CBR

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CBR

  1. 1. REHABILITATION Dr. Tarpan Shah. MPT (CPD&ICU care) Lecturer Shree Swaminarayan Physiotherapy college
  2. 2. INTRODUCTION • • • • • • • • Rehabilitation Epidemiology of rehabilitation Health Levels of Prevention Impairment Disability Handicap Community Based Rehabilitation
  3. 3. Rehabilitation • Rehabilitation is the Utilization of the existing capacities of the handicapped person, by the Combined and Co-ordinated use of Medical, Social , Educational and Vocational measures to the optimum level of his functional ability.
  4. 4. • It makes life more Meaningful more productive. • Third phase of medical care after preventive and curative • Should be started as early as possible for best results • In conjunction with specific medical and surgical treatment
  5. 5. Epidemiology of rehabilitation • Derived from Greek word epidemos meaning “Among the people” • 20th century C.O Stallybross defined epidemiology as’ The science which considers infectious disease-their course, propagation and prevention. • W H Welch defined as ‘The study of natural history of disease’
  6. 6. Health • WHO “ a state of complete Physical, Mental and Social well being and not merely the absence of Disease or Infirmity. • Fundamental goal of medical science is to maintain optimal health as long as possible • ADD LIFE TO YEARS
  7. 7. Levels of Prevention Disease risk Asymptomatic Disease Symptomatic Disease Complication
  8. 8. Primary prevention  Measure taken prior to the onset of any disease, e.g Immunization against childhood infections or chlorination of drinking water  It is designed to promote general health and improve quality of life  First phase of medicine ,i.e. preventive medicine
  9. 9. Secondary prevention  Measure taken to arrest the Development of a disease while it is still in the early asymptomatic stage of the disease.  Involves early diagnosis and immediate treatment ,e.g. Ergonomic Intervention to prevent clinical symptoms in a patient with spondylosis.  Second phase or curative aspects of medicine
  10. 10. Tertiary prevention  Measure taken to minimize consequences of the disease or injury once it is clinically manifested, prevention of pressure sores by turning the patient regularly .  It is also included as rehabilitation medicine
  11. 11. Impairment  According to WHO’S INTERNATIONAL CLASIFICATION OF IMPAIRMENT, DISABILITIES AND HANDICAPS (ICIDH 1980)  Define as any loss or abnormality of psychological, physiological, or anatomical structure or function.
  12. 12.  E.g. loss of a finger ,loss of conduction of impulses in the heart  Not all impairment lead to disability for e.g. loss of pinna of ear would not lead loss of hearing but merely results in cosmetic deficiency.
  13. 13. Disability  Any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being resulting from an impairment .  E.g. Difficulty in Walking after after Lower limb Amputation.
  14. 14.  To be considered disabled a person should not be able to perform day to day activities considered normal for his age, sex or physique.
  15. 15. Handicap  WHO has identified 6 types of handicaps  Locomotor  Visual  Speech and hearing  Cardiopulmonary  Intellectually chalanged  Emotionally disturbed
  16. 16.  Locomotor disability are largest in number 60-70%  Many patient exhibits multiple handicap  ex.child with CP would probably have in addition to delayed mile stone and motor problem ,damage to part of the brain responsible for sight and hearing.
  17. 17.  In addition they may have mental abnormality
  18. 18. SOCIOVOCATIONAL REHABILITATION  Team effort  Which aims to provide disabled a vocation and reducing handicap  Its not another employment agency  Based on concept of “RIGHT TO WORK”  Make individual to stand on his leg
  19. 19.  Social worker – tries to provide emotional support to patient as well as to his family member also creates awareness about disability and its limitation in community  Vocational evaluator-findout skills that patient posses identifies areas of work for him and plan out training in specific skill.
  20. 20.  Americans with Disabilities Act (ADA) in 1991 was landmark in life of disabled in that country  In India Act passed is the PWD(people with Disabilities) Act 1995.
  21. 21.  Catchword today is EMPATHY AND NOT SYMPATHY  Please accept us as we are
  22. 22.  Helen kellar was visual and hearing impaired
  23. 23. Community Based Rehabilitation  Is a strategy within community development for the rehabilitation ,equalization of opportunity and social integration of all the people with disabilities.  Is implimented through the combined efforts of the disabled people themselves,their family,community
  24. 24.      Criteria Aspects Members Opinion makers Models of CBR

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