What is Early Rehabilitation in Disasters and Conflicts: Difference between revisions
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== Introduction == | == Introduction == | ||
Rehabilitation is a concept that is widely discussed globally. This is by no means unexpected since over a billion people now live with some form of disability, accounting for over 15% of the world population. Furthermore, 2.41 billion individuals worldwide live with the conditions that impact their functions in daily life and would benefit from rehabilitation services, which equates to 1 in 3 individuals requiring rehabilitation services throughout the course of their illness or injury.<ref name=":0">Duttine A, Battello J, Beaujolais A, Hailemariam M, Mac-Seing M, Mukangwije P, et al. Introduction to Rehabilitation Factsheet. Handicap International. 2016. Available from: https://humanity-inclusion.org.uk/sn_uploads/document/2017-02-factsheet-rehabilitation-introduction-web_1.pdf [Accessed on 8 January, 2020].</ref> Fundamentally, rehabilitation is founded on the philosophy that every individual has the inherent tendency and right to be an expert in their own health care,<ref>Gender AR. Scope of rehabilitation and rehabilitation nursing. Chin P, Finocchiaro D. Rosebrough, A. Rehabilitation nursing practice. New york: McGraw-Hill,.1996.</ref>and is one of the core health strategies of the World Health Organisation, who define rehabilitation as "a set of measures that assist individuals who experience, or are likely to experience, disability to achieve and maintain optimal functioning in interaction with their environments.” <ref name=":2">World Health Organization. World Report on Disability 2011. Geneva: World Health Organization, 2011. Rehabilitation.</ref> | Rehabilitation is a concept that is widely discussed globally. This is by no means unexpected since over a billion people now live with some form of disability, accounting for over 15% of the world population. Furthermore, 2.41 billion individuals worldwide live with the conditions that impact their functions in daily life and would benefit from rehabilitation services, which equates to 1 in 3 individuals requiring rehabilitation services throughout the course of their illness or injury.<ref name=":0">Duttine A, Battello J, Beaujolais A, Hailemariam M, Mac-Seing M, Mukangwije P, et al. Introduction to Rehabilitation Factsheet. Handicap International. 2016. Available from: https://humanity-inclusion.org.uk/sn_uploads/document/2017-02-factsheet-rehabilitation-introduction-web_1.pdf [Accessed on 8 January, 2020].</ref> Fundamentally, rehabilitation is founded on the philosophy that every individual has the inherent tendency and right to be an expert in their own health care,<ref>Gender AR. Scope of rehabilitation and rehabilitation nursing. Chin P, Finocchiaro D. Rosebrough, A. Rehabilitation nursing practice. New york: McGraw-Hill,.1996.</ref>and is one of the core health strategies of the World Health Organisation, who define rehabilitation as "a set of measures that assist individuals who experience, or are likely to experience, disability to achieve and maintain optimal functioning in interaction with their environments.” <ref name=":2">World Health Organization. World Report on Disability 2011. Geneva: World Health Organization, 2011. Rehabilitation.</ref> | ||
In disaster and conflict settings, rehabilitation is a vital part of healthcare provision required from the onset of the event where providing timely rehabilitation is essential to offer patients the best possible health outcome. | |||
== Impact of Context == | == Impact of Context == | ||
One of the most important factors in rehabilitation is the impact of contextual factors, including the overall context in which rehabilitation takes place. We know that the environment is known to have a significant impact on treatment generally, therefore, the circumstances surrounding rehabilitation, from the situation before, during and after the event leading to a loss in function are all important factors to consider throughout the rehabilitation process.<ref name=":0">Khan F, Amatya B, Rathore FA, Galea MP. Medical Rehabilitation in Natural Disaster in the Asia Pacific Region: The Way Forward. International Journal of Natural Disaster Health Security. 2015: 2(2); 6 - 12</ref> The context in which rehabilitation occurs also greatly greatly influences the range and availability of rehabilitation services and their utilisation. | One of the most important factors in rehabilitation is the impact of contextual factors, including the overall context in which rehabilitation takes place. We know that the environment is known to have a significant impact on treatment generally, therefore, the circumstances surrounding rehabilitation, from the situation before, during and after the event leading to a loss in function are all important factors to consider throughout the rehabilitation process.<ref name=":0">Khan F, Amatya B, Rathore FA, Galea MP. Medical Rehabilitation in Natural Disaster in the Asia Pacific Region: The Way Forward. International Journal of Natural Disaster Health Security. 2015: 2(2); 6 - 12</ref> The context in which rehabilitation occurs also greatly greatly influences the range and availability of rehabilitation services and their utilisation. | ||
