Rehabilitation of Health Care

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    REHABILITATION

    Prepared by :

    Khloud Eid Albalawi

    Samerah Suleiman A lf i f i

    Am nah Awdah A latawi

    Amal Eid Alshaman

    Fat imah Mohammad A lharth i

    Fat imah Rabea Al johani

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    Rehabilitation of Health Care

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    Out line

    Introduction .

    Definitions of rehabilitation .

    Definition of rehab center . Goal of rehabilitation .

    Goal of rehabilitation nursing . Who needs for rehabilitation .

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    HEALTHWHOs definition: A state of complete

    Physical, mental and social well-being not

    merely the absence of disease or

    infirmity.

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    Introduction

    Rehabilitation began to emerge as aseparate development with in health careonly after the first world war.

    Health promotion & rehabilitation are

    essential components of community healthnursing practice involve efforts to reducedisability and, as much as possible andrestore their function.

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    REHABILITATION

    Definition:Habilitation:

    is the process of education or training an individual

    to function in Society

    Rehabilitation:

    The process of restoration of skills by a person whohas had an illness or injury so as to regainmaximum self-sufficiency and function in a normal

    or as near normal manner as possible.

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    REHABILITATION

    Define by WHO as:-

    A combined and coordinated use of

    medical ,social ,educational ,and

    vocational measures for training and

    retraining the individual to the highest

    possible level of functional ability and

    at enabling the disabled to achieve

    social integration .

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    Rehabilitation Center

    a facility providing therapy and training forrehabilitation. The center may offer occupationaltherapy, physical therapy, vocational training, andspecial training such as speech therapy.

    Rehabilitation services are provided in a variety ofsettings including clinical and office practices,hospitals, skilled-care nursing homes, sports medicine

    clinics, and some health maintenance organizations.Some therapists make home visits. Advice onchoosing the appropriate type of therapy and therapistis provided by the patient's medical team.

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    Goals of Rehabilitation

    All Rehabilitation Goals Shall

    Maximize the quality of life of the individual

    Address the individuals specific needs

    Assist the individual with adjusting to an alteredlifestyle

    Promote maximum functional ability

    Optimal health

    Be directed toward promoting wellness and minimizingcomplications

    Assist the individual in attaining the highest degree offunction and self-sufficiency possible

    Assist the individual to return to home and community

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    Goal of rehabil i tation nursing:is to assist the patient to attain and to

    maintain optimum health as it is definedby the patient.

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    Need for Rehabilitaton

    *Need for Rehabilitation Precipitated by:a- Impairment : Any loss or abnormality ofpsychological, physiological, or anatomical structure

    or function.b- Disability :any restriction or lack (resulting from

    an impairment) of ability to perform an activity in

    the manner or within the range considered normalfor a human being.

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    Need for Rehabilitaton

    c- Handicap:a disadvantage for a given individual

    resulting from an impairment or a disability thatlimits or prevents the fulfillment of a role that isnormal for that individual.

    d-Functional Limitation : any loss of ability toperform task and obligations of usual role andnormal daily life.

    f-Chronic illness: an irreversible presence,accumulation, or latency of disease state orimpairment that involves the total humanenvironment.

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    As traditionally used, impairment refers to a problem

    with a structure or organ of the body; disability is a

    functional limitation with regard to a particular activity;

    and handicap refers to a disadvantage in filling a role inlife relative to a peer group.

    Examples to illustrate the differences among the

    terms "impairment," "disability," and "handicap." CP example: David is a 4-yr.-old who has a

    form of cerebral palsy (CP) called spasticdiplegia. David's CP causes his legs to be stiff,

    tight, and difficult to move. He cannot stand orwalk.

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    Impairment: The inability to move the legs

    easily at the joints and inability to bear

    weight on the feet is an impairment.

    Disability: David's inability to walk is a

    disability.

    Handicap:David's cerebral palsy is

    handicapping to the extent that it prevents

    him from fulfilling a normal role at home, in

    preschool, and in the community.

    f h bili i

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    Type of rehabilitation

    Physical therapyto help strength,

    mobility and fitness Occupational therapy to assist the daily

    activities

    Speech-language therapy to help withspeaking, understanding, reading, writing andswallowing

    Psychiatric rehabilitation also known as

    psychosocial rehabilitation, and sometimessimplified to psych rehabby providers, is theprocess of restoration of community functioning

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    and well-being of an individual diagnosed in

    mental healthor mental or emotional disorder andwho may be considered to have a psychiatric

    disability.

