{"id":176019,"date":"2023-03-23T09:16:49","date_gmt":"2023-03-23T09:16:49","guid":{"rendered":"https:\/\/www.directhealthcaregroup.com\/?page_id=176019"},"modified":"2023-05-17T06:42:16","modified_gmt":"2023-05-17T05:42:16","slug":"176019-2","status":"publish","type":"page","link":"https:\/\/www.directhealthcaregroup.com\/da\/viden-og-evidens\/176019-2\/","title":{"rendered":"Kan rehabilitering tage overh\u00e5nd?"},"content":{"rendered":"\n

<\/h1>\n\n\n\n

Det overordnede form\u00e5l med rehabilitering er at sikre en maksimal livskvalitet for de borgere, der af den ene eller anden grund har mistet nogle f\u00e6rdigheder. P\u00e5 denne vis er rehabilitering helt afg\u00f8rende. Men kan rehabilitering ogs\u00e5 g\u00e5 for vidt og f\u00e5 negative konsekvenser for personale og borger?<\/p>\n\n\n\n

28. februar 2022<\/p>\n\n\n\n

Af: Ergoterapeut, Pia Beck<\/p>\n\n\n\n

N\u00e5r vi som mennesker oplever en nedsat funktionsevne, vil de fleste have behov for en individuel tilpasset st\u00f8tte, samt hj\u00e6lp til at h\u00e5ndtere de konsekvenser (de helbredsm\u00e6ssige og\/eller psykosociale vanskeligheder) den tabte funktionsevne har medf\u00f8rt.<\/p>\n\n\n\n

Her er rehabilitering en vigtig og meget afg\u00f8rende faktor i indsatsen for b\u00e5de at bevare, udvikle og genetablere tidligere eller nye funktionsevner s\u00e5ledes, at den enkelte borger opn\u00e5r eller genvinder st\u00f8rst mulig selvst\u00e6ndighed, ligev\u00e6rdighed og meningsfuldhed i hverdagslivet.<\/p>\n\n\n\n

Af netop disse positive grunde har rehabilitering vundet stigende indpas i den danske sundheds- og plejesektor.
<\/p>\n\n\n\n

Rehabiliteringens form\u00e5l<\/strong><\/h2>\n\n\n\n

I praksis betyder det \u00f8gede fokus p\u00e5 rehabilitering, at der, n\u00e5r behovet opst\u00e5r, opstartes en samarbejdsproces mellem en borger, p\u00e5r\u00f8rende og medarbejdere. Det prim\u00e6re form\u00e5l med forl\u00f8bet er som sagt, at g\u00f8re det muligt for borgeren at opretholde mest mulig selvst\u00e6ndighed.<\/p>\n\n\n\n

Hermed er den rehabiliterende indsats ogs\u00e5 med til at sikre, at vi som samfund ogs\u00e5 i fremtiden har ressourcerne til at st\u00f8tte alle, der har et behov, netop fordi fokus er p\u00e5 at bevare mest muligt af borgerens selvst\u00e6ndighed, og dermed sikre at borgeren f\u00e5r brug for mindre hj\u00e6lp p\u00e5 sigt. Dette er rehabiliteringens sekund\u00e6re form\u00e5l.<\/p>\n\n\n\n

Et eksempel p\u00e5 en klassisk rehabilitering kunne v\u00e6re en borger, som grundet slid i sine hofter, er blevet udfordret i selv at tage sine str\u00f8mper p\u00e5. Med en tr\u00e6ningsindsats og undervisning i brugen af en str\u00f8mpep\u00e5tager, bliver borgeren i stand til selv igen at kunne tage sine str\u00f8mper p\u00e5, og personalet kan bruges deres ressourcer andre steder. Samtidig bliver borgeren mere uafh\u00e6ngig af hj\u00e6lp udefra.<\/p>\n\n\n\n

Men herudover har rehabilitering ogs\u00e5 f\u00e5et et tredje form\u00e5l, nemlig at sk\u00e5ne pleje- og sundhedspersonales arbejdsmilj\u00f8. Jo mere borgeren kan selv, jo mindre kr\u00e6ft skal personalet tilf\u00f8re f.eks. ved morgenhygiejne og forflytning. Dette h\u00f8rer vi ofte omtalt som at \u2019udnytte borgerens egne ressourcer\u2019.<\/p>\n\n\n\n

P\u00e5 denne vis er der mange fordele ved rehabilitering. Men i bestr\u00e6belserne p\u00e5, at g\u00f8re borgerne s\u00e5 uafh\u00e6ngige som muligt, opst\u00e5r der ikke sj\u00e6ldent udfordringer, hvor den \u00f8gede fokus p\u00e5 rehabilitering kan f\u00e5 konsekvenser for b\u00e5de personale og borger\/patient.
<\/p>\n\n\n\n

Hverdagsrehabilitering p\u00e5 godt og ondt<\/strong><\/h2>\n\n\n\n

I dag er rehabilitering et s\u00e5 udbredt begreb, at det t\u00e6nkes ind i langt de fleste situationer omkring borgere, der modtager pleje fra det offentlige sundhedssystem. Dette kaldes hverdagsrehabilitering \u2013 hvor borgeren skal udnytte sine egne ressourcer til at klare hverdagsaktiviteter, og kan best\u00e5 af alt fra toiletbes\u00f8g til madlavning og forflytning i sengen.<\/p>\n\n\n\n

Rigtigt ofte skal denne form for rehabilitering passes ind i en hverdag, der i forvejen er fyldt med andre kr\u00e6vende plejeopgaver. P\u00e5 denne vis bliver rehabiliteringen endnu en opgave som \u2019bare lige\u2019 skal n\u00e5s. I nogle tilf\u00e6lde kan hverdagsrehabilitering f\u00e5 negative konsekvenser i form af manglende overskud og opbrugt energi.<\/p>\n\n\n\n

