The first rule of rehabilitation speech:
Rehabilitation refers to the comprehensive and coordinated application of medical, educational, social and vocational methods, so that the functions lost by illness, injury and disability (including congenital disability) can be restored and rebuilt as soon as possible, and their physical, mental, social and economic abilities can be restored as much as possible, so as to re-enter life, work and society. Rehabilitation is not only aimed at the disease, but also at the whole person, and comprehensive rehabilitation is carried out from physical, psychological, social and economic abilities.
Introduction to rehabilitation The word rehabilitation is translated from English recovery. It consists of prefix re and stem habilis
And a suffix. Among them, re means re-adaptation, habilis means enabling ability or adaptation, and ation is the result of behavior state. So rahabilitation means regaining ability or adapting to normal social life. Rehabilitation is applied in the field of modern medicine, which mainly refers to the recovery of physical and mental functions, professional ability and social life ability. Subsequently, the World Health Organization (WHO) Rehabilitation Expert Committee (1969) made the following statement on the definition of rehabilitation: "Rehabilitation refers to the comprehensive and coordinated application of medical, social, educational and vocational measures to train and retrain patients in order to reach the highest possible level. After 10 years of development, the purpose of rehabilitation is more clear, that is, the so-called reintegration into society. Therefore, in 198 1, the WHO Expert Committee on Medical Rehabilitation defines rehabilitation as: "Rehabilitation refers to the application of various beneficial measures to reduce the impact of disability and reintegrate the disabled into society. "
Including "medical rehabilitation", "educational rehabilitation" and "vocal rehabilitation", social rehabilitation (social rehabilitation refers to taking measures related to social life at the social level to promote the return of disabled people to society). Realizing the above four aspects of rehabilitation is also called "comprehensive rehabilitation".
Rehabilitation medicine:
1. Rehabilitation is a process to achieve the following goals. It aims to eliminate or alleviate the physical, mental and social functional barriers of the sick, injured and disabled through comprehensive and coordinated application of various measures, so that their physical, sensory, intellectual and mental and/or social functions can reach and maintain the best level, thus changing their lives, enhancing their self-reliance and making them disabled.
2. Connotation (five aspects): medicine, engineering, education, society and specialty.
3. There are three ways of rehabilitation services: rehabilitation in rehabilitation institutions, on-site rehabilitation services and community rehabilitation.
4. Rehabilitation medicine is a unique medical discipline with basic theories, evaluation methods and treatment techniques. It is an important branch of medicine, which promotes the rehabilitation of patients, the injured and the disabled.
5. Rehabilitation medical objects: people with functional disorders mainly caused by injuries, acute and chronic diseases and aging, and people with congenital developmental disorders.
6. The main difference between clinical medicine and rehabilitation medicine: Clinical medicine is disease-oriented while rehabilitation medicine is dysfunction-oriented.
Composition and working mode of rehabilitation medicine;
1, the difference between rehabilitation evaluation and diagnosis: evaluation is different from diagnosis, far more detailed and detailed than diagnosis. Because the object of rehabilitation medicine is patients and their dysfunction, the purpose is to restore, rebuild or compensate their functions to the maximum extent. Rehabilitation evaluation is not to find the cause and diagnosis of the disease, but to objectively and accurately evaluate the cause, nature, location, scope, severity, development trend, prognosis and outcome of dysfunction, laying a solid scientific foundation for rehabilitation treatment programs.
2. Commonly used rehabilitation techniques and methods include: physical therapy (PT), occupational therapy (OT), speech therapy (ST), psychological counseling and therapy, stylistic therapy, China traditional therapy, rehabilitation engineering, rehabilitation nursing and social services.
3. The working mode of rehabilitation medicine department is: multidisciplinary joint operations.
4. The P& work of the Department of Rehabilitation Medicine is led by physiotherapists, whose members include physiotherapists/doctors (PT), occupational therapists/doctors (OT), speech therapists (ST), psychotherapists, prosthetics and orthotists (P&), style therapists (RT) and social workers (SW).
The purpose of rehabilitation is to improve the quality of life of the disabled, restore their ability to live, study and work independently, and enable them to live a meaningful life in their families and society. To achieve comprehensive rehabilitation, it involves not only medical science and technology, but also techniques and methods in sociology, psychology and engineering.
The content of rehabilitation medicine includes rehabilitation prevention, rehabilitation evaluation and rehabilitation treatment, among which rehabilitation evaluation and rehabilitation treatment are the core. Rehabilitation prevention
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
Rehabilitation assessment
1. Motor function evaluation-unarmed muscle strength test (MMT), range of motion (ROM), gait analysis (GA), activity of daily living (ADL), etc.