    Cognitive Rehabilitation: is the process ofrelearning cognitive skills that have been lost or

    altered as a result of damage to brain

    cells/chemistry.

    Type of rehabilitation

    http://en.wikipedia.org/wiki/Mental_healthhttp://www.botsford.org/medical_services/pulm_rehab/http://www.botsford.org/medical_services/pulm_rehab/http://en.wikipedia.org/wiki/Mental_health
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    Rehabilitation Team

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    Rehabilitation Teamwork

    Multidisciplinary group but operate as a single

    unit and not taken any significant interferencefrom a particular specialty without the consent ofthe other team members

    Goal of rehabilitation Team work

    Provide best treatment for the fundamental needsof the individual, and the members of this teamworks through a coherent and integrated

    diagnosis , flexible and dynamic planning ,appropriate timing for treatment and the balancein the proceedings

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    Rehabilitation Team

    Physiatrist Neuropsychologist

    Physical Therapist

    Nurses

    Speech/Language Pathologist

    Occupational Therapist

    Recreational Therapist

    Counselor

    Medical social workers

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    PhysiatristThe Physiatrist is the leader of

    the rehabilitation team. Heassesses the patient carefully

    and monitor rhe pts progress

    . He decides the program as

    per the pts need.He will

    design a patient oriented

    treatment program based on

    which the other members ofthe team will be decided . His

    specialization is physical

    medicine and rehabilitation .

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    Neuropsychologist

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    Neuropsychologist

    Often after a serious illness or brain damage ,

    a patient may not able to behave or think as he use to

    before the accident . Severe brain damage may be

    the cause for this . So a Neuropsychologist

    Monitors these changes and then design such

    programs that will help the pt recover quickly. A

    Neuropsychologist will also educate the family

    members of the pt to accept this change in the ptand ways to deal with it .

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    Physical Therapist

    After a traumatic brain injury a

    person may suffer frommusculoskeletal or neuromuscularissues.This injury affects his dailyactivites. The work of a Physical

    Rehabilitation Therapist is towork on improve this problem ofthe pt . He will focus on thedevelopment of posture, strength,

    physical independence, qualitymovement by using aids as(wheelchair, canes and crutches),

    balance coordination and othersensory motor activities.

    http://www.arccmanitoba.com/images/Physiotherapist.JPG
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    Nurses

    Nurses who deal with

    rehabilitation pts aretrained to take care of theeveryday need of the pt.

    Often after severe brain orphysical injury a personmay find it difficult totake care of oneself, so

    these nurses are trained totake care of pt .

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    Occupational Therapist

    The work of an accupational therapist is tomake a patient learn advanced

    independence skills that will help him in

    various ways in his personal life .The ptwill be taught ,cooking ,

    laundering,shopping and banking by an

    occupational therapist .

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    Recreational Therapist

    The job of a recreational therapist is to make a pt

    indulge in all those activities that the pt enjoys.He brings a positive attitude in a pt by making

    the latter realize that life can be fun and

    enjoyable.

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    CounselorAfter any kind of a traumatic byaccident or illness a pt goes

    through depression and othernegative feeling . It is veryimportant that a Rehab Counselorcounsels the pt and adds positiveattitude in him . This is important

    as healthy mind will lead to afaster healing .

    Medical social workers

    provide emotional support, identify

    economic resources andcommunity agencies and help ptto make arrangements to leave thehospital and find follow-up care.

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    Other Rehabilitation Professionals

    Audiologist

    Respiratoty therapist Dance therapist

    Dentist

    Dietitian

    Enterostomal therapist Podiatrist

    Child life specialist

    Others

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    Role of Rehabilitation Nurse

    Provider ofcare

    Educatorand coach

    Leader andcollaborator

    Client

    advocate

    Coordinator

    of care

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    Provider of Care

    Provides quality evidence based nursing

    Focuses on restoring & maintaining

    function and preventing complications

    Interacts therapeutically with clients and

    their support systems

    (ARN,1998, OARN, 1998)

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    Educator and Coach

    Wellness and prevention

    Self care

    assesses their readiness to learnplans teaching times and strategies

    Advocacy skills

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    Leader and Collaborator

    Works with the

    team to establish

    goals to promote

    maximal patient

    independence.

