Amputee Rehabilitation – What The Patient Needs To Know

Source: defense.gov

The loss of a limb or limbs has severe implications for a person’s ability to move and perform daily tasks. With these restrictions, it is almost impossible for him to function and participate in community activities. Since functional dependence is one of the main concerns of an amputee, having a normal life seems to be difficult for someone who loses parts of his body. However, with the existence of amputee rehabilitation, most of the problems related to ability and self-confidence of the patients can be patched up with a treatment program. The program aims to support and encourage amputees to have the chance to regain a productive and rewarding experience.

Source: defense.gov

The amputee rehabilitation process is composed of different phases that can drastically increase the mobility and confidence of the patient. Let’s try to understand the importance of these phases.

Pre-operative – In this phase, physicians assess the body condition of the patient and provide educational and possible surgical discussions to open up some options. The focus of this stage is the objective assessment of the muscle power. The medical team offers postoperative prosthetic plans to the patient and understands his range of movement or ROM. The attending physician thoroughly checks the medical history of the patient during this stage that includes his drug and social history. Using all the findings taken from this test, the physician, patient, and his family will decide on the most appropriate solution to the problem.

Amputation Surgery or Reconstruction – This stage is in the full responsibility of the surgeon. The length, soft tissue coverage, rigid dressing and more are all decided on this stage. It is where the amputee undergoes a process that removes part or parts of his body.

Acute-Post Surgical – During this phase, the wound healing takes place. Pain controlling medications are provided with proximal body motion. Post-operative chest physiotherapy is integrated into the patient’s body which is incorporated with specific exercises to improve strength. Tons of emotional support from the patient’s family is required.

Pre-Prosthetic Rehabilitation – Counseling takes place during this stage. The patient’s overall goal is discussed and handed out by the attending doctor. These information aims to make the patient understand the possible pros and cons of the procedure. Deciding for the prosthetic prescription also takes place in this stage. Early walking aids (EWA) are used for the diagnosis to settle for the patient’s suitability for a prosthetic limb. Exercise therapy is also integrated to prepare the patient for the next stage.

Prosthetic Prescription – The measuring and casting of the patient’s prosthetic are conducted during this phase. The Prosthetist fits the primary prosthesis to the patient’s limb. During this stage, the help of a Physiotherapist is needed to ensure that the neutral alignment of the pelvis is obtained accurately. The physiotherapy gives the patients intervention on mobility guidance, proper weight bearing, and static balance.

Prosthetic Training – During this process, the Prosthetist will help solve and adjust prosthesis for the patient’s comfortability. The physiotherapist takes the lead role on this stage where he starts with educating the patient about his prosthesis and skin integrity.

Discharge Management – During this stage, the occupational therapist takes the lead role. His job includes aiding the resumption of roles in the family and helping them find suitable recreational and community involvement activities. It is more like the transition program for the patient to re-enter society with more mobility freedom than before the rehab program.

Follow Up – The patient gets monitored closely by the facility to see whether he adequately integrated back to his normal life. The physiotherapist and the prosthetic team will review the patient’s condition and advice a further checkups from time to time.

Source: defense.gov

People who undergo amputation face a challenging period of overall recovery. But with the help of amputation rehabilitation, the process is shortened. The proper care is provided to the patient in full guarantee.

 

Drug Rehabilitation Treatment

Source: maxpixel.net

Illegal drug use has been around since immemorial. Data shows that people use drugs for a lot of purposes but most of the time have failed to control their intake and this has resulted in addiction. In most cases, drugs have been known to provide euphoric feelings that pleasures users. A release of tension is also possible, but the uncontrolled usage results in tragedy. It hinders a person to adapt to a new harmonious and interactive lifestyle and the highly influenced brain chemical structure caused by drug abuse alters a person’s life perspective.

Why Rehabilitation Is Important

People who use drugs experience a variety of physical effects. For example, it interferes with the motor control that often causes deadly accidents. Abrupt withdrawal from drugs also results in cases like vomiting and convulsion. That’s one of the main reasons why experts from the drug rehabilitation facility are needed to give proper action to the drug addiction dilemma.

A large portion of rehabilitation centers admits drug addicts into their program for a possible behavioral change. The data from the World Drug reports show that approximately 200 million people, which are about 5% of the world’s total population with ages between 15 and 64 years old, have either been forced or voluntarily ask help from rehabilitation centers for behavioral alteration.

