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  • in reply to: Discussion Forum 1 #3648
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    planning an intervention for rehabilitation, focusing on certain aspects can significantly enhance its success. Here are key aspects to consider:

    Assessment and Evaluation: Conduct a thorough assessment of the individual’s needs, strengths, challenges, and goals. Use validated assessment tools and methods to gather comprehensive data.

    Goal Setting: Collaboratively establish clear, measurable, achievable, relevant, and time-bound (SMART) goals with the individual and their support network. Goals should be aligned with their aspirations and rehabilitation outcomes.

    Evidence-Based Practices: Utilize interventions and strategies that are supported by empirical evidence and best practices in rehabilitation. This ensures interventions are effective and tailored to individual needs.

    Individualized Planning: Develop personalized intervention plans that consider the unique characteristics, preferences, and circumstances of the individual. Flexibility in planning allows for adjustments based on progress and setbacks.

    Multi-disciplinary Approach: Involve a team of professionals from diverse disciplines such as physical therapy, occupational therapy, psychology, social work, and vocational counseling. This approach addresses various aspects of rehabilitation comprehensively.

    Continuous Monitoring and Feedback: Regularly monitor progress towards goals and provide constructive feedback. Adjust interventions as needed based on ongoing evaluation and feedback from the individual and their support system.

    Psychosocial Support: Address psychological and social aspects of rehabilitation through counseling, peer support groups, family therapy, and community integration programs. Emotional well-being and social support are integral to successful rehabilitation.

    Skill Development: Focus on developing and enhancing skills that are essential for daily living, vocational activities, and social interactions. This may include adaptive skills training, job readiness programs, and leisure/recreational activities.

    Transition and Aftercare Planning: Plan for transitions between different stages of rehabilitation (e.g., hospital to home, school to work). Develop aftercare plans to support continued progress and prevent relapse.

    Empowerment and Motivation: Foster a sense of empowerment and motivation by involving the individual in decision-making, celebrating milestones, and promoting self-management skills. Encourage autonomy and self-efficacy throughout the rehabilitation process.

    By addressing these aspects systematically and comprehensively, interventions can be more effective in promoting successful rehabilitation outcomes and improving the overall well-being of individuals undergoing rehabilitation.

    in reply to: Discussion Forum 1 #3468
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    1.
    Telerehabilitation allows patients to interact with providers remotely and can be used both to assess patients and clients

    b.
    Multicultural considerations in therapy can help a therapist avoid any offensive or inappropriate suggestions, behaviors, or reactions, enabling the client to feel safe opening up to their therapist. Using a person’s correct pronouns is an effective way for a culturally sensitive therapist to show the client respect.

    2.

    I recommend the integration of telerehabilitation into clinical training. However, experts’ opinions on key core knowledge and skills needed and the local contextual factors that might influence its adoption and implementation should be considered during the training. Approaching telerehabilitation training and integration in this way would provide guidelines for contextually relevant and sustainable telerehabilitation services across all clinical platforms.
    b.
    Share evidence-based information with your patient through diverse media, in an understandable language;. • Encourage active participation in thorough out the process.
    for a safe and assertive telerehabilitation practice
    Using simple words, simple commands for exercises, and avoiding technical language are also key valuable strategies to use during telerehabilitation.

    in reply to: Discussion Forum 1 #3467
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    1.
    Insensitivity and lack of awareness of the role of culture can make rehabilitation difficult, particularly in multicultural, multiracial and multilingual.
    Stigma. Negative attitudes and erroneous beliefs about disability has resulted in stigma, which has be defined as an attribute possessed by a person or group that is regarded as undesirable or discrediting. For persons with disabilities and their families, stigma often results in a lowering of status within

    2. As a nurse i
    specialize in helping people with disabilities and chronic illness attain optimal function, health, and adapt to an altered lifestyle.as a Rehabilitation nurse i assist patients in their move toward independence by setting realistic goals and treatment plans.

