Vaughan C, Bhakta B
Southampton General Hospital.
J R Coll Physicians Lond. 1995 Nov-Dec;29(6):534-9.
Rehabilitation is aimed at minimising the disadvantage experienced by an individual as a result of functional impairment or disability following disease. It also addresses the impact of the social and environmental consequences of disease. Rehabilitation medicine is a new specialty although the concept of rehabilitation is not. Previously this work was undertaken within the fields of rheumatology, physical medicine, neurology, and orthopaedic, general medical and limb fitting services. In some patients, primarily those with neurological and musculoskeletal disease, the interaction of impairments with social and environmental dimensions can be complex. Effective management requires coordination between the patient, carers, and the medical, therapy, nursing, psychology and social services. The management of patients with complex disabilities is undergoing change with the introduction of new treatments, awareness of needs of patients and carers, and new models of care. This conference, entitled 'Medical priorities in the rehabilitation of adults with complex disabilities' given at the Royal College of Physicians on 2 February 1995, reviewed these changes. It dealt with medical priorities in rehabilitation for patients with specific diseases, and recent advances in areas pertinent to rehabilitation medicine.
康复旨在将个体因疾病导致功能障碍或残疾而经历的不利影响降至最低。它还关注疾病的社会和环境后果所产生的影响。康复医学是一个新的专业领域，尽管康复的概念并非如此。以前，这项工作是在风湿病学、物理医学、神经病学以及骨科、普通医学和假肢装配服务领域开展的。在一些患者中，主要是那些患有神经和肌肉骨骼疾病的患者，功能障碍与社会和环境因素之间的相互作用可能很复杂。有效的管理需要患者、护理人员以及医疗、治疗、护理、心理和社会服务之间的协调。随着新治疗方法的引入、对患者和护理人员需求的认识以及新的护理模式的出现，复杂残疾患者的管理正在发生变化。1995年2月2日在皇家内科医师学院举行的题为“复杂残疾成人康复中的医疗优先事项”的会议对这些变化进行了回顾。会议讨论了特定疾病患者康复中的医疗优先事项以及与康复医学相关领域的最新进展。