Despite disasters and conflicts being challenging contexts, rehabilitation has been integrated into the emergency responses within these contexts since the first world war, albeit traditionally only considered at the later stages of response. In more recent disasters, such as the 2015 Nepal earthquake and the 2020 explosion in Beirut, Lebanon, there has been a definite shift in this with the concept of ‘early rehabilitation’ positioning itself firmly within the initial emergency response phase. The World Health Organization emergency medical team standards and recommendations for rehabilitation, launched in 2016, also signal significant progress in recognising the role that rehabilitation professionals play and the necessity for early rehabilitation, which remains an emerging but growing area.<ref>Lathia C, Skelton P, Clift Z. Early rehabilitation in conflicts and disasters. HI. Accessed from [https://hi.org/sn_uploads/document/36199-Humanity--Inclusion-Clinical-Handbook-web_1.pdf Humanity--Inclusion-Clinical-Handbook.]</ref> | |||
In disaster and conflict settings, rehabilitation is a vital part of healthcare provision required from the onset of the event providing timely rehabilitation is essential to offer patients the best outcome. | |||
== Defining Early Rehabilitation == | |||
Early rehabilitation is now a new concept but was | |||
Rehabilitation professionals face unique challenges associated with complex trauma, injury surge and resource scarcity that many have never encountered before. Practical guidance to deliver quality early rehabilitation in these contexts is essential if conflict and disaster response is to evolve beyond its life-and limb-saving mandate to deliver care that maximises patient outcomes. Rehabilitation professionals need to be equipped with the knowledge and skills to meet patient needs and navigate the demands of emergency medical response. In humanitarian emergency situations such as during or post-conflict and disaster situations, the need for basic functional rehabilitation services is overwhelming and critical to preventing disability and improving the lives of people with disabilities. | Rehabilitation professionals face unique challenges associated with complex trauma, injury surge and resource scarcity that many have never encountered before. Practical guidance to deliver quality early rehabilitation in these contexts is essential if conflict and disaster response is to evolve beyond its life-and limb-saving mandate to deliver care that maximises patient outcomes. Rehabilitation professionals need to be equipped with the knowledge and skills to meet patient needs and navigate the demands of emergency medical response. In humanitarian emergency situations such as during or post-conflict and disaster situations, the need for basic functional rehabilitation services is overwhelming and critical to preventing disability and improving the lives of people with disabilities. | ||
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Introduction[edit | edit source]
Rehabilitation is a concept that is widely discussed globally. This is by no means unexpected since over a billion people now live with some form of disability, accounting for over 15% of the world population. Furthermore, 2.41 billion individuals worldwide live with the conditions that impact their functions in daily life and would benefit from rehabilitation services, which equates to 1 in 3 individuals requiring rehabilitation services throughout the course of their illness or injury.[1] Fundamentally, rehabilitation is founded on the philosophy that every individual has the inherent tendency and right to be an expert in their own health care,[2]and is one of the core health strategies of the World Health Organisation, who define rehabilitation as "a set of measures that assist individuals who experience, or are likely to experience, disability to achieve and maintain optimal functioning in interaction with their environments.” [3]
In disaster and conflict settings, rehabilitation is a vital part of healthcare provision required from the onset of the event where providing timely rehabilitation is essential to offer patients the best possible health outcome.
