Analysis To Define The Multidimensional Features Of Rehabilitation

Question: Discuss about the Analysis To Define The Multidimensional Features Of Rehabilitation. Answer: Introduction: The primary of this paper is to use the case presented by Judy, a 60 years old pakeha woman who lives alone with her pet dog Rufus to submit a detailed literature review on stroke. To do this, the background of Judy is essential. Judy worked part-time as a retail assistant and enjoyed mountain biking with friends. She is presently divorced with one adult son together with many grandchildren. Judy has to care for her grandchildren once they are out of school every day as their parents are working. Unfortunately, she suffered a stroke as she was preparing dinner. This occurrence left Judy with mild dysphasia/aphasia. Judy currently faces difficulties in mobility, and she is sometimes forced to use a walker. Judy is also experiencing awareness loss; insomnia and exhaustion. Judy is increasingly finding it challenging to concentrate. She also prefers spending a considerable amount of time alone. Based on this scenario, the investigator seeks to undertake a thorough literature analysis to define the multidimensional features of rehabilitation and to articulate the rehabilitation team approach efficiently. To achieve this aim, the discussion is structured using the following headings. Identity four aims of rehabilitation Prevention Improve Alleviate Maintenance To help Judy regain her impaired language skills (dysphasia and aphasia) due to the brain damage To help Judy regain her independence To help her improve her quality of life To help her efficiently transition back home To achieve the particular aims of stroke rehabilitation, there is a need to offer intensive and individualized rehabilitation as well as maximize eachs functional abilities alongside independence level. Moreover, it is required that extensive training and education be provided for an individual and their family as well as rebuild the quality of life of the patient. The activities must be organized in a manner that efficiently facilitates the seamless transition of the patient back to her home, community or even works. Stroke rehabilitation must encompass the promotion of independent movement since Judy is paralyzed and even severely weakened (Saposnik et al., 2016). The stroke team of clinicians must assist Judy to perform in a more progressive way starting with simple to complex alongside demanding activities including bathing, dressing and utilizing a toilet. The team must encourage Judy to begin using her stroke-impaired limb as she engages in such activities. Starting to reacquire her ability to perform her necessary chores of everyday living denotes the initial phase of Judys functional independence return (Neurofeedback et al., 2015). Doing this will help maximize Judys life following stroke. The rehabilitation has to start immediately. This will help Judy relearn the skills she had lost when her brain part was affected by the stroke. She will also be able to regain her independence as well as improve the quality of her life. Discuss how five principles of rehabilitation Avoid Aggravation The aim of this rehabilitation is to ensure that Judy is never aggravated. As has been observed in the case study, Judy might become worse if this aim is never met. Thus, these symptoms must be controlled to ensure that Judy is never exacerbated. Compliance Rehabilitation aims at making Judy more compliance with the instructions or interventions. By complying with all the interventions and instructions given to her, Judy will be able to come be re-incorporated into the society once again and do all what she has been loving to do. Timing The rehabilitation must be timing in order that it does not come either late or earlier. As has been seen, Judy is really in need for rehabilitation and, therefore, it is the right time for timely interventions to be given to Judy to help solve her problems. Individualized The rehabilitation needs to be individualized. As in this case, it should be Judy-oriented in that it should focus directly on Judy and not as a group. This is because every victim has his or her own unique needs and hence when it is individualized, the outcome and recovery will be much bigger and faster. The stroke rehabilitation always aims at providing individualized rehabilitation capable of promoting the highest degree of functioning which is feasible Interdisciplinary The recovery of stroke patient will only be achieved by the existence of the experienced interdisciplinary team. This team ensures a coordinated approach as they work thereby making a substantial contribution to the improvement of Judy quality of care in the rehab. The stroke team must comprise of both core and periphery members. The former is usually based on the units of stroke. These include occupational therapists, physiotherapists, speech as well as language therapists, stroke physicians, healthcare assistants as well as nurses. As seen in this case, Judy has lost language skills, and hence the language and speech therapists will be of great help to Judy. The therapy assists must be trained so that they can effectively assist the physiotherapists. The effective multidisciplinary team, therefore, remains the driver for quality improvement in stroke rehab. How components of ICF model are interrelated The ICF Core Set for acute hospital and early post-acute rehabilitation facilities are extremely suitable for nursing rehabilitation. Connecting nursing interventions to ICF Core Set classification is a possible means of analyzing nursing. Utilizing ICF Core Sets in describing goals of nursing interventions facilitates inter-professional communication and respect the needs of patients. Thus, ICF is a valuable framework for setting nursing intervention goals. The ICF entails ICF categories structured in 2 parts, each with 2 distinct components. First ICF part captures functioning and disability. These have the components, Body Functions (coded with b) alongside Body Structures (coded with s) and the Activities