F-2-09-04
THE ROLE OF THE REHABILITATION TEAM ON SETTING GOALS FOR THE HOME-BOUND DISABLED
Akiko Suzuki, Toshiyuki Ito, Akira Hakuno (Yokohama Rehabilitation Center, Yokohama, Japan)
Norihiko Ando (Yokohama City University, Yokohama, Japan)
Yokohama city home-visit rehabilitation project for the home-bound disabled was started in 1987. The welfare officers and district nurses ask Yokohama Rehabilitation Center to dispatch the rehabilitation team which consists of a physiatrist, a physical therapist, an occupational therapist and a social worker.
Purpose) To study the role of the rehabilitation team on setting goals for home-bound disabled people, and to clarify which cases need assessment of the rehabilitation team to decide appropriate functional goals and rehabilitation plans.
Method) We visited 148 cases between April and September 1996. At first, welfare officers and district nurses set functional goals and rehabilitation plans. Then, we visit the cases and modify the goals and plans. We compared the first goals and plans with the modified ones.
Result) The group which changed functional goals was 48% (Group A), the group which changed rehabilitation plans without changing functional goals was 18% (Group B), the group which changed neither rehabilitation plans nor functional goals was 34% (Group C), respectively. There was no difference between three groups about cause of disability, type of disability. The assisted walking cases were seen more often in group A and B than C. The age of caregivers in A and B were younger than C.
Conclusion) 66% of the cases are changed rehabilitation plans. These results suggest that assessment of the rehabilitation team is needed particularly for the assisted walking cases and relatively young caregivers.
F-2-09-05
INTERNATIONAL COOPERATION IN TRAINING REHABILITATION PERSONNEL IN CHINA
Dengkun Nan (WHO Collaborating Center for Rehabilitation, Tongji Medical University, Wuhan, China)
In the past seven years, we have cooperated with Hong Kong Society for rehabilitation, directed by Dr. Harry SY Fang, in training rehabilitation personnel in China. There are four parts in training works: one year course: 1-2 weeks specialty course; 2 weeks conductive education for CP; and one week Community-Based-Rehabilitation mobile teaching team. The key part is the one-year certificate course in applied rehabilitation for physicians of China, held in Tongii Medical University. The course run for 7 years. Many foreign teachers from Australia, Canada, Hong Kong, UK, US, and other countries gave lectures & practice in the courses. They brought us new teaching methods emphasize in practice. This means our students could be aquatinted with new concepts, new techniques, of the advanced country just at home. They seemed to have pursued advanced training abroad in many countries. This economical way could largely save manpower, costs and time. Now, 314 rehabilitation physicians graduated, distributed in whole China. They played critical roles in many aspects of rehabilitation services. Many students became major teachers in the following short courses. Many graduates have been acting as leading sheep in rehabilitation services. The cooperation is actually successful. It will still exert very deep influence in the future.
