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  • ICF does not only describe negative health experiences, but neutral health domains in which the state can be described as both positive and negative. For example: read slide <br />
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  • [Keywords] concept###[Narration] ICIDH applies to 100 % <br /> disablement applies to nearly all### <br />
  • Nach den Ausfuehrungen zum Kontext und Konzept des ICIDH-2 moechte ich Ihnen nun auf die Inhalte, Begriffsdefinitionen und Kodierungschema vorstellen. <br /> <br /> Der ICIDH-2 unterscheidet zwischen drei Dimensionen&#x2026; <br />
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Rehabilitation Med 1 Presentation Transcript

  • 1. Rehabilitation Medicine 1 Dr. G.M.Rommers Department of Rehabilitation Medicine
  • 2. Rehabilitation Medicine • Rehabilitation Medicine is a branch of medicine which aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities.
  • 3. What is fun in rehabilitation medicine?
  • 4. What is fun in rehabilitation medicine?
  • 5. What is fun in rehabilitation medicine? • Different • Total person concept • Functioning
  • 6. What is fun in rehabilitation medicine? • Long ongoing contact • Young and (very) old • Technical solutions
  • 7. Brinkhuis
  • 8. What is fun in rehabilitation medicine? • Real care • After hospital a lot of work to be done! • Cure is not always possible
  • 9. Participation or Handicap? neutral language • “politically correct” • correct use – intervention – opportunity –positive aspects
  • 10. Leprocy Stroke Spinal cord 10
  • 11. Universal Model vs. Minority Model Everyone may have disability Certain impairment groups Continuum Categorical Multi-dimensional Uni-dimensional
  • 12. ICF Components Body Functions Activities Environmental & & Factors Structures Participation Functions Capacity Barriers Structures Performance Facilitators
  • 13. ICF Health Condition (disorder/disease)
  • 14. ICF Health Condition (disorder/disease) Body Activities Participation function&structure (Limitation) (Restriction) (Impairment)
  • 15. ICF Health Condition (disorder/disease) Body Activities Participation function&structure (Limitation) (Restriction) (Impairment) Environmental Personal Factors Factors
  • 16. ICF Health Condition (disorder/disease) Body Activities Participation function&structure (Limitation) (Restriction) (Impairment) Environmental Personal Factors Factors
  • 17. Vascular pathology / Diabetes Mellitus 500.000 people with Diabetes in the Netherlands In 2020: 800.000
  • 18. Entrance into the Healthcare system
  • 19. General Practitioner • GP visits in basic insurance • Referral to paramedic and podiatry treatment in local area • Referral to A&E Hospital and Referral to Nursing Home • Community care • Local Council facilities • National Alarm 1-1-2
  • 20. Hospital (Footcare) • Team approach towards diabetic foot • Frequent control of patient • Case management • Shoe prescription • Funding by insurance company
  • 21. Hospital (Amputation) • Preoperative screening by Spec PRM • Functional approach • Dialogue with Surgeon about operation and preferred level of amputation • Post operative stump formation • Post operative paramedic treatment • Referral for Post Hospital treatment • Hospital period approx. 10 - 14 days
  • 22. Rehabilitation Center • 8000 admissions annually • 42000 outpatients annually • 15% of all amputees are admitted to the Rehab Center
  • 23. Community • Local council for primary care • Funding by local government • Not the same in every local council across the country • Help; mobility items and home adaptations • New adaptations • Domotica
  • 24. Walking aids Picure: ANP • Presentation of a special beach rollator. Testers were elderly people from the special care home : Sint Jacob in de Hout from Overveen. There was a special beach race against people with an ordinary rollator. MC 2007
  • 25. Take home message • What is rehabilitation medicine? • What makes rehabilitation medicine different • Participation or handicap • ICF components • How to deal with a diabetic foot • Community care