REHABILITATION

1) Rehabilitation process is defined as a process aiming to restore the personal

autonomy in those aspects of daily living considered most relevant by
patients, service users and their family carers. In rehabilitation we can
describe two key elements. First, is the notion that the most important goals
in the rehabilitation process are those that matter most to patient and only they
can identify these goals. The second is the awareness that the patient’s family,
relatives. The reahibilitation process involves four practices which can be
associated with the ICF, all described below.
Assessment is representing the diagnosis and the collection of data for
rehabilitation planning. The description of patient’s problems requires
functioning state. To facilitate de description of problems the health
professionals have to provide suitable measuremenst to the specific ICF
categories. The description of of the functioning state and the following
decision on the rehabilitation goals and determination of intervention targets
can be supported by the use of ICF Tools, which is leading to the second
component of the process, the goal palnning, described as identification and
prioritization of the objectives of rehabilitation.
Another component is intervention described as the specific activities
which take part in the process. The pursued goal value for each intervention
target has to be defined either by the scale of the instruments or by an ICF
Qualifier. Each injury has a code in the ICF Qualifier. The last component is
evaluation represented by the comparing of actual and planned outcomes.
The ICF evaluation is based on ICF categorical profile and it is showing the
categories that were determined to be goals and intervention targets. The
display is enlarged with the illustration of the evaluation of the corresponding
ICF categories and a column for goal achievemnts.
As we can see, all four components of the rehabilitation process are
strongly associated with the ICF, despite of all the forms they bring us.

2) Romania
We have a case of a boy of 18 years old, studying in highschool who was in
car accidents. The affected parts of the body are spine and he is having several
traumas. The boy is having national health insurance, because the government
provides free services for children under 18 and for persons that are still
having a form of education after. In this case he needs rehabilitation for more
than 30 days, but in Romania the insurance company can cover only 21 days
of rehabilitation which means that he has to pay the rest of the rehabilitation.
This case corresponds with law nr. 31/1990

Refferences
http://www.cnas.ro/page/pachetul-de-servicii-medicala-de-baza-in-asistenta-
medicala-de-reabilitare-medicala-in-sanatorii-balneare-si-recuperare-
medicala-in-alte-sanatorii-i-preventorii.html