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Document Typology: Report
Methodology addressed by the publication:Narrative medicine
Title of document: Moving on to Rehabilitation
Name of author(s): A,Juocevicius
Name of publisher: Magazine ""Zmogus ir medicina"" 2009 43978-80
Language of the publication: English
Language of the review: English
If given a choice between inpatient rehab, outpatient rehab or even "in home" rehab, most caregivers who have been there, done that, will advise you to not even attempt outpatient rehab until the patient has been through at least some inpatient. The period after hospital discharge is stressful enough without having to deal with the additional stress of transporting a patient who isn't very mobile and may be very weak to rehab several times a week. More than likely this is a decision that is driven by one's insurance coverage. However, inpatient rehab is worth fighting for with the insurance company, in the event this is not initially offered. Often just a personal meeting with the survivor's primary care physician, neurologist and/or physiatrist is all it takes to enlist their help in making this recommendation become reality. If insurance continues to refuse an inpatient program, the next step to fight for is in-home rehab, when therapists come to your home, making early therapy much easier on caregiver and patient. This is a temporary solution until the patient gains sufficient recovery and strength to more easily get to outpatient rehab.
Reviewer's comments on the document:
Community nursing and rehabilitation services are health care services, provided to clients in the community by licensed nursing, physical therapy or occupational therapy professionals.
Community nursing and rehabilitation services are available on LMSU societies in the regional areas providing acute, chronic, palliative or rehabilitative support.
Rehabilitation therapists also provide assessment and treatment in a client’s home is suitably arranged for their needs and safety.Persons with disabilities are at significant risk for additional or secondary disabilities. Because of this increased risk, especially for persons suffering from the “disuse syndrome,” it is important that a comprehensive health promotion component is included in the rehabilitation program for disabled individuals. Current concepts of disability are discussed as well as the distinctions between primary and secondary disabilities. Specific types and causes of disabilities are identified and described. Each type of secondary disability is assessed in terms of its “preventability.” Examples and characteristics of quality programs for health promotion for disabled persons are presented. Recommendations for further research and study are discussed to include the need for determining effective components of successful programs and ways to encourage the field of rehabilitation to incorporate health promotion into the rehabilitation process for its disabled clients.
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