Impact of Context[edit | edit source]
One of the most important factors in rehabilitation is the impact of contextual factors, including the overall context in which rehabilitation takes place. We know that the environment is known to have a significant impact on treatment generally, therefore, the circumstances surrounding rehabilitation, from the situation before, during and after the event leading to a loss in function are all important factors to consider throughout the rehabilitation process.[1] The context in which rehabilitation occurs also greatly greatly influences the range and availability of rehabilitation services and their utilisation.
Despite disasters and conflicts being challenging contexts, rehabilitation has been integrated into the emergency responses within these contexts since the first world war, albeit traditionally only considered at the later stages of response. In more recent disasters, such as the 2015 Nepal earthquake and the 2020 explosion in Beirut, Lebanon, there has been a definite shift in this with the concept of ‘early rehabilitation’ positioning itself firmly within the initial emergency response phase. The World Health Organization emergency medical team standards and recommendations for rehabilitation, launched in 2016, also signal significant progress in recognising the role that rehabilitation professionals play and the necessity for early rehabilitation, which remains an emerging but growing area.[4]
In disaster and conflict settings, rehabilitation is a vital part of healthcare provision required from the onset of the event providing timely rehabilitation is essential to offer patients the best outcome.
Defining Early Rehabilitation[edit | edit source]
Early rehabilitation is now a new concept but was
Rehabilitation professionals face unique challenges associated with complex trauma, injury surge and resource scarcity that many have never encountered before. Practical guidance to deliver quality early rehabilitation in these contexts is essential if conflict and disaster response is to evolve beyond its life-and limb-saving mandate to deliver care that maximises patient outcomes. Rehabilitation professionals need to be equipped with the knowledge and skills to meet patient needs and navigate the demands of emergency medical response. In humanitarian emergency situations such as during or post-conflict and disaster situations, the need for basic functional rehabilitation services is overwhelming and critical to preventing disability and improving the lives of people with disabilities.
Early Rehabilitation is now recognised as being an integral part of a patient’s recovery in conflicts and disaster situations. Starting in acute care, early rehabilitation can help prevent complications, speed recovery, and help ensure continuity of care. Rehabilitation professionals working in early rehabilitation need skills across a wide range of clinical areas, and in conflicts and disasters need to be able to manage challenges including large surges in patient numbers, limited equipment, and complex clinical presentations[5]. Due to advances in response, management and post medical care in disaster situations, high mortality rates have gradually transitioned to increased morbidity rates.
- Collaboration and governance
- Capacity building
- Person-centred multidisciplinary care
- Improved communication
- Increased public awareness and active participation/inclusion of disaster survivors/family/community partners
- Strengthen evidence-based information, education and access to information
- Strengthen community-based rehabilitation.
Resources[edit | edit source]
References [edit | edit source]
- ↑ 1.0 1.1 Duttine A, Battello J, Beaujolais A, Hailemariam M, Mac-Seing M, Mukangwije P, et al. Introduction to Rehabilitation Factsheet. Handicap International. 2016. Available from: https://humanity-inclusion.org.uk/sn_uploads/document/2017-02-factsheet-rehabilitation-introduction-web_1.pdf [Accessed on 8 January, 2020]. Cite error: Invalid
<ref>tag; name ":0" defined multiple times with different content - ↑ Gender AR. Scope of rehabilitation and rehabilitation nursing. Chin P, Finocchiaro D. Rosebrough, A. Rehabilitation nursing practice. New york: McGraw-Hill,.1996.
- ↑ World Health Organization. World Report on Disability 2011. Geneva: World Health Organization, 2011. Rehabilitation.
- ↑ Lathia C, Skelton P, Clift Z. Early rehabilitation in conflicts and disasters. HI. Accessed from Humanity--Inclusion-Clinical-Handbook.
- ↑ WHO. Early rehabilitation in conflict and disasters
- ↑ Early Rehabilitation in Conflicts and Disasters. Early Rehabilitation in Conflicts and Disasters: What is Early Rehabilitation?. Available from: https://youtu.be/BdHpvTGdnAA[last accessed 30/06/2021]
