Rehabilitation In Nursingf

1. By
KAMILU ABDULLAHI
Medical Surgical Nursing I
Set 20
College of Nursing and Midwifery Birnin Kudu,
Jigawa State

3. Rehabilitations

4. • Definitions Of rehabilitation
Rehabilitation is a process of adaptation or
recovery through which an individual
suffering from a disabling or functionally
limiting condition, whether temporary or
irreversible, participates to regain maximal
function, independence, and restoration.

5. • Definitions Conti……
Rehabilitation “refers to services and
programs designed to assist individuals
who have experienced a trauma or illness
that results in impairment that creates a
loss of function (physical, psychological,
social, or vocational)”

6. • Definitions Conti…..
The National Cancer Institute (2007) defined
rehabilitation as “a process to restore mental
and/or physical abilities lost to injury or disease,
in order to function in a normal or near-normal
way”
For some, rehabilitation may be a lifelong
process, for or others, rehabilitation is of short
duration.

7. • Rehabilitation conti…..
• Relearning of former skills; learning new skills
necessary to adapt and live fully in an altered
lifestyle
• Must begin from the very onset of a traumatic
event or diagnosis of a chronic illness
• Every aspect of the individual’s needs and care
assessed and addressed
• Rehabilitation focuses on continually improving
the quality of the person’s life, not merely
maintaining life itself.

8. Rehabilitation Cont…..
• Many conditions are irreversible; therefore, the
focus of care is related to adaptation and
acceptance of an altered life rather than to
resolving an illness.

9. • Rehabilitation

10. Examples of Conditions that May benefit
from Rehabilitation
Spinal cord injury
Stroke
Traumatic brain injury
Multiple sclerosis
Guillain-Barré syndrome
Polytrauma
Amputation
Disfiguring burns

11. • Examples conti…….
Parkinson’s disease
Functional debility
Joint replacement
Rheumatoid arthritis
Cerebral palsy
Muscular dystrophy
Chronic obstructive pulmonary diseases
Polio
Certain types of cancer

12. • Rehabilitation picture

13. • Common Goal of
Rehabilitation
Foster self-care, self-sufficiency
Encourage maximal independence level
Maintain function
Prevent complications
Restore optimum function
Promote maximum potential
Emphasize abilities

14. Goal cont…..
Promote adaptation
Restore acceptable quality of life
Maintain dignity
Reeducate
Promote optimal wellness
Assist with community
reintegration/reentry

15. Need for Rehabilitation
Impairment
• Any loss or
abnormality of
psychologic,
physical, or
anatomic
structure or
function

16. Needs Conti…...
Disability
• Any restriction or
lack of an ability
to perform an
activity in the
manner or within
the range
considered
normal for a
human being

17. Need cont….
• Handicap
– A disadvantage for
a given individual
resulting from an
impairment or
disability that limits
or prevents
fulfillment of a role
that is normal for
that particular
individual

18. • Need cont…..
• Functional limitation
– Any loss of ability to perform tasks and
obligations of usual roles and normal daily life
• Chronic illness
– An irreversible presence, accumulation, or
latency of disease states or impairments that
involves the total human environment

19. Compositions of rehabilitations
team

20. • Team conti……

21. • Team conti……

22. Team compositions conti…..
Physiatrist
Physiotherapist
Rehabilitation nurse
Therapist
Occupational therapist
Social worker
Speech therapist
Psychologist
Orthotist-Prosthetist
Vocational councellor
Others (doctors, etc)

23. Role of a Nurse in Rehabilitation

24. Teacher
• Shares information about the disease
processes underlying disabilities and
teaches nursing techniques to help clients
and their families develop the self-care
skills necessary to move toward wellness
on the illness-wellness continuum
• Prepares clients and their families for
future self-management and decision-
making responsibilities by fostering clients'
independence and goal achievement

25. As a Teacher cont…..
• Reinforces the teaching done by
specialists in rehabilitation and other
healthcare disciplines, provides resource
materials for clients' changing needs, and
provides on-going patient education after
discharge
• Provides in-service education for
healthcare team members and members
of the community regarding the prevention
of disabilities

26. Caregiver
Assesses the physical, psychological,
sociocultural, and spiritual dimensions of clients
and their families, as well as their educational
and discharge needs in order to formulate
nursing diagnoses
Plans nursing care while acknowledging that
rehabilitation nursing is practiced within a
dynamic, therapeutic, and supportive
relationship that is constantly changing, as
nurses and clients influence one another

27. As a caregiver Cont…..
• Implements a plan of care by providing
nursing care and education directly or
through ancillary personnel, as needed, to
maintain and restore function and prevent
complications and further loss
• Evaluates the nursing care that is being
provided and modifies the plan, as
needed, to achieve measurable goals and
objectives

28. Collaborator
Develops goals, in collaboration with clients,
their families, and the rehabilitation team, that
are oriented to wellness behavior and are reality
based and that encourage socialization with
others, and promote maximal independence for
patients with disabilities or chronic disabling
conditions
Participates in the interdisciplinary team process
at team conferences and other team meetings
and offers input into team decision making

29. As a collaborator Cont……
• Intervenes with team members and other
healthcare professionals to ensure that
the optimal opportunity for recovery is
made available to the client, the most
significant member of the rehabilitation
team
• Collaborates with team members to
achieve cost-effective care by utilizing
appropriate clinical measures to meet
emergent physical, psychosocial, and

30. Clients Advocate
• Actively listens, reflects, and guides clients
and their families through the stages of
the grieving process to mourn the loss of
abilities and roles while also "instilling
hope"
• Advocates for policies and services that
promote the quality of life for individuals
with disabilities and participates in
activities that will positively influence the
community's awareness of disabilities

31. As a Client Advocate cont….
• Contributes to a safe and therapeutic
environment and supports activities that
promote the clients' return of function and
prevent complications or chronic illness
• Intervenes on behalf of clients to ensure
that medical professionals and
nonmedical professionals work to
maximize clients' success when they
return to work or school

32. Conclusions
Rehabilitation is the process of maximizing an
individual’s capabilities or resources to foster optimal
independent functioning.
The patient is the most important team member and
must be involved in planning the programs and learning
in detail about the disabilities, the ways of accomplishing
the goals, and the options available
The focus of all rehabilitation should be on the patient’s
abilities, not on his or her disabilities.