Roth comparison of patient education in rehab of sci in switzerland and in low economic countries crdr.disaster.symp.isprm11
1. Comparison of patient education in
rehabilitation of spinal cord injuries in
Switzerland and in low economic countries
Karin Roth RN
Christa Schwager RN
2. The integrative bio-psycho-social
Model of Functioning, Disability and Health
Health condition
(disorder or disease)
Body functions
Activities Participation
Body structures
Environmental factors Personal factors
3. The integrative bio-psycho-social
Model of Functioning, Disability and Health
Health condition
(disorder or disease)
Body functions
Activities Participation
Body structures
Environmental factors Personal factors
4. Health condition
Rehabilitation in Switzerland Rehabilitation in low
economic countries
• aetiology of SCI • poor medical care
• level of injury • nutrition
• high standard medical care • vaccinations
• all possibilities in nursing • hygiene
and therapeutic • missing knowledge of
interventions treatment
• good treatment of • short life expectancy
complications and secondary
disorders
• normal life expectancy
5. The integrative bio-psycho-social
Model of Functioning, Disability and Health
Health condition
(disorder or disease)
Body functions
Activities Participation
Body structures
Environmental factors Personal factors
6. Body function and Body structures
Differences of rehabilitation and patient
education
• medical treatment – conservative
management or surgery
• level of injury
• bowel management
• bladder management
• spasticity
• hand function
7. The integrative bio-psycho-social
Model of Functioning, Disability and Health
Health condition
(disorder or disease)
Body functions
Activities Participation
Body structures
Environmental factors Personal factors
8. activities and participation
• mobility – transfers
• influence on mobility from environmental factors
• bed to wheelchair - mattress on the ground to
wheelchair
• bladder- and bowel management
• influence of available aids on evacuation techniques
• self care
• preventing pressure ulcers under the influence of
climate, available substantial resources
9. The integrative bio-psycho-social
Model of Functioning, Disability and Health
Health condition
(disorder or disease)
Body functions
Activities Participation
Body structures
Environmental factors Personal factors
10. environmental factors
Patient education in Patient education in low
Switzerland economic countries
• existent structural and • missing or non affordable
substantial resources for structural and substantial
everybody (insurance, resources
financial support) • care depending on family
• professional home care members
• high education standard – • missing school education –
influence for patient difficulty for patient
education education
• good accessibility of • environment not accessible
environment for wheelchair
• general medical knowledge • poor knowledge of SCI
of SCI • poor acceptance of
• possibility of return to disability in community
work
11. The integrative bio-psycho-social
Model of Functioning, Disability and Health
Health condition
(disorder or disease)
Body functions
Activities Participation
Body structures
Environmental factors Personal
factors
13. The integrative bio-psycho-social
Model of Functioning, Disability and Health
Health condition
(disorder or disease)
Body functions
Activities Participation
Body structures
Environmental factors Personal factors
