rehabilitation and habilitation 2

Question 1

Rehabilitation for chronic conditions

Framework

Answer 1

Does not aim to replace disease specific rehabilitation programs
• Provides guiding principles for the management of people who are
ageing with more than one chronic conditions or who are unable or
ineligible for disease specific rehabilitation
• Encourages rehabilitation services for a broad range of people with a
broad range of chronic conditions so that they may benefit from
improved functional exercise capacity and QoL as well as reduced
hospital admissions

Question 2

Rehabilitation for chronic conditions
Framework
Aims of the program:

Answer 2

• Restore or optimise functional ability for a person who has experienced
illness or injury
• Regain function and self-sufficiency to the level prior to the illness or injury
within the constraints of the medical prognosis for improvement
• Develop functional ability to compensate for deficits that cannot be
medically reversed
• Maintain level of function or slow down the rate of functional decline

Question 3

Rehabilitation for chronic conditions
Framework
Benefits of rehabilitation for individuals:

Answer 3

• Reduce admissions to hospital and subsequent length of stay
• Reduced morbidity and mortality
• Improved functional exercise capacity
• Improved psychosocial wellbeing and reduced stress
• Improved quality of life

Question 4

Benefits for the health system:

Answer 4

• More cost effective and sustainable interventions

* Shared resources (incl, allied health team members, equipment and location, provide cost benefts

Question 5

Components of
chronic condition
rehabilitation

Answer 5

1. Screening
2. Development of a
   rehabilitation plan
3. Assessment (initial, progress
   and discharge)
4. Self-management support
5. Psychological and social
   support
6. Supervised exercise training
7. Advanced care planning
8. Maintenance and follow up

Question 6

World Health Organisation Recommendations

Answer 6

• Rehabilitation services should be
integrated in health systems
• Rehabilitation services should be
integrated into and between
primary, secondary and tertiary
levels of health systems
• A multi-disciplinary rehabilitation
workforce should be available
• Both community and hospital
rehabilitation services should be
available
• Hospitals should include
specialised rehabilitation units for
inpatients with complex needs
• Financial resources should be
allocated to rehabilitation services
to implement and sustain the
recommendations on service
delivery
• Where health insurance exists or is
to become available, it should
cover rehabilitation services