Rehabilitation Plan Assignment Sample

Introduction

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The elderly population suffers many difficulties, particularly when dealing with health issues that limit their freedom and quality of life. This case study focuses on Mr John Anderson, a 75-year-old retired teacher who recently had a stroke and is now more dependent on his wife for everyday duties due to left-sided weakness and coordination issues. Enhancing Mr. Anderson's functional independence, mobility, and involvement in leisure activities are the main goals of this intervention plan. It is necessary to focus on the appropriate rehabilitation processes through which adequate support can be provided (Rehab, 2022). To maximize Mr. Anderson's rehabilitation process, this plan places a value on a holistic strategy that takes into account physical, cognitive, and emotional components.

Rehabilitation Intervention Plan

Goal

To enable Mr. Anderson is trying to independently walk for a distance of 100 meters without assistance, including negotiating stairs, within three months from the commencement of the rehabilitation intervention.

Intervention

Timeline

Evaluation

Gait and Mobility Assessment

• The Timed Up and Go Test (TUG) can be employed to assess the duration required for Mr. Anderson to transition from a seated position to standing, walk a distance of three metres, turn around, return to the starting point, and sit back down (Persson et al., 2022). This assessment will evaluate his level of mobility and functional capacity in carrying out everyday tasks.
• The 6-Minute Walk Test (6MWT) can be utilised to assess Mr. Anderson's walking endurance and overall mobility by measuring the distance he is able to walk within a six-minute timeframe (Dunn et al., 2021).

Functional Independence Assessment

• The Barthel Index will be employed to evaluate the independent performance of Mr. Anderson in activities of daily living (ADLs), including but not limited to showering, dressing, and utilising the toilet (Shah, Vanclay and Cooper, 2022). This assessment will evaluate his level of functional autonomy and advancement towards the objective of self-sufficiency.

Quality of Life Assessment

• Utilising the Short Form Health Survey (SF-36) to assess the quality of life of Mr. Anderson, encompassing domains such as physical functioning, social functioning, and emotional well-being (Anderson, Laubscher and Burns, 2021). This will facilitate a full comprehension of how the intervention is impacting his overall well-being and life satisfaction.

The consistent utilisation of these assessment instruments at predefined time intervals will provide a thorough assessment of Mr. Anderson's advancement towards the rehabilitation objective. Modifications to the intervention plan can be implemented in response to the outcomes in order to optimise its efficacy and congruence with his individualised requirements.

Literature & Rationale

After a stroke, every individual faces different types of issues and may struggle to perform normal types of activities in their daily life such as bathing, eating, dressing and other all types of general activity. Occupational therapists provide a helping hand for all the stroked attacked people to recover themselves from an after stroke dependent lifestyle. Different types of stroke interventions therapy has been used for maximising the functional independence level in general life. It also helps all of them to navigate health changes after the time of stroke. Compensation strategies and recovery therapy involve all the patients during their rehabilitation time.

Major three types of activity maintained by all the survivors during the time of occupational therapy are Self-care, Leisure and Productivity. Self-care includes eating, getting dressed, bathing along with household management tasks and physical exercise management processes (Rehab, 2022). 

Within the context of stroke rehabilitation, the available research continuously underscores the crucial significance of physical therapy interventions in allowing the restoration of functionality and enhancing mobility among patients impacted by stroke. The research conducted by Thant et al. (2019) showcased the noteworthy effects of task-specific training on the improvement of motor function and the promotion of increased autonomy among individuals who have experienced a stroke. The primary emphasis of this method lies in the development of rehabilitation exercises that closely replicate the fundamental actions necessary for daily functioning. This approach aims to facilitate the process of reacquiring and improving critical motor abilities (Schiavi et al., 2021). Through the customization of interventions to suit particular functional tasks, individuals have the potential to enhance their coordination, balance, and general functional abilities, hence facilitating the attainment of a more autonomous lifestyle.

Additionally, the systematic review conducted by Pau et al. (2016) further emphasised the beneficial outcomes of gait training and therapies focusing on improving mobility in the context of stroke recovery. Gait training, a fundamental element of physical therapy, is designed to enhance an individual's capacity to ambulate autonomously and securely. Through the integration of diverse methodologies such as weight-shifting exercises, step-based training, and obstacle negotiation, individuals can progressively restore their self-assurance and ability to traverse various types of terrain. This approach not only improves individuals' physical mobility but also helps decrease their dependence on assistive technology, thereby promoting a sense of independence and enhancing their overall quality of life. Healthcare professionals can play a significant role in the comprehensive rehabilitation and reintegration of individuals following a stroke by incorporating evidence-based practises such as task-specific training and interventions that focus on improving gait (Dunn et al., 2021). These approaches have been shown to be effective in helping individuals regain their independence and actively engage in their daily activities.

The physical therapy strategies that have been chosen, such as task-oriented training, gait training, and the utilisation of assistive devices, are in accordance with the existing data that supports their efficacy in improving mobility, balance, and functional independence following a stroke. By using these empirically-supported methodologies, Mr. Anderson can derive advantages from customised exercises and training methods that are designed to address his individual requirements (Shah, Vanclay and Cooper, 2022). This approach facilitates neuroplasticity and facilitates the restoration of motor function.