For at illustrere dette, vil jeg bringe et eksempel i spil; En borger, som har f\u00e5et en blodprop i hjernen og er blevet halvsides lammet, bliver grundet de kognitive skader hurtigt tr\u00e6t, og lammelsen har gjort det vanskeligt selv at vende sig i sengen. Den rehabiliterende indsats fokuserer derfor p\u00e5, at borgeren ved hj\u00e6lp af et glidestykke og et sengeb\u00e5nd, selv kan vende sig.<\/p>\n\n\n\n

Konsekvensen for borgeren kan her blive, at n\u00e5r forflytningen er f\u00e6rdig, s\u00e5 er alle kr\u00e6fterne sluppet op, og borgeren mangler ressourcer til at tr\u00e6ne andre f\u00e6rdigheder, til at deltage i deres \u00f8vrige terapi tilbud eller til at v\u00e6re social med p\u00e5r\u00f8rende. <\/p>\n\n\n\n

Samtidigt, hvis hverdagsrehabiliteringen en dag m\u00e5 udelades, f.eks. pga. travlhed, kan det ogs\u00e5 f\u00e5 den konsekvens, at borgeren hurtigere mister sine tilbagev\u00e6rende ressourcer, fordi rehabiliteringen ikke har sit eget fokus.
<\/p>\n\n\n\n

Personalet s\u00e6ttes i dilemma<\/strong><\/h2>\n\n\n\n

Arbejder vi videre med eksemplet ovenfor, kan et \u00f8get fokus p\u00e5 rehabilitering ogs\u00e5 f\u00e5 konsekvenser for personalet. Borgeren f\u00e5r nemlig bevilliget hj\u00e6lpemidler ud fra, at han eller hun selv skal deltage i forflytningen. Men borgeren har haft en d\u00e5rlig nat og har ikke f\u00e5et sovet.<\/p>\n\n\n\n

Det f\u00e5r den betydning, at borgeren ikke selv kan deltage aktivt i at vende sig, og personalet st\u00e5r derfor i en situation, hvor de skal vende borgeren om p\u00e5 siden uden at have de rette hj\u00e6lpemidler til r\u00e5dighed. Dette s\u00e6tter personalet i et etisk dilemma, hvor de tvinges til at v\u00e6lge imellem deres eget arbejdsmilj\u00f8 og borgerens tr\u00e6ning.<\/p>\n\n\n\n

Her er personalet heldigvis hjulpet af Arbejdstilsynets vejledning p\u00e5 omr\u00e5det (D3.3, 2.2<\/a>), der skriver at: \u201d\u2026de ansatte altid [skal] have mulighed for, i en konkret situation at kunne v\u00e6lge at bruge et egnet teknisk hj\u00e6lpemiddel til forflytning af en person, der ikke normalt har behov for dette, fx om natten. De ansatte b\u00f8r ikke uds\u00e6ttes for det dilemma, at hensynet til patienten\/personens tr\u00e6ning prioriteres h\u00f8jere end hensynet til den ansatte, der skal udf\u00f8re forflytningen.\u201d<\/em><\/p>\n\n\n\n

Et fokusomr\u00e5de for sig<\/strong><\/h2>\n\n\n\n

Selvom Arbejdstilsynets vejledning taler sit klare sprog, kan det i praksis v\u00e6re sv\u00e6rt for personalet enten at skulle undlade at udf\u00f8re en plejeopgave, eller at skulle kr\u00e6ve noget af borgeren, som han eller hun ikke har overskud eller kr\u00e6fter til at levere. Dette risikerer desuden at skade relationen mellem personale og borger.<\/p>\n\n\n\n

S\u00e5 selvom hverdagsrehabilitering er en udbredt praksis, der har store fordele for borger, personale og samfund, s\u00e5 kan det ogs\u00e5 betyde, at personalet ikke altid har de rette hj\u00e6lpemidler til r\u00e5dighed. Samtidigt skylder vi plejekr\u00e6vende borgere, at rehabiliteringen f\u00e5r sit eget fokus, og ikke blot skal passes ind i en i forvejen travl hverdag.<\/p>\n\n\n\n

For at overkomme denne udfordring er det vigtigt at evaluere, om rehabilitering skal inkorporeres i borgerens hverdag, eller om det giver et bedre resultat at gemme den rehabiliterende indsats til et andet tidspunkt. Dette er op til en individuel evaluering af borgerens behov.<\/p>\n","protected":false},"excerpt":{"rendered":"

Det overordnede form\u00e5l med rehabilitering er at sikre en maksimal livskvalitet for de borgere, der af den ene eller anden grund har mistet nogle f\u00e6rdigheder. P\u00e5 denne vis er rehabilitering helt afg\u00f8rende. Men kan rehabilitering ogs\u00e5 g\u00e5 for vidt og f\u00e5 negative konsekvenser for personale og borger? 28. februar 2022 Af: Ergoterapeut, Pia Beck N\u00e5r … Continued<\/a><\/p>\n","protected":false},"author":40,"featured_media":178029,"parent":174696,"menu_order":14,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-176019","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nKan rehabilitering tage overh\u00e5nd? | DHG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.directhealthcaregroup.com\/da\/viden-og-evidens\/176019-2\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kan rehabilitering tage overh\u00e5nd? | DHG\" \/>\n<meta property=\"og:description\" content=\"Det overordnede form\u00e5l med rehabilitering er at sikre en maksimal livskvalitet for de borgere, der af den ene eller anden grund har mistet nogle f\u00e6rdigheder. 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