Case Study Analysis: Contemporary Rehabilitation Issues

This case study analysis delves into the multifaceted field of rehabilitation, examining both historical and contemporary challenges. The report identifies key issues such as financial constraints, hospital productivity, patient safety, regulatory standards, security concerns, cultural diversity, and patient satisfaction. It explores the difficulties faced by patients, including physical and mental health problems, limitations in daily activities, social participation restrictions, and the impact of underqualified staff. The analysis also provides a clear understanding of case management practices within rehabilitation, outlining the role of case managers in assessing patient needs, developing individualized plans, coordinating resources, and advocating for effective, evidence-based services. The case study emphasizes the importance of restoring patients' physical, sensory, and mental capabilities to achieve maximum self-sufficiency and successful reintegration into society.

Case Study Analysis -
Rehabilitation

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
A clear identification of key historical and contemporary issues in the field........................3
An in-depth discussion of the issues faced by the target population supported by the literature
................................................................................................................................................5
A clearly described and demonstrated understanding of case management practice in this field
................................................................................................................................................7
CONCLUSION................................................................................................................................8
REFERENCES................................................................................................................................9

INTRODUCTION
Rehabilitation refers to the process of helping an individual who has suffered from an
illness or injury restore lost skills and so regain maximum self sufficiency. It involves the
procedures to restore someone to useful and constructive place in a society (O'Sullivan, Schmitz
and Fulk, 2019). The present report is based on rehabilitation in order to discuss related aspects
including clear identification of key historical and contemporary issues. It will focus on
discussion of the problems faced by target population supported by literature. It will also include
understanding of case management practices in context of rehabilitation.
MAIN BODY
A clear identification of key historical and contemporary issues in the field
The different types of people remain admitted in rehabilitation centres with their specific
health issue and other disabilities that are responsible for creating number of issue in history and
present time as well. The purpose of rehabilitation is to restore some of all the physical, sensory
and mental capabilities of the patient that were lost due to an injury, illness or disease. It involves
difficulties faced by authorities and employees of rehabilitation institutes while providing desired

facilities to people in order to make them normal. However, it is very important for them to focus
on actual needs of patients and carrying out appropriate activities which are favourable for them
(McGill, 2018). Moreover, it has been analysed that several issues were faced in history of
rehabilitation and present time in which few of them are given below.
Key Historical issues in rehabilitation
Financial challenges – This involves the issue related to funds which has been faced in
rehabilitation centres because health care services are much expensive as per specific disease. It
is essential to maintain budget of such institutions in order to provide appropriate care facilities
to needy people for making them well-being along with restoring their abilities. Moreover,
financial issues are responsible for delayed services which results into creating complications in
condition of particular individual. In addition to this, it is necessary for government authorities
and social care agencies to focus on this problem and provide desired amount of financial
resources for welfare of people surviving in rehabilitation centres in respect of making their lives
normal by regaining their capabilities.
Hospital productivity – The efforts of staff members and management of healthcare also
create problems in order to provide proper facilities to desired people for restoring their
capabilities. It involves the number of services such as providing support to conduct daily routine
activities, increase participation in social events, render care services and restore their abilities.
Meanwhile, it involves to focus on training and learning session of employees which impacts
positively on their skills of accurate decision making for giving correct medications and
supporting facilities respectively (Tye-Murray, 2019).
Maintaining patient safety – The maintenance of patient safety is an important tasks by
conducting more effective as well as efficient practices for security of them. It involves to take
care of patients from falls and provide them desired device of supporter to stand properly.
Meanwhile, it is kind of issue because it is difficult for employees to remain always with patients
for maintaining safety of them. Moreover, it basically includes reducing risks of infections and
potential risk including power failures, is crucial to ensuring a high quality of care and
maintaining goodwill of an organisation (Caramazza, 2018).

