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