Beyond Discipline-based Expertise: Preparing Global Leaders in Rehabilitation

2014 ◽  
Vol 45 (2) ◽  
pp. 26-31 ◽  
Author(s):  
Allen Lewis ◽  
Kristin Graham ◽  
Abbas Quamar
Keyword(s):  
Graduate Education ◽  
International Classification Of Functioning ◽  
Rehabilitation Counselors ◽  
Global Village ◽  
Rehabilitation Counselor ◽  
Global Context ◽  
Rehabilitation Programs ◽  
Intercultural Competency ◽  
Comprehensive Framework

Graduate education for rehabilitation counselors should now go beyond discipline-based expertise to the point of preparing global leaders in rehabilitation. The world is becoming increasingly small due to technology, as we rapidly approach the reality of that proverbial global village. Rehabilitation counselors can expand their base of influence, and thus, importance by functioning in a global context. To accomplish this, it is necessary to go beyond the typical preparation of rehabilitation counselors to integrate seven new skills into graduate rehabilitation counselor education. The skills are intercultural competency, anticipating the future, making organizations learning entities, using a comprehensive framework for planning change, data-driven decision making, critical thinking, and transformational leadership. An overview of each of these skills is provided along with strategies for infusing the skills immediately into Council on Rehabilitation Education-accredited graduate rehabilitation programs. There is also value in mainstreaming the International Classification of Functioning, Disability and Health (ICF) framework and including training in developing social capital as additional complementary elements in preparing global leaders in rehabilitation.

Professional Bereavement: A Qualitative Examination of Rehabilitation Counselors in Grief

2012 ◽  
Vol 43 (4) ◽  
pp. 3-11 ◽  
Author(s):  
Alan Davis ◽  
Shawn Saladin ◽  
Sandy Hansmann ◽  
Nicole Velgersdyk
Keyword(s):  
Qualitative Research ◽  
Vocational Rehabilitation ◽  
Self Care ◽  
Rehabilitation Counselors ◽  
Structured Interviews ◽  
Counselor Preparation ◽  
Rehabilitation Counselor ◽  
Profound Impact ◽  
Rehabilitation Programs ◽  
Need For Support

This article describes qualitative research related to rehabilitation counselor bereavement. Nine rehabilitation counselors who had experienced the death of a client volunteered to participate in structured interviews. The results were transcribed, analyzed, and found to contain six major themes. The themes were (a) profound impact, (b) self-questioning, (c) need for support, (d) questions regarding etiquette, (e) counselor preparation for the death of a client, and (f) need for self-care. Participants also offered suggestions for rehabilitation educators and administrators of State-Federal vocational rehabilitation programs.

REHABILITATION DIAGNOSIS IN THE PATHOLOGY OF THE MUSCULOSKELETAL SYSTEM USING CATEGORIES OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING

2019 ◽  
pp. 107-125
Keyword(s):  
Musculoskeletal System ◽  
Accurate Determination ◽  
The Body ◽  
International Classification ◽  
Medical Rehabilitation ◽  
World Health ◽  
International Classification Of Functioning ◽  
Rehabilitation Programs ◽  
Health Organization

The World Health Organization recommends that the International classification Of Functioning (ICF) be used to assess the structure, function, activity and participation of the body. As a rule, the assessment of the state of the body is carried out using scales, but a large number of them does not always allow specialists to understand each other. The creation of a unified system, which will collect various tools for assessing the patient's condition, will provide serious assistance in the work of members of a multidisciplinary team in the process of medical rehabilitation. This will help in the formulation of rehabilitation diagnosis and in more accurate determination of rehabilitation potential. The dimension of a number of generally accepted scales to describe disorders of the musculoskeletal system does not coincide with the categories of ICF. The paper attempts to eliminate this contradiction. When describing a number of disorders that affect the function of the musculoskeletal system and are traditionally used in orthopedics, the category other or not described can be used. In the presented system of evaluation are given equal-weighted scale with the dimension adopted in the ICF. This system can be used as a basis for the preparation of medical rehabilitation programs and evaluation of their effectiveness.

