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Rehabilitation: Engracia, Angelie Chariz B. Evangelista, Alyanna F. Mombille, Anamie T

Rehabilitation is an integral component of palliative care that aims to improve patients' quality of life and help them live as comfortably and productively as possible. It focuses on helping patients maintain independence and optimal function. Rehabilitation can reduce physical, psychological, and spiritual distress for seriously ill patients and their families. It includes different approaches to promote well-being and is provided by various health professionals, with some patients needing specialists like occupational or physical therapists.

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Alyanna Evangelista
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37 views

Rehabilitation: Engracia, Angelie Chariz B. Evangelista, Alyanna F. Mombille, Anamie T

Rehabilitation is an integral component of palliative care that aims to improve patients' quality of life and help them live as comfortably and productively as possible. It focuses on helping patients maintain independence and optimal function. Rehabilitation can reduce physical, psychological, and spiritual distress for seriously ill patients and their families. It includes different approaches to promote well-being and is provided by various health professionals, with some patients needing specialists like occupational or physical therapists.

Uploaded by

Alyanna Evangelista
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Rehabilitation

Engracia, Angelie Chariz B. Evangelista, Alyanna F. Mombille, Anamie T.

Rehabilitation
Rehabilitation should be a basic part of palliative care. It has been demonstrated to bring great improvements in function and for seriously ill people and their families, and can reduce physical, psychological and spiritual distress (NCPC, 2000, p15)

Rehabilitation
Rehabilitation is an integral component of palliative care. Rehabilitation and palliative care have emerged as two important parts of comprehensive medical care for patients with advanced disease. Rehabilitation of the physical and psychological aspects of a patients life is vital in order to maintain an optimal level of function in all areas of daily activities. (NACPC, 2001, p31)

Rehabilitation
Rehabilitation in palliative care is about moving people out of the sick role into effective day to day management of their illness Supporting the individual and their loved ones through periods of change to ensure that optimal quality of life and sense of wellbeing is achieved

Rehabilitation
Brings together two concepts Living Dying
Palliative care rehabilitation at its best is the transformation of the dying into the living. The restoration of a patient to a person Oxford Text of Palliative Medicine

You matter because you are you. You matter to the last moment of your life and we will do all we can not only to help you die peacefully but to live until you die. Dame Cicely Saunders, founder of the modern hospice movement

Rehabilitation
The aim of rehabilitation in palliative care is to improve patients quality of life, so that they can live as comfortably and productively as possible.

Rehabilitation hopes to help patients function with as minimal dependence on others as possible, regardless of life expectancy. It includes many different approaches and techniques that promote well-being.

Rehabilitation is the responsibility of all health and social care professionals but some patients may need treatment by specialist professionals such as occupational therapists and physiotherapists. This may be provided in the community or as a hospice inpatient or day patient.

Rehabilitation
The aim of rehabilitation in palliative care is to improve patients quality of life, so that they can live as comfortably and productively as possible. Rehabilitation hopes to help patients function with as minimal dependence on others as possible, regardless of life expectancy. It includes many different approaches and techniques that promote well-being.

Rehabilitation
Rehabilitation is the responsibility of all health and social care professionals but some patients may need treatment by specialist professionals such as occupational therapists and physiotherapists. This may be provided in the community or as a hospice inpatient or day patient.

The Concept of Rehabilitation in Hospice and Palliative Care


The concept of rehabilitation is based on function, which refers to an individuals ability to complete daily survival tasks. Rehabilitation is the process of helping a person to reach the fullest physical, psychological, social, and educational potential consistent with his or her physiological or anatomical impairment, environmental limitations, desires, and life plans.

The concept of palliative rehabilitation is derived from Dietzs concept of cancer rehabilitation according to disease staging, as follows: preventative, restorative, supportive, and palliative.
Preventative rehabilitation attempts to prevent or lessen functional morbidity caused by cancer or its treatment.

Restorative rehabilitation refers to the effort to return patients to their premorbid functional status when little or no long-term impairment is anticipated. Supportive rehabilitation attempts to maximize function after permanent impairments caused by cancer and/or its treatment. Palliative rehabilitations primary goal is the reduction of dependence in mobility and self-care activities in association with the provision of comfort and emotional support.

Rehabilitation can be provided in the inpatient, outpatient, and home settings. Inpatient acute rehabilitation is designed for patients who have the potential for significant functional improvement, and are able to tolerate at least 3 hours of daily therapy five times per week. In contrast, subacute inpatient rehabilitation offers coordinated interdisciplinary services to patients with less intense rehabilitation needs who can tolerate at least 1 hour of therapy each day.

Outpatient rehabilitation offers comprehensive interdisciplinary or single rehabilitation services for patients living in the community. Most home care agencies can provide physical therapy, occupational therapy, speech therapy, social work, and skilled nursing care to homebound patients. Hospice programs may provide physical, occupational, and speech-language therapy in the inpatient as well as the home environment.

Rehabilitation Strategies
Optimizing functional ability and gain Promoting independence Facilitating transition by enabling coping and adaptation Promoting and maintaining hope Encouraging normalization Providing emotional and spiritual support Empowerment of patient and family

Impact of rehabilitation:
Able to walk with Zimmer Able to sleep in own bed No change to pain/numbness Significant reduction in arm girth Significant improvement in function and decreased infection rates Social aspects of day therapy Improved compliance with other treatments

Palliative Rehabilitation is a Complex Intervention, We need resilient clinicians and managers and resilient services to enable resilient people to adapt to the impact of their illness and commit themselves to change (Tookman, 2004)

I think I cope because of all the people that surround me ...they all give me different kinds of strengths they are all very positive (quote from a person receiving palliative care)

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