2. Neuromuscular function evaluation and evoked potential.
3. Cardiopulmonary function and physical fitness measurement.
4. Psychological assessment-testing psychological, behavioral and cognitive abilities.
5. Language communication measurement.
6. Occupation evaluation-measuring the working level and the potential of the disabled to adapt to the occupation.
7. Measurement of social life ability-interpersonal communication ability, adaptability and realization of personal social role.
repair
1. physical therapy (PT): including physical therapy, physical therapy and exercise therapy.
2. Occupational therapy (OT): including functional training, psychotherapy, vocational training and daily life training, so that patients can adapt to the environment of personal life, family life and social life.
3. Language therapy: training patients with aphasia, dysarthria and hearing impairment.
4. Psychotherapy: individual or collective psychological adjustment or treatment for patients with psychological, mental, emotional and behavioral abnormalities.
5. Rehabilitation care: such as posture therapy, psychological support, bladder care, intestinal care, and guidance on the use of assistive devices. To promote the rehabilitation of patients and prevent secondary disability.
6. Rehabilitation project: using orthoses, artificial limbs and assistive devices to make up for the defects of living ability and senses.
7. Occupational therapy: pre-employment vocational counseling and pre-employment training.
8. Traditional rehabilitation therapy-TCM acupuncture, massage, massage and other therapies are used to promote rehabilitation.
Relationship between illness and disability of rehabilitation target: When patients go to medical institutions for treatment due to illness, no matter who they are, they are eager to return to their original physical state. Although there are many treatments for diseases, not everyone can completely recover to their pre-illness state. If you cut off your hands and feet for treatment, they won't grow back.
Nerve cells in the brain or spinal cord are destroyed by diseases, and these cells will not divide and increase. The same is true for other organs. Even if the function of organs is restored by treating diseases, there will still be some scars that cannot be seen from the outside. In this state, the reserve capacity of organs is reduced.
As mentioned above, there are many ways to treat diseases, and the most inconvenient thing after we get sick is that we can't carry on our normal daily life. In this way, the ultimate goal of treatment is to restore the patient's original life. In rehabilitation treatment, it is necessary to analyze the problems caused by diseases, sort them out from three levels, and take corresponding countermeasures. This is the so-called "three-level structure of disability".
Rehabilitation treatment of diseases requires rehabilitation treatment when individual treatment alone cannot solve various problems encountered in returning to society after discharge. The objects of rehabilitation treatment include many diseases, which can be roughly divided into physical disability and mental disability. The diseases that lead to physical disability mainly include cerebrovascular disorder (stroke), head trauma, brain tumor and so on. With unilateral paralysis or dysphagia; Spinal cord injury and tumor with bilateral paralysis or quadriplegia; Chronic rheumatoid arthritis, deformed spondylitis, deformed arthropathy, fracture, scapulohumeral periarthritis, lumbago, etc. In bone and joint diseases; Amputation caused by trauma or vascular disease; Refractory diseases of nervous system include Parkinson's disease, spinocerebellar degeneration, amyotrophic lateral sclerosis, Guillain-Barre syndrome and other polyneuritis. Children's diseases include cerebral palsy, spina bifida, muscular dystrophy and Down syndrome.
In mental disability, not only mental illness such as schizophrenia or manic depression or epilepsy, but also aphasia or memory disorder caused by cerebrovascular injury or head injury has become the object of rehabilitation treatment. In addition, Alzheimer's disease, which is a serious disease in an aging society, and other diseases that can lead to dementia are also included in the scope of rehabilitation treatment.
In Japan, patients with diseases not closely related to rehabilitation, patients after myocardial infarction or heart transplantation, patients after emphysema or chest surgery, patients with artificial anus or artificial bladder, etc. It is regarded as an internal disability among physical disabilities and becomes the object of rehabilitation treatment.
Consequences of long-term rehabilitation treatment
Sometimes bed rest is the first priority in treating diseases. But if you don't turn over and move your hands and feet, it will cause muscle relaxation, stiff joints and brittle bones. This kind of disability caused by long bed rest is called disuse syndrome. Even in the state of complete paralysis such as lethargy, it is also necessary to help patients to move their hands and feet and change their sleeping posture from time to time, which is also necessary in the treatment or prevention of disuse syndrome. This is the beginning of recovery. In the case of home care, rehabilitation treatment is also an extremely important knowledge to prevent patients from being paralyzed in bed.
Rehabilitation-differentiated rehabilitation is synonymous with post-illness rehabilitation in language. Recovery generally refers to the decline of health level after illness and recovery to the pre-illness level after treatment and rest, that is, 100% recovery. however
Rehabilitation refers to the decline of health level after injury, but it has become disabled after active treatment, and the health level cannot be restored to the original level, that is, it cannot reach 100% recovery. Rehabilitation has always been regarded as synonymous with "complete rehabilitation" after illness, which makes people's understanding of rehabilitation very different from that of the international community. This is noteworthy. Transforming rehabilitation into rehabilitation in Hong Kong; Rehabilitation is translated in Taiwan Province Province, which is what we should pay attention to.