scholarly journals REHABILITATION DIAGNOSIS IN THE PATHOLOGY OF THE MUSCULOSKELETAL SYSTEM USING CATEGORIES OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING

2019 ◽  
Vol 1 (2) ◽  
pp. 107-125
Author(s):  
M B Tsykunov
Keyword(s):  
Musculoskeletal System ◽  
Accurate Determination ◽  
The Body ◽  
International Classification ◽  
Medical Rehabilitation ◽  
World Health ◽  
International Classification Of Functioning ◽  
Rehabilitation Programs ◽  
Health Organization

The World Health Organization recommends that the International classification Of Functioning (ICF) be used to assess the structure, function, activity and participation of the body. As a rule, the assessment of the state of the body is carried out using scales, but a large number of them does not always allow specialists to understand each other. The creation of a unified system, which will collect various tools for assessing the patient's condition, will provide serious assistance in the work of members of a multidisciplinary team in the process of medical rehabilitation. This will help in the formulation of rehabilitation diagnosis and in more accurate determination of rehabilitation potential. The dimension of a number of generally accepted scales to describe disorders of the musculoskeletal system does not coincide with the categories of ICF. The paper attempts to eliminate this contradiction. When describing a number of disorders that affect the function of the musculoskeletal system and are traditionally used in orthopedics, the category other or not described can be used. In the presented system of evaluation are given equal-weighted scale with the dimension adopted in the ICF. This system can be used as a basis for the preparation of medical rehabilitation programs and evaluation of their effectiveness.

scholarly journals Rehabilitation diagnosis in the pathology of the musculoskeletal system using categories of the international classification of functioning. Part 2 (discussion)

2019 ◽  
Vol 26 (2) ◽  
pp. 37-42
Author(s):  
M. B Tsykunov
Keyword(s):  
Musculoskeletal System ◽  
Accurate Determination ◽  
The Body ◽  
International Classification ◽  
Medical Rehabilitation ◽  
World Health ◽  
International Classification Of Functioning ◽  
Rehabilitation Programs ◽  
Health Organization

In accordance with the recommendations of the World Health Organization, the categories listed in the International Classification of Functioning (ICF) should be used to assess the structure, function, activity and participation. In recent years, the assessment of the state of the body is no longer possible without the use of scales, but a large number of them do not always allow specialists to understand each other. The creation of a unified system, which will collect various tools for assessing the patient’s condition, will provide serious assistance in the work of members of a multidisciplinary team in the process of medical rehabilitation. In addition, it will help in the formulation of rehabilitation diagnosis and in more accurate determination of rehabilitation potential. The dimension of a number of generally accepted scales to describe disorders of the musculoskeletal system does not coincide with the categories of ICF. This paper attempts to eliminate this contradiction. To describe a number of disorders that affect the function of the musculoskeletal system and are traditionally used in orthopedics, the category other or not described can be used. In the presented system of evaluation are given equal-weighted scale with the dimension adopted in the ICF. This system can be used as a basis for the preparation of medical rehabilitation programs and evaluation of their effectiveness.

The Assessment of Disability in Patients With Psychotic Disorders: An Application of the ICIDH-2

2002 ◽  
Vol 36 (1) ◽  
pp. 127-132 ◽  
Author(s):  
Prem Chopra ◽  
Jeremy Couper ◽  
Helen Herrman
Keyword(s):  
Subjective Experience ◽  
Psychotic Disorders ◽  
Rating Scale ◽  
International Classification Of Functioning ◽  
Perfect Agreement ◽  
Rating Process ◽  
Participation Restrictions ◽  
Comprehensive Framework

