scholarly journals Developing A Community-Based Rehabilitation Programs in Elderly Nursing Home: A Brief Descriptive Analysis

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Nursing Home ◽  
Descriptive Analysis ◽  
Community Based ◽  
Rehabilitation Programs ◽  
Community Based Rehabilitation

Community-Based Rehabilitation Following Brain Injury: Comparison of a Transitional Living Program and a Home-Based Program

2012 ◽  
Vol 13 (1) ◽  
pp. 44-61 ◽  
Author(s):  
Kate Hopman ◽  
Robyn L. Tate ◽  
Annie McCluskey
Keyword(s):  
Brain Injury ◽  
Longitudinal Design ◽  
Community Integration ◽  
Self Awareness ◽  
Community Based ◽  
Significant Group ◽  
Rehabilitation Programs ◽  
Home Based ◽  
Community Based Rehabilitation ◽  
Transitional Living

Background and aims: Community-based rehabilitation programs for people with a brain injury are diverse. Comparative program evaluation is required to identify optimal type, intensity and duration of programs. The aim of this study was to compare the effectiveness of two community-based rehabilitation programs using a set of standardised outcome measures.Methods: The study used a quantitative, multicentre, longitudinal design. Persons with severe traumatic brain injury (TBI,n= 39) and acquired brain impairment (n= 2) were recruited from two residential, transitional living programs (TLU;n= 21) and two home-based community rehabilitation programs (CR;n= 20). Participants were assessed via interview at program entry, 2 months and 6 months later using a broad range of standardised measures. The quantity and types of intervention provided to study participants were recorded. Results: No significant differences were identified between the TLU and CR groups at baseline or 6-month follow-up. Two significant group-by-time interactions were identified on the Community Integration Questionnaire (CIQ). First, the CR group had significantly greater changes in productivity (p= .003;d= 1.0) compared to the TLU group over time; by contrast, the TLU group showed significantly greater improvements in social integration (p= .007;d= .86). The TLU participants received up to five times more intervention than the CR participants. This finding is significant considering the similar levels of improvement in function made by both TLU and CR participants.Conclusions: Both TLU and CR groups improved on a range of measures. The TLU group however, received significantly more face-to-face interventions. Further examination of the relationship between participant contextual factors, such as coping style and self-esteem, and impairments such as challenging behaviour and decreased self-awareness, of people attending TLU and CR programs is required.

Community-based Rehabilitation Needs: Perceptions of Individuals with Brain Injury and Their Families in the Midwestern United States

2013 ◽  
Vol 19 (2) ◽  
pp. 155-163 ◽  
Author(s):  
Veronica I. Umeasiegbu ◽  
Brittany Waletich ◽  
Laura A. Whitten ◽  
Malachy Bishop
Keyword(s):  
Brain Injury ◽  
Family Involvement ◽  
Independent Living ◽  
Descriptive Analysis ◽  
Focus Group Interviews ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
Group Interviews ◽  
Rehabilitation Needs ◽  
Age Range

This study investigated the rehabilitation and services needs, rehabilitation goals and barriers of individuals with brain injury (n = 81, males = 59%, females = 41%, age range 18 to 87), and their family members (n = 19; females = 75%, age range 18 to 65), (ethnicity = white = 89%). Data were collected using a survey instrument and focus group interviews. A descriptive analysis of the quantitative data was conducted, while content analysis was used to analyse the qualitative data. Results suggest that individuals with brain injury and their families experience many unmet needs across the domains of employment, independent living, financial resources and housing. Family involvement was found to be important to community participation after brain injury.

scholarly journals Disability Policy Must Espouse Medical as well as Social Rehabilitation

2013 ◽  
Vol 1 (2) ◽  
pp. 136-138 ◽  
Author(s):  
Andrew J. Haig
Keyword(s):  
Research Agenda ◽  
Social Inclusion ◽  
Medical Rehabilitation ◽  
Community Based ◽  
Policy Makers ◽  
Rehabilitation Team ◽  
Rehabilitation Programs ◽  
Social Rehabilitation ◽  
Community Based Rehabilitation ◽  
The Impact

A confident statement in Social Inclusion by Mannon and MacLacLan that disability is not a health problem places doubt on the rationale of their otherwise well-written research agenda for disability studies. Both by definition and in practice disability is in part about the impact of health on a person's functioning. The consequence of this misperception among social policy makers is a decreased emphasis on the resources and research needed to build medical rehabilitation programs. This is especially true in lower resource countries where naive inclusion of medical rehabillitation within community based rehabilitation strategies has resulted in fewer resources and less expertise to deliver the distinctly different, and well validated services of a medical rehabilitation team. Any rational research agenda on disability must focus on disease and medical rehabilitation as well as the psychological, social, and environmental factors discussed in this article.

