Managing rehabilitation; leading the way to health rehabilitation

In the modern health system, management rehabilitation plays an indispensable role as a key bridge between disease treatment and health recovery. Management rehabilitation covers comprehensive care and guidance for all types of illness and post-injury patients, with the aim of helping them to recover their physical and mental health and reintegrate into society.

Management rehabilitation is of great value to many people with chronic diseases. In the case of persons with cardiovascular diseases, after a heart surgery or long-term medication, the rehabilitation management plan will develop a personalized sports programme based on the patient ‘ s specific condition. Moderate aerobic motion, such as walking, jogging or swimming, helps to improve heart function and blood circulation. At the same time, dietary management is an important part of reducing sodium salt intake, controlling fat and cholesterol intake and increasing the consumption of food fibres and fresh vegetables, which can effectively reduce the heart burden and reduce the risk of reoccurrence of cardiovascular events. Psychological adjustment is also not negligible, and patients with cardiovascular diseases often suffer from ailments such as anxiety and depression, and psychological counselling and support in rehabilitation management can help them to develop positive optimism and enhance confidence in overcoming the disease.

Management rehabilitation is a long and arduous journey for patients with nervous system disorders, such as survivors of brain strangulation. Early rehabilitation interventions are essential for the functional rehabilitation of patients. The rehabilitation team will design specialized rehabilitation training, including passive physical activity, active physical training and exercise to balance co-ordination, for patients with physical and motor impairments. Through repeated training to stimulate the re-establishment and rehabilitation of neurological circuits, the patient ‘ s motor function is gradually restored. The problem of speech insinuation functional impairment is also common to patients in their minds, and rehabilitation therapists use speech training and insinuation functional training to help them regain their ability to express themselves clearly and safely. In this process, family support and participation are particularly critical, and families need to learn care skills, assist patients with day-to-day rehabilitation training and give them emotional comfort and encouragement.

The management rehabilitation after osteoporosis focuses on the rehabilitation and functional rehabilitation of the musculoskeletal system. For example, after the replacement of a knee joint, the rehabilitation programme will gradually increase the level of joint activity training, from a small initial range to a gradual return to normal walking, up and down the stairs. Physical therapy such as heat dressing, massage, physiotherapy, etc. can alleviate post-operative pain and swelling and facilitate healing. During rehabilitation, the correct use of assistive devices, such as crutches, mobility aids, etc., can help the patient to better carry out his/her activities while avoiding the secondary injury to his/her joints due to excessive weight.

Managing rehabilitation is not limited to the rehabilitation of physical functions, but also involves social reintegration. Vocational rehabilitation provides an opportunity to help people return to work because of illness or impairment. The vocational rehabilitation staff assess the vocational skills of the patient and, on the basis of this assessment, provide targeted vocational training, recommendations for re-engineering of the work environment and employment support, so that the patient can resume his or her previous professional activities or find a new job suitable for him or her, as far as physical conditions permit.

Multidisciplinary team collaboration is a prominent feature of the management of rehabilitation. Professionals such as doctors, nurses, rehabilitation therapists, nutritionists and psychologists form rehabilitation teams to provide full, personalized rehabilitation services to patients. The general assessment and control of the patient ‘ s condition is the responsibility of the physician, who sets out the principles and direction of rehabilitation treatment; the nurse, in day-to-day care, follows closely the patient ‘ s physical condition, assists in the implementation of the rehabilitation programme and provides basic care guidance to the patient; the rehabilitation therapist focuses on the implementation of various rehabilitation techniques, such as physical, operational and speech therapy; the nutritionist carefully plans the patient ‘ s dietary programme to ensure that the nutritional supply meets the needs of rehabilitation as well as the requirements of treatment; and the psychologist provides psychological support and guidance to the patient to help him or her to meet the psychological challenges of rehabilitation.

The management of rehabilitation is a systematic and complex project that focuses on the patient and provides for the full physical, psychological and social rehabilitation of the patient through scientific assessment, individualized programming, multidisciplinary team collaboration and long-term follow-up visits. With the advances in medical technology and the growing demand for health, concepts and models of management of rehabilitation are constantly being innovated and refined, opening the door to health rejuvenation for more patients so that they can embrace a new life of dynamism and hope.