HOW I SEE THE REHABILITATION CENTER ITS IMPORTANCE SECONDARY IMPAIRMENTS MY MISSION AND VISION ITS GOALS WHAT SHOULD BE PROVIDED STRUCTURE OBJECTIVES AND FUNCTION OF EACH DEPARTMENT EQUIPMENT REQUIRED STAFF EDUCATION PATIENT EDUCATION FURTHER DEVELOPMENT

1. BY- Shabana Godme

2. what is the importance of Rehabilitation Center
• Helping a person who has suffered an illness or injury, to
help restore lost skills and to regain maximum self-
sufficiency.
• Preventing further development of secondary impairments.

3. secondary impairments
• Secondary impairments are simply additional related
impairments occurring after the onset of a primary
impairment at any point throughout the individual’s life. The
secondary impairment may be related to or caused by the
primary impairment, disability, or handicap or a related but
new secondary disease or injury process.
• The primary disabling condition is either a risk factor for the
secondary conditions or the primary disabling condition
alters the usual course or treatment of the secondary
condition.
• Serve to further reduce the independence with which
individuals perform Activities of Daily Life.

4. REhab mission and vision
Every rehab center in the world has a mission and vision, e.g.
• Burke rehabilitation hospital :
Mission Statement:
To provide the highest quality medical care and rehabilitation
services to ensure that each patient achieves the maximum
functional recovery from illness, injury or disability.
Vision Statement:
To lead the field as the most effective and compassionate provider
of medical rehabilitation by practicing innovative treatment,
pioneering clinical research and inspiring education.

5. nvu rehabILITATION CENTER
1. To improve the life of patients who have or are giving up the
belief of leading a successful life, and opening new gates of
achievements.
2. To give them a ray of hope and a system to rely on.
1. To provide meritorious clinical care to possibly every patient
that comes our way.
2. To gain the trust of people by setting high records of patients
helped.

6. goals
• Minimizing impairment through effective medical management
• For relatively stable impairments- Rehabilitation’s goal is to maximize functional
independence .
• Minimize disability for a given level of impairment.
• Minimizing handicap by reintegrating people with disabilities into their
communities as active, independent, productive members of society is a
frequently cited goal of rehabilitation.
• Improving the quality of life.
• Improvement of social adaptation:
a) Regulation of the interpersonal relationships
b) Transformation of the “Aspect of Enemy” and the aggressive energy
transformation into the creative course.
• Prevention from development of secondary impairments and substance abuse.

7. what services should be provided-
• Medical
• Psychiatric
• Psychotherapy (Individual, Group and Family)
• Art Therapy and art work
• Public – educational group therapy with using the movies or drama therapy
• Physiotherapy, Laser therapy and Acupuncture
• Counseling
• Community visits
• Referrals
• Financial assistance (support for travel and accommodation for out patient type
treatment for VoT)

8. • Social welfare
• family – based treatment
• Psychological
• Legal Assistance and Client advocacy
• Centre is providing independent forensic expertise, medical and
psychiatric/psychological, in accordance with Istanbul Protocol.
• “Hot Line” – for immediate response and crisis intervention.
• Training – educational and research programme

9. structure
• Physiatrists (Rehabilitation Physicians)
• Nurses
• Care Manager
• Social Worker
• Occupational Therapist (OT)
• Physical Therapist (PT)
• child life specialist
• Speech Therapist/Speech–Language
Pathologist
• chaplain
• Neuropsychologist
• Psychologist
• Therapeutic Recreational Specialist
• Vocational Rehabilitation Specialist
• Clinical Dietitian
• Prosthetist/Orthotist
• Respiratory Therapist (RT)
• Radiologist

10. Objectives and Functions of each Department
Doctors in the rehabilitation field who receive advanced training
and certification in physical medicine and rehabilitation.
“Physiatrists are experts on how nerves, muscles, bones and the
brain work together. They look at the whole person, not just one
symptom or condition.” Inpatient Physiatrists manage medical
care and oversee progress in therapy.
After discharge, the rehabilitation physician continues to provide
and direct outpatient rehabilitation care.

11. Rehabilitation nurses are very involved in teaching both patient and family
about care needs and routines and have a variety of responsibilities:
• Monitor and oversee daily care.
• Teach and help patients and families practice care routines.
• Administer medication and teach patients and families about scheduled
use and possible side effects.
• Collaborate with other team members regarding rehabilitation goals and
needs for community reentry.
• A nursing assistant also provides for dressing, hygiene needs and
assistance with feeding.

12. The Care Manager coordinates discharge plans and communicates with
insurance or other payers about benefits.
The social worker works with both patient and family in identifying care
and transition needs to ensure a smooth discharge:
• Evaluating support system and home needs.
• Helping access community resources such as financial entitlements,
home care and transportation
• Providing information about other types of care
• Counseling about adjustment issues related to disability.

13. The OT checks current abilities and develops a treatment plan for meeting goals in
Activities of Daily Living (ADLs) including:
• self–care, such as dressing and bathing
• leisure, such as hobbies
• work–related tasks
• problem solving to accomplish any of the above
• fine-motor skill development and strengthening, such as hand and arm exercises
• if necessary, identify alternate ways with or without equipment to accomplish
daily tasks.

