work & sustainability at work for amputees · nazatul akma binti zawawi, bsc ot (uitm), cdmp...
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• Return to Work
• & Sustainability at Work for
• Amputees
SOCSO TUN RAZAK REHABILITATION CENTRE:
BEST PRACTICES IN SUCCESSFUL RETURN TO
WORK & SUSTAINABILITY AT WORK FOR
AMPUTEES
NAZATUL AKMA BINTI ZAWAWI, BSc OT (UITM), CDMP (NIDMAR)
SOCSO Tun Razak Rehabilitation Centre Malaysia "Look at the Ability, Not the Disability"
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Malaysia Social Security Organization (SOCSO)
Established on the 1st of January 1971 as a Government Department to enforce the Employees’ Social Security Act, 1969, Self-Employment Social Security Act, 2017
and Employment Insurance System Act, 2018. Became a Statutory Body on 1st July 1985 to provide the following services to its members:
• Medical benefits
• To carry out accident prevention activities
• To provide physical and vocational rehabilitation
• Temporary financial assistance to support workers who are losing their jobs
SOCSO Tun Razak Rehabilitation Centre
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• First integrated medical and vocational rehabilitation center by SOCSO
• Started Operations on 1 October 2014
• Rehabilitating 1300 SOCSO insured person annually with various disabilities
• Rehabilitation process covers physical rehabilitation and vocational rehabilitation for insured person to re-enter the working community through case management and early intervention
Overview SOCSO Tun Razak Rehabilitation Centre (TRRC)
SOCSO Tun Razak Rehabilitation Centre
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o Specialized multidisciplinary rehabilitation services along with vocational services with an interdisciplinary team.
o While the patient receives a combined expertise of a multidisciplinary care team selected especially for themselves, they will be geared by another set of an interdisciplinary team that will be able to direct them with the vocational rehabilitation services in gearing them to their return to work or improvement in the quality of their life (for patients with debilitating conditions.
o Both interdisciplinary teams from the physical and the vocational services work hand-in-hand to achieve goals set by both the patient and the treating therapists.
Evolving Rehabilitation Landscape
SOCSO Tun Razak Rehabilitation Centre
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Amputation, 428
RTW ADL
[CATEGORY NAME], [VALUE]
Neuro, 931
Spinal Cord Injury, 540
Amputation, 428
General, 135 CATEGORY OF INJURY
AMPUTATION Key Statistics (Admission)
SOCSO Tun Razak Rehabilitation Centre
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Amputee
Referral
SOCSO
Rehabilitation
Center
Admission of Patient
Return to Work Plan /
Community Reintegration
Initial Evaluation Meeting
Postoperative pain & wound
management
Physical & Functional
Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-
Being
Follow up
1. Pre-prosthetic 2. Prosthetic
Prescription/fabrication 3. Prosthetic Training
Syste
ma
tic C
ase
Ma
na
ge
me
nt F
or A
mp
ute
es
Medical/Rehabilitation Evaluation
1. Plan rehab objectives 2. Set rehab plan
1. Stump care 2. Functionality of prosthesis provided
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SYSTEMATIC CASE
MANAGEMENT FOR
AMPUTEES
SOCSO Tun Razak Rehabilitation Centre
INITIAL EVALUATION
MEETING
• Plan rehab objectives
• To develop a patient-centered
rehabilitation goal-directed care
plan
• Is patient ready for prosthetic
fitting and training?
• Determination of K Level
Amputee
Referral
SOCSO Rehabilitation Center
Admission of Patient
Return to Work Plan / Community
Reintegration
Initial Evaluation Meeting
Postoperative pain management
Physical & Functional Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-Being
Follow up
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POSTOPERATIVE PAIN
& WOUND
MANAGEMENT
• Reduce residual limb pain,
improve effectiveness of
coping, and reduce interference
with daily function.