A MULTIDISCIPLINARY APPROACH TO DISABILITY REHABILITATION: THE CASE OF A PERSON WITH DISABILITY

2015 ◽  
Vol 3 (2) ◽  
pp. 249
Author(s):  
Haider Darain ◽  
Abdulhameed Alkitani ◽  
Muhammad Kashif ◽  
Javaid Ghani ◽  
Muhammad Ibrar ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
Vital Role ◽  
Rehabilitation Service ◽  
Community Based ◽  
Financial Status ◽  
Resource Information ◽  
Rehabilitation Programs ◽  
Community Based Rehabilitation ◽  
The Government

Background and purpose: Community-based rehabilitation programs focus on identifying available resources in the community in order to support the patients. Resource Information Centers (RICs) play a vital role in mobilizing these resources by disseminating appropriate information among the stakeholders. However, little has been reported in the literature about the specific roles associated with RICs. In this study, we report the role of RICs as part of a community-based rehabilitation program (CBRP) for a person with disability.Method: A 34-year-old male with left leg above knee amputation was identified during our field visit. The field visit was undertaken by members of a RIC visit to the areas affected by an earthquake in Pakistan in October 2005. The Government of Pakistan, in collaboration with some national and international organizations, had introduced a 3-year program (2007-2010) in which community-based rehabilitation programs were made available for areas affected by earthquakes. The patient was initially referred to another organization that was working on providing rehabilitation service for persons with disability. He was provided with an artificial leg prosthesis for which he had been referred. Results: After receiving the artificial limb, the patient managed to return to his previous occupation which ultimately improved his financial status. Moreover, an improvement in his social integration was observed in the form of his ability to attend social meetings and ceremonies. Conclusion: The patient case we discuss is, we suggest, illustrative of the majority of people with disabilities (PWDs) in countries such as Pakistan are unaware of the exiting services designed to help them to manage their disability. The financial constraints of the PWDs might be overcome by offering guidance on how to access the available resource in their community. Such actions significantly increase the provision of person-centered healthcare.

Factors affecting survival of infants with myelomeningocele in southeastern Uganda

2011 ◽  
Vol 7 (2) ◽  
pp. 127-133 ◽  
Author(s):  
Benjamin C. Warf ◽  
Ernest J. Wright ◽  
Abhaya V. Kulkarni
Keyword(s):  
Study Cohort ◽  
Community Based ◽  
Surgical Interventions ◽  
Factors Affecting ◽  
Survival Status ◽  
Rehabilitation Programs ◽  
Kaplan Meier ◽  
Community Based Rehabilitation ◽  
Lesion Level ◽  
Hydrocephalus Treatment

Object The survival of infants treated for myelomeningocele (MM) and hydrocephalus in Uganda is unknown. This study investigated 5-year survival and the factors that influenced death in these patients. Methods All 140 children from 16 contiguous districts in southeastern Uganda presenting to CURE Children's Hospital of Uganda for repair of MM prior to 6 months of age between December 2000 and December 2004 comprised the study cohort. Nine patients died within 1 month (6.4% operative mortality) and were excluded from further analysis. Sixty-seven (51%) required treatment for hydrocephalus. Survival status could not be determined for 3 patients (2%). Circumstances of death were ascertained by hospital record or interview. The Kaplan-Meier method was used for survival analysis. Association between survival and district of origin, age at MM closure, MM lesion level, presence of hydrocephalus, and method of hydrocephalus treatment were investigated. Results The median follow-up was 86 months. Seventy-three children (56%) were alive at the time of the study, and 81 (63%) had survived more than 5 years. The under-5 mortality rate was 37% (2.5 times greater than the general population). Only 4 deaths appeared directly related to hydrocephalus or MM. There was no significant association between survival and age at MM closure, MM lesion level, presence of hydrocephalus, or its method of treatment. Mortality was lower, approaching that for their unaffected peers, in districts with community-based rehabilitation programs (p = 0.001). Conclusions Community-based support following surgical interventions for MM and hydrocephalus appears essential to the continued survival of these children in Africa.

scholarly journals Patient Preference for Community-based Rehabilitation Programs after Stroke

2011 ◽  
Vol 23 (1) ◽  
pp. 137-140 ◽  
Author(s):  
Han Suk Lee ◽  
Chang Sik Ann ◽  
Myung Chul Kim ◽  
Jin Ho Choi ◽  
Goon Chang Yuk
Keyword(s):  
Patient Preference ◽  
Community Based ◽  
Rehabilitation Programs ◽  
Community Based Rehabilitation

scholarly journals Evaluation of a Telerehabilitation System for Community-Based Rehabilitation

2012 ◽  
Vol 4 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Jamie L Schutte ◽  
Sara Gales ◽  
Ashlee Filipponi ◽  
Andi Saptono ◽  
Parmanto Bambang ◽  
...  
Keyword(s):  
Cognitive Skills ◽  
Integrated System ◽  
Full Time ◽  
Community Based ◽  
Web Based ◽  
Staff Members ◽  
Rehabilitation Programs ◽  
Video Conferencing System ◽  
Community Based Rehabilitation ◽  
Demographic Surveys

The use of web-based portals, while increasing in popularity in the fields of medicine and research, are rarely reported on in community-based rehabilitation programs.  A program within the Pennsylvania Office of Vocational Rehabilitation’s Hiram G. Andrews Center, the Cognitive Skills Enhancement Program (CSEP), sought to enhance organization of program and participant information and communication between part- and full-time employees, supervisors and consultants. A telerehab system was developed consisting of (1) a web-based portal to support a variety of clinical activities and (2) the Versatile Integrated System for Telerehabilitation (VISyTER) video-conferencing system to support the collaboration and delivery of rehabilitation services remotely.  This descriptive evaluation examines the usability of the telerehab system incorporating both the portal and VISyTER. Telerehab system users include CSEP staff members from three geographical locations and employed by two institutions. The IBM After-Scenario Questionnaire (ASQ) and Post-Study System Usability Questionnaire (PSSUQ), the Telehealth Usability Questionnaire (TUQ), and two demographic surveys were administered to gather both objective and subjective information. Results showed generally high levels of usability.  Users commented that the telerehabilitation system improved communication, increased access to information, improved speed of completing tasks, and had an appealing interface. Areas where users would like to see improvements, including ease of accessing/editing documents and searching for information, are discussed.         

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