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.
A growing site– some recent changes This site was born on November 9th, 2020, and today (June 13th, 2022) it has 97 pages and 70 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.
August 2nd 2022 I have added the last section to my part on “What is rehabilitation?” and the page concerns the outcome of rehabilitation. I discuss the high-level outcomes that service is likely to aim for based on a patient’s wishes. I emphasise that quality of life and social goals are usually the most relevant. I have also added two posts, presented in a slightly different style and, I think, written rather better thanks to Grammarly. The first is on the concept of Rehabilitation Potential and its validity. I conclude that it is not a valid concept because there is no evidence-based way to identify who will benefit from rehabilitation and, additionally, it is likely that everyone will benefit in some way. The second is all about frailty, and the link is above.
June 13th 2022 Today I added 12 new pages on the process of rehabilitation and removed 20 lower-quality old pages. I have also improved the menu, though I hope to improve it more soon. The delay follows my considerable workload as Deputy Secretary to the British Society of Physical and Rehabilitation Medicine (BSPRM). [Yes, the vote went against what I wanted, but the world has not ended and I am now also helping to set up a new BSPRM website.] I have also realised how poorly written many of my early pages were, and I hope to improve pages slowly. I have not published many blogs recently either. But my website apparently led Sky News to contact me as a “neurological rehabilitation expert” to comment on the rehabilitation of Justin Beiber’s right facial palsy. Anyone interested may watch a shortened version here.
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.