14. The PT checks current physical abilities and develops a treatment
program for meeting goals in:
• mobility needed for activities of everyday life such as exercising
muscles and joints, moving in bed, using a wheelchair, transferring
(for example, from the wheelchair to the car) and walking with or
without equipment;
• performing mobility skills and exercises;
• selecting and ordering any equipment for discharge.
Child life specialists help children and their families prepare for,
adjust to, and benefit from hospital experiences.

15. The speech–language pathologist works on communication skills including:
• listening, understanding and remembering what is heard in a conversation;
• thinking quickly and putting thoughts into words;
• sounding out words and explaining ideas;
• reading, understanding and remembering what is read;
• writing and putting thoughts into writing;
• if necessary, chewing and swallowing food since this involves the mouth and
the throat.
Chaplains support the spiritual, religious and emotional needs of
patient and their family.

16. The neuropsychologist tests for thinking abilities and provides help with:
• understanding the links between brain injury, brain functioning and behavior;
• attention, memory, problem–solving skills, language skills and other areas of
thinking;
• vocational recommendations;
• adjusting and coping with changes from a brain injury.
The rehabilitation psychologist meets with patients, family and significant
others to help with adjustment to hospitalization and disability. The
psychologist collaborates with the rehabilitation team to support
psychological and interpersonal functioning.

17. The therapeutic recreation specialist helps patients and families in applying skills
learned in rehabilitation to activities that support their personal growth and
active community participation:
• Developing self-confidence and comfort in social situations both at home and
in the community.
• Experiencing individual and group activities to practice skills and develop
strategies to nurture friendships and social support networks. Examples:
athletics, travel, music, art, and hobbies as well as trips to restaurants, theaters
and sporting events.
• Finding new ways to pursue old interests through adaptations.
• Identifying new areas of interest.

18. The vocational specialist assists with concerns and needs for returning to
school or work:
• Meeting with and educating employer or school staff regarding needs
for reasonable accommodations;
• Identifying educational or employment opportunities of interest;
• Developing strategies for work or school reentry.
The clinical dietitian evaluates nutritional needs based on physicians'
orders and medical condition. This can include:
• Help with special diets as prescribed
• General information on maintaining a healthy diet.

19. Prosthetists and orthotists provide care for anyone requiring an artificial
limb (prosthesis) or device to support or control part of the body (orthosis).
• Prosthetists design and provide limb replacements.
• Orthotists provide splints, braces and special footwear.
The RT helps with any breathing difficulties with may limit participation in
other treatment activities.
• Measure needs for supplemental oxygen and fit proper equipment
• Use treatments to help with coughing and keeping lungs clear
• Administer medications to open airways
• Work with necessary equipment.

20. equipments for rehab center
• Acupuncture Models & Charts
• Cardio Equipment
• Fitness & Rehab Merchandise
• Floor & Exercise Mats
• Hot & Cold Therapy supplies
• Hydrotherapy Whirlpool Tubs
• Massage Tables & Chairs
• Physical Therapy Equipment
• Pillows & Cushion
• Supports & Braces
• Taping & Chiropractic Tables
• Therapeutic Devices
• Weight Lifting Equipment
• radiologic equipments

21. staff education
• Rehabilitation professionals should be skilled in maintaining a high quality care
system.
• They should know how to measure the rehabilitation program's quality.
• They should know when there's a need to change the program.
• Rehabilitation's traumatologists should know how to be personally involved in
trauma prevention programs.
• Many traumatically disabled patients become further disabled because of
problems with substance abuse. Thus, the rehabilitation traumatologist needs to
be aware of how to recognize substance abuse and which intervention may be
useful in addressing this problem.
• The approach to pediatric patients disabled by trauma is also unique. The issues
surrounding screening for rehabilitaton needs, educational goals, and parental
involvement differ from those encountered with either nontraumatically disabled
children or traumatically injured adults.
• Being friendly and supportive is a huge part of their jobs.

22. patient education
• Patients and families needs to understand the illness or injury as much as possible.
• Rehabilitation facility should try to address this through a series of family education and
training sessions.
• Offer family training at various points during hospitalization:
1. The first training session is for observation- family following patient through therapy
schedule. The objective for this session is to familiarize patient's family with daily routine
and the treatment team working with patient.
2. Preparation for when patients are cleared to leave the hospital to go out in the community
or home for a day visit- The objectives for this session include family participation in
patient's care and preparation.
3. The final, and most critical, type of training session is to prepare patient and their family for
discharge.
• After discharging of the patient, they need to do follow ups and do routine exercise, weight
management, nutritional balance etc. to maintain their recovery status.

23. further development
• To provide clinical expertise into continuing the development of the
rehabilitation pathways for trauma services.
• To set out common principles and standards for trauma rehabilitation.
• To work with national bodies in helping to shape the future of trauma
rehabilitation services.
• To set parameters for clinical quality and performance for rehabilitation
practices.
• Maintaining a smoke free environment.
• No designated visiting hours since its a huge part in patient's recovery
process.
• Facilities such as parking areas, free wifi etc. makes the setting more
comfortable.