| Rehabilitation | 康復(fù)醫(yī)學(xué) |
| Rehabilitation: A combination of physical, occupational, and speech therapy; psychologic counseling; and social work directed toward helping patients maintain or recover physical capacities. | 康復(fù)醫(yī)學(xué)：集體療、工療、語言訓(xùn)練、心理咨詢和社會(huì)工作為一體，旨在幫助病人維持和恢復(fù)體能的醫(yī)學(xué)?！?/td> |
| Rehabilitation is often needed after hip fracture, amputation, stroke, serious cardiac events, or prolonged bed rest that results in deconditioning or as part of the treatment of arthritis or various other illnesses or injuries causing varying degrees of functional loss. Usually, for younger patients, the goal is to achieve full, unrestricted function and, for older patients, to restore the ability to perform as many activities of daily living as possible. Recovery is often rapid for younger patients, but progress may be slow for elderly patients. | 發(fā)生下列情況時(shí)常常需要進(jìn)行康復(fù)治療：髖部骨折、截肢、卒中、嚴(yán)重心臟病、或長(zhǎng)期臥床休息造成全身狀況不良、或關(guān)節(jié)炎輔助治療、或其他疾病造成程度不同的功能喪失等。通常，年輕病人的康復(fù)治療目的是完全恢復(fù)功能，并不受限制；年老病人則是要盡可能多地恢復(fù)日常生活活動(dòng)能力。年輕人往往恢復(fù)得快，老年人則進(jìn)展緩慢?！?/td> |
| Rehabilitation may begin in an acute care hospital, but organized rehabilitation programs rarely exist there. Rehabilitation hospitals usually provide the most extensive and intensive care and should be considered for patients who have the most potential and who can participate in aggressive intervention （eg, patients must be able to tolerate therapy for >= 3 h/day）. Many nursing homes have programs that are less intensive （generally 1 h/day, < 5 days/wk） and, thus, are better suited to those who need more gentle rehabilitation （eg, frail or elderly patients）. Rehabilitation programs with less variety and frequency of services may be offered in outpatient settings or at home and are appropriate for many patients. | 康復(fù)治療可以在急診護(hù)理醫(yī)院進(jìn)行，但那里鮮有系列性康復(fù)治療方案?？祻?fù)醫(yī)院通?？梢蕴峁V泛深入的保健服務(wù)，有潛力、能參與劇烈項(xiàng)目的病人（如能耐受每天3小時(shí)及以上治療的病人）可考試進(jìn)康復(fù)醫(yī)院治療。.許多療養(yǎng)院也有一般性康復(fù)項(xiàng)目（一般為每天1小時(shí)，每周不超過5天），因此更適合那些只需要一般性康復(fù)治療的病人（如體弱或老年人病人）。一些種類較少、次數(shù)不多的康復(fù)項(xiàng)目也可以在門診或病人家中進(jìn)行，很多病人適合這種方式?！?/td> |
| To initiate formal rehabilitation therapy, a physician must write a referral to a physiatrist, therapist, or rehabilitation center. The referral should establish the goal of therapy and, therefore, should be detailed, including relevant information and initial instructions. Although vague instructions （eg, "physical therapy to evaluate and treat"） are often accepted, they are not adequate. Physicians unfamiliar with writing referrals should consult with a senior therapist, physiatrist, or orthopedic surgeon. | 開始正式康復(fù)治療時(shí)，醫(yī)生必須給理療師、治療師或康復(fù)中心提供一份治療方案，明確說明治療目的，且內(nèi)容詳細(xì)，包括相關(guān)信息和初始指令。雖然人們通常也接受一些模糊的指令（例如“理療評(píng)估和治療”），但這樣做并不恰當(dāng)。治療方案寫作不熟練的醫(yī)生應(yīng)請(qǐng)教資深治療師、理療師或矯形醫(yī)生。 |
| Disabled patients tend to be depressed and may lose motivation for restoring lost function and returning to the community. Mental health specialists may help the patient overcome these adverse emotional states and focus on functional recovery. The family may have to adjust to the patient's disability and appropriately assist the patient. Disability may cause financial hardship to the patient and family. A social worker helps the patient and family adjust. | 傷殘病人易患抑郁癥，并可能失去恢復(fù)功能和回歸社會(huì)的積極性。心理保健專家可幫助這些病人擺脫這些不利情感狀態(tài)，把注意力集中到功能恢復(fù)上。家人也須適應(yīng)病人傷殘情況，正確幫助病人。傷殘也可能造成病人和家屬經(jīng)濟(jì)困難，社會(huì)工作者應(yīng)幫助其處理好?！?/td> |
| Initial evaluation includes discussions on objectives, which generally focus on restoring function for activities of daily living （ADLs）. ADLs include personal care such as grooming, bathing, dressing, feeding, and toileting as well as cooking, cleaning, shopping, managing medications, managing finances, using the telephone, and traveling. The referring physician and rehabilitation team can determine which of these activities are achievable and which are essential for the patient to remain independent. | 初始評(píng)估包括目標(biāo)討論，其重點(diǎn)一般是恢復(fù)日常生活能力，包括個(gè)人自理能力，如修飾行為、沐浴、穿衣、進(jìn)食、如廁， 以及烹飪、清掃、購(gòu)物、用藥、管理錢財(cái)、使用電話和旅游等。安排治療的醫(yī)生和康復(fù)小組可以確定采用何種活動(dòng)，確定何種活動(dòng)對(duì)病人維持獨(dú)立很有必要。 |
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