Rehabilitation Interventions
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Introduction[edit | edit source]
Rehabilitation as an intervention is usually complex and multifaceted. Its interventions address issues related to body functions and structures, capacity for activities, performance of participation activities, environmental factors, and personal factors.[1] Most individuals participating in rehabilitation require interventions addressing many or all of these International Classification of Functioning, Disability and Health (ICF) components. In addition, one or more of these components may have more than one functioning category contributing to the overall lack of optimal functioning [Table 1]. Appropriate rehabilitation interventions address all or most of the factors contributing to the lack of optimal functioning and thus are comprehensive.
Rehabilitation interventions can however be described in terms of the following; [1]
- Situations in which actions are taken (context)
- Goals the actions intend to achieve
- The level at which the intervention is acting
- Specific therapeutic procedures
- Knowledge and skills required
- Any equipment required
- Other concomitant procedures
- Underlying theories/principles guiding actions
The World Health Organisation's International Classification of Functioning (ICF) and model of rehabilitation were used to develop a classification system of rehabilitation interventions which has been proposed,[2][3] developed [4] and used in practice.[5][6]
Target Situation (Input)[edit | edit source]
This describes the clinical and physical presentations leading to rehabilitation.
Goals[edit | edit source]
These include both immediate and general expected outcomes of the intervention.
Activity[edit | edit source]
This refers to all activities involved in the rehabilitation of a specific condition, it includes both direct and ancillary procedures taken to bring patients back to normal health. The intervention procedures should be described using the ICF.
Resources[edit | edit source]
This includes all physical implements, knowledge, skills and expertise required in the management and rehabilitation of the patient.
Context[edit | edit source]
Context encompasses the theoretical basis of procedures being undertaken, if there are any as well as the setting under which healthcare is being provided
Resources[edit | edit source]
References [edit | edit source]
- ↑ Wade DT. Describing Rehabilitation Interventions. Journal of Clinical Rehabilitation. 2005: 19;811-818
- ↑ Wade DT. The nature of rehabilitation. Journal of Clinical Rehabilitation 1998; 12: 1-2.
- ↑ Wade DT, de Jong B. Recent advances in rehabilitation. British Medical Journal 2000; 320: 1385-58.
- ↑ Wade DT. Disability, rehabilitation and spinal injury. In: Donaghy M ed. Brain's textbook of neurology, eleventh edition. Oxford: Oxford University Press, 2001: chapter 6, 185-209.
- ↑ Intercollegiate Stroke Working Party. National clinical guidelines for stroke. London: Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, June 2004.
- ↑ National Collaborating Centre for Chronic Conditions. Multiple sclerosis. National clinical guideline for the diagnosis and management in primary and secondary care. London: Royal College of Physicians, 2004.