Objectives: To describe the application of the International Classification of Functioning and Disability (ICIDH-2) in the assessment of disability in patients with psychotic disorders. Method: The study was conducted at the inpatient unit of St Vincent's Mental Health Service, Melbourne. Twenty inpatients with psychotic disorders were concurrently assessed by two raters. An evaluation of the feasibility of the instrument was made during this process. Inter-rater agreement was determined using raw agreement percentages and weighted kappas. Results: The ICIDH-2 provides a comprehensive framework for the description and measurement of disability, including the dimensions of impairments in body structures and functions, activity limitations, participation restrictions and environmental factors. Certain codes are difficult for clinicians to rate because of the subjective manner in which they are defined. Our inter-rater reliability assessment varied across the dimensions from poor to almost perfect agreement. Conclusions: The ICIDH-2 is potentially useful in the clinical assessment of disability in patients with psychotic disorders although modifications are needed. These could include the use of anchor points defined for each dimension or code to assist the rating process and an alternative rating scale in which categories for rating are more broadly defined. Formal training may also be necessary to enable standardization of the rating process. There is also a need to augment measurements by clinicians with the assessment of the subjective experience of patients using self-rated disability and assessment of quality of life.

Chronic Low Back Pain: The Treatment Dichotomy and Implications for Rehabilitation Counselors

1985 ◽  
Vol 16 (1) ◽  
pp. 28-31
Author(s):  
James Kenneth Smith ◽  
Jack R. Crisler
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Psychological Factors ◽  
Rehabilitation Counselors ◽  
Low Back ◽  
Treatment Approaches ◽  
Rehabilitation Counselor ◽  
Rehabilitation Programs ◽  
Conservative And Surgical Treatment

Persons with chronic low back pain (CLBP) are being referred to private and state rehabilitation programs in increasing numbers. The difficulty of rehabilitating the CLBP person is well documented. Treatment approaches to CLBP vary but generally fall into conservative and surgical treatment categories. This paper presents an overview of the treatment approaches and psychological factors, and makes suggestions for rehabilitation counselor strategy.

scholarly journals Rehabilitation of the working population after occupation injuries

2021 ◽  
Vol 99 (12) ◽  
pp. 1393-1397
Author(s):  
Evgeniya V. Ryabko ◽  
Elena V. Bakhtereva ◽  
Tatyana A. Ryabkova ◽  
Elena E. Ovchinnikova ◽  
Elena L. Leyderman
Keyword(s):  
Exercise Therapy ◽  
Rehabilitation Medicine ◽  
International Classification ◽  
Upper Extremities ◽  
International Standards ◽  
High Rate ◽  
International Classification Of Functioning ◽  
Locomotor Apparatus ◽  
Rehabilitation Programs

Introduction. The urgency to maintain health and man’s working population’s performance capability is inextricably linked to occupation-related injuries. They remain one of the most relevant heads of losses for both the employee and the employer and the state in the form of insurance benefits, sickness certificates, disability benefits, rehabilitation programs, and compensation payments. High rate of posttraumatic complications, disability and demographic losses call for improving in the treatment delivery at all its stages. The purpose is to improve rehabilitation effectiveness in patients after job-related injuries in recognition of the international classification of functioning of post-traumatic disorders of the upper extremities. Material and methods. 3,201 patients with domestic and job-related injuries of the body’s locomotor apparatus underwent rehabilitation treatment within second and third rehabilitation stages under twenty-four-hour inpatient treatment and outpatient care. Upper extremities injuries were in 57% cases; lower extremities injuries - 38%. Combined injuries made up 5 %. Since 2020, there has been introduced the work of a multidisciplinary team (MDT), consisting of doctors of physical and rehabilitation medicine (PRM) as well as doctors of physical therapy, neurologists, internists, reflexologist, traumatologist, doctors in exercise therapy, trainers in exercise therapy, clinical psychologists, ergotherapists, and specialized doctors (cardiologist, dietitian, endocrinologist, osteoporosis specialist, etc.). Results. The clinical practice of using treatment methodology from the position of rehabilitation potential and diagnosis is shown. Possible ways for improving the effectiveness of recovering the population’s health after injuries are analyzed using international standards. The main steps, tasks, and medical and social rehabilitation opportunities are discussed using the international classification of functioning, disability, and health (ICF). Conclusion. Our experience with patients of a traumatic profile, including individuals after job-related injuries, shows the reasonableness of using ICF in rehabilitation as a unified international tool and should be further used.

