Review article
Neurorehabilitation: management and outcomes in physical and rehabilitation network
Alessandro GIUSTINI
; SanPancrazio Rehabilitation Hospital, HSS Group Arco and Rehabilitation Agazzi Center, Arezzo, Italy
Abstract
Rehabilitation involves the use of all means aimed to reduce the impact of disability and handicap pathologies and conditions in a global approach to solve the person’s problems in order to achieve optimal social integration. Within a health context, rehabilitation is specifically defined as “a process of active change by which a person who has become disabled acquires the knowledge and skills needed for optimal physical, psychological and social function”. As unique among others, specialists in physical and rehabilitation medicine have the holistic approach to people who are disabled or at risk of being in disabling conditions, and guarantee the competences and responsibility to face up and to understand all the clinical problems which are really the priority for the patient/individual. Physical and rehabilitation medicine specialists provide neurorehabilitation services in a number of settings, from departments in acute hospitals, rehabilitation centres, outpatient clinics and community facilities. Physical and rehabilitation medicine is the only medical specialty able to work across the different care pathways up to home and community. As the person is a unique individual, the rehabilitation plan must also be individualized and unique. The rehabilitation network should also be unique and unitary (different settings, from acute to community, different services and agencies from health to social, cultural and financial, many professionals and different competencies, different times in the natural history of illness, functioning and participation of the person).
Keywords
neurorehabilitation; outcome; physical medicine
Hrčak ID:
135253
URI
Publication date:
13.6.2011.
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