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    Rehab Nurse as Advocate

    Patient or unit /program based

    Accessibility ofrehabilitation services

    Politically involved at

    all levels

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    Rehab Nurse as Coordinator

    Uses holistic,interprofessionalapproach

    Identifies andmeasures functionalgoals for patients

    plan and guide care

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    Clinical Evaluation

    Detailed History of the Patient Physical Examination

    Evaluation of Function

    PMR Diagnosis

    Disease

    ImpairmentDisability

    Handicap

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    Laboratory

    RBC, WBC, Hct Sedimentation rate

    Urinary analysis

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    Rx, CT, MRI, scintigraphy and

    other advanced technics

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    Therapy and/or rehabilitation

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    rehabilitation program - a program for restoring someone to good health

    The overall objective of the rehabilitation policy is to prevent

    disabilities; to help persons with disabilities develop their physical andmental capabilities as well as their ability to integrate into the

    community; and to create a barrier-free physical environment through a

    comprehensive range of effective measures, with a view to ensuring that

    persons with disabilities can participate in full and enjoy equalopportunities both in terms of their social life and personal growth

    Rehabilitation program

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    Service Areas

    Major service areas covered under the RP include:

    (a) prevention and identification;

    (b) medical rehabilitation;

    (c) pre-school training;

    (d) education;

    (e) employment and vocational rehabilitation;

    (f) residential care;(g) day care and community support;

    (h) development of self-help organizations;

    (i) access and transport;

    (j) application of information and communications

    technologies;(k) recreational, sports, cultural and arts activities; and

    (l) public education.

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    Categories of Disability Requiring Rehabilitation Services

    (a) Attention Deficit/Hyperactivity Disorder;

    (b) Autism;

    (c) hearing impairment;

    (d) intellectual disability;(e) physical disability;

    (f) mental illness;

    (g) Specific Learning Difficulties;

    (h) speech impairment;

    (i)visual impairment.

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    Physical medicine and rehabilitation

    *Physical medicine and rehabilitation(PM&R), also known as

    rehabilitation medicine, is a branch of medicinethat aims to enhance

    and restore functional ability and quality of life to those with physical

    impairments or disabilities.

    Common conditions that are treated by the rehabilitation

    http://en.wikipedia.org/wiki/Medicinehttp://en.wikipedia.org/wiki/Medicine
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    y

    therapists include

    Amputation

    spinal cord injury

    sports injury

    musculoskeletal pain syndromes such as low back pain, fibromyalgia, and

    traumatic brain injury.

    Cardiopulmonary rehabilitation involves optimizing function in those afflicted

    with heart or lung disease.

    Chronic painmanagement

    Anesthesiologist, and interventional procedures when indicated.

    strokeis often treated with the help of a speech therapistand recreational

    therapistwhen possible.

    http://en.wikipedia.org/wiki/Amputationhttp://en.wikipedia.org/wiki/Spinal_cord_injuryhttp://en.wikipedia.org/wiki/Low_back_painhttp://en.wikipedia.org/wiki/Fibromyalgiahttp://en.wikipedia.org/wiki/Traumatic_brain_injuryhttp://en.wikipedia.org/wiki/Chronic_painhttp://en.wikipedia.org/wiki/Anesthesiologisthttp://en.wikipedia.org/wiki/Strokehttp://en.wikipedia.org/wiki/Speech_therapisthttp://en.wikipedia.org/wiki/Recreational_therapisthttp://en.wikipedia.org/wiki/Recreational_therapisthttp://en.wikipedia.org/wiki/Recreational_therapisthttp://en.wikipedia.org/wiki/Recreational_therapisthttp://en.wikipedia.org/wiki/Speech_therapisthttp://en.wikipedia.org/wiki/Strokehttp://en.wikipedia.org/wiki/Anesthesiologisthttp://en.wikipedia.org/wiki/Chronic_painhttp://en.wikipedia.org/wiki/Traumatic_brain_injuryhttp://en.wikipedia.org/wiki/Fibromyalgiahttp://en.wikipedia.org/wiki/Low_back_painhttp://en.wikipedia.org/wiki/Spinal_cord_injuryhttp://en.wikipedia.org/wiki/Spinal_cord_injuryhttp://en.wikipedia.org/wiki/Amputation
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    A person with physical disabilities is defined as a person

    who has disabilities of orthopedic, musculoskeletal, or

    neurological origin which mainly affect locomotors

    functions, and constitute a disadvantage or restriction in one

    or more aspects of daily living activities.

