Lessons Learned by Rehabilitation Counselors and Physicians in Services to COVID-19 Long-Haulers: A Qualitative Study

2021 ◽  
pp. 003435522110600
Author(s):  
Jasin Wong ◽  
Angelika Kudla ◽  
Tri Pham ◽  
Nnaemezie Ezeife ◽  
Deborah Crown ◽  
...  
Keyword(s):  
Functional Limitations ◽  
Work Capacity ◽  
Lessons Learned ◽  
Rehabilitation Counselors ◽  
Outpatient Rehabilitation ◽  
Persons With Disabilities ◽  
Rehabilitation Professionals ◽  
Rehabilitation Centers ◽  
Limited Health ◽  
Certified Rehabilitation Counselors

Coronavirus disease (COVID-19) may cause long-lasting adverse consequences after acute recovery, including functional limitations and reduced work capacity. Individuals with long-lasting complications of COVID-19 are known as long-haulers. There is a knowledge gap on how COVID-19 complications affect return-to-work (RTW) efforts. We aimed to describe the challenges that long-haulers encounter when RTW from the perspectives of rehabilitation professionals. In this study, four certified rehabilitation counselors and four rehabilitation physicians in outpatient rehabilitation centers participated in focus groups. Participants discussed challenges in working with long-haulers, including personal attributes, post-COVID-19 symptoms and complications, uncertain recovery and unpredictable outcomes, limited health care accessibility and support, and unsupportive work environments. Participants provide individualized services to meet long-haulers’ diverse needs as they do for all persons with disabilities, although they expressed uncertainty due to the variable disease course and risk of infection. Modifying workplace policies, especially gradual RTW, were frequently mentioned accommodations. The findings highlight the RTW issues of long-haulers. We provide recommendations on increasing awareness of the challenges and job accommodations of long-haulers.

Transplantations: Implications of the Heart Transplantation Process for Rehabilitation Counselors

1992 ◽  
Vol 23 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Rick Houser ◽  
Varda Konstam ◽  
Marvin Konstam
Keyword(s):  
Heart Transplantation ◽  
Heart Transplant ◽  
Functional Limitations ◽  
Rehabilitation Counselors ◽  
Rehabilitation Process ◽  
Rehabilitation Professionals ◽  
The Past ◽  
Effective Role ◽  
Medical Advances ◽  
Transplant Complications

There have been remarkable medical advances over the past two decades and these advances have impacted upon the rehabilitation counselor's approach to working with people with disabilities. One area in which impressive and exciting advances have occurred has been in organ transplantation, including heart transplantation. Rehabilitation counselors can play an effective role in the rehabilitation of those who have gone through the heart transplantation process. Having knowledge of the medical, psychological and vocational implications of heart transplantation, rehabilitation professionals can facilitate return to work through the rehabilitation process. In this article the medical aspects of the heart transplant; complications; functional limitations; psychological implications; and vocational implications are discussed.

Homophobia: Are Rehabilitation Counselors in the Closet?

1994 ◽  
Vol 25 (2) ◽  
pp. 41-44 ◽  
Author(s):  
Charles K. Stuart
Keyword(s):  
Sexual Orientation ◽  
Rehabilitation Counselors ◽  
Persons With Disabilities ◽  
Rehabilitation Professionals

The dearth of rehabilitation literature on homophobia suggests a need to examine assumptions about sexual orientation of clients. Common myths about homosexuality are discredited. The prevalence of symptoms of homophobia both in society as well as among rehabilitation professionals is described. Suggestions are presented for increasing sensitivity to persons with disabilities who may be lesbian or gay.

