rehabilitation and habilitation Flashcards
• Rehabilitation
• Rehabilitation is a health strategy aimed at
enabling human functions
• There is a strong emphasis on restoring
individual functioning and independence
Habilitation
• Support for a person (often born with
disabilities) to gain new skills or maximise
their capacity to live independently
WHO Overarching principles
• Rehabilitation contributes to the provision of comprehensive personcentred care
• Rehabilitation services are relevant along the continuum of care
• Rehabilitation is part of universal health coverage; efforts should
therefore be made to increase the quality, accessibility and
affordability of services
• Policies and interventions are required to address the scope and
intensity of needs for rehabilitation services in various population
groups and geographical areas, so that high-quality rehabilitation
services are accessible and affordable to everyone who needs them
Rehabilitation interventions target
- Impairments of body structure and function
- Activity limitations
- Participation restrictions
- Environmental factors
- Personal factors
• Adoption of a rehabilitative approach means
that nurses should focus on a
persons ability in order to see possibilities rather than focusing on
disabilities
• View every nurse-patient interaction
as a teaching and learning
opportunity
• Nurses create an atmosphere of positivity and optimism, allow patients to
work at their own pace and keep a light hearted atmosphere
• Co-ordination of individual patients rehabilitation is a nursing responsibility
Disease
specific
rehabilitation
These programs are important in situations
• Where a disease process or condition with specific
symptoms is identified as the priority problem with
significant impact on quality of life
• When high patient acuity or complexity in that
particular specialty are requires specialty oversight
(e.g. oxygen dependent people with COPD)
• Following an acute episode (e.g. AECOPD)
Disease specific
programs: COPD
Pulmonary rehabilitation programs involve patient assessment, supervised exercise training, education, behaviour
change, nutritional intervention and psychosocial support.
Aim of PR is to improve physical and psychological condition of people with chronic respiratory disease and promote
long-term adherence to health-enhancing behaviours.
Disease specific
programs: COPD benefits
Reduction in symptoms (dyspnoea and fatigue) anxiety and depression, and improvements in HRQoL, peripheral
muscle function and exercise capacity. Following PR participants have been shown to gain enhance sense of control
over their condition.
Disease specific
programs: Stroke
Rehabilitation should begin the fist day after stroke.
Aim is to maximise the participation of the person with stroke in the
community.
Tailored interventions that focus on impairment, activity and participation
levels should be considered