    1-Physical rehabilitation

    Proper exercising program is designed to

    improve the functioning often physical body.Includes therapies that will help a patient re-

    learn the basic physical and cognitive

    functioning.

    j i i f i h h i ll di bili i

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    Major service requirements of persons with physically disabilities

    may include:

    (a) medical and community rehabilitation care;(b) pre-school training;

    (c) education services;

    (d) residential care;

    (e) day care and community support;

    (f) employment services and vocational rehabilitation;

    (g) barrier-free access and transport;

    (h) barrier-free information a nd communication technological

    equipment; and/or

    (i) use of assistive devices.

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    N l i l di d

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    Neurological disorders :

    are diseases of the central and peripheral nervous system.

    In other words, diseases of the brain, spinal cord, cranial nerves,

    peripheral nerves, autonomic nervous system,neuromuscular junction, and muscles.

    of the nervous system

    There are more than 600 diseases

    These disorders include epilepsy, Alzheimer disease and other

    dementias, cerebrovascular diseases including stroke, migraine

    and other headache disorders, multiple sclerosis disease,

    neuroinfections, brain tumors, traumatic disorders of the nervous

    system such as brain trauma, and neurological disorders as a

    result of malnutrition.

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    In order to help reach these goals, neurological

    rehabilitation programs may include the following:

    -Assistance with activities of daily living (ADLs), such as eating,dressing, bathing,

    toileting, handwriting, cooking, and basic housekeeping

    -Speech therapy to help patients with speaking, reading, writing, orswallowing

    -Stress, anxiety, and depression management

    -Bladder and bowel retraining

    -Activities to improve mobility (movement), muscle control, gait

    (walking), and balance

    -

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    reh ilit tion

    MENTAL RETARDATION

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    MENTAL RETARDATION

    Mental retardation (MR) is a generalized disorder appearingbeforeadulthood,

    characterized by significantly impaired cognitive functioning and deficits in two or

    more adaptive behaviors.

    It has historically been defined as an Intelligence Quotient score under 70.

    Mental retardation is a term used when a person has certain limitations in mental

    functioning and in skills such as communicating, taking care of him or herself, andsocial skills.

    These limitations will cause a child to learn and develop more slowly than a typical

    child.

    Children with mental retardation may take longer to learn to speak, walk, and takecare of their personal needs such as dressing or eating.

    They are likely to have trouble learning in school

    The most common causes are: -Genetic conditions -Problems during pregnancy -

    Problems at birth -Health problems

    i b diffi l hild f

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    Treatment: Treatments for Mental Retardation are not designed to

    "cure" the disorder. Rather, therapy goals include reducing safety

    risks (e.g., helping an individual maintain safety at home or school)

    and teaching appropriate and relevant life skills.

    Interventions should be based on the specific needs of individualsand their families, with the primary goal of developing the person's

    potential to the fullest

    Diagnoses:It may be difficult to assess very young children for MR, so

    most clinicians will not give a definitive diagnosis of mental

    retardation to children under the age of two unless their symptoms are

    extremely severe and/or they have a condition that is highly associatedwith this condition (such as Down's Syndrome).

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    Rehabilitation Management Plan

    It depends upon the current level of the

    childand the associated conditions such as

    epilepsy,

    hyperkinesias, behavior problem and

    sensory

    Handicaps

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    In overall management, there is very significant role of

    counselor to help the parents in understanding and accepting the

    child's problem.

    This requires a life long adjustment.

    In order to assist the parents in dealing effectively with the

    situation,

    counseling for behavior modification is essential, as a part of the

    whole rehabilitation management plan.

    The focus of counseling

    depends upon the individual needs and requirementof the mentally retarded and his family.

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    Parent Counseling : the parent counseling

    is done as given below;

    (1)To provide information regarding thecondition of the mentally retarded child.

    The counselor should explain child's condition

    in simple words to the parents and give

    enough information regardingmanagement of his associated medical

    problem and other disabilities must be made

    available to the parents.

