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a.) Age – young are more likely to experience short, intense, acute
conditions that are quickly over. Chronic illness often accompanies
aging.
b.) Race and Ethnicity – race specific rates measure the association
between disease and occurrence.
ii. CVD and Stoke: 24% among male and 41% among
black female. Most of the deaths were due to
Hypertension.
The effects of chronic illness on individuals and their families are numerous
and varied. The first impact of the disability may nearly immobilize them. Time
must be provided them to talk through their concerns and fears before they can be
expected to begin coping with their new situation.
Marked changes often take place, and are often required to take place, in
family living as a result of chronic illness. Some families may find themselves drawn
closer together. Other families drift apart, the individual members being incapable
of helping on another. At times, a chronic illness may threaten an individual’s basic
emotional stability, and the whole situation may be unbearable to others.
Sometimes the individual’s emotional stability may not have been apparent to the
family early in the illness, but when such needs grow obvious, relatives feel
inadequate to cope with the situation. The length of illness, periodic hospitalization,
and increased financial, emotional and social burdens are stressors that threaten to
family’s integrity.
Many persons struggle on their own to assume the full financial burden of the
illness and consequently expose other members to the family to lower standards of
nutrition, housing and care. Many times relatives move in with one another,
arguments develop, and family ties are strained or broken. Public assistance may
be acceptable in some families, whereas other find it impossible to accept.
Diagnostic title
Possible etiologies
Limiting activities
Promoting self-care
Promoting self-esteem
Assessment:
A. Physical:
B. Psychological:
• Multi-disciplinary Approach
• Rehabilitation centers
1. Physical area
Physical, nursing, and medical evaluation
Physical therapy
Occupational therapy
Speech therapy
Medical and nursing supervision of appropriate activities
Psychosocial area
Evaluation
Personal counseling
Social service
Psychometrics
Psychiatric service
Recreational therapy
2. Vocational Area
Work evaluation
Vocational counseling
Prevocational counseling
Industrial fitness of programs
Trial employment in sheltered workshops
Vocational training
Terminal employment in sheltered workshops
Placement
Nurses who work with patients who have disabilities have two major
responsibilities: 1. to ensure what disability from disease or defused is limited as
much as possible 2. To see that a rehabilitation program is planned and
implemented.
Limiting Disability
A. Prevent Complication
2. Prevent deformities
c. Turn frequently; keep skin clean and dry to prevent ski breakdown.
If you are disabled, one of the most important organizations you need to
contact is your State Vocational Rehabilitation Service. Vocational Rehabilitation can
provide funding for school, training, and assistive technology in most states, some
even a 100%. If this does not get you to people who can actually assist you let me
know and I will give you a link to your specific contact information. Depending on
your State, Voc Rehab may be part of a One Stop Career Center along other
agencies like Workforce.
If you are not a current disabled client of your State Vocational Rehabilitation
services, I suggest you contact them soon as some states have a waiting list.
You don't want to be on a Vocational Rehabilitation disabled waiting list when you
are ready to use a Social Security PASS plan. You want that already taken care of
so you can use the Voc Rehab funds in addition to the PASS funds.
You already know that addition ruins lives. The good news is that drug
treatment centers can save them—but only if they provide their clients with holistic
drug treatment programs. The day you seek help from a drug treatment facility that
understands the importance of depression treatment and recovery will be the day
you start healing from the inside-out, in a way that will help you rediscover yourself
as you used to be. Here’s hoping you’ll be wise enough—and brave enough—to take
the first step towards a better future.
The most common treatments include back and spine rehabilitation, chronic
and acute pain management, and hand therapy. Treatments include, but are not
limited to, stretching, muscle re-education, conditioning, and strengthening. Other
orthopedic programs are designed for those recovering from stroke, amputation,
brain or spinal cord injury. Outpatient rehabilitation also provides comprehensive
occupational medicine services to industries for the early treatment and prevention
of work-related injuries.
The center is the only hospital-based skilled nursing facility in the Puget
Sound region. That means you'll have on-site access to the comprehensive
resources of a hospital, including the emergency department, laboratory,
respiratory therapy and imaging services. It also means RN nursing staff is on site
24 hours a day, with 24-hour physician availability.
Nurses are dedicated to caring for the whole person – and his or her family –
in a way that is individualized and nurturing.
Whether you are recovering from injury, illness or major surgery, our
comprehensive program can help you regain the strength and stamina you need to
return home. Highline Physical Rehabilitation Center offers both acute and sub-
acute rehabilitative care and skilled nursing services – all in a supportive, healing
environment.
Because each patient's needs are unique, so is each patient's plan of care.
We'll work with you and your family to develop an individualized program of
rehabilitation that is effective for you. We place a strong emphasis on patient and
family education. We know the more informed and involved you are, the quicker
and less traumatic your healing process will be. We'll even help you transition to
home by providing specialized training to your family on equipment or supplies that
you might need.
A dedicated RN case manager will help coordinate your care to assure that all
your needs are met.
Accreditations
A Healing Environment
Nurses should be dedicated to caring for the whole person, with genuine
respect, compassion and dignity. Our facility includes homelike touches. We also
offer a wide variety of activities that provide enjoyable and therapeutic diversions
from the rehab routine.
Acute Rehabilitation
Sub-Acute Rehabilitation
Sub-acute care provides patients with the same rehab services at a less
intensive pace than acute rehab. Patients who are weakened by illness, injury or
surgery may benefit most from Sub-Acute Rehab. They are able to recuperate and
gain strength according to their ability. sub-acute rehabilitation offers skilled
nursing and rehabilitation services for patients in transition between hospital and
home or assisted-living arrangements. This hospital-based transitional care unit
provides patients with a rehab program of physical, occupational, speech/language
and recreation therapy at the sub-acute level.
Services Available
3rd edition