our report 2

7/28/2019 Our Report 2

1/19

Rehabilitation

Engracia, Angelie Chariz B.

Evangelista, Alyanna F.

Mombille, Anamie T.


2/19

Rehabilitation

Rehabilitation should be a basic part of palliative

care. It has been demonstrated to bring great

improvements in function and for seriously ill

people and their families, and can reduce

physical, psychological and spiritual distress

(NCPC, 2000, p15)


3/19

Rehabilitation

Rehabilitation is an integral component of

palliative care. Rehabilitation and palliative care

have emerged as two important parts of

comprehensive medical care for patients withadvanced disease. Rehabilitation of the physical

and psychological aspects of a patients life is

vital in order to maintain an optimal level of

function in all areas of daily activities. (NACPC,2001, p31)


4/19

Rehabilitation

Rehabilitation in palliative care is about

moving people out of the sick role into

effective day to day management of their

illness

Supporting the individual and their loved

ones through periods of change to ensure

that optimal quality of life and sense ofwellbeing is achieved


5/19

Rehabilitation

Brings together two concepts

Living

Dying

Palliative care rehabilitation at its best is thetransformation of the dying into the living. The

restoration of a patient to a person Oxford Text of

Palliative Medicine

You matter because you are you. You matter to the last

moment of your life and we will do all we can not only

to help you die peacefully but to live until you die.

Dame Cicely Saunders, founder of the modern

hospice movement


6/19

Rehabilitation

The aim of rehabilitation in palliative care is to

improve patients quality of life, so that they can

live as comfortably and productively as possible.

Rehabilitation hopes to help patients function

with as minimal dependence on others as

possible, regardless of life expectancy. It

includes many different approaches and

techniques that promote well-being.


7/19

Rehabilitation is the responsibility of all health

and social care professionals but some patients

may need treatment by specialist professionals

such as occupational therapists andphysiotherapists. This may be provided in the

community or as a hospice inpatient or day

patient.


8/19

Rehabilitation

The aim of rehabilitation in palliative care

is to improve patients quality of life, so

that they can live as comfortably and

productively as possible.

Rehabilitation hopes to help patients

function with as minimal dependence on

others as possible, regardless of lifeexpectancy. It includes many different

approaches and techniques that promote

well-being.


9/19

Rehabilitation

Rehabilitation is the responsibility of all

health and social care professionals but

some patients may need treatment by

specialist professionals such asoccupational therapists and

physiotherapists. This may be provided in

the community or as a hospice inpatient orday patient.


10/19

The Concept of Rehabilitation in Hospice

and Palliative Care

The concept of rehabilitation is based on

function, which refers to an individuals ability to

complete daily survival tasks.

Rehabilitation is the process of helping a personto reach the fullest physical, psychological,

social, and educational potential consistent with

his or her physiological or anatomical

impairment, environmental limitations, desires,and life plans.


11/19

The concept of palliative rehabilitation is

derived from Dietzs concept of cancer

rehabilitation according to disease staging,

as follows: preventative, restorative,supportive, and palliative. Preventative rehabilitation attempts to prevent or

lessen functional morbidity caused by cancer or itstreatment.


12/19

Restorative rehabilitation refers to the effort to

return patients to their premorbid functional status

when little or no long-term impairment is

anticipated.

Supportive rehabilitation attempts to maximize

function after permanent impairments caused by

cancer and/or its treatment.

Palliative rehabilitations primary goal is thereduction of dependence in mobility and self-care

activities in association with the provision of comfort

and emotional support.


13/19

Rehabilitation can be provided in the inpatient,

outpatient, and home settings.

Inpatient acute rehabilitation is designed for patients

who have the potential for significant functionalimprovement, and are able to tolerate at least 3

hours of daily therapy five times per week.

In contrast, subacute inpatient rehabilitation offers

coordinated interdisciplinary services to patients withless intense rehabilitation needs who can tolerate at

least 1 hour of therapy each day.


14/19

Outpatient rehabilitation offers comprehensive

interdisciplinary or single rehabilitation services for

patients living in the community.

Most home care agencies can provide physical

therapy, occupational therapy, speech therapy, social

work, and skilled nursing care to homebound patients.

Hospice programs may provide physical, occupational,and speech-language therapy in the inpatient as well

as the home environment.


15/19

Rehabilitation Strategies

Optimizing functional ability and gain

Promoting independence

Facilitating transition by enabling coping and

adaptation

Promoting and maintaining hope

Encouraging normalization

Providing emotional and spiritual support Empowerment of patient and family


16/19

Impact of rehabilitation:

Able to walk with Zimmer

Able to sleep in own bed

No change to pain/numbness

Significant reduction in arm girth

Significant improvement in function and

decreased infection rates

Social aspects of day therapy Improved compliance with other treatments


17/19

Palliative Rehabilitation is a Complex

Intervention, We need resilient clinicians and

managers and resilient services to enable

resilient people to adapt to the impact of theirillness and commit themselves to change

(Tookman, 2004)


18/19

I think I cope because of all

the people that surroundme ...they all give me differentkinds of strengths they are

all very positive(quote from a personreceiving palliativecare)


19/19

our report 2

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