mentoring by a co-worker or retired worker
  • Setting reasonable expectations for task completion
  • Limiting multi-tasking
  • Scheduling more difficult or challenging tasks at the beginning of the work shift to account for fatigue
  • Recognizing accomplishments through positive reinforcement

Cognitive problems are specific deficits that typically occur following a brain injury. Some of the most common cognitive problems we work with are:

  • Arousal or over-stimulation
  • Insight and judgement
  • Attention and filtering issues
  • Information coding and retrieval (memory) issues
  • Learning, both using old information and acquiring new information
  • Problem solving
  • Higher-level thinking skills also known as “executive skills”(initiation, planning, follow-through)

Some cognitive problems resolve themselves over time and through our rehabilitation process and others may persist and require specific rehabilitation interventions.

Clients and their care team (guardians, conservators, nurse case managers, family) often have difficulty understanding all the changes taking place in the clients life. The mental and emotional stress is compounded by the altered functional abilities of the client. Some of the most common physical complaints are:

  • Chronic pain
  • Difficulties controlling temper
  • Problems with attention and concentration
  • Agitation
  • Mood changes (incapacitating headaches, pain and fatigue)
  • Sleep problems
  • Loss or gain of appetite
  • Dizziness
  • Nausea and motion sickness
  • Fatigue
  • Ringing in the ears
  • Recurrent headaches
  • Hypersensitivity to light, noise, touch, smell or taste
  • Sensitivity to crowds and busy environments

It is safe to say that without rehabilitation there is no recovery. At KMS in the early (initial) phases of rehabilitation, the focus is on maximizing the natural recovery process. Here specific deficits or problem areas are identified, and treatment is directed at improving function within these areas. As our clients progress through rehabilitation, the focus shifts towards replacing skills and functions that have been lost. Relearning and adaptation are heavily emphasized and we have learned that the brain is capable of overcoming significant problems created by injury. The effective rehabilitation at KMS takes place in multiple settings: community, homes/residential setting, and workplaces. With this approach our professionals and clients co-develop strategies and interventions that are customized for their unique problems thereby delivering specific care that produces more value for payers and self-esteem for the clients.

Yes, because no two brain injuries are alike and the course of rehabilitation is different for each client we customize all rehabilitation plans. Timelines for recovery vary individually and we understand the return to home and work is an important part of the rehabilitation and healing process for the survivor (client) and family. Individuals progress through rehabilitation at the clients own pace assisted by unique rehabilitation programs implemented by staff. We want to ensure growth in deficit areas building toward a successful transition back into the home and workforce therefore we focus on developing the cognitive aspects of home and work tasks for clients.

When working with employers and co-workers, who often do not understand the cognitive and personality changes that now exist, they tend to focus on the problems and not the cause(s). In order to be most effective we (KMS) extend into the home and work settings to include vocational assessments, work reentry, job coaching, job re-engineering and in some cases the client may also need a significant job modification. Returning to work means something different to each client, for some it is re-integrating back in there pre-accident vocation while for others work is classified as volunteering.

Our emphasis is on enhancing natural recovery and we do this by establishing strategies that promote independence. Teaching clients these functional skills and bringing rehabilitation into the individual’s home, work, community and school provides the necessary supports for a successful re-entry. Rehabilitation may extend for years beyond a person’s initial injury and changes may occur throughout a person’s lifetime but we are here to support the clients all along the way.

We encourage visitors to read the following article about choosing the right residential care facility.

https://secure.biausa.org/OnlineDirectory/Pdf/SelectingRehabServices.pdf

 

 

 


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“KMS takes a collaborative approach in the care of their clients and place a strong emphasis on the autonomy of the individual. KMS staff is mindful, intuitive, and empower client-directed goals on a daily basis.” 
– Kacia, Grad Student Pacific University

© 2016, all rights reserved, Kampfe Management Services • 3734 SE Gladstone Street, Portland, OR 97202 • Phone: (503) 788-3266
Website by Corrales Creative

© 2016, all rights reserved, Kampfe Management Services • 3734 SE Gladstone Street, Portland, OR 97202 • Phone: (503) 788-3266 • Website by Corrales Creative