E40:2742 Rehabilitation Evaluation and Intervention

• Learn about the concepts and principles of rehabilitation, habilitation, compensation, and adaptation as they relate to individuals with physical disabilities.

• Develop clinical reasoning skills to assess and intervene in the areas of activities of daily living, environmental control and access, communication, and mobility using assistive equipment and technology.

• Understand rehabilitative concepts and practices as they apply to persons with selected diagnoses.

Welcome Back

• Syllabus• Attendance• Lab• Lecture

– Time 9-10:30

• Texts– The manual wheelchair training guide.– The Powered wheelchair training guide.

suggested– Spinal cord injury: Functional rehabilitation – Occupational therapy for physical

dysfunction (Trombly)– Stroke rehabilitation: A function-based

approach– *Patient care skills– *Spinal cord injury: A guide to functional

outcomes in occupational therapy

• Assigned Readings (on blackboard)

Evaluation Criteria– Mid Term Exam 30 % (3/25/11) – Accessibility Assignment 20 (4/01/11)– Final Exam 45 (exam week)– Participation 5

TOTAL: 100 %

Pass/Fail assignments:Competency Checklist- lab checklist, classmates do checklistAbleData Assignment- qs from this on final

Computer Accessibility Features Assignment-questions from this on finalBP Measurement Demo- must pass individual testing

History of “rehabilitation”

• prior to WWI- OT was primarily for mental health

• following WWI (1917)- call for reconstruction(rehab aids to work with war veterans) aids in OT. Rehab for preparation for soldiers to work.

• in 1937: about 2% of OT’s were in physical rehabilitation numbers went up with ww2. mqny==

• 1947- development of departments of physical medicine.

History of “rehabilitation” (cont)

• WWII- 1947- development of departments of physical medicine.

• W + S first published• OT’s awarded military status• Howard Rusk(rusk institute) first outlined

the three phases of medical care– Prevention– Cure (traditional medicine)– Rehabilitation(what ot will focus on)

And now… A few questions

• What is the difference between rehabilitation and habilitation?with habilitation-person didn’t hav ability before. Teaching them to do things for first time. Think people with congetal deformation, muscular dystrophy,new skill that they havent done before.

• Where do OTs work in REHAB? Stroke unit, accute hospital,outpatient, home care, community center, tsching bsketbsll sdspted at ymca, rehab hospital like kessler, national rehab hospital, rusk is attatched to accute, school,

• What’s the role of OT in REHAB? Restore function or compensation, when you first a client estwblish rapport, do eval, then set goals, figure out treatment

Frames of Reference in Rehab OT

• Neurodevelopmental• Biomecahnical• Occupational Adaptation• Acquisition• Rehabilitation-

compensation

Rehab Evals

• Screening v. evaluation• Formal v. informal• Standardized v. non-standardized

• What do we evaluate?sens motor, cognition, rom,cpsychosocial, adl, home situation(home aaccessibility, can someone tak care of them, do they take car of someone, what is the discharge plan, values ans interests, ciommuniucation

Program Evaluation/Quality Assurance

• Becoming more popular and necessary as the healthcare climate changes.

• Used to determine effectiveness of programs Do people get better (more independent).

• Determine cost-effectiveness of programs.• Goal is to streamline treatment and still

achieve results.• Outcomes measurement also gives patients

an idea of how their tx. should progress.• Program evaluation - system a hospital or

rehab program uses to determine their outcomes. (talk about later- skipped slide

Ultimate plan for rehab is?

• DISCHARGE– Discharge planning starts at

admission