Wilk: Sorrentino's Canadian Textbook for the Support Worker, 5th Edition
Chapter 16: Rehabilitation and Restorative Care
Chapter 16
Rehabilitation and
Restorative Care
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Rehabilitation
Rehabilitation and restorative care may be
necessary after acute injury or illness, or as
part of treatment for chronic illness or
disability.
Rehabilitation refers to a broad range of
interventions that address a client’s:
Medical care needs
Therapeutic needs
Psychosocial needs
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Rehabilitative Care versus
Restorative Care (1 of 2)
Rehabilitative care:
The process of restoring a person to the highest
level of functioning. Aim is to:
• Slow the decline of functioning
• Support clients in maintaining function, or to function at a
higher capacity to maintain quality of life and
independence.
Client goals may include:
• Returning to work
• Resuming ADLs they were able to perform in the past
Usually provided by nurses, physiotherapists, and
support workers.
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Rehabilitative Care versus
Restorative Care (2 of 2)
Restorative care:
Aimed at prevents health deterioration and
maintaining or improving a client’s quality of life,
but also aimed at restoring clients to their previous
functional level whenever possible.
Usually only involves client and family, nurses,
and support workers.
Other professionals may be consulted as needed.
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Goals of Rehabilitative and
Restorative Care (1 of 2)
Care is based on the client’s condition.
Specific goals:
Reduce reliance on others
• To restore function to former level
• To improve functional abilities
• To learn new skills
• To prevent further disability and illness
Rehabilitation takes longer for older clients
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Goals of Rehabilitative and
Restorative Care (2 of 2)
For clients who are too weak to perform
ADL’s, restorative care may be used to
promote:
Self-care
Elimination
Positioning
Mobility
Communication
Cognitive function
Prevention of unnecessary decline in functioning
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Emphasis on Whole Person
Illness and disability affects all dimensions of
health care.
Restorative care must focus on whole person:
Physical health
Emotional and social health
Intellectual health
Spiritual health
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Rehabilitation Settings (1 of 2)
Hospitals
Cardiac and respiratory rehabilitation
Programs for complex medical and surgical conditions
Use of robotics
Virtual reality
Specialized facilities
Focus on specific problems (e.g., mental health disorders,
substance abuse, or addiction)
Long-term care facilities
Provide services similar to hospitals
Community care
Home care services
Adult day programs
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Rehabilitation Settings (2 of 2)
Home assessment:
Identifies safety risks and health hazards in a
client’s home
You may assist in completing assessment
You have a responsibility to maintain a safe
environment
Report all concerns to supervisor
See textbook box: Focus on Home Care: Home
Assessment
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Slide 9
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The Rehabilitation Team
The client is the key team member
The family, doctor, nursing team, and other health
team members help the client set goals and plan
care.
• All help the client to regain function and independence.
Families provide support and encouragement
• Often, they help with care when the client returns home.
Every part of your job focuses on promoting the
client’s independence.
• Preventing decline in function also is a goal.
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Role of the Family
Family support is critical to the client’s
rehabilitation success.
Families need to learn about the illness or
disability and how to care for the individual.
Family members may need to learn new
skills.
Counselling is provided, as needed, to help
the family cope with the many changes
affecting them.
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Therapy and Training
The rehabilitation team chooses the therapy
and training needed to meet client goals.
Equipment is ordered to meet client needs:
Prosthesis—artificial body replacement
Orthotic— apparatus worn to support, align,
prevent, or correct musculoskeletal problems
Eating or drinking devices
Self-care devices
Devices to aid mobility
Other equipment (e.g., mechanical ventilation)
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Assisting With Rehabilitation and
Restorative Care
Support workers are vital for giving
assistance.
The client’s progress may be slow and
frustrating.
Support workers must:
Be patient, supportive, empathic
Listen to client—may be able to pass on vital
information on therapist
Practice DIPPS
See textbook box: Providing Compassionate Care: Assisting
With Rehabilitation and Restorative Care
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Benefits of Rehabilitation and
Restorative Care (1 of 2)
For clients:
Slows client’s decline of functioning
Maintains or improves functioning
Restores client to previous functioning (whenever
possible)
Preserves client’s quality of life and independence
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Benefits of Rehabilitation and
Restorative Care (2 of 2)
For Canadians:
Shorter (or no need for) hospital stays
“Reablement” programs for individuals who do not
need acute care
Independence for clients
Less disruption for families
Cost savings
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