Rehabilitation Interventions
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Introduction[edit | edit source]
While there are evidences which support the assertion that rehabilitation is generally a process relating to reducing the mortality and co-morbidities of various pathological conditions. Less e vidences are available to support the many actions taken as part of the rehabilitation program, this is largely because there are almost always too many rehabilitation interventions to mention.[1] Rehabilitation is therefore a quintessence complex intervention which encompasses many specific therapeutic activities. 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]
- ↑ 1.0 1.1 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.