Rehabilitation prospect
Rehabilitation medicine is a new branch of medicine, which mainly involves the diagnosis, treatment and prevention of disability and diseases (including pain) by using physical factors and methods (including electricity, light, heat, sound, mechanical equipment and active activities), and studies how to make the sick, injured and disabled recover physically, mentally, socially and professionally, eliminate or alleviate functional obstacles, and help them play their residual functions and restore their living ability. Rehabilitation medicine is developed from physical therapy and physical medicine.
Gradually developed into a new discipline. Rehabilitation medicine is mainly aimed at patients with chronic diseases and disabled people, emphasizing functional rehabilitation, but also emphasizing physical functional rehabilitation, so that patients can recover not only physically, but also psychologically and spiritually. Its focus is not only to protect the lives of the disabled, but also to restore their functions as much as possible, improve their quality of life, return to society and live a meaningful life.
Rehabilitation speech 2:
To be honest, when I first saw the title of this speech, I felt that I had nothing to give. I just think I should work hard, do my job well, take the money, be worthy of my salary and my conscience.
Our children's rehabilitation department is a very special group. The treatment cost is huge, the treatment effect is not obvious, and the treatment time is particularly long. The patient who has lived in our department for the longest time has been more than six years. From the despair, incomprehension and distrust when the patient first came to the present family? These things are only known to ourselves.
Last year, a six-month-old fat doll, who was slow to move, was usually fine and had a fever of 38.5℃ in the morning. Our two nurses went to give him an injection and told him that the child was fat and had peristalsis, so he missed an injection. We were just about to change the scalp needle when suddenly the father rushed over and said, "Do you know how to give an injection?" The child has a fever, and you still have an injection! "I quickly said to him," Mom and Dad, don't worry, I'll be right there? " Before I finished, he was already anxious: "Don't worry! If it weren't for your children, of course you wouldn't be in a hurry! " Then he started cursing. I quickly whispered to him, "Mom and Dad, I understand how you feel. We are all parents and love our children? " He immediately said, "What is your child? My child is a baby! " He shook his fist at me as he spoke. If I hadn't stood on the baffle through the nurse, I would have stepped back quickly, and I would have been beaten by him that day! I was really sad that day. I cried for a long time after I came home, and my eyes were swollen with tears. I really can't figure it out. Parents are anxious when their children are ill. I understand that any nurse who gives you another injection wants to hit the nail on the head. But this parent cursed such strange words. As a mother, how important is my daughter in my heart? Being insulted like this? So sad! Besides, this kind of thing is definitely not the first case in our department?
Even so, I know we are medical staff. Knowing how subjective this profession is means that we play the role of God with our special knowledge. Make sure you don't have the devil's hand, and no doctor will give up his life if he operates on you again. Any nurse will give you another injection to relieve your pain. .
When I was in business, I swore that no matter where I was, no matter whether the patients in need of treatment were male or female, free citizens or handmaiden, I would treat them equally, and it was my goal to seek their welfare. The responsibility of our medical staff, in today's tense relationship between doctors and patients, is not just how to protect themselves, but also to enter the soul of patients and be their spiritual pillar.
There are three things that are most important in this world, trust, hope and love. I think I can see that the best place to interpret these five words is the hospital. After working for so many years, I think this gown is the most beautiful.
Life depends on health, and everyone who loves is an angel.
Rehabilitation speech 3:
Dear leaders and judges,
Hello everyone!
Thank the hospital for holding this speech contest and giving me this opportunity to express my heart. My name is * *, and I'm a doctor in children's rehabilitation department.
Our hospital is a maternity and child care hospital with a history of nearly 40 years. "Patient first, quality first, service first and reputation first" has always been our hospital tenet, and "unity, pragmatism, dedication and economy" is the hospital spirit accumulated by several generations of women and children. Confucius warned his disciples with this sentence: "A person with morality, character and virtue must first love others. If he doesn't love others, he can't be human, let alone be kind." This is what we call "the benevolent loves others".
Children are the sunrise of dawn and the hope of the future, but when you see a group of disabled children, do you miss a trace of sadness? Children in children's rehabilitation department are a group of angels with broken wings. They also want to play and sing like normal children! "Maybe if God closes a door for you, he will open a window for you!" Children get more help and care here! Every employee of ours always urges himself with a serious and responsible attitude, because this is a job that he loves and a career that he loves! The staff in our department have been with children for many years, and after a long time, they all regard them as their own children. Everyone will praise the children who have made progress, and everyone will come and hug them when they are fat.
We are not exaggerating. Under the guidance of the spirit of "unity, pragmatism, dedication and economy", we do everything with our heart. "Why do we often cry? Because we love the woman Children's Home deeply. On the land of the health center, we are working hard to spread sweat and gain happiness.
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