What is rehabilitation according to Wade?
A problem- solving process
Focused on activities
Aiming to optimize social participation
Rehabilitation is an educational, problem-solving process that focuses on activity limitations and aims to opimize patient social participation and well-being, and so reduce stress on carer/family.
What are the goals of rehabilitation?
Optimize social participation of patient
- functionally and statuswise
Maximize well-being of patient
- somatic and emotional
- achieving satisfaction (adaptation to situation)
Minimize stress on and distress of relatives
- somatic and emotional
Describe a rehabilitation process
A standard problemsolving process
Stage 1: Assesment
- Identify the problems faced by the person, and collect sufficient information to make progress.
Stage 2: Goal setting
- Set goals for the immediate future and also for the longer term.
Stage 3: Intervention
- Undertake the planned intervention
- Three types of intervention:
- Continued data collection (which is really part of assessment)
- Providing any support needed to maintain the patient’s well-being
- Giving treatments which are actions that are intended to alter the natural history of the situation
Stage 4: Evaluation
- Evaluate the effects of the interventions against the goals set
- Have all resolvable problems have been treated
Which axes should be used to describe a rehabilitation procedure?
Structure: What resources are needed or were used?
Process: What actions (activities) should be or were undertaken?
Outcome: What should be or was the goal of the process?
How do we deliver an optimal rehabilitation?
There should be more focus on risk and harm because it is likely that educing risk and harm is an effective way of increasing benefits
What are the challenges of Interdisciplinary collaboration in the rehabilitation process?
Coordination of the various professionnal interventions
Orientation toward the individualized person and everyday life perspective
Explain the continuum of rehabilitation/ collaboration
- Being heard
* Being in charge of the process
* Being informed
Explain coordination and coherence in relation to the rehabilitation process
Coherence is important between the different services provided
Coordination is a an important element in ensuring coherence
Coordination is necessary between sectors and between professionals