    3pPhysiopedia
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    Rehabilitation Interventions
    Online Course: Introduction to Rehabilitation Interventions
    Introduction
    If we consider the definition of 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”, then rehabilitation is in effect composed of multiple components or “interventions” to address issues related to all domains within the World Health Organisation’s International Classification of Functioning, Disability and Health (ICF) including: body functions and structures, capacity for activities, the performance of activities, participation, environmental/contextual factors, and personal factors.[1]

    Most individuals participating in rehabilitation require interventions addressing one, many or all of the components of the ICF that are contributing to reduced functioning, with the overriding goal of rehabilitation being to utilise appropriate interventions that allow the individual to optimise their function.[1] Given this, individuals with health conditions or injuries may require rehabilitation at various points in time across the course of their lifespan. The timing and type of intervention that a rehabilitation provider selects depend greatly on several factors which include: the aetiology and severity of the person’s health condition; the prognosis; the way in which the person’s condition affects their ability to function in their environment; as well as the individual’s identified personal goals and what it is they want to achieve from the rehabilitation process.

    Outcome Orientated
    Goal setting in rehabilitation forms the basis for the selection of rehabilitation interventions which can include goals related to mobility, self-care, communication, and cognition and on more specific activities related to play, education, work, employment, socialisation, and quality of life. Different rehabilitation settings may vary in their capacities to provide specific intensities of therapies, and rehabilitation itself may vary in its intensity, generally measured by the frequency and duration of individual interventions or treatment sessions. The selection of rehabilitation interventions and intensity of rehabilitation should always be based on the individual patient’s needs, which should include their tolerance of therapeutic activities. More importantly, rehabilitation interventions should be generally outcome-oriented, in that rehabilitation goals are developed to achieve a specific outcome that is based on the following five broad areas:

    Prevention of the loss of function
    Slowing the rate of loss of function
    Improvement or restoration of function
    Compensation for loss of function (compensatory strategies)
    Maintenance of current function
    Role of Rehabilitation Interventions
    Rehabilitation intervention is provided across the whole range of healthcare settings including the primary care setting, in the acute hospital setting (during an inpatient episode or as an outpatient referral) or in the community settings. The breadth of rehabilitation means that a range of organisations may contribute to meeting a person’s individual needs. Rehabilitation intervention is essential in helping to address the impact of: [2]

    Physical or Movement Problems such as impaired motor control; reduced range of movement; reduced balance, strength or cardiovascular fitness; loss of limbs; fatigue; pain or stiffness.
    Sensory Problems such as impairment of vision or hearing; loss of or altered sensation of touch or movement; pain; sensory processing difficulties.
    Cognitive or Behavioural Problems such as lapses in memory and attention; difficulties in organisation, planning and problem-solving.
    Communication Problems such as difficulties in speaking; using language to communicate; understanding what is said or written.
    Psychosocial and Emotional Problems such as the effects on the individual, carer and family of coping with a new health condition or living with a long-term condition. These can include stress, depression, loss of self-image and cognitive and behavioural issues.
    Mental Health Conditions such as anxiety; depression; obsessive/compulsive disorders; schizophrenia; eating disorders; post-traumatic stress disorder and dementia.
    Medically Unexplained Symptoms where a holistic approach is needed to ensure the best possible support for both mental and physical wellbeing.
    Classification of Interventions
    Rehabilitation interventions are hugely diverse and, except in rare instances, require the involvement of many different health and rehabilitation professionals and cross multiple disciplines often at the same time, which as a result make the classification of rehabilitation interventions quite complex. It is this complexity that makes the classification of rehabilitation interventions a challenge, and as a result, there is still no classification that has been universally accepted across all fields of rehabilitation currently, despite several attempts made to develop a classification system to fully describe rehabilitation interventions.[3]

    Levack and Dean have outlined three key reasons for this:

