Dohle Christian, Schrader Mareike
P.A.N. Zentrum für Post-Akute Neurorehabilitation, Fürst Donnersmarck-Stiftung zu Berlin, Wildkanzelweg 28, 13465, Berlin, Deutschland.
Centrum für Schlaganfallforschung, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
Nervenarzt. 2024 Dec;95(12):1148-1157. doi: 10.1007/s00115-024-01772-9. Epub 2024 Nov 26.
Neurorehabilitation is characterized by a structured, interdisciplinary collaboration among various professional fields, focused on achieving individualized participation goals for patients. This process considers the different levels of the International Classification of Functioning, Disability, and Health (ICF), specifically function, activity and participation. Multiple evidence-based treatment procedures targeting specific mechanisms of action are available for the rehabilitation of disorders associated with various diseases. Treatment must be administered with sufficient intensity to be effective. The neurological phase model encompasses several stages of care ranging from acute treatment in phase A to phase D for patients who are largely independent. Early rehabilitation phase B and rehabilitation phase C combine acute and rehabilitation-specific tasks. Phase E supports long-term occupational and social participation, while phase F is dedicated to long-term care for severely affected patients. In the outpatient setting, the long-term care of neurologically affected patients remains insufficient due to a lack of interdisciplinary collaboration possibilities, highlighting an urgent need for expansion and improved integration between care providers.
神经康复的特点是各专业领域之间进行结构化的跨学科协作,专注于为患者实现个性化的参与目标。这一过程考虑了《国际功能、残疾和健康分类》(ICF)的不同层面,特别是功能、活动和参与。针对与各种疾病相关的病症康复,有多种基于证据的、针对特定作用机制的治疗程序。治疗必须给予足够的强度才能有效。神经学阶段模型涵盖了几个护理阶段,从A期的急性治疗到基本独立的患者的D期。早期康复B期和康复C期结合了急性和康复特定任务。E期支持长期的职业和社会参与,而F期则致力于对严重受影响患者的长期护理。在门诊环境中,由于缺乏跨学科协作的可能性,对神经功能受影响患者的长期护理仍然不足,这凸显了迫切需要扩大护理提供者之间的合作并改善整合。