Rehabilitation Matters

Posts in this category are not easily categorised! They will cover any aspect of rehabilitation and a range of topics peripheral to rehabilitation, matters that should be discussed and considered but may not be – yet.

Social Care research

Today (May 26th 2021) I attended a Zoom-based seminar on Social Care research run by the Research Design Service (South Central) of the National Institute for Health Research (NIHR). It was excellent. I will discuss it here. Anyone who wishes to see the slides can download then from this webpage here. The talks will also …

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Humanities in rehabilitation

This post concerns training in and education about empathy in the practice and delivery of rehabilitation. This blog suggests that education to increase empathy is needed and is possible. This education is best acquired by studying the humanities, though academic study is also possible. The blog points out that education or training in humanity is …

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NICE – post-Covid guide

One December 18th 2020 the UK National Institute for Health and Clinical Excellence (NICE) published its guidance on managing the long-term effects of COVID-19. (here) On re-reading it, they are in reality suggesting that everyone should have access to “integrated, multidisciplinary rehabilitation services“. They also state (correctly) that one cannot know who has actually had …

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Rehabilitation; a social service?

Two incidents precipitated this blog. During discussion after a talk on an evidence-based definition of rehabilitation (e.g. as here), I was asked whether services provided by Social Services (and others) could also be considered as providing rehabilitation. My reply was that rehabilitation is a process and, as its intended outcomes relate to social participation, and …

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Predicting benefit?

As editor of Clinical Rehabilitation, I see a small stream of studies that attempt to predict who will benefit from a rehabilitation intervention. Terms used include ‘responder analysis’, which assumes that a person who ‘responds’ can be identified and then their characteristics used to select patients for treatment. Separately managers and commissioners want selection criteria, …

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Nursing home rehabilitation

This blog reviews a recent policy document from NHS England, which aims to introduce expert medical and rehabilitation services, including mental health and palliative care services, into all nursing and care homes. This blog reviews the proposal, showing how it could be simplified and used to provide accessible, expert rehabilitation services not only into care …

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Help change rehab.

This is a true incident. A friend of mine is helping out as a physiotherapist during this pandemic. Recently, in order to get a patient who had just been discharged from the hospital seen, she had to spend nearly three hours inputing three different sets of referral data, all covering the same basic information, into …

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Rehabilitation professions.

Team members face an uneasy tension between being a member of a multidisciplinary rehabilitation team and being a member of a professional group. On the one hand, they have a special expertise in and commitment to rehabilitation. On the other hand, they have a special expertise in and commitment to the activities of their profession. …

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Rehabilitation for Long-Covid

Medical services responded rapidly to the very obvious, severe acute challenge of increasing numbers of people severely ill with Covid-19. The challenge to rehabilitation services is likely to be ten times as big, given that long-covid arises after less severe acute illness as well as after severe illness. Yet, despite the longer lead time which …

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Loneliness – a key outcome?

Of course, the title should be “Preventing loneliness“, because loneliness is a bad outcome. Rehabilitation’s goal has always been to ‘improve quality of life’, but that is difficult to quantify not least because, when in a situation, people may change their opinion (a phenomenon termed ‘response recalibration’ to make it sound better!). A second oft-stated …

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