    The false hopes should be avoided.

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    They blame each other for being responsible for the birth of such child

    due to lack of awareness.

    Parents tend to believe that the child would become normal in duecourse of time.

    Hence counselor should give correct information on the nature, causes

    and treatment of mentally retarded child.

    (2) Development of correct attitudes towards

    their handicapped child.

    Usually parents have wrong beliefs, ideas and thoughts regardingcauses and treatment of their disabled child.

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    (3)- Parent groups meetinghaving parents ofmentally retarded children who have been

    already helped with the parents of earlier

    identified children, will be purposeful for

    proper interaction among themselves.

    - Parents should be helped to learn the skills

    of training and then they should be

    demonstrated how their training has helped

    the child to learn the few skills, so thatparents can have a feeling of achievement.

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    Community Awareness :

    The society should be made aware of the need to recognize the mentally retarded

    persons and give enough care to make them as independent

    as possible.

    The various modalities of communication for reaching out to the communityshould be utilized.

    may use physical, occupational, and speech therapies

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    Cardiac rehabilitation (rehab) is a medically supervised

    program that helps improve the health and well-being of

    people who have heart problems.Rehab programs include exercise training, education on heart

    healthy living, and counseling to reduce stress and help pt

    return to an active life.

    Cardiac rehabilitation

    Cardiac rehabilitation

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    Recover after aheart attackorheart surgery.

    Prevent future hospital stays, heart problems, and deathrelated to heart problems.

    Address risk factors that can lead tocoronary heart

    diseaseand other heart problems.

    These risk factors include high blood pressure, high bloodcholesterol, overweight or obesity, diabetes smoking, lack

    of physical activity, and depression and other emotional

    health concerns.

    Adopt healthy lifestyle changes. These changes may include

    following a heart healthy diet, being physically active, and

    learning how to manage stress.

    Improve health and quality of life.

    cardiac rehab program will be designed to meet pt needs

    http://www.nhlbi.nih.gov/health/health-topics/topics/heartattack/http://www.nhlbi.nih.gov/health/health-topics/topics/hs/http://www.nhlbi.nih.gov/health/health-topics/topics/cad/http://www.nhlbi.nih.gov/health/health-topics/topics/cad/http://www.nhlbi.nih.gov/health/health-topics/topics/cad/http://www.nhlbi.nih.gov/health/health-topics/topics/cad/http://www.nhlbi.nih.gov/health/health-topics/topics/hs/http://www.nhlbi.nih.gov/health/health-topics/topics/heartattack/
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    Geriatricrehabilitationcovers three areas

    1-normal agingdue to disuse and deconditioning,

    2-cardiovascular problems like vascular disease and stroke,

    3-skeletal problems

    including osteoporosisand osteoarthritisconditions such as knee

    and hip replacements.

    Physical medicine Physicians use rehabilitation to work toward the

    goal of returning the patient to a pre-injury quality oflife and may use physical, occupational, and speech therapies.

    with increased age, patients often face many physical and emotional changes that can

    http://en.wikipedia.org/wiki/Geriatrichttp://en.wikipedia.org/wiki/Physical_medicine_and_rehabilitationhttp://en.wikipedia.org/wiki/Aginghttp://en.wikipedia.org/wiki/Strokehttp://en.wikipedia.org/wiki/Osteoporosishttp://en.wikipedia.org/wiki/Osteoarthritishttp://en.wikipedia.org/wiki/Hip_replacementhttp://en.wikipedia.org/wiki/Quality_of_lifehttp://en.wikipedia.org/wiki/Quality_of_lifehttp://en.wikipedia.org/wiki/Hip_replacementhttp://en.wikipedia.org/wiki/Osteoarthritishttp://en.wikipedia.org/wiki/Osteoporosishttp://en.wikipedia.org/wiki/Strokehttp://en.wikipedia.org/wiki/Aginghttp://en.wikipedia.org/wiki/Physical_medicine_and_rehabilitationhttp://en.wikipedia.org/wiki/Geriatric
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    affect level of function and well-being

    Rehabilitation maintains functional independence in the elderly.Rehabilitation of

    geriatric patients is imperative for the patients' well-being and for society, so that we

    can thrive socially and economically.