Shared Responsibilities for Full Participation in Society: Planning Further Integration of the ICF Into AAC

2016 ◽  
Vol 1 (12) ◽  
pp. 83-93 ◽  
Author(s):  
Mary Blake Huer ◽  
Travis T. Threats
Keyword(s):  
Environmental Factors ◽  
Augmentative And Alternative Communication ◽  
Functional Limitations ◽  
Community Support ◽  
World Health ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Social Service Agencies ◽  
Persons With Disabilities ◽  
Full Participation

The World Health Organization's (WHO's) 2001 International Classification of Functioning Disability and Health (ICF) has as one of its central tenets the full inclusion of persons with disabilities in society. It acknowledges the need for medical and rehabilitation intervention in its biopscychosocial framework. However, the WHO realizes that society must do its part to facilitate this full participation and empowerment. Persons with complex communication needs (PWCCN) often need augmentative and alternative communication (AAC) in order to express themselves. However, in order to access and successfully use AAC, PWCCN need access to the necessary AAC devices and services, as well as a willing society to interact with them as full contributing members of society. The factors outside of a person's specific physical and/or cognitive functional limitations are addressed in the ICF via the Personal and Environmental Factors. Personal Factors include the individual's personality traits, lifestyle, experiences, social/educational/professional background, race, gender, and age. Environmental Factors include community support systems, social service agencies, governments, social networks, and those persons that interact with the PWCCN. This article addresses the sociopolitical influences on PWCCN and their functioning from a human rights perspective. The necessary introspective role of speech-language pathologists in this process is explored.

scholarly journals Addressing the changing rehabilitation needs of patients undergoing thoracic surgery

2021 ◽  
Vol 18 ◽  
pp. 147997312199478
Author(s):  
Daniel Langer
Keyword(s):  
Thoracic Surgery ◽  
Functional Limitations ◽  
Pulmonary Complications ◽  
Current Evidence ◽  
Outpatient Rehabilitation ◽  
Special Focus ◽  
Rehabilitative Treatment ◽  
The Past ◽  
Hospitalization Period ◽  
Rehabilitation Needs

The rehabilitation needs of individuals undergoing thoracic surgery are changing, especially as surgical management is increasingly being offered to patients who are at risk of developing functional limitations during and after hospital discharge. In the past rehabilitative management of these patients was frequently limited to specific respiratory physiotherapy interventions in the immediate postoperative setting with the aim to prevent postoperative pulmonary complications. In the past two decades, this focus has shifted toward pulmonary rehabilitation interventions that aim to improve functional status of individuals, both in the pre- and (longer-term) postoperative period. While there is increased interest in (p)rehabilitation interventions the majority of thoracic surgery patients are however currently on their own with respect to progression of their exercise and physical activity regimens after they have been discharged from hospital. There are also no formal guidelines supporting the referral of these patients to outpatient rehabilitation programs. The current evidence regarding rehabilitation interventions initiated before, during, and after the hospitalization period will be briefly reviewed with special focus on patients undergoing surgery for lung cancer treatment and patients undergoing lung transplantation. More research will be necessary in the coming years to modify or change clinical rehabilitation practice beyond the acute admission phase in patients undergoing thoracic surgery. Tele rehabilitation or web-based activity counseling programs might also be interesting emerging alternatives in the (long-term) postoperative rehabilitative treatment of these patients.

Development of an Exergame for Urban-dwelling Older Adults With Functional Limitations: Results and Lessons Learned

2016 ◽  
Vol 10 (1) ◽  
pp. 73-81 ◽  
Author(s):  
Sarah L. Szanton ◽  
Rachel K. Walker ◽  
Jyong H. Lim ◽  
Laura Fisher ◽  
Andong Zhan ◽  
...  
Keyword(s):  
Older Adults ◽  
Functional Limitations ◽  
Lessons Learned

scholarly journals Compassion and Self-compassion: Conceptualization of and Application to Adjustment to Disability

2017 ◽  
Vol 48 (2) ◽  
pp. 15-25 ◽  
Author(s):  
Susan Stuntzner
Keyword(s):  
Rehabilitation Counseling ◽  
Rehabilitation Counselors ◽  
Adjustment Process ◽  
Emotional Pain ◽  
Persons With Disabilities ◽  
Process Adjustment ◽  
Self Compassion ◽  
Coping Process ◽  
Negative Thoughts ◽  
Adjustment To Disability

For many, disability may ignite feelings of grief, sadness, loss, and/or emotional pain. Others discover they harbor negative or self-critical thoughts and beliefs (i.e., blame) which compounds and complicates the personal coping process. Adjustment to disability models exist to help persons with disabilities and professionals understand or explain their negative thoughts, feelings, and experiences; yet, they do not overtly discuss or address emerging skills and approaches such as compassion and selfcompassion as a part of the disability adjustment process. In an effort to change this trend, an eclectic theoretical model which infuses self-compassion and compassion-based techniques has been developed. Rehabilitation counselors are provided with an explanation of the ways existing research on compassion and self-compassion can be used to strengthen their application to the adjustment needs of persons with disabilities. Information about how to incorporate compassion and self-compassion into the rehabilitation counseling adjustment process and recommendations are also provided.