Source: flickr.com

Drug addiction treatment is tailored in such a way that it can be confrontational at times. The several key activities designed for patients examine damaging beliefs, self-made concepts, and destructive patterns of behavior. Drugs cause the increase of brain dangers or relapse so making treatment an essential part of the rehabilitation journey is a must.

Process Of Treatments And Rehabilitation

Recent research works say that addiction treatment is typically classified as programs that follow several modalities. The treatment and individual programs continue to evolve and diversify.  However, the most common steps of traditional addiction treatment start with detoxification. It is where a person stops using drugs for a week to remove the internal residue of illegal substances from the body. Although this process does not take into accurate account, there are proven psychological, social and behavioral effects of drug usage stoppage. From there, a modern treatment follows detoxification with a formal assessment and referral to a drug addiction treatment.

The most common type of drug addiction treatment is the long-term residential treatment in drug rehabilitation centers. This treatment provides care 24 hours a day in a non-hospital setting. The duration of treatment usually lasts for six to twelve months depending on the patient’s physical and mental state. Drug rehabs focus on the re-socialization of the individual and the use of the program’s entire community in helping in the process.

In many drug rehabilitation centers, the highlight of psychological dependency is the process of attempting to teach each patient with new methods of interacting in a drug-free environment setup. Programs offered in drug rehabilitation facilities include residential treatment, local support groups, recovery houses, counseling, medical and mental care, and extended care centers. The rehabilitation process is composed of a lot of stages and techniques.

Though the traditional treatment is known to focus on the use of medications and residential treatments, it also caters to experimental medications, counseling, smart recovery techniques, client-centered approach, psychoanalysis, relapse prevention, cognitive therapy, and the use of behavioral models.

Source: pixabay.com

Drug addiction is a severe case. This problem can lead to broken family, accidents and even death. But the good news is that there are a lot of drug rehabilitation facilities that can offer programs to help drug addicts take back their healthy lives. Though not all programs work, treatments are possible, and the success rate for those patients willing to undergo rehab is high.

Important Persons Needed For Inpatient Rehabilitation

Source: wikimedia.org

Inpatient rehabilitation is composed of a multidiscipline treatment team, which is headed, by a rehabilitation doctor or physiatrist. The treatment team consists of a variety of specialists that are more than qualified to address the different needs of the patients admitted to the inpatient rehabilitation facility or IRF. The attending specialist thoroughly manages the patients’ individual needs and goals during the whole duration of the rehabilitation period.

The members of the rehabilitation team are selected based on specific needs and may include the Physiatrist, Nurses, Care Manager, Social worker, Occupational Therapist, Physical therapist, Speech therapist, Neuropsychologist, Psychologist, Therapeutic Recreational Specialist, Vocational Rehabilitation Specialist, Chaplain, Clinical Dietitian, Prosthetist, and Respiratory Therapist.

Physiatrists – These are the doctors present in the rehabilitation field. These doctors receive advanced training and certification in the field of medicine and rehabilitation. They are the experts of the network between nerve, muscles, bones, and brain. The inpatient physiatrist deals with the medical care and oversees progress in therapy.

Rehabilitation Nurses – These are involved in educating both the patient and family about caring needs and therapeutic routines. They also administer medication and teach patients about schedule use and the possible side effects. At the same time, they provide dressing, hygiene and feeding assistance.

Care Managers – They are responsible for communicating with the insurance company for the level of benefits that the patients can enjoy during the duration of rehabilitation. The information taken by the care managers are relayed to the treatment team to maximize the possible rehab packages of the patient.

Social Workers – These people serve as the bridge in both the patient and his or her family in identifying care, and transition needs to ensure a hassle-free discharge. They also evaluate home needs and support system, helps the family through accessing community resources and provides counseling for the adjustment issues related to the disability.

Occupational Therapists – Occupational therapists are the ones responsible for checking the current abilities and development of the treatment plan for the patients. They make sure that the goals in Activities of Daily Living or ADLs are adequately met.

Physical Therapist (PT) – The physical therapists are responsible for the mobility development of the patients residing in the IRF.

Neuropsychologist – These professionals check the thinking abilities and provide understanding that relates to brain injury, brain functioning and more.