    Essential to geriatric rehabilitation is communication, specifically improving

    any sensory impairment, including those related to vision and hearing.

    The prevention of falls and osteoporosis can improve the patient's health

    and longevity.

    Addressing malnutritioncan promote healing and vitalize the patient to participate in a

    formal rehabilitation program.

    Depressionis common in the older population if a functional loss ofmobility and an inability to perform activities of daily living(ADLs)

    Cognitive impairment, such as deliriumand dementia, can affect the

    patient's rehabilitation goals.

    http://en.wikipedia.org/wiki/Sensory_impairmenthttp://en.wikipedia.org/wiki/Longevityhttp://en.wikipedia.org/wiki/Malnutritionhttp://en.wikipedia.org/wiki/Depression_(mood)http://en.wikipedia.org/wiki/Activities_of_daily_livinghttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Deliriumhttp://en.wikipedia.org/wiki/Dementiahttp://en.wikipedia.org/wiki/Dementiahttp://en.wikipedia.org/wiki/Deliriumhttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Activities_of_daily_livinghttp://en.wikipedia.org/wiki/Depression_(mood)http://en.wikipedia.org/wiki/Malnutritionhttp://en.wikipedia.org/wiki/Longevityhttp://en.wikipedia.org/wiki/Sensory_impairment
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    The Geriatric Rehabilitation Program

    provides care to older adults in many of services.

    However, they have a variety of services that are specifically designed to

    meet their needs:Geriatric Rehabilitation Inpatient Serviceinpatient care for older adults

    who need help managing multiple health issues associated with aging.

    Geriatric Psychiatry Inpatient Serviceinpatient care for older adults

    with behavioral challenges caused by dementias.

    Geriatric Day Hospital Servicea similar service provided on an

    outpatient basis to people who need assistance but can remain in the

    community.

    Geriatric Rehabilitation Outpatient Clinicsspecialized assessments for

    older adults with complex health issues.

    with increased age, patients often face many physical and emotional changes that can

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    affect level of function and well-being

    Rehabilitation maintains functional independence in the elderly.Rehabilitation of

    geriatric patients is imperative for the patients' well-being and for society, so that we

    can thrive socially and economically.

    Essential to geriatric rehabilitation is communication, specifically improving

    any sensory impairment, including those related to vision and hearing.

    The prevention of falls and osteoporosis can improve the patient's health

    and longevity.

    Addressing malnutritioncan promote healing

    Depressionis common in the older population if a functional loss of

    mobility and an inability to perform activities of daily living(ADLs)

    Cognitive impairment, such as deliriumand dementia, can affect the

    patient's rehabilitation goals and out comes.

    i i h bili i

    http://en.wikipedia.org/wiki/Sensory_impairmenthttp://en.wikipedia.org/wiki/Longevityhttp://en.wikipedia.org/wiki/Malnutritionhttp://en.wikipedia.org/wiki/Depression_(mood)http://en.wikipedia.org/wiki/Activities_of_daily_livinghttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Deliriumhttp://en.wikipedia.org/wiki/Dementiahttp://en.wikipedia.org/wiki/Dementiahttp://en.wikipedia.org/wiki/Deliriumhttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Cognitive_impairmenthttp://en.wikipedia.org/wiki/Activities_of_daily_livinghttp://en.wikipedia.org/wiki/Depression_(mood)http://en.wikipedia.org/wiki/Malnutritionhttp://en.wikipedia.org/wiki/Longevityhttp://en.wikipedia.org/wiki/Sensory_impairment
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    Geriatric Rehabilitation Program

    provides care to older adults in many of services.

    However, they have a variety of services that are specifically designed to

    meet their needs:Geriatric Rehabilitation Inpatient Serviceinpatient care for older adults

    who need help managing multiple health issues associated with aging.

    Geriatric Psychiatry Inpatient Serviceinpatient care for older adults

    with behavioral challenges caused by dementias.

    Geriatric Day Hospital Servicea similar service provided on an

    outpatient basis to people who need assistance but can remain in the

    community.

    Geriatric Rehabilitation Outpatient Clinicsspecialized assessments for

    older adults with complex health issues.

