Roth comparison of patient education in rehab of sci in switzerland and in low economic countries...

14
Comparison of patient education in rehabilitation of spinal cord injuries in Switzerland and in low economic countries Karin Roth RN Christa Schwager RN

description

 

Transcript of Roth comparison of patient education in rehab of sci in switzerland and in low economic countries...

Page 1: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Comparison of patient education in rehabilitation of spinal cord injuries in

Switzerland and in low economic countries

Karin Roth RN

Christa Schwager RN

Page 2: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Health condition (disorder or disease)

Body functions

The integrative bio-psycho-social Model of Functioning, Disability and Health

ParticipationActivitiesBody functions

Body structures

Environmental factors Personal factors

Page 3: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Health condition (disorder or disease)

Body functions

The integrative bio-psycho-social Model of Functioning, Disability and Health

ParticipationActivitiesBody functions

Body structures

Environmental factors Personal factors

Page 4: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Health condition

Rehabilitation in Switzerland

• aetiology of SCI

• level of injury

• high standard medical care

Rehabilitation in low economic countries

• poor medical care

• nutrition

• vaccinations• high standard medical care

• all possibilities in nursing and therapeutic interventions

• good treatment of complications and secondary disorders

• normal life expectancy

• hygiene

• missing knowledge of treatment

• short life expectancy

Page 5: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Health condition (disorder or disease)

Body functions

The integrative bio-psycho-social Model of Functioning, Disability and Health

ParticipationActivitiesBody functions

Body structures

Environmental factors Personal factors

Page 6: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Body function and Body structures

Differences of rehabilitation and patient education

• medical treatment – conservative management or surgery

• level of injury

• bowel management • bowel management

• bladder management

• spasticity

• hand function

Page 7: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Health condition (disorder or disease)

Body functions

The integrative bio-psycho-social Model of Functioning, Disability and Health

ParticipationActivitiesBody functions

Body structures

Environmental factors Personal factors

Page 8: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

activities and participation

• mobility – transfers

• influence on mobility from environmental factors

• bed to wheelchair - mattress on the ground to wheelchair

• bladder- and bowel management

• influence of available aids on evacuation techniques

• self care

• preventing pressure ulcers under the influence of climate, available substantial resources

Page 9: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Health condition (disorder or disease)

Body functions

The integrative bio-psycho-social Model of Functioning, Disability and Health

ParticipationActivitiesBody functions

Body structures

Environmental factors Personal factors

Page 10: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

environmental factors

Patient education in Switzerland

• existent structural and substantial resources for everybody (insurance, financial support)

• professional home care

Patient education in low economic countries

• missing or non affordable structural and substantial resources

• care depending on family members• professional home care

• high education standard –influence for patient education

• good accessibility of environment

• general medical knowledge of SCI

• possibility of return to work

members

• missing school education –difficulty for patient education

• environment not accessible for wheelchair

• poor knowledge of SCI

• poor acceptance of disability in community

Page 11: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Health condition (disorder or disease)

Body functions

The integrative bio-psycho-social Model of Functioning, Disability and Health

ParticipationActivitiesBody functions

Body structures

Environmental factors Personal factors

Page 12: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

personal factors

Page 13: Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11

Health condition (disorder or disease)

Body functions

The integrative bio-psycho-social Model of Functioning, Disability and Health

ParticipationActivitiesBody functions

Body structures

Environmental factors Personal factors