• Patient education
• Desensitization
• Edema management
SYSTEMATIC CASE
MANAGEMENT FOR
AMPUTEES
SOCSO Tun Razak Rehabilitation Centre
Amputee
Referral
SOCSO Rehabilitation Center
Admission of Patient
Return to Work Plan / Community
Reintegration
Initial Evaluation Meeting
Postoperative pain & wound management
Physical & Functional Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-Being
Follow up
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PHYSICAL
REHABILITATION
Focus on components:-
• Range of motion
• Strength
• Endurance
• Balance
• Mobility
SYSTEMATIC CASE
MANAGEMENT FOR
AMPUTEES
SOCSO Tun Razak Rehabilitation Centre
Amputee
Referral
SOCSO Rehabilitation Center
Admission of Patient
Return to Work Plan / Community
Reintegration
Initial Evaluation Meeting
Postoperative pain & wound management
Physical & Functional Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-Being
Follow up
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FUNCTIONAL
REHABILITATION
• Reduce dependency in personal
activities (independent bed
mobility, independent transfer,
wheelchair mobility, gait training &
safety).
• Improve quality of life by
participating in activities
(recreation, sports & PADL)
SYSTEMATIC CASE
MANAGEMENT FOR
AMPUTEES
SOCSO Tun Razak Rehabilitation Centre
Amputee
Referral
SOCSO Rehabilitation Center
Admission of Patient
Return to Work Plan / Community
Reintegration
Initial Evaluation Meeting
Postoperative pain & wound management
Physical & Functional Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-Being
Follow up
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VOCATIONAL
REHABILITATION
Provide new skills, reskilling &
upskilling to facilitate employment.
1. Basic skills
2. Design (mug, t-shirt printing)
3. Electrical & electronics
4. Bakery
5. Sewing
SYSTEMATIC CASE
MANAGEMENT FOR
AMPUTEES
SOCSO Tun Razak Rehabilitation Centre
Amputee
Referral
SOCSO Rehabilitation Center
Admission of Patient
Return to Work Plan / Community
Reintegration
Initial Evaluation Meeting
Postoperative pain & wound management
Physical & Functional Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-Being
Follow up
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PSYCHOLOGICAL
SUPPORT & WELL
BEING
• Goal-oriented behavior to return to
work
• Stress and adjustment coping
strategies
• Cognitive behavioral therapy
• Behavioral and social skills
SYSTEMATIC CASE
MANAGEMENT FOR
AMPUTEES
SOCSO Tun Razak Rehabilitation Centre
Amputee
Referral
SOCSO Rehabilitation Center
Admission of Patient
Return to Work Plan / Community
Reintegration
Initial Evaluation Meeting
Postoperative pain & wound management
Physical & Functional Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-Being
Follow up
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RTW PLAN/COMMUNITY
REINTEGRATION
• Job Searching
• Worksite Assessment
• Employer involvement
• Family involvement
• Home visit
SYSTEMATIC CASE
MANAGEMENT FOR
AMPUTEES
SOCSO Tun Razak Rehabilitation Centre
Amputee
Referral
SOCSO Rehabilitation Center
Admission of Patient
Return to Work Plan / Community
Reintegration
Initial Evaluation Meeting
Postoperative pain & wound management
Physical & Functional Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-Being
Follow up
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FOLLOW UP
• Functionality of prosthesis
provided
• Stump care
• For non traumatic cases, to follow
up underlying comorbid &
medication
• Look into TCA & medication, or
otherwise risk losing other limb as
well
SYSTEMATIC CASE
MANAGEMENT FOR
AMPUTEES
SOCSO Tun Razak Rehabilitation Centre
Amputee
Referral
SOCSO Rehabilitation Center
Admission of Patient
Return to Work Plan / Community
Reintegration
Initial Evaluation Meeting
Postoperative pain & wound management
Physical & Functional Rehabilitation
Vocational Rehabilitation
Psychological Support & Well-Being
Follow up
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Return to Work
SOCSO Tun Razak Rehabilitation Centre
145 RTW
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SOCSO Tun Razak Rehabilitation Centre
THANK YOU !