Rehabilitation Matters

All about rehabilitation. About all rehabilitation
Whatever you want to know, whoever you are:
Read on
Twitter: @rehabil31319128

Welcome to the site, which is unashamedly evangelical about rehabilitation, its importance to patients and their families, its never-ending fascination, and its intellectual and emotional challenges. It is a personal website, expressing a personal view of rehabilitation. The view is based on over 40 years of experience, research, writing and, most of all, thinking. It is, I hope, based on evidence; it is, I hope, not afraid to challenge orthodox beliefs where they need challenging; and it is, I hope, informative.

About this site

This site focuses upon rehabilitation as a body of professional expertise, separate from and additional to other professional expertise. The site is relevant to all healthcare (and other) professions that engage in rehabilitation. It is also relevant to one non-professional group – the patient, their family, and their friends – and to any interested member of the public. Its goal is to promote the formation of a body or organisation that represents rehabilitation as an area of expertise. More information, including about governance and values, can be found here.

Clinical content – what is rehabilitation?

These pages answer the question, what is rehabilitation? They describe the process in some detail, (here) but they also describe the context in which this process occurs – the biopsychosocial model of illness. (here). At present, the site has little about specific treatments such as retraining walking in people after stroke or amputation of a leg.

Academic content – education, training, research

There is a major focus on training. It discusses matters such as what specific rehabilitation knowledge and skills are needed by someone from any profession who wishes to gain expertise in rehabilitation. Much of the content draws on my experience in developing a curriculum and syllabus for doctors training in rehabilitation, and there is a specific part devoted to medical training (here). This focus reflects the current situation; only doctors have specific training in rehabilitation. The content introduces concepts such as entrustability, competence, and capabilities in practice also covered in blog posts. There is a small part on research, including a feed from the Clinical Rehabilitation Twitter account which highlights 4-6 new papers a week. (here)

Blog posts – eight categories, broad scope

There are many blog posts on the site, and they cover anything that I am interested in or that I think others should know about. The six most recent blogs are shown at the bottom of this page. you can also go to a page that gives more details here. You can subscribe to the blogs at the right of the page.

Patient and public

I hope that most content can be understood by anyone, but I am sure that not everything is well explained without using jargon. There is, therefore, also a section specifically covering what patients and members of the public might wish to know. This includes a totally different explanation of, what is rehabilitation? (here) It covers patient experience too. (here)

Information – a compendium

The last general category of pages relates to information. This site can never hope to include all information! It will, slowly, accumulate links to other useful sites, and a compendium of terms that need explanation. It is, and always will be work in progress! the compendium can be seen here.

A growing site – some recent changes
This site was born on November 9th, 2020, and today (March 10th, 2022) it has 105 pages and 68 blog posts. It will continue to grow and change as I learn how to set up and design a site (slowly). The history can be seen here.

March 10th 2022.
It is three months since I last wrote anything here! Unfortunately, I have been busy with matters relating to the British Society of Rehabilitation Medicine. I became Deputy Secretary in November 2021, and I am also chair of the Society’s Communication Subcommittee. We are setting up a new website. However, over the last weeks, I have written eight pages, to replace many existing pages. My goal is to revise and improve the section describing rehabilitation. Look at ‘What is rehabilitation?’ and the pages after the front page. (here) There will be several further changes over the next few weeks.

December 12th, 2021
The more pages I publish, the more there are to review and improve! When I look back at my early pages and posts, I realise how poor many were. I am trying to bring them up to standard, slowly. The introductory pages to ‘Rehabilitation in the UK’ (here) and ‘Academic Rehabilitation’ (here) have been updated and improved. My latest blog was about an internal matter of the British Society of Rehabilitation Medicine, a proposal to change its name, (here) but this will be the last post on that matter. The ballot opened on the 10th and closes on December 31st. I have also started using a software package called Grammarly which not only checks your spelling but looks at your grammar, writing style, clarity etc. I think it is improving my content and teaching me how to write better. I hope so.

November 27th, 2021
Further developments, slowly. But, first, some posts worth looking at (well, I would say that, wouldn’t I!). Anyone working with a trainee doctor as a colleague might like to read about how they are assessed at the end of their training, using a concept known as entrustmenthere. I was disappointed that my blog post about the possible lack of holism in some areas of rehabilitation services and how it arises has generated little interest or disagreement; you can read it here. I continue to look at the wider practice of rehabilitation, being surprised by rehabilitation psychiatry. The NICE (National Institute of Health and Social Care Excellence) definition of rehabilitation psychiatry applies to all rehabilitation – here. I am now wondering where to move my attention to next! Any suggestions are welcome (use button at the bottom).

Six recent blog posts

A model of person-centred rehabilitation
This blog post is based on an extensive systematic review that generated a sound, theoretically-based …
What do we add?
We can debate whether the patient is a part of the team (here) but we …
Prolonged disorders of consciousness (PDOC); history and update.
The diagnosis and management of patients with prolonged disorders of consciousness is an area of …
Chronic non-malignant pain
A recent article stated, "It has long been established that phantom limb pain is a …
Ready for discharge?
Is this patient ready for discharge? This question must be asked endlessly by care staff, …
The BSRM name change vote
Members of the British Society of Rehabilitation Medicine are voting on a proposal to change …

Read on; learn and enjoy

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