Hungarian adaptation of elemental rehabilitation service helping people suffered an accident (brain-, spine casualty)

Transcription

1 Regional Social Resource Centre Kht. (Public Benefit Company) 9700 Szombathely, 11-es Huszár út 116. Tel.: 94/ , 94/ Fax: 94/ Internet: Hungarian adaptation of elemental rehabilitation service helping people suffered an accident (brain-, spine casualty) 1

2 State analysis In parallel with the development of the technology more and more serious accident happens, not only on the roads but also at workplaces and at other places, e.g.: during extreme sports. On the other hand by the improvement of rescuing more badly wounded people survives the accidents and stay in severe stage. The rehabilitation of these patients is far not only the responsibility of the hospital. Rehabilitation contains not only the medical treatment but also employment, social, and pedagogical rehabilitation as well, in this case this means training, retraining. 2

3 Justification of the project The objective of the Help after the trauma project is to develop and introduce an innovative supportive model which serves the integration/reintegration into labour force and society, and provides a better life quality for people with gained disability. The speciality of the target group the gained disability requires those kind of ways and interventions which examines the human in global, from the beginning hospital and rehabilitation period. We have developed and implement a complex rehabilitation model which presumes a close relationship between the medical rehabilitation plan, the social questions and the labour force programs. It strengthens and promotes the rehabilitation process, allowing the integration or repeated integration into the society, the improvement of living and life quality for disabled people. The circumstances of people with gained traumatic type disability are described with a completely new, unexpected, prompt situation, which fundamentally change their lifestyle and their future perspectives. This kind of change requires the formation of a new lifestyle and makes it necessary to modify the existing familiar and personal balance. In our model we planned to develop a service-rehabilitation model which reaches through the strict boarders of social spheres, and by embracing those provides complex rehabilitation for people who suffered injuries in accidents. Certain elements (institutions) of the model have been working with people by changed work abilities with huge experiences, matured institutional and professional cultures. Hence the program develops a new network system by taking into consideration the specialities of rehabilitation fields, in which system the institutional autonomy is not harmed but at the same the separate parts of rehabilitations became joinable. The flexible cooperation of institutions providing medical, mental, social educational and employment rehabilitation promotes the temporal, site and methodological personalization of individual rehabilitation. As far as only those rehabilitation tools can be effective for the patient recovering from an accident, which enters into his/her life in time. The novelty of the complex rehabilitation model, beside the network approach, is the use of a seemingly external element, which is viewed by the puppet show. As the result of the network cooperation we expect to provide the different rehabilitation services for the patients in a rehabilitation procedure when that service has the most effective value in that specific process. This speeds up the rehabilitation procedure, the reintegration into employment in time, and not only for the individual but also for the society. As the result of the network cooperation the approaches of experts working within the system is going to change, to be more complex, the tools of rehabilitation is becoming more creative in favour of efficiency. Target audience The primary target audience of the project: traumatic spinal marrow-, and brain injured people in the active age People who suffered trauma had normal intellectual abilities, who suffered permanent injuries in different degrees through accident. Target group of Help after trauma consist of people who suffered permanent changes due to spinal marrow and skull-, brain injuries. Thereupon their role in the family and society also changes. 3

4 Accident can cause different kind of damages: anatomical, physiological, neurological, psychical, intellectual. This can lead to the disorientation of human function of those who are concerned, in eating, getting dressed, washing, speaking, working, and in family roles. Gained disability situation can not be compared to disability situations existing since birth. Secondary target audience The secondary target audience of the project: family of the person suffered the trauma The accident affects not only the person but also his/her family. The family supporter often becomes a dependent, the grown up child needs attendance, nursing again. This means a huge trauma for the family, their distress, fears make the recovery and rehabilitation of the patient even more difficult, and many times these set back the process of becoming independent and employment. Family also needs help and support. The family, support of friends, the acceptance of new lifestyle makes the social integration shorter. The role of the family should be handled preferentially, with this end in view during the complete process. Objective of the project Objective of the project: promote integration into society and work, improvement of life quality The project aimed to develop and work out a model which promotes the social and employment integration of people suffered trauma. Target audience is helped: in re-building the social connections; in discovering the remained abilities again and in detecting and appreciation of new abilities Participating partners Regional Social Resource Kht- Service Helping Integrated Employment Markusovszky Hospital- Rehabilitation Department West Transdanubian Labour Centre Regional Training Centre Mesebolt Puppet-Show 4

5 Procedure description Preparatory stage The preparatory stage mainly happens in the health system; here takes place the improvement, development of functions, and improvement of patient s state. The medical attendant of the patient notifies the medical mentor within the first days after the patient got into hospital, that a person who suffered trauma has just arrived who can be involved in the program. The medical mentor prepares the social anamnesis, records the first interview (basic information about the patient, state evaluation, filling out of forms). Medical mentor notifies the coordinator, who asks the family therapist or a mental hygiene specialist to cooperate. They (he/she) also contract with the patient suffered trauma, and also with family members, and companion helpers, fellow sufferers, they are the ferrymen. On Rehabilitation Departments the rehabilitation plan of the patients is made and the rehabilitation procedure takes place according to this. The individual improvement plan is based on this, in the next phase of rehabilitation. After the social anamnesis, and the first interview the coordinator has regular contact with the patient. The preparatory stage can be defined closed, when the state of the patient stagnates, there is not recurrence within a month. With this, the state, rehabilitation of patient can not be considered as finished, of course. The improvement, refinement, reservation of reached functions is still the task of the health care. At this stage, for the signal of the medical mentor, the coordinator calls the professional team. Management stage After the preparatory stage comes the management stage, which aims to help to enter into everyday life according to those defined in individual improvement plan. The medical mentor, family therapist, work-field-rehabilitation advisor, labour force mentor, theatre specialist, training specialist prepares the personal improvement plan of the person suffered trauma. According to this the coordinator guides the person within the elements of the network. For the notification of any members of the professional team, the personal improvement plan can be modified. Coordinator directs the members of the professional team, by taking into consideration the requirements concerning the actual state. The concerned specialists deal with the regular supervision of the improvement plan, and by the implementation of further improvement tasks. The personal improvement plan should be based on professional consensus. It is still the coordinator who joins the implementation of personal improvement plan. 5

6 In this stage the art institutions and organization have a key role, which helps rehabilitation with its own specific tools, as different art branches like music, dance and the puppet show. The managing stage takes place in the Puppet-Show and there is a longer active activity with more participants. The responsibility of the medical mentor in this stage is to accomplish control check-ups, supervision and improvement of patient s reached state. As far as a significant new function does not appear, a repeated sufficient hospital treatment is required or managing of other illnesses. Managing stage is finished when the patient finds a job or he/she is placed within a course/training. Follow-up stage In follow-up stage the work assistant continuously follows up the patient s integration within the workplace, in case of problems, helps to find a solution. He/she notifies the coordinator if the changes in patient s physical or mental state require medical help. The program is finished six month after the patient started a job. - the medical rehabilitation. 6