Physical medicine rehabilitation(PMR)

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1. By Shalu Thariwal P hysical Medicine Rehabilitation(PMR)

2. Content 14-Dec-18 Shalu 2 Definition of rehabilitation Definition of PMR Goals of PMR Physiatrist Aims of physical medicine and rehabilitation Principles of PMR

3. Definition of rehabilitation 14-Dec-18 Shalu 3 The use of all means aimed at reducing the impact of disabling and handicapping conditions and at enabling people with disabilities to achieve optimal social integration.(according to WHO)

4. PMR 14-Dec-18 Shalu 4 Physical medicine rehabilitation is an independent medical concerned with the promotion of physical and cognitive functioning, activities, participation and modifying personal and environment factors. It is an multi-professional team . Specialists in PMR have a holistic approach to people with acute and chronic conditions.

5. Goals of PMR 14-Dec-18 Shalu 5

6. Physiatrist 14-Dec-18 Shalu 6 The head of PMR team. Rehabilitation physicians. Physiatrists are medical doctors. Experts at diagnosis and treatment goals. Treat the whole person, not just the problem area(affected part) Lead a team of medical professionals.

7. Aims of PMR 14-Dec-18 Shalu 7 Improve quality of life of people with disabilities. Assess their situation, potential and needs. Adopt innovative approach. Develop an action plan to achieve the goals. Allow equity of access to employment for disabled people. Enable a good state of physical , mental and social health. Develop programmes and resources to meet the needs of the patient.

8. Principles of PMR team 14-Dec-18 Shalu 8

9. 1.Learning process 14-Dec-18 Shalu 9 It is the basic principle of physical medicine and rehabilitation. PMR specialists should know the principles of adaptation and plasticity of brain that is brain learning . Understand theoretical background of teaching and learning principles. Should learn the modern concept of motor learning.

10. 2. Aims 14-Dec-18 Shalu 10 Treat the underlying pathology. Reducing the impairment and disability. Prevent and treat complications. Improve functional capacity. Social participation Improve quality of life of the patient.

11. 3. The Rehabilitation team 14-Dec-18 Shalu 11

12. Cont… 14-Dec-18 Shalu 12 Rehabilitation is a continuous and coordinated process starts with the onset of an illness and going on till the individual achieving a role in society consistent with his/her lifelong wishes. Teamwork – sharing of expertise and workload. Patient centered goals. Cooperation, good communication and regular team conferences are required in rehabilitation team. Goals are adjusted over the time according to progress of the patient.

13. Rehabilitation team members 14-Dec-18 Shalu 13

14. Multidisciplinary approach 14-Dec-18 Shalu 14

15. 4.PMR work in different phases of rehabilitation 14-Dec-18 Shalu 15 Physical and rehabilitation medicine in the acute and post acute phase. Appropriate environment is required for the patient. Maintenance and improvement of function. Prevent complications. Improvement in affected body functions and return to work. Health education, training, diet and mental state of the patient.

16. 5.Effects of lack of rehabilitation 14-Dec-18 Shalu 16 Immobility, bed sores, contractures, muscle wasting Weakness, cardio- respiratory impairment Bladder and bowel problems Cognitive and behavioral problems Complications of underlying disease Poorer functional capacity Social isolation

17. 6. Prevention 14-Dec-18 Shalu 17

18. 14-Dec-18 Shalu 18