Introduction

Rehabilitation aims to facilitate ongoing recovery.

It is unique for each person. It is goal directed.

It enables a person to become as independent as they possibly can. Setting goals is about working out what that means at each point on the journey.

The process of rehabilitation starts in the hospital and continues as the person with the injury moves from hospital to home.

It then continues with the person living in their home & community for as long as needed for the person to become as independent as they possibly can.

 

Rehabilitation aims to facilitate ongoing recovery

Rehabilitation enables a person to become as independent as they possibly can.

The goal is for the person to return to their previous abilities, activities and way of life as much as possible. It means enabling the person to live with their remaining abilities and develop strategies to enable them to compensate and overcome new difficulties.

The process of rehabilitation experienced by each person is unique.

Just as a brain injury is unique, the type of rehabilitation program the person is engaged in is uniquely tailored to target individual needs.

Rehabilitation addresses specific areas of physical difficulty, thinking or cognitive processing, perception, social skills and relationships. It also addresses broader areas of returning to work, getting about in the community, and adjusting to changes a person may experience following a brain injury.

Rehabilitation is ongoing.

Rehabilitation may also be episodic

as new situations and opportunities arise.

Rehabilitation is done with the person not to the person.

Rehabilitation is based on working with the person to achieve things that matter to them.

To be successful, the individual needs to participate actively in the rehabilitation process.

The type of rehabilitation offered needs to be meaningful and relevant to the person. This means the person, their culture, pre-injury lifestyle, family and environment are critical to ensuring the success of rehabilitation.

The person's abilities will determine how the person is able to participate in the rehabilitation process.

Where recovery to the person's pre-injury life pathway is not possible rehabilitation involves choosing another meaningful but different pathway to a life worth living.

 

Three stages of rehabilitation

For all types of injuries the three stages of rehabilitation are:

Stage 1: Acute rehabilitation

The acute stage involves initial management to ensure the person is medically stable. Acute rehabilitation normally occurs within hospital with a strong focus on physical recovery and regaining independent living skills.

Stage 2: Post-acute rehabilitation/community re-settlement

This stage involves managing the transition from hospital back home, and the ongoing process of rehabilitation that occurs after discharge. The focus of rehabilitation at this stage may include return to work or study, finding alternatives where this is not possible and relearning skills for community living.

Stage 3: Social rehabilitation

This is the long-term rehabilitation aimed at maintaining and enhancing the level of participation in community life (community integration).

 

 

 

 

Role of goal setting

Rehabilitation enables a person to become as independent as they possibly can.

Setting goals is about working out what that means at each point on the journey.

Goals are ‘the essence of rehabilitation’; they are essential for person centred rehabilitation.

There are many benefits to setting goals in rehabilitation.  Quality goals can be useful in:

• Empowering clients
• Supporting client participation
• Ensuring therapy, support services etc are targeted to address the priorities identified by the client.
• Planning within a team context - ensuring individual team members work towards the same goals.
• Planning and communication about client progress.