scholarly journals Results of the study of medical and social consequences of hearing impairment in children with disabilities from the position of the international classification of functioning

2021 ◽  
Vol 23 (4) ◽  
pp. 8-14
Author(s):  
Igor V. Goryainov ◽  
Oksana N. Vladimirova ◽  
Sergey A. Bondarev ◽  
Marina V. Goryainova
Keyword(s):  
Hearing Impairment ◽  
Children With Disabilities ◽  
International Classification ◽  
World Health ◽  
International Classification Of Functioning ◽  
Disabled Children ◽  
Hearing Impairments ◽  
Rehabilitation Programs ◽  
Social Rehabilitation

Background. Hearing impairment in children has not only medical, but also social significance, since it significantly affects the communication processes and the development of the childs speech and can lead to social maladjustment to one degree or another. Aim: to study the functions and life of disabled children with hearing impairment from the perspective of the International Classification of Functioning, Disabilities and Health (ICF). Rehabilitation expert diagnostics and questioning of 181 children were carried out according to a specially developed methodology taking into account ICF domains and the WHO DASH questionnaire of the World Health Organization. As a result of the study, impairments of various functions of varying severity were revealed in children with disabilities, which determines the characteristics of medical and social rehabilitation of this category of patients. Conclusion. A detailed description of the factors affecting the disability of children with hearing impairments makes it possible to develop algorithms for rehabilitation and expert diagnostics and targeted medical and social rehabilitation for the development of a comprehensive rehabilitation system in the constituent entities of the Russian Federation, as well as standard rehabilitation programs in institutions that are direct executors of individual rehabilitation programs and habilitation of disabled children with hearing impairments.

Holistic Communication Assessment for Young Children With Cleft Palate Using the International Classification of Functioning, Disability and Health:Children and Youth

2020 ◽  
Vol 51 (4) ◽  
pp. 914-938
Author(s):  
Anna Cronin ◽  
Sharynne McLeod ◽  
Sarah Verdon
Keyword(s):  
Young Children ◽  
Cleft Palate ◽  
Case History ◽  
Significant Others ◽  
International Classification ◽  
Assessment Tools ◽  
International Classification Of Functioning ◽  
Speech Language Pathologists ◽  
Holistic Assessment

Purpose Children with a cleft palate (± cleft lip; CP±L) can have difficulties communicating and participating in daily life, yet speech-language pathologists typically focus on speech production during routine assessments. The International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY; World Health Organization, 2007 ) provides a framework for holistic assessment. This tutorial describes holistic assessment of children with CP±L illustrated by data collected from a nonclinical sample of seven 2- to 3-year-old children, 13 parents, and 12 significant others (e.g., educators and grandparents). Method Data were collected during visits to participants' homes and early childhood education and care centers. Assessment tools applicable to domains of the ICF-CY were used to collect and analyze data. Child participants' Body Functions including speech, language, and cognitive development were assessed using screening and standardized assessments. Participants' Body Structures were assessed via oral motor examination, case history questionnaires, and observation. Participants' Activities and Participation as well as Environmental and Personal Factors were examined through case history questionnaires, interviews with significant others, parent report measures, and observations. Results Valuable insights can be gained from undertaking holistic speech-language pathology assessments with children with CP±L. Using multiple tools allowed for triangulation of data and privileging different viewpoints, to better understand the children and their contexts. Several children demonstrated speech error patterns outside of what are considered cleft speech characteristics, which underscores the importance of a broader assessment. Conclusion Speech-language pathologists can consider incorporating evaluation of all components and contextual factors of the ICF-CY when assessing and working with young children with CP±L to inform intervention and management practices.

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