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Rehabilitation
Course
By Adina Stefanuca
 Rehabilitation is a process of adaptation or recovery

through which an individual suffering from a
disabling or functionally limiting condition, whether
temporary or irreversible, participates to regain
maximal function, independence, and restoration
 A process to restore mental/or physical abilities lost

to injuries or disease, in order to function in a normal
or near normal way (National Cancer Institute, 2007)
Isolda Stroke Rehabilitation Unit
 Opened in July 2006 with 6 beds – extended in 2012 up

to 10 beds

 The unit caters for all age groups – male & female over

18 years of age

 Philosophy of the unit includes the belief that

rehabilitation is a proactive, person-centered and goal
orientated process that begins the first day after stroke

 The unit forms an integrated care but weighs for

patients following their acute care in Mater
Miserecordiae University Hospital
Isolda Stroke Rehabilitation Unit
 Stroke Rehabilitation Unit is coordinated from

multidisciplinary team perspective in conjunction with
Clinical Nurse Specialist in stroke rehabilitation

 Treatment is based on multidisciplinary team working

with a key worker being appointed for each patient

 The team members (medical, nursing & therapists) are

attending multidisciplinary weekly meetings. The aims
of these meetings is to develop unified goals, reviews,
share progress and plan discharge

 The expected length of stay is 90 days
University of Limerick- Graduate Diploma
Rehabilitation of Older Person
 Utilise evidence to inform nursing practice in monitoring

coordinating and managing care

 Review current innovations and developments within

nursing

 Utilise a knowledge base consistent with that of the

profession, and which incorporates the standards of
professional groups

 Appraise strategies to promote, maintain and restore

health in relevant care groups
University of Limerick- Graduate Diploma
Rehabilitation of Older Person
 Evaluate ,generate and conduct research that will

incorporate evidenced-based practice in nursing

 Evaluate the role of specialist and advanced practice in

nursing

 Collaborate within multidisciplinary team in the

provision of quality outcomes
University of Limerick- Graduate Diploma
Rehabilitation of Older Person
 Appraise international, national and local policy

strategies that are relevant to advancing nursing role

 Discuss factors that influence practice and theoretical

knowledge at specialist/advanced practice levels

 Demonstrate the critical thinking skills and ethical

decision –making required for specialist/advanced
practice in nursing care
University of Limerick- Graduate Diploma
Rehabilitation of Older Person
 Critically appraise factors associated with the normal

ageing e.g. physiological and psychological changes

 Evaluate current philosophies of rehabilitation nursing

of older person

 Apply the concepts of rehabilitation nursing of the older

person to individuals in variety of care settings
Health Care Policy and Reform- Essay
“The need for change in the health service is
unquestionable… We must implement large scale change
that delivers fundamental reform.”( Department of Health
Nov 2012)
To deliver more responsive, faster and more equitable

access to hospital care is outlined as a strategic goal for
reform of our hospitals by the Department of Health 2012 in
the strategic framework report 2012. Critically discuss how
registered nurses/midwives can adopt new ways of working
to help achieve these targets within current hospital system.
Health Care Policy and Reform
 Four pillars of “Future Health” were : health and

wellbeing, changing the model of care, financial reform
and structural reform (DOH 2012)

 Nursing and midwifery services play an important key

role in modernization of healthcare and in the
foundation of a strong Irish ecosystem.

 Commission of nursing expand role of nurses since 1998

(Government of Ireland 1998); the report expressed
confidence that nurses being educated in the future will
continue to have high standards of practice

 Continual professional development and

implementation of health informatics has come into
nursing
Health Care Policy and Reform

Nursing informatics is a combination of computer
science, information science, and nursing science,
design to assist in the management and processing
data, informations and knowledge to support
nursing practice, education, research and
administration “(Graves & Corcoran 1989)
“
Health Care Policy and Reform
Health and Nursing informatics
eLearning Technology
Virtual Classroom
Moodle
Patients Electronic Record
Single Assessment Tool
Hospital Information System
Nursing Metrics
Health Care Policy and Reform
CONCLUSION:

“Nurses are called upon to broaden their scope of practice
and to master technological tools and information
management system while supervising care across teams of
health professional “ (National League for Nurses 2011).
Nurses will embrace nursing science as knowledge users,
knowledge developers, knowledge workers.
Thank You