(Source: The Top Five Challenges Facing Today’s Hospitals, 2019)
Contemporary issues in rehabilitation
Regulatory standards and emerging energy mandates – In present time, there are
number of legislations which are mandatory to be followed by every rehabilitation centre while
conducting desired practices and procedures. It involves various legal norms which create
difficulty to conduct several practices which is helpful for wellness of sick people. However,
legislations are correct but generate different restrictions to carrying out more beneficial
procedures. Moreover, it is essential for management of rehabilitation centres to establish
effective policies by considering legislations which are favourable for patients well-being.
Hospital security – The hospital security become a major issue in current scenario due to
harmful external factors as it is related to safety of people surviving in rehabilitation. It involves
to make strict policies for visitors and ensure their identity before meet their knowns admitted in
care institutions. Moreover, it is essential to secure people from external individuals having an
intentions to harm them. Rehabilitation centres are required to use CCTV cameras and check
recordings regularly to make sure safety of hospitals (Chaudhary, Birbaumer and Ramos-
Murguialday, 2016).
Diverse culture – The diverse culture consists the problems of occurring conflicts among
staff members as they belongs to different religions & culture due to which they have dissimilar
thoughts. Meanwhile, issue between employees impacts negatively on condition of patients
Illustration 1: The Top Five Challenges Facing
Today’s Hospitals

which may become complicated. Furthermore, it is required authorities of such hospitals to
establish own culture of organisations which should be followed by every person and this is
effective to reduce cultural conflicts along with improving patient outcomes.
Patient satisfaction – The patient and their family members remain very much aware and
they have their own expectations regarding specific condition of an individual. It can be
considered as a challenge for employees to analyse actual desires of people and then put efforts
to fulfil the same. Furthermore, it has been analysed that people demands for their expectations
which is quite difficult to fulfil due to focussing on care standards and legal rules (Seron and
Deloche, 2018).
An in-depth discussion of the issues faced by the target population supported by the literature
The target population in rehabilitation centre are patients admitted there for improving
their condition with the help of restoring their capabilities. It involves the number of problems
from which people get suffer which are required to be focussed by employees of rehabilitation
centre for making them disease free. Meanwhile, it is necessary to determine actual issues faced
by patients physically & mentally along with issues faced in rehabilitation centre to improve
them for welfare of people. In addition to this, overall problems should be solved to restore skills
and abilities of an individuals for making them normal and productive. Moreover, some of issues
faced by the target populations is described below.
Physical and mental challenges – This involves the physical and mental health
problems of an individual which create difficulty for them in order to remain comfortable and
restore their abilities. It involves number of health issues such as pain, fatigue, diarrhoea,
numbness or tingling, reduced sex drive, decreased memory, changes in body fat distribution,
speech or language difficulties and many more. Moreover, these problems are required to be
focussed on and provide appropriate care facilities to sort out them (Cain and Finch, 2018).
Difficulties with day-to-day activities – This problem consist the issues of falls,
standing and holding disability which create problems to conduct daily routine work. It involves
several activities such as climbing stairs, walking, carrying groceries, standing for a along
duration of time, taking bath and so on. Meanwhile, it is necessary to provide serving aids or
technical devices which are supportive for them to complete day-to-day activities in comfortable
manner. In order to restore capabilities of an individual, the beginning should be done from the
daily routines tasks which results into better improvements in condition of a person. Moreover,

this will provide support to increase confidence and will power of a patient to boost up their
skills day-by-day.
Social participation restrictions – The social participation restrictions can be described
about the condition of an individuals which facilitate their withdrawal from social events which
is very significant to restore capabilities. It consist the fact that facing difficulty in completing
normal activities is responsible for losing confidence and will power to do so again. However,
the lost confidence is the reason behind their social withdrawal and they did not feel comfortable
between other people (Qiu, 2016). Moreover, it involves difficulty in working and participating
social activities or relationships. Furthermore, it is essential for staff of rehabilitation centre to
conduct some of a social events to improve comfort level of patients in order to restore their
abilities to normal.
Under qualified staff – The problem of under qualified staff members create issue of
sick people because they did not have required abilities to deal with them in proper manner. It
includes the problem of lack of desired skills, abilities and knowledge which are essential to deal
with rehab patients in correct way. Meanwhile, they have less knowledge about treating drug
addictions and other problems along with having limited awareness regarding legal regulations.
Moreover, they are not capable to make accurate decision making which may create severe
complications in condition of specific individual.
Drug rehab short term care – The short term care in context of drug rehab create major
problem because rehabilitation program for more than 30 days is expensive which affordable by
few families. Every person is not able to afford such program and taken only short term drug
rehab program which is not effective and an individual restart in take of drugs. Meanwhile, it is
necessary to organise affordable programs which helps to provide such benefits to more
population.
A clearly described and demonstrated understanding of case management practice in this field
The case management practice on rehabilitation is conducted by a rehabilitation case
manager who is a trained professional helping to plan, organise, coordinate, monitor and evaluate
services & resources for rehab patient. Rehab case manger perform in number of settings such as
hospitals, inpatient & outpatient rehabilitation centres, home health settings, insurance
companies and private practices. However, it is necessary to determine actual needs of an
individuals including physical, mental and social in respect of preparing more effective plan of

