Treatment Considerations in Disasters and Conflicts: Difference between revisions
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== Self-Management == | == Self-Management == | ||
Self-management is a model of care in which patients are active participants in their own health care who are encouraged to use strategies and learn skills to manage their own health needs, and take responsibility for their own health care behaviours <ref>Oliveira VC, Ferreira PH, Maher CG, Pinto RZ, Refshauge KM, Ferreira ML. Effectiveness of self‐management of low back pain: Systematic review with meta‐analysis. Arthritis care & research. 2012 Nov;64(11):1739-48.</ref> <ref name="HARDING">Harding V, Watson PJ. Increasing activity and improving function in chronic pain management. Physiotherapy. 2000 Dec 1;86(12):619-30.</ref>. The World Health Organisation (WHO) define self- management as: <blockquote>“the ability of individuals, families and communities to promote health, prevent disease, and maintain health…..to cope with illness and disability with or without the support of a health-care provider.”<ref name=":0" /></blockquote>Self-management, incorporating active involvement of the patient and their support networks in decisions about treatment and shared responsibility, has become a recognised aspect of all rehabilitation. In disaster and conflict settings self-management plays is a priority given reduced access to or time with rehabilitation professionals and often reduced follow up secondary to constrained health systems and infrastructure. According to effective self-management is based on skills to actively participate in, and take responsibility for health conditions and relies on skills such as problem solving, decision making, resource utilisation, action planning, self-tailoring, self-monitoring, and creating a patient-health professional partnership | Self-management is a model of care in which patients are active participants in their own health care who are encouraged to use strategies and learn skills to manage their own health needs, and take responsibility for their own health care behaviours <ref>Oliveira VC, Ferreira PH, Maher CG, Pinto RZ, Refshauge KM, Ferreira ML. Effectiveness of self‐management of low back pain: Systematic review with meta‐analysis. Arthritis care & research. 2012 Nov;64(11):1739-48.</ref> <ref name="HARDING">Harding V, Watson PJ. Increasing activity and improving function in chronic pain management. Physiotherapy. 2000 Dec 1;86(12):619-30.</ref>. The World Health Organisation (WHO) define self- management as: <blockquote>“the ability of individuals, families and communities to promote health, prevent disease, and maintain health…..to cope with illness and disability with or without the support of a health-care provider.”<ref name=":0" /></blockquote> | ||
<br>Self-management, incorporating active involvement of the patient and their support networks in decisions about treatment and shared responsibility, has become a recognised aspect of all rehabilitation. In disaster and conflict settings self-management plays is a priority given reduced access to or time with rehabilitation professionals and often reduced follow up secondary to constrained health systems and infrastructure. According to effective self-management is based on skills to actively participate in, and take responsibility for health conditions and relies on skills such as problem solving, decision making, resource utilisation, action planning, self-tailoring, self-monitoring, and creating a patient-health professional partnership | |||
Education is | Education is | ||
Educating patients and caregivers and providing them with clear | Educating patients and caregivers and providing them with clear guidance on any restrictions and signs of complications, advice and exercises, and explaining how to progress (and what to do if they don’t make progress) is key. Where patients are awaiting definitive management, pre-operative education can make post-operative care much easier. | ||
guidance on any restrictions and signs of complications, advice and exercises, and explaining how | |||
to progress (and what to do if they don’t make progress) is key. Where patients are awaiting | |||
definitive management, pre-operative education can make post-operative care much easier. | |||
for individuals with long term neurological conditions. Understanding what it is and why it is becoming such a key element of the rehabilitation process are important to ensuring your treatment has patient involvement and is patient focused.<ref>Mudge, S. et al, [https://members.physio-pedia.com/wp-content/uploads/2016/02/Who-is-in-control.pdf Who is in Control? Clinicians’ View on their Role in Self-management Approaches: A Qualitative Metasynthesis] , BMJ Open, 2015<div class="researchbox"></div></ref><ref>Jones, F. Chapter 19: Self-management , in Stokes, M. &s Stack, E., [https://members.physio-pedia.com/wp-content/uploads/2016/02/Stokes-Chapter-19-Self-management.pdf Physical Management for Neurological Conditions], Churchill Livingstone, 2013.</ref><br> Lorig et al (2003)<ref>Lorig KR, Holman HR. Self-management education: history, definition, outcomes, and mechanisms. Annals of behavioral medicine. 2003 Aug 1;26(1):1-7.</ref>. explain that “wellness” from self-management requires attention in three key domains: the medical, behavioural, and emotional elements of a person’s life. They recognise that physiotherapists do not have extensive training in each domain, but they stress that physiotherapists’ expertise in exercise therapy, pain management, and healthy lifestyles promotion enables the profession to play a key role in supported self-management.<div class="researchbox"> | for individuals with long term neurological conditions. Understanding what it is and why it is becoming such a key element of the rehabilitation process are important to ensuring your treatment has patient involvement and is patient focused.<ref>Mudge, S. et al, [https://members.physio-pedia.com/wp-content/uploads/2016/02/Who-is-in-control.pdf Who is in Control? Clinicians’ View on their Role in Self-management Approaches: A Qualitative Metasynthesis] , BMJ Open, 2015<div class="researchbox"></div></ref><ref>Jones, F. Chapter 19: Self-management , in Stokes, M. &s Stack, E., [https://members.physio-pedia.com/wp-content/uploads/2016/02/Stokes-Chapter-19-Self-management.pdf Physical Management for Neurological Conditions], Churchill Livingstone, 2013.</ref><br> Lorig et al (2003)<ref>Lorig KR, Holman HR. Self-management education: history, definition, outcomes, and mechanisms. Annals of behavioral medicine. 2003 Aug 1;26(1):1-7.</ref>. explain that “wellness” from self-management requires attention in three key domains: the medical, behavioural, and emotional elements of a person’s life. They recognise that physiotherapists do not have extensive training in each domain, but they stress that physiotherapists’ expertise in exercise therapy, pain management, and healthy lifestyles promotion enables the profession to play a key role in supported self-management.<div class="researchbox"> | ||