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Adina Stefanuca Stroke Rehabilitation

  • 2.  Rehabilitation is a process of adaptation or recovery through which an individual suffering from a disabling or functionally limiting condition, whether temporary or irreversible, participates to regain maximal function, independence, and restoration  A process to restore mental/or physical abilities lost to injuries or disease, in order to function in a normal or near normal way (National Cancer Institute, 2007)
  • 3. Isolda Stroke Rehabilitation Unit  Opened in July 2006 with 6 beds – extended in 2012 up to 10 beds  The unit caters for all age groups – male & female over 18 years of age  Philosophy of the unit includes the belief that rehabilitation is a proactive, person-centered and goal orientated process that begins the first day after stroke  The unit forms an integrated care but weighs for patients following their acute care in Mater Miserecordiae University Hospital
  • 4. Isolda Stroke Rehabilitation Unit  Stroke Rehabilitation Unit is coordinated from multidisciplinary team perspective in conjunction with Clinical Nurse Specialist in stroke rehabilitation  Treatment is based on multidisciplinary team working with a key worker being appointed for each patient  The team members (medical, nursing & therapists) are attending multidisciplinary weekly meetings. The aims of these meetings is to develop unified goals, reviews, share progress and plan discharge  The expected length of stay is 90 days
  • 5. University of Limerick- Graduate Diploma Rehabilitation of Older Person  Utilise evidence to inform nursing practice in monitoring coordinating and managing care  Review current innovations and developments within nursing  Utilise a knowledge base consistent with that of the profession, and which incorporates the standards of professional groups  Appraise strategies to promote, maintain and restore health in relevant care groups
  • 6. University of Limerick- Graduate Diploma Rehabilitation of Older Person  Evaluate ,generate and conduct research that will incorporate evidenced-based practice in nursing  Evaluate the role of specialist and advanced practice in nursing  Collaborate within multidisciplinary team in the provision of quality outcomes
  • 7. University of Limerick- Graduate Diploma Rehabilitation of Older Person  Appraise international, national and local policy strategies that are relevant to advancing nursing role  Discuss factors that influence practice and theoretical knowledge at specialist/advanced practice levels  Demonstrate the critical thinking skills and ethical decision –making required for specialist/advanced practice in nursing care
  • 8. University of Limerick- Graduate Diploma Rehabilitation of Older Person  Critically appraise factors associated with the normal ageing e.g. physiological and psychological changes  Evaluate current philosophies of rehabilitation nursing of older person  Apply the concepts of rehabilitation nursing of the older person to individuals in variety of care settings
  • 9. Health Care Policy and Reform- Essay “The need for change in the health service is unquestionable… We must implement large scale change that delivers fundamental reform.”( Department of Health Nov 2012) To deliver more responsive, faster and more equitable access to hospital care is outlined as a strategic goal for reform of our hospitals by the Department of Health 2012 in the strategic framework report 2012. Critically discuss how registered nurses/midwives can adopt new ways of working to help achieve these targets within current hospital system.
  • 10. Health Care Policy and Reform  Four pillars of “Future Health” were : health and wellbeing, changing the model of care, financial reform and structural reform (DOH 2012)  Nursing and midwifery services play an important key role in modernization of healthcare and in the foundation of a strong Irish ecosystem.  Commission of nursing expand role of nurses since 1998 (Government of Ireland 1998); the report expressed confidence that nurses being educated in the future will continue to have high standards of practice  Continual professional development and implementation of health informatics has come into nursing
  • 11. Health Care Policy and Reform Nursing informatics is a combination of computer science, information science, and nursing science, design to assist in the management and processing data, informations and knowledge to support nursing practice, education, research and administration “(Graves & Corcoran 1989) “
  • 12. Health Care Policy and Reform Health and Nursing informatics eLearning Technology Virtual Classroom Moodle Patients Electronic Record Single Assessment Tool Hospital Information System Nursing Metrics
  • 13. Health Care Policy and Reform CONCLUSION: “Nurses are called upon to broaden their scope of practice and to master technological tools and information management system while supervising care across teams of health professional “ (National League for Nurses 2011). Nurses will embrace nursing science as knowledge users, knowledge developers, knowledge workers.