Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Rehabilitation Med 1

495 views

Published on

  • Be the first to comment

Rehabilitation Med 1

  1. 1. Rehabilitation Medicine 1 Dr. G.M.Rommers Department of Rehabilitation Medicine
  2. 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. 3. What is fun in rehabilitation medicine?
  4. 4. What is fun in rehabilitation medicine?
  5. 5. What is fun in rehabilitation medicine? • Different • Total person concept • Functioning
  6. 6. What is fun in rehabilitation medicine? • Long ongoing contact • Young and (very) old • Technical solutions
  7. 7. Brinkhuis
  8. 8. What is fun in rehabilitation medicine? • Real care • After hospital a lot of work to be done! • Cure is not always possible
  9. 9. Participation or Handicap? neutral language • “politically correct” • correct use – intervention – opportunity –positive aspects
  10. 10. Leprocy Stroke Spinal cord 10
  11. 11. Universal Model vs. Minority Model Everyone may have disability Certain impairment groups Continuum Categorical Multi-dimensional Uni-dimensional
  12. 12. ICF Components Body Functions Activities Environmental & & Factors Structures Participation Functions Capacity Barriers Structures Performance Facilitators
  13. 13. ICF Health Condition (disorder/disease)
  14. 14. ICF Health Condition (disorder/disease) Body Activities Participation function&structure (Limitation) (Restriction) (Impairment)
  15. 15. ICF Health Condition (disorder/disease) Body Activities Participation function&structure (Limitation) (Restriction) (Impairment) Environmental Personal Factors Factors
  16. 16. ICF Health Condition (disorder/disease) Body Activities Participation function&structure (Limitation) (Restriction) (Impairment) Environmental Personal Factors Factors
  17. 17. Vascular pathology / Diabetes Mellitus 500.000 people with Diabetes in the Netherlands In 2020: 800.000
  18. 18. Entrance into the Healthcare system
  19. 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. 20. Hospital (Footcare) • Team approach towards diabetic foot • Frequent control of patient • Case management • Shoe prescription • Funding by insurance company
  21. 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. 22. Rehabilitation Center • 8000 admissions annually • 42000 outpatients annually • 15% of all amputees are admitted to the Rehab Center
  23. 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. 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. 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

×