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== Psychological Support == | == Psychological Support == | ||
Psychological first aid (PFA), describes a humane, supportive response to a fellow human being who is suffering and who may need support. PFA involves the following themes: | Psychological first aid (PFA), describes a humane, supportive response to a fellow human being who is suffering and who may need support. PFA involves the following themes: | ||
* providing practical care and support, which does not intrude; | * providing practical care and support, which does not intrude; | ||
* assessing needs and concerns; | * assessing needs and concerns; | ||
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== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Rehabilitation in Disaster and Conflict Situations Content Development Project]] | |||
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Revision as of 21:47, 7 March 2022
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Introduction[edit | edit source]
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Education[edit | edit source]
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Self-Management[edit | edit source]
Self-management is a model of care in which patients are active participants in their own health care who are encouraged to use strategies and learn skills to manage their own health needs, and take responsibility for their own health care behaviours [1] [2]. The World Health Organisation (WHO) define self- management as:
“the ability of individuals, families and communities to promote health, prevent disease, and maintain health…..to cope with illness and disability with or without the support of a health-care provider.”[3]
Self-management, incorporating active involvement of the patient and their support networks in decisions about treatment and shared responsibility, has become a recognised aspect of all rehabilitation. In disaster and conflict settings self-management plays is a priority given reduced access to or time with rehabilitation professionals and often reduced follow up secondary to constrained health systems and infrastructure. According to effective self-management is based on skills to actively participate in, and take responsibility for health conditions and relies on skills such as problem solving, decision making, resource utilisation, action planning, self-tailoring, self-monitoring, and creating a patient-health professional partnership
Education is
Educating patients and caregivers and providing them with clear guidance on any restrictions and signs of complications, advice and exercises, and explaining how to progress (and what to do if they don’t make progress) is key. Where patients are awaiting definitive management, pre-operative education can make post-operative care much easier.
for individuals with long term neurological conditions. Understanding what it is and why it is becoming such a key element of the rehabilitation process are important to ensuring your treatment has patient involvement and is patient focused.[4][5]
Lorig et al (2003)[6]. explain that “wellness” from self-management requires attention in three key domains: the medical, behavioural, and emotional elements of a person’s life. They recognise that physiotherapists do not have extensive training in each domain, but they stress that physiotherapists’ expertise in exercise therapy, pain management, and healthy lifestyles promotion enables the profession to play a key role in supported self-management.
According to Phillips (2012) [7], a person needs to learn a range of skills to manage the biological, mental, emotional, and social impacts of their condition, including the effects of physical inactivity on health. This is termed the “biopsychosocial approach.” The following diagram depicts the range of strategies available to support the use of self-management:
Promoting Independence[edit | edit source]
Psychological Support[edit | edit source]
Psychological first aid (PFA), describes a humane, supportive response to a fellow human being who is suffering and who may need support. PFA involves the following themes:
- providing practical care and support, which does not intrude;
- assessing needs and concerns;
- helping people to address basic needs (for example, food and water, information);
- listening to people, but not pressuring them to talk;
- comforting people and helping them to feel calm;
- helping people connect to information, services and social supports;
- protecting people from further harm
Psychosocial Support[edit | edit source]
Peer Support[edit | edit source]
Peer means the group of people who have faced the same kind of trauma. During the assessment, if the patient feels comfortable being with the peer group, the therapist can offer the option to the patient.[3] Many patients may have little knowledge regarding their pain experience as some pain might be due to emotional suffering and central sensitization.[8]Peer support might provide emotional support and it can be provided face to face, in a group, or via the internet as per the patient's choice.[9]
Resources[edit | edit source]
References [edit | edit source]
- ↑ Oliveira VC, Ferreira PH, Maher CG, Pinto RZ, Refshauge KM, Ferreira ML. Effectiveness of self‐management of low back pain: Systematic review with meta‐analysis. Arthritis care & research. 2012 Nov;64(11):1739-48.
- ↑ Harding V, Watson PJ. Increasing activity and improving function in chronic pain management. Physiotherapy. 2000 Dec 1;86(12):619-30.
- ↑ 3.0 3.1 Cite error: Invalid
<ref>tag; no text was provided for refs named:0 - ↑ Mudge, S. et al, Who is in Control? Clinicians’ View on their Role in Self-management Approaches: A Qualitative Metasynthesis , BMJ Open, 2015
- ↑ Jones, F. Chapter 19: Self-management , in Stokes, M. &s Stack, E., Physical Management for Neurological Conditions, Churchill Livingstone, 2013.
- ↑ Lorig KR, Holman HR. Self-management education: history, definition, outcomes, and mechanisms. Annals of behavioral medicine. 2003 Aug 1;26(1):1-7.
- ↑ Phillips J. The need for an integrated approach to supporting patients who should self manage. Self Care. 2012;3:33-41.
- ↑ Cite error: Invalid
<ref>tag; no text was provided for refs named:1 - ↑ Cite error: Invalid
<ref>tag; no text was provided for refs named:2