Therapeutic Recreational Specialist – The therapeutic recreational specialist helps patients and families in integrating the skills learned in rehab to activities that promote the personal growth and active community involvement.

Source: wikimedia.org

An Inpatient rehabilitation facility can provide these treatments and care. They admit cases such as amputee rehabilitation, brain injury, burn treatment, complex medical healing, orthopedic recovery, neurological analysis, Parkinson’s disease, pediatric aid, Prosthetics and Orthotics, psychiatry, pulmonary assistance, spinal cord injury, stroke, and therapeutic recreation. All of these medical conditions are assessed in every IR facilities.

Source: wikimedia.org

Other Helping Hand

Family and significant others of the patients inside the inpatient rehabilitation facility play a relevant role for the clients’ successful recovery too. In addition to being a significant source of motivation, family participation ensures skills learned in therapy sessions are applied rigorously in daily routines. They guarantee to maintain a healthy lifestyle for the patient after discharge since there are a lot of things to be considered. Patient schedules will also include patient and family education sessions for the family members to develop proper awareness, skills, and knowledge that would help the patient’s fast recovery.

Patients with disability need a proper set of medical treatment and attention for them to be properly part of the working society again and live a normal life. That is why the services provided by the treatment team of IRF are very relevant for their successful recovery.

The Role Of Institution-Based Rehabilitation

Source: pcpedia.org

Institutional based rehabilitation sets the policy and directions with care standards of homes for children and young persons with rehab or disability-related cases. The care framework in the rehabilitation aims to guide and support the patients at every step, from the homes to their re-entry into the society. Rehabilitation is acknowledged as an opportunity when self-care, family support arrangement, and community options are not enough.

The role of rehabilitation is viewed as a significant help for a person to improve his overall mental and emotional behavior. It offers intervention programs which follow an institution based rehab that aims to equip the person with life skills and knowledge to handle personal issues. It is the institution’s goal to help the patient to function in everyday life.

 

Institutional Based Rehabilitation Services

  • Rehabilitation Process – The rehabilitation process and social reintegration preparation phases extend beyond its functions. The process helps the patient restores the respective areas of his life. It allows him to integrate fundamental factors that affect his decision making and commitments. It brings back the individual’s sense of responsibility to his families, school and society. The process enables him to have a smooth transition back to his healthy way of living.
Source:army.mil
  • Institutional Rehabilitation Aftercare Services – After the rehabilitation process, the patient is given proper support and monitoring, provided with the help of his family. The aftercare service continues to provide service that takes care of the person’s mental, emotional, and behavioral alterations. This type of service tries to reinforce positive values that assist in the reintegration of an individual’s life back to his home and community. Not only the process helps him understand the things he needs to do, but it also gives him the chance to get jobs and rebuild their relationship with respective families.

 

  • Institutional Rehabilitative Strategies – Two key strategies are part of this service. First is the holistic assessment. This strategy assesses the patient in three areas such as education, personal mastery, and socio-emotional development. With the use of the relevant tools, these services objectively and efficiently identify the needs and risk factors of the patient. These set of tools are supervised timely with specific interventions through the creation of individual care plans in every core areas that need assessment. The second strategy is the Individual family and work. The family members are brought together with the patient to conduct a formal conference. This strategy allows both sides to address their behavior that needs to be altered to adjust their relationship for the better.

 

  • Institutional Rehabilitation Programs – This program primarily focuses on essential factors such as therapy, holistic education, personal mastery of habits and self–discipline. In the therapeutic program, the service motivates the patient to rethink everything, assess reasoning, react to sessions and manage relationship building. For the education program, the service provides sessions for restoring self-belief and strengthening the foundation for future learning. The personal mastery of habit focuses on strength and weaknesses. It broadens horizon, adapts to skills, and explore opportunities. And self-discipline manages to evaluate the person’s overall capability to adjust to stressful situations.

 

  • Restorative Institutional Rehabilitation – This program focuses on restoring lives, empower transformation and recreate the patient’s future. It possesses a multidisciplinary approach in its work that draws plans from a variety of fields such as psychology, education, criminology, and social work.
Source:wikimedia.org

Institutional rehabilitation plays a significant role towards reestablishing the life of its patient back to the society. It provides a safe environment for improvement and a foster care program during the rehabilitation process. The institution maximizes the strength and potential of its patient, not only for himself but also for his families and the community.