role of nurse in rehabilitation

Role of nurse in rehabilitation : 

Role of nurse in rehabilitation PRESENTED BY:- Mr. Rishi Avasthi (Lecturer) M.Sc Nursing (CHN)

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Rehabilitation focuses on function. Being able to continue to function is key to maintaining or regaining independence and quality of life, particularly after an illness or injury. Starting rehabilitation early can help you maintain function and increase your chances of returning to your previous level of function as much as possible.

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In restorative rehabilitation, the goal is to restore a function that you have lost. It is often funded by Medicare or other payers.

Settings for Rehabilitation Programs : 

Settings for Rehabilitation Programs Rehabilitation can take place in many types of settings: special units in acute care hospitals or rehabilitation hospitals nursing facilities outpatient centers homes private offices

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In general, to qualify for Medicare or other insurance coverage of comprehensive rehabilitation at the hospital level, the person must need the following: close medical supervision and care by a rehabilitation physician rehabilitation nursing on a 24-hour basis participation in more than one discipline, such as physical therapy, occupational therapy, and speech therapy a team approach to therapy, with a coordinated rehabilitation program clear, realistic goals in rehabilitation, with the expectation of significant improvement during the rehabilitation program

Practitioner : 

Practitioner The roles of the home care rehabilitation nurse include, but are not limited to, those outlined below. Serves as a clinical resource for those involved in rehabilitation nursing practice Serves as a clinical resource in the care of clients with a complex chronic illness, a disabling condition, or both Acts as a resource during a crisis that is aggravated by a chronic illness or a disabling condition Assesses the appropriateness of a client�s admission to, and the delivery of rehabilitation services in, the home environment

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Provides assistance with discharge planning to ensure a smooth transition into the community or, when appropriate, to help clients who are hiring private attendants Collaborates with the interdisciplinary team in the management of the team function in the home environment; is responsible for ensuring that the client is involved as a significant member of the team Helps the client and the client is family adapt to changes in lifestyle necessitated by the disabling condition Implements rehabilitation nursing care based on scientific knowledge, home care standards, and rehabilitation principles that are appropriate to the home care environment

Care coordinator : 

Care coordinator Acts as a member of the interdisciplinary healthcare team and promotes the coordination of client care Coordinates the activities of rehabilitation professionals; integrates the knowledge and skills of various rehabilitation disciplines into a comprehensive continuum of care Facilitates the design and implementation of the plan of care for clients who are chronically ill or who have disabling conditions

Advocate : 

Advocate Advocates for clients and their families or caregivers Teaches clients and their families or caregivers to advocate for themselves Facilitates the client’s transition from the hospital to the home and the community Furthers an understanding of home care-based rehabilitation issues among people in the community and among those in government who are in a position to deal with issues related to this patient population

Educator : 

Educator Provides education for clients and their families Provides staff orientation and guides staff development, both at the professional and the paraprofessional levels, in the area of rehabilitation home care Provides rehabilitation-focused continuing education programs.

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Develops policies and procedures that are specific to rehabilitation home care Develops educational materials designed to help clients and their family members become knowledgeable consumers in the healthcare arena

Consultant : 

Consultant Identifies clients and families who could benefit from rehabilitation home care services Provides case management expertise within the home care environment Serves as a liaison with third-party payers and justifies the use of funds for rehabilitation home care

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Serves as a resource for rehabilitation nurses and as a process consultant to staff in the home care setting Promotes rehabilitation nursing services to community health professionals and to the community at large

Researcher : 

Researcher Participates in research involving home care clients and their families Participates in the analysis and dissemination of evaluative data that may have an impact on clients and their families Incorporates evaluative data into nursing practice

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Functions of the home care rehabilitation nurse

Assessment : 

Assessment Reviews and analyzes referral information in consultation with the client, as well as with the client’s rehabilitation team members, employers, the family’s legal representative, and claims or insurance personnel, as appropriate Assesses the client’s current personal and functional health status, diagnosis, prognosis, and treatment plan, as well as the caregiver’s level of expertise Identifies the client’s learning needs, vocational rehabilitation requirements, and potential related to his or her functional impairment, medical diagnosis and prognosis, treatment providers, treatment options, financial resources, psychosocial adjustment, and coping mechanisms

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Data analysis and formulation of a nursing diagnosis Identifies temporary or permanent alterations in function that have resulted from the client’s injury or illness Identifies potential challenges or complications in the client’s physiological and/or psychosocial functioning that may have an impact on the client’s successful functioning in the home or community Identifies potential difficulties that the client may have in being reintegrated into the community Identifies the learning needs of the client and the client’s family related to successful reintegration into the home or the community

Establishment of goals and plan of care : 

Establishment of goals and plan of care Works with the client to establish realistic goals for achieving optimal outcomes by collaborating with the client and the client’s family and by using available resources Helps the client and the client’s family identify the variables that can influence the achievement of goals Develops a comprehensive plan that includes treatment measures to prevent disability; identifies alternatives for the client’s treatments, when appropriate Establishes target dates for achieving goals Integrates rehabilitation goals consistent with the realities of the client’s family system and home environment

Implementation : 

Implementation Uses rehabilitation principles to promote optimal outcomes for the client Provides ongoing assessment of the client, the family, and other caregivers Coordinates access to accelerated care options, alternative care options, or both, when appropriate Coordinates the client’s access to appropriate government and community programs and resources Coordinates and evaluates in a quality-conscious, cost-effective manner the client’s and the family’s use of medical equipment, supplies, medications, and other available services Provides instruction, based on identified learning needs, to the client and the client’s family

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Coordinates referrals for instruction or counseling that are agreeable to the client and the client’s family and that are based on identified learning needs Intervenes promptly, when necessary, to promote optimal functioning and to prevent complications Facilitates and collaborates with the healthcare team and the client for timely discharge planning from the hospital to an alternative level of care, when appropriate Coordinates the discharge plan with the client, the healthcare team, and the client’s care providers

Collaboration : 

Collaboration Collaborates with the healthcare team, payers, community agencies, providers, and legal representatives to ensure the client’s care throughout the healthcare continuum Promotes effective communication between the client, the client’s family, and payers Participates in team meetings, when appropriate Incorporates the interdisciplinary team’s recommendations and services into the plan of care This role description was developed by the Association of Rehabilitation Nurses Home Health Care Special Interest Group