Rehabilitation

Question 1

What is PRM?

Answer 1

• Independent Medical Specialty => Patient-Relationship Management
• Concerned with promoting physical + cognitive functioning, activities + modifying personal / environmental Fs
• Responsible for the prevention, diagnosis, treatment + rehab of px with disabling conditions / co-morbidities, across all ages

Question 2

What’s the AIM of Rehabilitation?

Answer 2

• Solve the problems of the patient
• Thru biological, psychological + social aspect

Question 3

What are the OBJECTS of Rehab?

Answer 3

• With AVOIDABLE Disability / General Disability
• Congenital / Acquired Disability, BEFORE Aged 16 w/ Mental Retardation
• With Diff Pathologies, and their impact on function / participation

Question 4

What are the 3 TYPES of Rehab?

Answer 4

• Medical
• Social
• Professional

Question 5

What is MEDICAL REHAB?

Answer 5

• Restoring the biological health of human body
• Using all kinds of PRM interventions = Such as drugs, surgery, Speech Therapy + Physical Agents

Question 6

What are the PHASES of MEDICAL REHAB?

Answer 6

1) ACUTE PHASE
- Acute Rehab uses the PLASTICITY of the body as early as possible + prevent complications

2) SUBACUTE PHASE
- Rehab Dept / Hospital

3) CHRONIC PHASE
- Long-term Rehab in Long-Term Facilities; Community Based

Question 7

What is SOCIAL REHAB?

Answer 7

• Helping the patient socialise + be re-integrated back into society

Question 8

What is PROFESSIONAL REHAB?

Answer 8

• Educating the Px to perform their OWN profession / acquire qualifications for a NEW Profession
• AFTER assessing / evaluating the health condition / disability

Question 9

What is the REHAB TEAM?

Answer 9

• Team of Healthcare professionals that work close together in a multi-professional team
• Delivering rehab in an organised / goal-oriented + patient-centred manner
• Includes Orthopaedic Surgeons / Neurologist / Paediatrician / Nurse / Physiotherapist / Occupational Therapist

Question 10

What is REHAB POTENTIAL?

Answer 10

-Rehab Potential = Patient’s Potential to achieve goals set by PRM

CLASSIFICATION
1) FAIR = Px is ABLE to follow plan
2) GUARDED = DOUBT in Px’s Potential
3) POOR = Patient is UNABLE to achieve goals

BASED ON
- Cognitive Function + Mental Status of Px
- Motivation
- Social Support
- Financially

Question 11

What are the REASONS for Disability / Functional Impairment?

Answer 11

• Poor Posture
• Improper Gait
• Weak Grip / Arthritis
• Dysphagia
• Poor Communication Skills
• Paralysis / Paresis
• Perceptual Deficits
• Vestibular Disorders
• Cognitive Disorders
• COPD / Emphysema

Question 12

What are the ISSUES on REHAB for DISABLED People?

Answer 12

• PRM Progress is PROLONGED, hence LONG-TERM Rehab is required
• LTD N.O of Treatments available, DUE to CONTRAINDICATIONS
• Disabled Px MAY NEVER achieve goals, unlike healthy px
• Difficulty of Disabled Px to be MOTIVATED to Therapy
• Difficulty UNDERSTANDING the Therapy = Cognitive Disorder / Poor Communication Skills