    Firstly, rehabilitation interventions are not only about the intervention itself and what the healthcare professional does but are significantly influenced by experience and relationships and how the healthcare professional engages and interacts with the individual and other significant people in their lives. It is within these interactions that rehabilitation interventions now work towards changing how patients think about their disability, their motivation for rehabilitation, their self-efficacy and the way they participate within therapeutic activities.[3]
    Secondly, most rehabilitation interventions do not work on one component or domain alone but rather involve a number of interacting components.
    Example: An occupational therapist may use a simple cooking activity to help an individual regain skills in activities of daily living following a stroke. While the primary focus may be on cooking, the activity itself also incorporates strengthening of weak muscles in a hemiplegic arm and leg (standing in the kitchen, lifting and using kitchen utensils, and bending and reaching); retraining of balance (standing and moving around the kitchen); cardiovascular exercise; conditioning and fatigue management; training in the use of assistive technology (mobility aids and adapted kitchen implements) and cognitive retraining (following a recipe, safe use of an oven). Concurrently, the occupational therapist may also use the same therapy session as an opportunity to provide some education on the nature of stroke and how to adjust for the loss of function on return home, as well as providing general emotional counselling and support. Furthermore, a collaborative approach can be taken to address the patient’s various functional limitations by using the same task but combining the session with another member of their rehabilitation team (e.g. the speech-language therapist or physiotherapist).[3]
    rehabilitation interventions can be provided for within a group environment or individually across a broad range of rehabilitation settings from a hospital environment, to primary care and community-based settings such as the home, work, local gym etc. Each approach has its own advantages and disadvantages but no matter what pPhysiopedia
    Contents

    Editors

    Share
    Rehabilitation Interventions
    Online Course: Introduction to Rehabilitation Interventions
    Introduction
    If we consider the definition of 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”, then rehabilitation is in effect composed of multiple components or “interventions” to address issues related to all domains within the World Health Organisation’s International Classification of Functioning, Disability and Health (ICF) including: body functions and structures, capacity for activities, the performance of activities, participation, environmental/contextual factors, and personal factors.[1]

    Most individuals participating in rehabilitation require interventions addressing one, many or all of the components of the ICF that are contributing to reduced functioning, with the overriding goal of rehabilitation being to utilise appropriate interventions that allow the individual to optimise their function.[1] Given this, individuals with health conditions or injuries may require rehabilitation at various points in time across the course of their lifespan. The timing and type of intervention that a rehabilitation provider selects depend greatly on several factors which include: the aetiology and severity of the person’s health condition; the prognosis; the way in which the person’s condition affects their ability to function in their environment; as well as the individual’s identified personal goals and what it is they want to achieve from the rehabilitation process.

    Outcome Orientated
    Goal setting in rehabilitation forms the basis for the selection of rehabilitation interventions which can include goals related to mobility, self-care, communication, and cognition and on more specific activities related to play, education, work, employment, socialisation, and quality of life. Different rehabilitation settings may vary in their capacities to provide specific intensities of therapies, and rehabilitation itself may vary in its intensity, generally measured by the frequency and duration of individual interventions or treatment sessions. The selection of rehabilitation interventions and intensity of rehabilitation should always be based on the individual patient’s needs, which should include their tolerance of therapeutic activities. More importantly, rehabilitation interventions should be generally outcome-oriented, in that rehabilitation goals are developed to achieve a specific outcome that is based on the following five broad areas:

    Prevention of the loss of function
    Slowing the rate of loss of function
    Improvement or restoration of function
    Compensation for loss of function (compensatory strategies)
    Maintenance of current function
    Role of Rehabilitation Interventions
    Rehabilitation intervention is provided across the whole range of healthcare settings including the primary care setting, in the acute hospital setting (during an inpatient episode or as an outpatient referral) or in the community settings. The breadth of rehabilitation means that a range of organisations may contribute to meeting a person’s individual needs. Rehabilitation intervention is essential in helping to address the impact of: [2]