Individualism and Equality: Critical Values in North American Culture and the Impact on Disability

1991 ◽  
Vol 22 (4) ◽  
pp. 19-23 ◽  
Author(s):  
Carol A. Fowler ◽  
John S. Wadsworth
Keyword(s):  
Civil Rights ◽  
Americans With Disabilities Act ◽  
American Culture ◽  
Critical Values ◽  
Persons With Disabilities ◽  
Rehabilitation Professionals ◽  
Full Participation ◽  
Attitudinal Changes ◽  
The Impact

Culturally shaped attitudes towards persons with disabilities pose significant barriers to full participation in employment. Even with the enactment of the Americans with Disabilities Act of 1990, implementation of the law will occur within the culturally defined stereotypes and assumptions which exist within society. A significant task for rehabilitation professionals will be the inclusion of positive perceptions of persons with disabilities into the conceptual ideology of individualism and equality.. This paper reviews the cultural difficulties of implementing civil rights legislation and addresses the role of rehabilitation professionals in promoting attitudinal changes in society.

NRCA Certification Maintenance Knowledge Acquisition Areas

1994 ◽  
Vol 25 (4) ◽  
pp. 26-29
Author(s):  
James G. Joiner
Keyword(s):  
Knowledge Acquisition ◽  
Rehabilitation Counselors ◽  
Certified Rehabilitation Counselors

This study provides a review of NRCA's role in the establishment of the certification and certification maintenance processes for Certified Rehabilitation Counselors. It analyzed data over a two-year period to determine the knowledge and skill areas prevalent in NRCA members' acquisition of certification maintenance credits. It also revealed the utility of NRCA's assistance in the various states.

Fibromyalgia Syndrome: Symptoms, Functional Limitations and Vocational Impediments

1999 ◽  
Vol 30 (2) ◽  
pp. 38-41
Author(s):  
Leslie H. Alloway
Keyword(s):  
Fibromyalgia Syndrome ◽  
Rehabilitation Counseling ◽  
Functional Limitations ◽  
Rehabilitation Counselors ◽  
Vocational Assessment ◽  
Additional Information ◽  
Working Age

Fibromyalgia syndrome (FMS) is a poorly understood physical syndrome that affects a significant number of Americans of working age. FMS is related to a variety of psychosocial and vocational problems. Rehabilitation counselors need additional information to work effectively with people with FMS. This paper examines common symptoms, functional limitations and vocational impediments of people with FMS. It then discusses rehabilitation counseling issues, including vocational assessment and planning issues, and offers suggestions about appropriate rehabilitation techniques and services.

Rehabilitation Counselor Self-Reported Levels of Job Satisfaction, Self-Esteem, and Attitudes Toward Persons with Disabilities

2002 ◽  
Vol 33 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Gregory G. Garske
Keyword(s):  
Job Satisfaction ◽  
Service Provider ◽  
Descriptive Study ◽  
Self Esteem ◽  
Rehabilitation Counselors ◽  
Persons With Disabilities ◽  
Rehabilitation Counselor ◽  
Hygiene Factor ◽  
And Behavior ◽  
Advancement Opportunity

The purpose of this descriptive study was to investigate the levels of job satisfaction, self-esteem, and attitudes toward persons with disabilities of rehabilitation counselors. High ratings were found in all areas, with two exceptions. Regarding job satisfaction, the motivation factor (advancement opportunity) and the hygiene factor (salary) proved to be major sources of dissatisfaction. The study underscores the importance of administrator and supervisor understanding of service provider motivation and behavior in rehabilitation settings.

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