White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 6. Knowledge and skills of PRM physicians
Articolo
Data di Pubblicazione:
2018
Citazione:
White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 6. Knowledge and skills of PRM physicians / S. Negrini, P. Cantista, M. Ceravolo, N. Christodoulou, A. Delarque, C. Gutenbrunner, C. Kiekens, S. Moslavac, E. Varela-Donoso, A. Ward, M. Zampolini, N. Basaglia, J. Didier, W. Frontera, A. Haig, S. Laxe, J. Li, L. Li, C. Michel, L. Padua, J. Paysant, D. Pérennou, G. Rode, Y. Rossetti, P. Tederko. - In: EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE. - ISSN 1973-9095. - 54:2(2018 Apr), pp. 214-229. [10.23736/S1973-9087.18.05150-X]
Abstract:
In the context of the White Book of Physical and Rehabilitation Medicine (PRM) in Europe, this paper deals with the fundamentals of PRM from a physiological perspective, looking at the human mechanisms both physical and behavioral which are at the base of PRM physicians' work. After a discussion on the development and evolution of PRM that leads to its unique and specific approach, the mechanisms considered include: - repairing processes (and potential of recovery evaluation): repairing processes are mainly related to the quantity and natural history of diseases and impairments, while potential of recovery is also linked to the individual and environmental factors; PRM physicians work on impairments to favor healing or recovery, and propose rehabilitation if there is a potential of recovery: this is related to the prognostic role of PRM physicians; - learning processes: PRM is the specialty of teaching new physical ways and behavioral approaches to make patients participate at best through improvement of impairments and modification of activities; in this perspective, during repair and rehabilitation processes, PRM physicians and the rehabilitation team are teachers of new motor and behavioral strategies; - compensatory processes (adaptation/habilitation/rehabilitation): PRM physicians teach patients how to adapt to the new (acquired) health condition using compensatory mechanisms based on other body structures/functions, behavioral changes and/or assistive devices (or technical aids) (prosthesis and orthosis); during growth PRM physicians aim at allowing a complete (and compensatory) development of the intact function, not to be impaired by the original disease; compensatory processes are related to activities; - management skills: PRM physicians are managers of people and resources; they manage patients and their caregivers, to teach and allow them to reach the best possible participation, also focusing on maintenance; they lead the team, with the aim to make it function at best for the sake of the patient; finally, they manage resource allocation for the functioning of patients and team; - communication skills: PRM physicians need to develop very good communication skills, so to teach, inform and educate patients and their caregivers: this will allow the proper behavioural changes and also the correct physical compensations.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Physical and rehabilitation medicine; Europe; Learning; Recovery of function; Case management; Communication
Elenco autori:
S. Negrini, P. Cantista, M. Ceravolo, N. Christodoulou, A. Delarque, C. Gutenbrunner, C. Kiekens, S. Moslavac, E. Varela-Donoso, A. Ward, M. Zampolini, N. Basaglia, J. Didier, W. Frontera, A. Haig, S. Laxe, J. Li, L. Li, C. Michel, L. Padua, J. Paysant, D. Pérennou, G. Rode, Y. Rossetti, P. Tederko
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