Hemodynamic instability (hypotension)
Airway or respiratory problem.
Renal failure.
All of them.
Most case we need System approach
More system approach to treatment.
Monitor
cardiovascular system
respiratory system
central nervous system
endocrine system
gastro-intestinal tract/nutritional condition
Hematology
Microbiology/sepsis status
Renal/metabolic
Team Work
Doctor (specializing in physical medicine and rehabilitation - called a physiatrist)
In our setup - relatives
Social workers
Physical and occupational therapists
Rehabilitation nurses
Rehabilitation psychologists
Vocational counselors
Nutritionists
Other specialists.
Rehabilitation after Cerebral infraction
Physiotherapy – relieving spasticity, prevent contraction, use walking aids.
Speech therapy – need if aphasia
Need to prevent secondary depression.
Learn daily activities – (occupational therapy) - eating, drinking and swallowing…
Various modification may need at home –wheelchairs, stair rails…
Rehabilitation may …
Physical therapy - treatment aimed at the recovery of musculoskeletal function, particularly recovery from joint, tendon, or ligament repair.
Physical medicine and rehabilitation - a branch of medicine dealing with restoration of function despite physical disability.
Psychiatric rehabilitation - a branch of psychology and psychiatry dealing with restoration of mental health and [life skills] after mental illness.
Neuropsychology Rehabilitation - therapy aimed at improving neurological function that has been lost or diminished by disease or traumatic injury.
Mainly need in…
In our setup, mainly needed in …
Cerebral infraction/strokes
Head injury
Myocardial infraction
After some surgery eg. hip replacement
Spinal Cord Injuries
Protein-energy malnutrition.