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Comparison of patient education in
  rehabilitation of spinal cord injuries in
Switzerland and in low economic countries
                 Karin Roth   RN
               Christa Schwager    RN
The integrative bio-psycho-social
       Model of Functioning, Disability and Health


                       Health condition
                     (disorder or disease)




Body functions
                          Activities               Participation
Body structures




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


                      Health condition
                    (disorder or disease)




Body functions
                          Activities               Participation
Body structures




         Environmental factors         Personal factors
Health condition

Rehabilitation in Switzerland    Rehabilitation in low
                                 economic countries


• aetiology of SCI               • poor medical care
• level of injury                    • nutrition
• high standard medical care         • vaccinations
• all possibilities in nursing       • hygiene
and therapeutic                  • missing knowledge of
interventions                    treatment
• good treatment of              • short life expectancy
complications and secondary
disorders
• normal life expectancy
The integrative bio-psycho-social
       Model of Functioning, Disability and Health


                      Health condition
                    (disorder or disease)




Body functions
                         Activities               Participation
Body structures




        Environmental factors         Personal factors
Body function and Body structures
      Differences of rehabilitation and patient
      education

      • medical treatment – conservative
      management or surgery
      • level of injury
      • bowel management
      • bladder management
      • spasticity
      • hand function
The integrative bio-psycho-social
       Model of Functioning, Disability and Health


                       Health condition
                     (disorder or disease)




Body functions
                          Activities               Participation
Body structures




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


                      Health condition
                    (disorder or disease)




Body functions
                         Activities               Participation
Body structures




       Environmental factors          Personal factors
environmental factors
Patient education in          Patient education in low
Switzerland                   economic countries

• existent structural and     • missing or non affordable
substantial resources for     structural and substantial
everybody (insurance,         resources
financial support)            • care depending on family
• professional home care      members
• high education standard –   • missing school education –
influence for patient         difficulty for patient
education                     education
• good accessibility of       • environment not accessible
environment                   for wheelchair
• general medical knowledge   • poor knowledge of SCI
of SCI                        • poor acceptance of
• possibility of return to    disability in community
work
The integrative bio-psycho-social
       Model of Functioning, Disability and Health


                       Health condition
                     (disorder or disease)




Body functions
                          Activities          Participation
Body structures




         Environmental factors         Personal
                                        factors
personal factors
The integrative bio-psycho-social
       Model of Functioning, Disability and Health


                       Health condition
                     (disorder or disease)




Body functions
                          Activities               Participation
Body structures




         Environmental factors         Personal factors
karin.roth@paranet.ch

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

  • 1. Comparison of patient education in rehabilitation of spinal cord injuries in Switzerland and in low economic countries Karin Roth RN Christa Schwager RN
  • 2. The integrative bio-psycho-social Model of Functioning, Disability and Health Health condition (disorder or disease) Body functions Activities Participation Body structures Environmental factors Personal factors
  • 3. The integrative bio-psycho-social Model of Functioning, Disability and Health Health condition (disorder or disease) Body functions Activities Participation Body structures Environmental factors Personal factors
  • 4. Health condition Rehabilitation in Switzerland Rehabilitation in low economic countries • aetiology of SCI • poor medical care • level of injury • nutrition • high standard medical care • vaccinations • all possibilities in nursing • hygiene and therapeutic • missing knowledge of interventions treatment • good treatment of • short life expectancy complications and secondary disorders • normal life expectancy
  • 5. The integrative bio-psycho-social Model of Functioning, Disability and Health Health condition (disorder or disease) Body functions Activities Participation Body structures Environmental factors Personal factors
  • 6. Body function and Body structures Differences of rehabilitation and patient education • medical treatment – conservative management or surgery • level of injury • bowel management • bladder management • spasticity • hand function
  • 7. The integrative bio-psycho-social Model of Functioning, Disability and Health Health condition (disorder or disease) Body functions Activities Participation Body structures Environmental factors Personal factors
  • 8. 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
  • 9. The integrative bio-psycho-social Model of Functioning, Disability and Health Health condition (disorder or disease) Body functions Activities Participation Body structures Environmental factors Personal factors
  • 10. environmental factors Patient education in Patient education in low Switzerland economic countries • existent structural and • missing or non affordable substantial resources for structural and substantial everybody (insurance, resources financial support) • care depending on family • professional home care members • high education standard – • missing school education – influence for patient difficulty for patient education education • good accessibility of • environment not accessible environment for wheelchair • general medical knowledge • poor knowledge of SCI of SCI • poor acceptance of • possibility of return to disability in community work
  • 11. The integrative bio-psycho-social Model of Functioning, Disability and Health Health condition (disorder or disease) Body functions Activities Participation Body structures Environmental factors Personal factors
  • 13. The integrative bio-psycho-social Model of Functioning, Disability and Health Health condition (disorder or disease) Body functions Activities Participation Body structures Environmental factors Personal factors