Card 7
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Rehabilitation
Rehabilitation is a process of care aimed at restoring or maximizing physical, mental, and social functioning. It can be used for acute reversible insults, e.g. sepsis; acute non- reversible or partially reversible insults, e.g. amputation, Ml, and chronic or progressive conditions, e.g. Parkinson's disease. It involves both restoration of function and adaptation to reduced function depending on how much reversibility there is in the pathology. Rehabilitation is an active process done by the patient, not to him / her.
positive attitude. Good rehabilitation lists are optimists.
This is partly because they believe all should be given a chance and partly because they have seen very frail and disabled older people do well. A positive attitude from the main team and other rehabilitation patients also improves the patients' expectations. Rehabilitation wards should harbouran enabling culture where the whole team encourages independence: patients dressed in their own clothes, with no catheter bags on show, and eating meals at a table with other patients.
team can ensure they are consistent in their approach.
functionally-based treatment, e.g. the hemoglobin level only matters if it is making the patient breathless while walking to the toilet.
individualized holistic outcome goals. These incorporate social aspects, whichare often neglected. The team concentrates on handicap ratherthan impairment.
Reabilitatsiya
Reabilitatsiya - bu jismoniy, aqliy va ijtimoiy faoliyatni tiklash yoki maksimal darajada oshirishga qaratilgan parvarish jarayoni. Bu o'tkir qayta tiklanadigan haqorat uchun ishlatilishi mumkin, masalan. sepsis; qaytarib bo'lmaydigan yoki qisman qaytariladigan haqorat, masalan. amputatsiya, Ml va surunkali yoki progressiv sharoitlar, masalan. Parkinson kasalligi. Bu funktsiyani tiklashni ham, patologiyada qancha qaytaruvchanlik borligiga qarab pasaytirilgan funktsiyaga moslashishni ham o'z ichiga oladi. Reabilitatsiya - bemor tomonidan amalga oshiriladigan faol jarayon, unga emas.
ijobiy munosabat. Yaxshi reabilitatsiya ro'yxatlari optimizmdir.
Bu qisman ularning hammasiga imkoniyat berilishi kerak, deb ishonganliklari uchun va qisman juda zaif va nogiron keksa odamlarning yaxshi ishlarini ko'rganliklari uchun. Asosiy guruh va boshqa reabilitatsiya bemorlarining ijobiy munosabati ham bemorlarning umidlarini yaxshilaydi. Reabilitatsiya bo'limlari butun jamoa mustaqillikni rag'batlantiradigan madaniyatga ega bo'lishi kerak: bemorlar o'z kiyimlarida, kateter sumkalari bo'lmagan holda va boshqa bemorlar bilan birga stolda ovqat eyishadi.
Ko'p intizomli muvofiqlashtirilgan jamoaviy ish
jamoa o'zlarining yondashuvlarida izchil bo'lishlarini ta'minlashi mumkin.
funktsional asoslangan davolash, masalan. gemoglobin darajasi faqat hojatxonaga borayotganda bemorni nafas olayotgan bo'lsa muhim.
individual natijalarga erishishning yaxlit maqsadlari. Ular ko'pincha e'tibordan chetda qoladigan ijtimoiy jihatlarni o'z ichiga oladi. Jamoa nogironlikdan ko'ra ko'proq nogironlikka e'tibor qaratmoqda.
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