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Rehabilitation

The acute rehabilitation phase usually progresses through three stages:
  1. Restoration of damaged function.
  2. Compensatory strategies for lost function.
  3. Assisting the individual and family to take back control over their own lives by maximising the injured personís potential and increasing participation on a psychosocial level.

Definition of Rehabilitation.

There are many definitions of rehabilitation and lack of consensus can lead to confusion. However a definition is necessary to enable evaluation and to be clear about the services and the processes involved. Whichever definition is preferred the case managerís role remains as defined by their own professional code and the British Association of Brain Injury Case Managers Guidelines and the Case Management Society UK Standards.

In all cases the Case Managers duty of care is the client, that is the person with the injury. Rehabilitation is usually followed by Ďsupportí to maintain gains made and to continue to assist to improve the personís quality of life. Therefore the Case Managerís input should not be time limited but based on individual need.

HACM design and put integrated rehabilitation/support packages in place that aim to meet holistic needs by:

  • Empowering people.
  • Enabling life review.
  • Maximising personal independence and functional ability.
  • Promoting life enhancing experiences and social inclusion through access to recreational and leisure activities.
  • Promoting psychological and emotional well-being.
  • Providing anticipatory guidance that aims to prevent problems and further deterioration.
  • Identifing contingency plans to respond when crisis occurs.
  • Providing relevant teaching and education, advice guidance and supportive interventions.


The community rehabilitation programme begins with a comprehensive holistic assessment that analyses the effect of impairment and disability on the individualís living activities and provides a plan of action that aims to maximise potential through a whole life approach.

The overall aim of rehabilitation is to help the individual to achieve independent living and place them in the position they were before the injury. To achieve this it may be necessary to train a support worker to provide ongoing support and to coordinate life long multi-disciplinary intervention.

Rehabilitation is promoted by multi-disciplinary referral. The decision making process about programme planning and delivery is through team work and agreed common aims. It is up to the person with the injury to decide what goals they wish to achieve because motivational factors are used to help goal achievement. Gains made are dependent on the personís engagement with the programme.
 

 

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