    Physical or Movement Problems such as impaired motor control; reduced range of movement; reduced balance, strength or cardiovascular fitness; loss of limbs; fatigue; pain or stiffness.
    Sensory Problems such as impairment of vision or hearing; loss of or altered sensation of touch or movement; pain; sensory processing difficulties.
    Cognitive or Behavioural Problems such as lapses in memory and attention; difficulties in organisation, planning and problem-solving.
    Communication Problems such as difficulties in speaking; using language to communicate; understanding what is said or written.
    Psychosocial and Emotional Problems such as the effects on the individual, carer and family of coping with a new health condition or living with a long-term condition. These can include stress, depression, loss of self-image and cognitive and behavioural issues.
    Mental Health Conditions such as anxiety; depression; obsessive/compulsive disorders; schizophrenia; eating disorders; post-traumatic stress disorder and dementia.
    Medically Unexplained Symptoms where a holistic approach is needed to ensure the best possible support for both mental and physical wellbeing.
    Classification of Interventions
    Rehabilitation interventions are hugely diverse and, except in rare instances, require the involvement of many different health and rehabilitation professionals and cross multiple disciplines often at the same time, which as a result make the classification of rehabilitation interventions quite complex. It is this complexity that makes the classification of rehabilitation interventions a challenge, and as a result, there is still no classification that has been universally accepted across all fields of rehabilitation currently, despite several attempts made to develop a classification system to fully describe rehabilitation interventions.[3]

    Levack and Dean have outlined three key reasons for this:

    Firstly, rehabilitation interventions are not only about the intervention itself and what the healthcare professional does but are significantly influenced by experience and relationships and how the healthcare professional engages and interacts with the individual and other significant people in their lives. It is within these interactions that rehabilitation interventions now work towards changing how patients think about their disability, their motivation for rehabilitation, their self-efficacy and the way they participate within therapeutic activities.[3]
    Secondly, most rehabilitation interventions do not work on one component or domain alone but rather involve a number of interacting components.
    Example: An occupational therapist may use a simple cooking activity to help an individual regain skills in activities of daily living following a stroke. While the primary focus may be on cooking, the activity itself also incorporates strengthening of weak muscles in a hemiplegic arm and leg (standing in the kitchen, lifting and using kitchen utensils, and bending and reaching); retraining of balance (standing and moving around the kitchen); cardiovascular exercise; conditioning and fatigue management; training in the use of assistive technology (mobility aids and adapted kitchen implements) and cognitive retraining (following a recipe, safe use of an oven). Concurrently, the occupational therapist may also use the same therapy session as an opportunity to provide some education on the nature of stroke and how to adjust for the loss of function on return home, as well as providing general emotional counselling and support. Furthermore, a collaborative approach can be taken to address the patient’s various functional limitations by using the same task but combining the session with another member of their rehabilitation team (e.g. the speech-language therapist or physiotherapist).setting or structure is involved, rehabilitation should always be designed to meet the individual needs of each patient. Given this, being able to adapt, modify, create and be flexible are vital skills required by rehabilitation professionals in order to be able to adapt interventions and therapeutic activities depending not only on the particular spectrum of impairments that someone might present with, but also on the specific goals of rehabilitation for that individual, the environmental context under which a patient is performing targeted activities, and on their personality and personal interests.[3]
    Example: An athlete following an ACL injury may start their early rehabilitation individually within the physiotherapy clinical for individual assessment and treatment. This may also be incorporated with some group-based activity with teammates within the gym, where they get to train with teammates while working on their own specific rehabilitation programme and goals. As they progress through their rehabilitation programme and work towards a return to play, rehabilitation may continue to include both individuals, small groups and team-based activities, but may be field or court-based to prepare for a return to competition.
    4.
    Educate. Rehabilitation is not a magic pill, and education is the vital aspect of the rehabilitation process throughout all stages that ensure the individual and their support structures have a good understanding of what is going on, in order to set realistic expectations and set SMART goals.
    5. Some culture believe poses as a barrier yet rehabilitation would not be full achieved

    in reply to: Discussion Forum 2 #3390
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    in Zambia these are some of the services that are being offered Physiotherapy, occupational therapy, orthopedic technology, ear nose and throat clinics, eye clinics and mental health services are all available in my county. There is a good number of unmet need for rehabilitation in my county, hence it’s an area that really has to be worked on.

