Presentation - Rehabilitation Institute Ljubljana, Slovenia. Hermina Damjan

Transcription

1 Presentation - Rehabilitation Institute Ljubljana, Slovenia Hermina Damjan

2 Medical rehabilitation intervention Goal oriented comprehensive therapeutic program provided by rehabilitation team planned on the basis of clinical analysis of functional abilities on the field of mobility and movement (organisation and performance), self care, cognitive functions, speech and language abilities, social interaction, participation, integration in home environment

3 Medical rehabilitation services Medical intervention,diagnostics, planning, coordination Nursing and care Physiotherapy Occupational therapy Psychoterapy and cognitive training Speech therapy Social intervention and help (Re)integration into the home environment (family) and society (work, school, leisure time, sport, culture) Special devices equipment

4 Medical rehabilitation professionals PRM specialist Rehabilitation nurse Physiotherapist Occupational therapist Psychologist (clinical) Speech therapist Social worker Engineer of orthotics and prostetics Special teacher,...

5 Duration of rehabilitation program Depends on the severity of the impairment rehabilitation potentials rehabilitation goals Shortest 1 week (readmittens) Longest 12 months (early rehabilitation of tetraplegic with breathing problems and social problems, child or adult after severe TBI)

6 Number of clients, target groups 1550 hospital rehabilitation cases outpatient cases Children, adults; congenital, acquired Spinal cord injury, TBI, stroke, amputation, trauma of locomotor system, peripheral nerve lesions, hipoxic brain lesion, infective and oncologic deseases of nerve and locomotor sistem, neuromuscular d., RA, degenerative d.

7 Funding National insurance all the residents are health insured Contract National health insurance Health programs payed approved by Ministry of health Hospital rehabilitation payed per case Outpatient service listed in the so called green book number of points, value of the point Indications and duration of rehabilitation are not limited (except for degenerative deseases of locomotor system)

8 Medical rehabilitation national provision of programs Acute rehabilitation acute hospitals PRM spec, FT, ev occupat. th, seldom psychologist or speech therapist, service for Hosp patients, outpatient) Subacute Rehabilitation Institute severe problems - H, outpatient - spa trauma, orthopedic problems Health homes physiotherapy + family doctor, small number of PRM spec, - teams for developmental problems of children

9 Benefits of medical rehabilitation Client better quality of life Funder lower needs for care and health services Community economical independance, participation in social life

10 Desired outcomes Client self dependant in mobility and daily activities, school or job Funder independant no need for social or health care Community active, satisfied member of the society

11 Tools for outcome measurement Professionals FIM every 4 weeks or at the begging and end of rehab program PEDI (twice per year), AHA, GMFM, MAS VAS 10 m walking time Berg equilibrium scale Canadian occupational performance measurement Funder, management - /

12 Use of results of outcome measurement Follow up of the effectiveness of rehabilitation program Basis for the decision making (discharge, therapeutic method change) Follow up of the child development Social help, attendance approvement (child in school,..), special institution or rehabilitation program admittance

13 Proposal for measurement of benefits of medical rehabilitation Satisfaction with rehabilitation program Quality of life (Satisfaction with) Satisfaction with the support in social life