The prospective advantages of the proposed intervention encompass greater gait stability, augmented muscle strength, and heightened self-assurance in executing daily chores autonomously. Nevertheless, there exist possible obstacles that could hinder advancement, including factors such as exhaustion, insufficient motivation, and physical restrictions. Furthermore, the intervention plan may face challenges in its implementation due to the restricted availability of rehabilitation providers and insufficient social support (States, Pappas and Salem, 2022).

Strategies for Mitigating Obstacles

In order to effectively tackle these obstacles, it is crucial to integrate motivational strategies and employ positive reinforcement inside treatment sessions as a means to enhance Mr. Anderson's level of involvement and commitment to the programme. Accessibility issues can be successfully resolved by implementing a home exercise programme and adding telerehabilitation services. Additionally, involving the patient's family in the rehabilitation process and providing them with the necessary information and training helps create a nurturing environment that is conducive to their recovery (Magwood et al., 2019). The effectiveness of the intervention can be increased by incorporating these strategies, maximising Mr. Anderson's chances for functional improvement and overall welfare.

Conclusion

In conclusion, the rehabilitation intervention plan has been created for Mr. John Anderson intends to focus on the challenges he encounters as a result of his stroke. This plan's main goals are to increase his independence in performing everyday duties, increase his mobility, and encourage him to participate in leisure activities. The strategy uses a thorough strategy that combines physical, cognitive, and emotional components in order to maximise Mr. Anderson's healing and general wellbeing. In order to improve his motor function and promote independence, the interventions that have been chosen, based on evidence-based practises and pertinent research, emphasise the need of task-specific training, gait training, and the use of assistive devices. Despite the possibility of issues, a number of solutions have been offered to successfully remove these obstacles. These strategies include developing home fitness regimens and involving family members actively.

References

• Anderson, C., Laubscher, S., & Burns, R. (2021). Validation of the Short Form 36 (SF-36) Health Survey Questionnaire Among Stroke Patients. Stroke, 27(10), 1812–1816. https://doi.org/10.1161/01.str.27.10.1812
• Dunn, A., Marsden, D. L., Nugent, E., Van Vliet, P., Spratt, N. J., Attia, J., & Callister, R. (2021). Protocol Variations and Six-Minute Walk Test Performance in Stroke Survivors: A Systematic Review with Meta-Analysis. Stroke Research and Treatment, 2015(7), 1–28. https://doi.org/10.1155/2015/484813
• Magwood, G. S., Ellis, C., Nichols, M., Burns, S. P., Jenkins, C., Woodbury, M., & Adams, R. (2019). Barriers and Facilitators of Stroke Recovery: Perspectives From African Americans With Stroke, Caregivers and Healthcare Professionals. Journal of Stroke and Cerebrovascular Diseases : The Official Journal of National Stroke Association, 28(9), 2506–2516. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.06.012
• Pau, M., Corona, F., Pili, R., Casula, C., Sors, F., Agostini, T., Cossu, G., Guicciardi, M., & Murgia, M. (2016). Effects of Physical Rehabilitation Integrated with Rhythmic Auditory Stimulation on Spatio-Temporal and Kinematic Parameters of Gait in Parkinson’s Disease. Frontiers in Neurology, 7. https://doi.org/10.3389/fneur.2016.00126
• Persson, C. U., Danielsson, A., Sunnerhagen, K. S., Grimby-Ekman, A., & Hansson, P.-O. (2022). Timed Up & Go as a measure for longitudinal change in mobility after stroke – Postural Stroke Study in Gothenburg (POSTGOT). Journal of NeuroEngineering and Rehabilitation, 11(1), 83. https://doi.org/10.1186/1743-0003-11-83
• Rehab, F. (2022, October 20). Stroke Interventions In Occupational Therapy: 10 Helpful Techniques. Flint Rehab. https://www.flintrehab.com/occupational-therapy-treatment-ideas-for-stroke-patients/#:~:text=As%20many%20survivors%20experience%20sensation
• Schiavi, M., Costi, S., Pellegrini, M., Formisano, D., Borghi, S., & Fugazzaro, S. (2021). Occupational therapy for complex inpatients with stroke: identification of occupational needs in post-acute rehabilitation setting. Disability and Rehabilitation, 40(9), 1026–1032. https://doi.org/10.1080/09638288.2017.1283449
• Shah, S., Vanclay, F., & Cooper, B. (2022). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology, 42(8), 703–709. https://doi.org/10.1016/0895-4356(89)90065-6
• States, R. A., Pappas, E., & Salem, Y. (2022). Overground physical therapy gait training for chronic stroke patients with mobility deficits. Cochrane Database of Systematic Reviews, 11(30). https://doi.org/10.1002/14651858.cd006075.pub2
• Thant, A. A., Wanpen, S., Nualnetr, N., Puntumetakul, R., Chatchawan, U., Hla, K. M., & Khin, M. T. (2019). Effects of task-oriented training on upper extremity functional performance in patients with sub-acute stroke: a randomized controlled trial. Journal of Physical Therapy Science, 31(1), 82–87. https://doi.org/10.1589/jpts.31.82