Rehabilitation Notes

What is Rehabilitation?

Rehabilitation Defined

  • Rehabilitation is a dynamic, health-oriented process. Its purpose is to assist individuals who are ill or have disabilities in achieving the highest possible level of physical, mental, spiritual, social, and economic functioning.

  • It aims to:

    • Restore functional ability for individuals who have experienced an illness or injury.

    • Enable regaining function and self-sufficiency to the level prior to the illness or injury, considering medical prognosis for improvement.

    • Develop functional ability to compensate for deficits that cannot be medically reversed.

Emphasis on Abilities

  • Rehabilitation emphasizes the abilities of the person, which is also known as habilitation.

  • It's a process aimed at enabling individuals with disabilities to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels.

  • Rehabilitation provides disabled people with the tools they need to attain independence and self-determination (WHO definition).

Goal and Aims of Rehabilitation

  • Goal: To restore the patient's ability to function independently or at a pre-illness/pre-injury level of functioning as quickly as possible.

  • Aim:

    • Achieve maximal independence.

    • Attain a quality of life acceptable to the patient.

Main Components and Goals of Rehabilitation

  • Body: Somatic and psychological functions.

  • Functions: Skills.

  • Environment: Adaptations (Physical, Psychological & Social).

Components of Rehabilitation Explained

  • Body:

    • Somatic and psychological interventions are medical-oriented interventions.

    • These interventions occur after regular medical treatment has ended.

    • They focus on the impairment level, targeting rehabilitative goals.

  • Functions:

    • Include both functions and skills.

    • Examples: physiotherapy, physical training, and special pedagogic-oriented interventions.

  • Environment:

    • Adaptations of physical environments, universal design, assistive technology, personal assistance.

    • Addresses attitudes of the society.

Nature of Rehabilitation

  • Dynamic.

  • Time-limited process.

  • Well-defined goals.

  • Need-based.

  • Planned process.

  • Requires a team effort.

  • Involves a variety of disciplines.

  • Requires patients' active participation.

  • Emphasizes abilities.

  • Focuses on community reentry.

  • Includes patient/family education.

Who Requires Rehabilitation?

  • Seriously ill individuals.

  • Disabled people.

  • People recovering from serious illnesses or injuries.

  • Those with chronic illnesses.

  • Individuals with functional limitations.

Concepts Used in Rehabilitation

  • Disability: A person is considered to have a disability if he or she has a restriction in performance or function in everyday activities. This can include difficulties with:

    • Talking.

    • Hearing.

    • Seeing.

    • Walking.

    • Climbing stairs.

    • Lifting or carrying objects.

    • Performing activities of daily living.

    • Doing school work.

    • Working at a job.

Activities of Daily Living (ADLs) vs. Instrumental Activities of Daily Living (IADLs)

  • Activities of Daily Living (ADLs): Include bathing, dressing, feeding, and toileting.

  • Instrumental Activities of Daily Living (IADLs): Include grocery shopping, meal preparation, housekeeping, transportation, and managing finances.

Restorative Care and Rehabilitation Team

  • Restorative care: Aims to enhance the physical and cognitive function of people who have lost or are at risk of losing condition through active involvement in low-intensity therapy and personal care support.

  • Rehabilitation Team: An interdisciplinary team made up of numerous allied health professions.

Principles of Rehabilitation

  • The prevention, diagnosis, and treatment of concomitant medical problems (co-morbid illnesses, complications).

  • Training for maximum functional independence.

  • To support psychosocial coping and assist in the adaptation of patients and families.

  • To support the return to community life.

  • To improve the quality of life of patient and family members who provide care.

Rehabilitation Team Formation

  • The rehabilitation team is formed based on the illness of the patient. For example, the doctors, nurses, and therapists in a drug rehabilitation team will be different from those in an accident rehabilitation team. Each member of the team with his/her individual expertise has a different approach in healing the patient.

Rehabilitation Team Roles

  • Patient

  • Clergy

  • Social Worker

  • Patient's Family

  • Physiatrist

  • Nurse

  • Counselor

  • Occupational Therapist

  • Recreational Therapist

  • Physical Therapist

  • Dietitian

  • Speech Therapist