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    Addiction rebilitation

    Drug Rehabilitation

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    Drug Rehabilitation

    Drug rehabilitation programs involve

    programs that are designed to make an addictfree from the addiction of alcohol, prescription

    drug and street drugs (cocaine, heroin etc)

    Program content

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    Program content

    Counseling programs designed to know the

    underline cause behind a person becoming an

    addict.

    Educating the person about the various side

    effects of drug abuse and how it impactsones social, professional, physical and

    personnel life.

    Designing programs that will prevent therelapse of the drug addiction.

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    Medical Rehab Program

    Focused on restoring the health and function

    abilities of people after acute or chronic

    conditions such as :spinal cord injury ,amputation, joint replacement or spinal

    disorders.

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    Medical Rehab Program

    Programs focus on improving major and

    minor skills that are required in the basic

    life.Assessing patient in every step to improve

    the activities of basic living

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    Vocational rehabilitation

    Vocational rehabprogram is designed to

    help those people who find it difficult to get

    employment or retain it after they have gone

    through certain situation that caused mental or

    physical disability in them.

    V ti l R h b P

    http://www.rehabilitations.org/vocational-rehab.htmlhttp://www.rehabilitations.org/vocational-rehab.html
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    Vocational Rehab Program

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    Vocational Rehab Program

    An Occupational Rehabilitation Program isindividualized, focused on return to work, anddesigned to minimize risk to and optimize the

    work capability of the persons served. Theservices provided are integrative in nature, withthe capability of addressing the work, health, andrehabilitation needs of those served. Such a

    program provides for service coordination andmanagement of those persons served with injuriesor illnesses.

    Children's Developmental RehabilitationP

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    Program

    The CDRP provides

    habilitation/rehabilitation services

    to children with neurological and/or

    developmental disabilities from

    birth up to age 18. The team offersassessment, treatment, and

    consultation services through a

    variety of service delivery modelswith interdisciplinary teams.

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    Children's Developmental

    Rehabilitation Program

    These programs serve children/adolescents who havesignificant functional limitations as a result of acquired orcongenital impairments. The programs use anindividualized, developmental, and age-appropriate

    approach to rehabilitation that ensures that care focuses onpreventing further impairment, reducing activitylimitations, and minimizing participation restrictions whilemaximizing growth and development. The programsencompass care that enhances the life of eachchild/adolescent served within the family, school, andcommunity. A major focus is on providingdevelopmentally appropriate care that acknowledges eachchilds/adolescents need to learn and play.

    Vestibular rehabilitation

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    Vestibular rehabilitation

    It helps in improving the ear deficit by working on

    the central nervous system. Also deals in

    improving eye and head coordination.

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    Vestibular rehabilitation

    introduces balance techniques

    visual exercisesimproves ability to

    maintain gaze while in motion home exercisesenables independent

    condition management

    patient/family educationteaches how toidentify dizziness triggers and developstrategies to minimize effects

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    Stroke rehabilitation

    Minimizing impairments and secondary

    complications.

    Reducing activity limitations. Maximizing participation and quality of

    life.

    Decreasing environmental barriers. Preventing recurrent stroke.

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    Warning signs of stroke

    Sudden weakness or numbness of the face, arm or leg ,especially on one side of the body.

    Sudden confusion, trouble speaking or understanding.

    Sudden trouble seeing in one or both eyes. Sudden trouble walking, dizziness, loss of balance or

    coordination.

    Sudden, sever headache with no known cause

    Learn to recognize a stroke .

    Time lost is brain lost.

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    Aim of Stroke rehab

    Stroke rehabilitationaims at helping people

    gain maximum normal functioning after the

    occurrence of a stroke.Help the person to get back to normal

    lifestyle and be independent in daily

    activities.

    Conclusion

    http://www.rehabilitations.org/stroke-rehabilitation.htmlhttp://www.rehabilitations.org/stroke-rehabilitation.html
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    Conclusion

    Rehabilitation is the process of maximizingan individuals capabilities or resources to

    foster optimal independent functioning.

    The focus of all rehabilitation should be on thepatients abilities, not on his or her disabilities

    Rehabilitation focuses on continually

    improving the quality of the persons life, notmerely maintaining life itself.

    Referanceshtt // l ih / dli l / h bilit ti

    http://www.nlm.nih.gov/medlineplus/rehabilitation.htmlhttp://www.nlm.nih.gov/medlineplus/rehabilitation.html
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