Rehabilitation Settings
Original Editors - Kirenga Bamurange Liliane and Naomi O'Reilly and ReLAB-HS
Top Contributors - Naomi O'Reilly, Vidya Acharya, Kim Jackson, Tarina van der Stockt, Kirenga Bamurange Liliane, Oyemi Sillo, Lucinda hampton and Ashmita Patrao
Introduction[edit | edit source]
Rehabilitation is a multidisciplinary process that helps individuals to develop or strengthen their physical, mental and social skills. The World Health Organisation defines rehabilitation as a set of measures that assist individuals who experience or are likely to experience disability, to achieve and maintain optimum functioning in interaction with their environment. It also reduces disability in individuals with health conditions in relation to their environment.[1] Health conditions can include not only disease (acute or chronic), injury or trauma; but may also include other circumstances such as pregnancy, ageing, stress, congenital anomaly or genetic predisposition. Environments refer to the physical, social, and cultural contexts in which individuals and their communities live. [2]
In the ICF framework model, the personal and environmental components play a big role as, together, they comprise a person's context that need to be considered in conjunction with rehabilitation.[3] Rehabilitation refers also to appropriate measures including through peer support, to enable persons with disabilities to attain and maintain their maximum independence. Rehabilitation has been found to be beneficial in reducing length-of-stay in hospitals and decreasing re-admissions, thus mitigating the negative social and health risks associated with prolonged hospitalizations.[4] Anybody may need rehabilitation at some point in their lives, following an injury, surgery, disease or illness, or because their functioning has declined with age.[5]
Rehabilitation Settings[edit | edit source]
Rehabilitation service availability and the settings in which they are provided varies dramatically both within and across nations and regions. Rehabilitation is highly person-centered, meaning that the interventions and approach selected for each individual depends on their goals and preferences. Medical rehabilitation and therapy are typically provided in acute care hospitals for conditions with acute onset. While follow-up rehabilitation at a sub acute, post acute can be provided in a wide range of settings, including specialised rehabilitation wards or hospitals; rehabilitation centres; institutions such as residential mental and nursing homes, respite care centres, hospices, prisons, residential educational institutions, and military residential settings; or single or multiprofessional practices (office or clinic). Longer-term rehabilitation may also be provided within community settings and facilities such as primary health care centres, schools, workplaces, or home-based therapy services.
For Acute Onset Conditions[edit | edit source]
- Hospitals for acute Onset condition
For Subacute Rehabilitation[edit | edit source]
- Specialised wards or hospitals
- Rehabilitation Centres
- Nursing Homes
- Hospice
- Prisons
- Residential Educational Institutions
- Clinics
For Post Acute Rehabilitation[edit | edit source]
- Primary Heath Care Centres
- Home-care Therapy Services
- Rehabilitation Centres
- Nursing Homes
For Long-term Rehabilitation[edit | edit source]
- Primary Heath Care Centres
- Schools
- Workplaces
- Home-care Therapy Services
Community Based Rehabilitation[edit | edit source]
Acute medical illness can be associated with a temporary reduction in our ability to carry out the normal activities of daily living. Therefore rehabilitation is often needed during recovery from an acute medical illness so that patients can return to the same level of functioning and independence. Community rehabilitation is a viable alternative to hospital inpatient treatment for selected patients, and would be the preferred option to maintain patients’ independence. Rehabilitation in the community should be offered to patients as an alternative to routine hospital inpatient rehabilitation, depending on their clinical condition and after discussion of risks and benefits.
Resources[edit | edit source]
References [edit | edit source]
- ↑ World Health Organization. Concept Paper WHO Guidelines on Health- Related Rehabilitation (Rehabilitation Guidelines).
- ↑ Rehabilitation. Available from: https://www.who.int/news-room/fact sheets/detail/rehabilitation#:~:text=Rehabilitation%20is%20defined%20as%20%E2%80%9Ca,in%20interaction%20with%20their%20environment%E2%80%9D (Accessed 29/01/2021).
- ↑ Wottrich AW, Von Koch L, Tham K. The meaning of rehabilitation in the home environment after acute stroke from the perspective of a multiprofessional team. Physical therapy. 2007 Jun 1;87(6):778-88.
- ↑ Strengthening health systems to provide rehabilitation services. Available from: https://www.who.int/health-topics/rehabilitation#tab=tab_1 ( Accessed, 15/02/2021)
- ↑ Rehabilitation. Available from: https://www.who.int/news-room/fact-sheets/detail/rehabilitation (Accessed, 12/02/2021)