and Participation (coded with d). The second part entails contextual factors with such components as Environmental Factors (coded with e) and Personal Factors. Except the Personal Factors, the ICF categories of all the remaining three components are classified and remain hierarc hically detailed up in 4 levels. The hierarchical code system entails abbreviation of component alongside chapter number (for example b2 sensory functions and pain) proceeded by the 2nd level (for example b210 seeing functions), 3rd level (for example b2100 visual acuity functions) and the 4th level (for example b21000 binocular acuity of distant vision). The Activities and Participation component of ICF is closely related to Judys scenario. This is because it gives the information and the procedure necessary to help Judy participate in activities which will help her regain her ability to walk alone and even get out and stop feeling isolated. The environmental factors component is also related to Judys situation. For example, it will showcase the effects of environment to Judys conditions which then will be mitigated or prevented to ensure that Judy is okay and re-integrated back into the society. The Body Structures component is also significant to this situation because it helps understand the body structures help the nurses get insights into what is happening in Judys body and then get the best intervention that is based on age. This will make Judy situation to be reversed effectively and in a timely manner. The ICF is a classification of health and its related domains. It is the WHOs framework for measuring the health at both population and individual level. The ICF model comprises of two parts: the Functioning and Disability and Contextual factors. It offers a standard language as well as the conceptual basis for defining and measuring disability and avails the codes and classifications. It provides the scientific, operational footing for the description, understanding as well as studying health and health-associated outcomes, determinant, and states. The components of ICF model are: In the first part-functioning and disability, body functions and body structures; and activities and participation form the main two components. The second part-contextual factors include two components as environmental factors and personal factors. All these four components have a close relationship with Judys stroke condition (Levy et al., 2016). The functioning and disability results from interactions b etween Judys health conditions and her environment. Thus, the team will be able to define Judys health condition based on the ICF model which puts every person in context. From ICF, the rehab team can understand that Judys functioning in this scenario displays her health condition (stroke) and contextual: personal and environmental factors. Thus, from the ICF model, the rehab team gets a common language and high-level classification structure that permits the rehab team to accurately describe and quantify their rehab practices and interventions to help Judy (Anderson et al., 2015)). The ICF model is thus useful in stroke rehabilitation activities like considering health and functioning, setting goals for rehabilitating Judy, evaluating the treatment outcomes, communicating with Judy and other fellow members of the team (Birgfeld et al., 2015). By providing the common language crossways clinical disciplines, and with Judy, the model will be useful in ensuring collaborative, multidisciplinary team. The ICF model helps the rehab team to describe activities and participation in Judys rehabilitation. For example, it will be used in the scenario to define the tasks and activities that both rehab team individual will do alongside those that Judy will be required to do and Judys involvement in the life situations which is defin ed as participation (Whiteman, Dhesi, Walker, 2015). The rationale for the multi-disciplinary team The primary driver for improvement in quality in stroke services remains SSNAP. There remains unambiguous evidence of enhanced outcomes when stroke patient like Judys scenario is treated in the unit using multidisciplinary teams. When contrasted with conventional care, effectively organized inpatient stroke care culminates in a long-term decrease in death, need for institutional care as well as dependency. Good evidence that ESD teams enhanced earlier discharge, increased probability that Judy will regain her independence in tasks which support her everyday living as well as lead to less requirement for long-term institutional care by Judy (Berber et al., 2016). Such outcomes are linked to the services of established ESD team and unit, employing skilled stroke professionals that highly collaborate via regular multidisciplinary team meetings and precisely defined pathways of stroke care within a broad context of community care or hospital services. The improvements in patient care qua lity have expressly been linked to team-working by the policymakers. Health professionals with specialist skills as well as knowledge are coordinated in rehab centers because of the complexity of response to as well as recovery from strokes neurological injury (Winstein et al., 2016). The multidisciplinary stroke teams remain more significant than any other healthcare teams and hence it is essential they highly coordinated and collaborate. The recorded benefits of efficient team-working entail more patient-focused decision making, decline in care fragmentation as well as surged staff satisfaction alongside increased effective and efficient utilization of resources (Anderson, Woodbury, Phillips Gauthier, 2015). Nevertheless, guidelines, policies alongside research evidence cannot individually result in a change in the behavior of health professionals. A commonly understood purpose alongside perceived or real benefit at both organizational and individual levels will ensure that Judy receives the best rehabilitation from the team. References Anderson, K. R., Woodbury, M. L., Phillips, K., Gauthier, L. V. (2015). 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