Rehabilitation aims to utilize a person's existing capacities through coordinated medical, social, educational and vocational measures to maximize their functional ability. It makes life more meaningful and productive. Rehabilitation is the third phase of medical care after prevention and cure, and should start as early as possible for best results. It involves minimizing the consequences of injury or disease through measures like turning patients regularly to prevent pressure sores.
3. Rehabilitation
• Rehabilitation is the Utilization of the
existing capacities of the handicapped
person,
by the Combined and Co-ordinated
use of Medical, Social , Educational
and Vocational measures to the
optimum level of his functional
ability.
4. • It makes life more Meaningful more
productive.
• Third phase of medical care after
preventive and curative
• Should be started as early as possible
for best results
• In conjunction with specific medical
and surgical treatment
5. Epidemiology of rehabilitation
• Derived from Greek word epidemos
meaning “Among the people”
• 20th century C.O Stallybross defined
epidemiology as’ The science which
considers infectious disease-their
course, propagation and prevention.
• W H Welch defined as ‘The study of
natural history of disease’
6. Health
• WHO “ a state of complete Physical,
Mental and Social well being and not
merely the absence of Disease or
Infirmity.
• Fundamental goal of medical science
is to maintain optimal health as long
as possible
• ADD LIFE TO YEARS
8. Primary prevention
Measure taken prior to the onset of
any disease,
e.g Immunization against childhood
infections or chlorination of drinking
water
It is designed to promote general
health and improve quality of life
First phase of medicine ,i.e.
preventive medicine
9. Secondary prevention
Measure taken to arrest the Development
of a disease while it is still in the early
asymptomatic stage of the disease.
Involves early diagnosis and immediate
treatment ,e.g. Ergonomic Intervention to
prevent clinical symptoms in a patient with
spondylosis.
Second phase or curative aspects of
medicine
10. Tertiary prevention
Measure taken to minimize consequences of
the disease or injury once it is clinically
manifested,
prevention of pressure sores by turning the
patient regularly .
It is also included as rehabilitation medicine
11. Impairment
According to WHO’S INTERNATIONAL
CLASIFICATION OF IMPAIRMENT,
DISABILITIES AND HANDICAPS (ICIDH
1980)
Define as any loss or abnormality of
psychological, physiological, or anatomical
structure or function.
12. E.g. loss of a finger ,loss of conduction of
impulses in the heart
Not all impairment lead to disability
for e.g. loss of pinna of ear would not lead
loss of hearing but merely results in
cosmetic deficiency.
13. Disability
Any restriction or lack of ability to perform
an activity in the manner or within the
range considered normal for a human being
resulting from an impairment .
E.g. Difficulty in Walking after after Lower
limb Amputation.
14. To be considered disabled a person should
not be able to perform day to day
activities considered normal for his age,
sex or physique.
15. Handicap
WHO has identified 6 types of
handicaps
Locomotor
Visual
Speech and hearing
Cardiopulmonary
Intellectually chalanged
Emotionally disturbed
16. Locomotor disability are largest in
number 60-70%
Many patient exhibits multiple
handicap
ex.child with CP would probably have
in addition to delayed mile stone and
motor problem ,damage to part of the
brain responsible for sight and
hearing.
18. SOCIOVOCATIONAL
REHABILITATION
Team effort
Which aims to provide disabled a
vocation and reducing handicap
Its not another employment agency
Based on concept of “RIGHT TO
WORK”
Make individual to stand on his leg
19. Social worker – tries to provide
emotional support to patient as well
as to his family member also creates
awareness about disability and its
limitation in community
Vocational evaluator-findout skills
that patient posses identifies areas of
work for him and plan out training in
specific skill.
20. Americans with Disabilities Act (ADA)
in 1991 was landmark in life of
disabled in that country
In India Act passed is the
PWD(people with Disabilities) Act
1995.
21. Catchword today is EMPATHY AND
NOT SYMPATHY
Please accept us as we are
23. Community Based Rehabilitation
Is a strategy within community
development for the rehabilitation
,equalization of opportunity and social
integration of all the people with
disabilities.
Is implimented through the combined
efforts of the disabled people
themselves,their family,community