    in reply to: Discussion Forum 1 #3389
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    Hi my name is Lena I’m from Zambia my expectation during this course at that 1.
    to get deeper understanding of the row of rehabilitation
    2
    to develop plans for my country that I effective do rehabilitation in the health care system

    in reply to: Exercise 4 #3381
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    There is a huge need on raise awareness on the different models of disability, their causes, responses and meanings. Let the world learn to celebrate different kids of people without attaching any form of discrimination or stigma.

    in reply to: Exercise 5 #3380
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    Participant

    ICDR-Zambia was formed in 2011 to conduct novel global rehabilitation and disability research in Zambia. We strive to unite people at the University of Toronto, Canada and internationally, who are conducting disability and/or rehabilitation research in Zambia to enhance the integrity of our research through harmonization and mutual problem solving.

    in reply to: Exercise 5 #3379
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    Participant

    ICDR-Zambia was formed in 2011 to conduct novel global rehabilitation and disability research in Zambia. We strive to unite people at the University of Toronto, Canada and internationally, who are conducting disability and/or rehabilitation research in Zambia to enhance the integrity of our research through harmonization and mutual problem solving.

    in reply to: Exercise 1 #3378
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    Participant

    the action of restoring someone to health or normal life through training and therapy after imprisonment, addiction, or illness.
    it is a process soothing to the heart.

    in reply to: Exercise 3 #3377
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    Participant

    Facing discrimination and lack of opportunity, many Zambians with disabilities are systematically excluded from access to services and places, legal aid, healthcare and more. Often, these disparities are sharper in rural settings with a greater lack of infrastructure, investments and institutional support.i would advocate for better infrastructure that would. Accommodate people with disabilities, improve health care services to all with any discrimination as we all humans beings and as such should be treated with love and care

    in reply to: Discussion Forum 2 #3376
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    The Zambian public health system, the primary provider of healthcare country-wide, has three main levels: Level 1 includes district hospitals, health centres and health posts; Level 2 has provincial or general hospitals; and Level 3 includes referral hospital. Depending on the leaves different health care services are provided, physiotherapy eht and t ophthalmology surgery speech therapy occupational therapy.

    in reply to: Discussion Forum 6 #3375
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    1.The Zambia Agency for Persons with Disabilities (ZAPD) has the responsibility to coordinate the implementation of the National Policy on Disability and acts as an advisory body to the Ministry.

    2. Yes Zambia uses the WHO guide action This occurs through actions such as improving leadership and governance; developing a strong multidisciplinary committee

    3 they usually access health care services from public health care point of which most of the drugs are usually out of stock and patients have to sources these drugs of their own finances. The expirence has not been so good.

    in reply to: Exercise 6 #3373
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    In Zambia we have ngo that are working hand in hand with government to meet rehabilitation needs of the people of Zambia. So far the is being appreciate

    in reply to: Discussion Forum 1 #3326
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    4.building strong leadership and increasing political surport for rehabilitation in my country zambia.

    when leaders are actively involved in the rehabilitation of health care it is easy to get a strong political surport in this area. Leaders are the law makers hence they can collaborate services of rehabilitation. This is what Zambians need to advocate for . Strong involvement of political leaders in the affairs of rehabilitation.

    in reply to: Discussion Forum 1 #3324
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    Participant

    3. Mission statement by various organizations

    Tesla’s mission is to accelerate the world’s transition to renewable energy.

    The mission statement of LinkedIn is connect the world’s professionals to make them more productive and successful.

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