action to execute the same by providing efficient services. It will provide support a patient for
restoring their capabilities and increase confidence levels to feel comfortable amongst society
(Sihvonen and et. al., 2017). The rehabilitation case management consist number of steps which
are described here.
Firstly, it involves the criteria of timely identification of individuals is need of services,
ideally at the onset of an illness or injury. Secondly, it consist referral to qualified rehabilitation
nurse case manager who has a high level of expertise in the areas of health & social interventions
required. Thirdly, it consist assessment by the case manager to determine the challenges,
strengths, functional status, goals, prognosis and requirements for particular facilities as well as
resources. However, it includes the development of a plan which identifies short or long term
patient centred goals, support systems, inter professional collaboration and utilisation of
appropriate resources accordingly. Meanwhile, it consist the identification, procurement and
coordinate of facilities as well as resources which are required to implement the plan of action in
proper manner. Moreover, it includes the criteria of provision of ingoing evaluation of progress
of plan related to people along with establishing updates and revisions. It is also helpful to
analyse the effectiveness and appropriateness of the care services provided throughout the entire
continuum of care. In addition to this, it involves to prefer advocacy for the most cost effective,
appropriate, evidence based services to assure quality of care and attainment of appropriate
objectives. Furthermore, the promotion of self advocacy skills of individuals in order to achieve
self sufficiency.
CONCLUSION
From the above report, it has been concluded that rehabilitation can be described as to
restore some of all the physical, sensory and mental capabilities of the patient that were lost due
to an injury, illness or disease. It involves several issues faced in rehabilitation such as financial
challenges, hospital productivity, maintaining patient safety, regulatory standards & emerging
energy mandates, hospital security, diverse culture and patient satisfaction. Moreover, it consist
problems faced by target population including physical & mental challenges, difficulties with
day-to-day activities, social participation restrictions, under qualified staff and drug rehab short
term care.

REFERENCES
Books and journals
O'Sullivan, S. B., Schmitz, T. J., & Fulk, G. (2019). Physical rehabilitation. FA Davis.
McGill, S. M. (2018). Low back disorders: evidence-based prevention and rehabilitation.
Human Kinetics.
Tye-Murray, N. (2019). Foundations of aural rehabilitation: Children, adults, and their family
members. Plural Publishing.
Caramazza, A. (2018). Cognitive neuropsychology and rehabilitation: An unfulfilled promise?.
In Cognitive approaches in neuropsychological rehabilitation (pp. 383-398). Routledge.
Chaudhary, U., Birbaumer, N., & Ramos-Murguialday, A. (2016). Brain–computer interfaces for
communication and rehabilitation. Nature Reviews Neurology, 12(9), 513.
Seron, X., & Deloche, G. (2018). Cognitive approaches in neuropsychological rehabilitation.
Routledge.
Cain, M., & Finch, J. (2018). Towards a rehabilitation of data. In Practice and progress (pp.
105-119). Routledge.
Qiu, A. (2016). U.S. Patent No. 9,364,715. Washington, DC: U.S. Patent and Trademark Office.
Sihvonen, A. J. and et. al., (2017). Music-based interventions in neurological rehabilitation. The
Lancet Neurology, 16(8), 648-660.
Online
The Top Five Challenges Facing Today’s Hospitals. 2019. [Online]. Available
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