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Of every ten children in the world, one child is born with impairment or
acquires it early in life. Such a child may be partially or totally blind or deaf
& dumb, mentally retarded, physically limited or have a learning problem.
All such children need special help, timely treatment, education & training
to overcome difficulties created by their impairment.
With board certification, you might also get an opportunity to lead a team of
nurses on an everyday basis. If a person is interested in a career in
rehabilitation nursing, the first step that they should take is to attend
nursing school. While at nursing school, they should keep their focus on
the aspects of rehabilitation during their training to become a nurse.
The tasks of a rehabilitation nurse are simple, and are related to the day to
day care of a patient. The basic tasks include cleaning of the wounds, or
assisting patients with their bodily functions, or even administering
medicines under supervision. Other aspects that the rehabilitation nurse
may look after are the charting of the patient, and keeping an eye on
whether their condition is enhancing or deteriorating.
Rehabilitation nursing is not only about trying to get a person nursed back
to health, it is also about training the person so that he or she can
understand their abilities and disabilities and make the best out of life. For
example, if a person is confined to the wheelchair after an accident, the
rehabilitation nurse will make it a point to tell them how to use the
wheelchair and move around. Basically, the rehabilitation nurse also acts
as a person who gives the patient a comfort level when they are going
through a difficult time in their life. Patient education is also an important
part of the rehabilitation nurse's profile.
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individual.
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providing equal opportunities and non discrimination in the area of
education, employment and in the society at large. It therefore
includes not only the training but also intervention in the general
systems of the society, modification in the environment and
promotion and protection of human rights.
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The person with an injury or disability and his or her family should are
always the most important members of the treatment team. Cultural,
religious, social and economic backgrounds are also taken into
consideration when planning a person's rehabilitation program.
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The rehabilitation process typically involves a range of essential disciplines
such as a Specialist Consultant, Physiotherapists, Occupational Therapists,
Specialist Rehabilitation Nurses/Nurse Consultant, Doctors, Psychologists,
Speech and Language Therapists, Psychiatrists, and Pain physicians. The
effective rehabilitation is dependent on this group of people functioning as a
team, engaged in collaborative goal planning, focusing on the disabled
person and their family.
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The focus of rehabilitation is upon the patient·s needs and goals in order to
deliver an effective quality service to patients we are aiming to help. We
strive to provide effective rehabilitation services based upon the following
principles:
m Rehabilitation should begin during the initial contact with the patient
m Restoring the patient to independent or to regain his pre illness/ pre
disability level of function in as short a time as possible
m Maximizing independence within the limits of the disability
m Realize goals based on individual patient assessment & to guide the
rehabilitation programmed.
m He must be an active participant.
m The activities of daily living are facilitated.
m The individual with a disability is encouraged to wear his own clothing
enhances self esteem & dignity.
m Motivates the patient & helps him to attain social independence.
m Focus is on the needs of groups of people with specifies conditions.
m very patient has a right to the rehabilitation services.
m Providing interdisciplinary assessment in the acute setting to provide
specialist support and advice to prevent secondary complications
developing.
m Staffed by a team of specialist professionals who work as a co-
coordinated interdisciplinary team to enable people to transfer skills
acquired during therapy sessions to their daily living activities. The
team is currently working towards an interdisciplinary approach. In
rehabilitation this approach is shown not only to be effective, but cost
effective in reducing the need for long term care.
m Delivering well planned, goal orientated rehabilitation programmers to
the appropriate intensity for the person concerned, whilst supporting
their family and caregivers to contribute to the rehabilitation process.
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thical issues are of concern to all nurses. Rehabilitation nurses, in
particular, encounter challenging ethical situations in the settings in which
they practice. Nurses provide care to promote the health and well-being of
individuals; this implies interactions among people, and it implies the
seeking of what is good and of what leads to health and welfare.
thical dilemmas are created when a choice must be made between difficult
alternatives or when important principles conflict. Nurses practicing in the
specialty of rehabilitation are confronted with numerous ethical dilemmas.
Members of the Association of Rehabilitation Nurses (ARN) have identified
several ethical issues that are of concern to those practicing rehabilitation
nursing, including the following:
1.m Patients· rights, including the rights of minors. (Minors are capable of
understanding the decisions made in their name by their parents. If a
minor was not involved in the decision-making process and does not
agree with his or her parents· decision, the minor may have no
recourse regarding that decision, which leads to an ethical and legal
conflict.)
2.m The use of restraints
3.m Do-not-resuscitate orders
4.m Advanced directives, which imply nursing intervention and
responsibility regarding living wills and durable power of attorney
5.m Management of clients who are disposed to self-destructive behaviors
or suicidal gestures
6.m Issues related to healthcare reform and changes in how healthcare is
allocated and delivered including, but not limited to:
The Association of Rehabilitation Nurses supports the 2001 ANA a
and the American Hospital
Associations
(1992) as important guides for ethical
decision making. ARN makes the following additional statements: