Dr. I. Rotaru

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Dr. I. Rotaru

  1. 1. WORKSHOP : TREATMENT AND REHABILITATION
  2. 2. IN RARE DISEASES : TREATMENT = REHABILITATION
  3. 3. TREATMENT = all the methods used to cure a disease and its consequences - preventive ( prophylactic) : genetic counseling, diet, REHABILITATION... - symptomatic : diet, REHABILITATION... - curative: enzymatic substitution treatment , genetic therapy…
  4. 4. REHABILITATION... WHEN ??? HOW ???
  5. 5. REHABILITATION WHEN ???
  6. 6. “Rehabilitation is a complex area of activity: medical, educational, social and professional which aims entirely possible restoration of the functional ability lost by the patient following a disease or a trauma and also developing compensatory mechanisms, with a view to reach maximum individual performance and maximum economic and social independence.“ Academy of Medical Science
  7. 7. REHABILITATION IS ALWAYS NECESSARY
  8. 8. REHABILITATION HOW ? 6 GOLDEN WORDS 6 PRINCIPLES
  9. 9. GOLDEN WORDS Patient Assessment Targets Plan Team Case manager
  10. 10. 1st PRINCIPLE Knowing the diagnosis and its consequences on physical and psychological status - Nervous system - Locomotory system ( bones, muscle, joint) - Endocrine system - Senzorial system - Cardiovasculary system - Respiratory system - Digestive system - Genital and urinary system - Metabolism
  11. 11. 2. CORRECT ASSESSMENT OF EACH PATIENT
  12. 12. 3. TRACKING ACHIEVABLE TARGETS
  13. 13. MAJOR TARGET: to achieve the entire possible potential ( physical, psychological, social, vocational and educational)… … reported to : physiological or anatomical deficiency to ambiental limitation to desires and life projects.
  14. 14. FINAL TARGET: INDIVIDUAL INDEPENDENCE AND INCREASE THE PATIENT’S QUALITY OF LIFE
  15. 15. 4. DEVELOPING A COMPLEX INDIVIDUALIZED PLAN - medical plan: periodical assessment of the affected organs and systems - rehabilitation plan
  16. 16. THE PLAN INCLUDES ALL THE METHODS TO ASSURE FUNCTIONAL RESTORATION OR IMPROVEMENT
  17. 17. 5. INVOLVMENT IN TERAPY OF A MULTIDISCIPLINARY TEAM
  18. 18. DOCTORS PHISIO NURSE THERAPYST CARING SPEECH PEOPLE THERAPYST PATIENT SOCIAL PSYCHOLOGIST WORKER ERGO- FAMILY THERAPYST THEACHERS
  19. 19. ONE IMPORTANT QUESTION : WHO IS THE CASE MANAGER ???
  20. 20. 6. MONITORING THE PATIENT’S PROGRESS AND CONTINUED UPDATE OF THERAPY PLAN
  21. 21. GOLDEN WORDS Patient Assessment Targets Plan Team Case manager

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