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It gives us great pleasure to write the preface to this book, the second in the series of monographs produced by the European Academy of Rehabilitation Medicine. No part of medicine, no clinical intervention, is complete without thinking about its effect on the person’s life and the quality thereof. One of the most powerful determinants of this is work; a source not only of income, but of satisfaction and a sense of purpose and worth. The Academy, founded in 1969, is composed of senior European doctors spec- lising in Rehabilitation and Physical Medicine. It meets regularly to discuss matters of importance in the field, including teaching, research and ethical matters. It recognises that t...
“Re-education” consists in training people injured either by illness or the vagaries of life to achieve the best functionality now possible for them. Strangely, the subject is not taught in the normal educational curricula of the relevant professions. It thus tends to be developed anew with each patient, without recourse to knowledge of what such training, or assistance in such training, might be. New paradigms of re-education are in fact possible today, thanks to advances in cognitive science, and new technologies such as virtual reality and robotics. They lead to the re-thinking of the procedures of physical medicine, as well as of re-education. The first part looks anew at re-education in the context of both international classifications of functionality, handicap and health, and the concept of normality. The second part highlights the function of implicit memory in re-education. And the last part shows the integration of new cognition technologies in the new paradigms of re-education.
Rehabilitation and palliation have become an essential part of modern comprehensive cancer care. This book contains experiences of the author and specific instructions how to assess, treat, and evaluate rehabilitation and palliation in cancer patients. There are many excellent text books in cancer management which provide therapeutic recommendations thereby influencing the disease. However, this book focuses on improving well being of the cancer patient versus curative measures. To improve quality of life for cancer patients has been the endeavour of the author for the past 25 years. This goal is the guiding theme throughout the book.
This book will provide an overview of the rehabilitation engineering field, including key concepts that are required to provide a solid foundation about the discipline. It will present these concepts through a mix of basic and applied knowledge from rehabilitation engineering research and practice. It's written as an introductory text in order to provide access to the field by those without previous experience or background in the field.These concepts will include those related to engineering and health that are necessary to understand the application of rehabilitation engineering to support human function.
Crucible of the Incurable concerns how people face life with amyotrophic lateral sclerosis (ALS). Anthony Stavrianakis spent a year in clinics and with people living with the illness in the United States. He examines the multiple meanings of care in a context of a chronic, degenerative, one-hundred percent fatal, neuromuscular illness, whose most common duration is between two and five years. How do people diagnosed with ALS continue to "live as well as possible, for as long as possible" in accordance with the normative work at the heart of outpatient ALS care? Crucible of the Incurable shows how those touched by the situation of a person living with ALS bear this problem and this task. Given the sense of certitude around the diagnosis, given past experiences of those aware of its usual progression, and given the uncertainty of the disease's cause and its progression for each specific person; how then do people orient themselves to the experience of life with this illness, how to support those who are confronted with it, and how to provide aid or solace.
Il ritrovamento casuale di due testi sulla vita e le opere di James Parkinson ha fornito lo spunto per descrivere la figura di questo celebre medico, non tanto soffermandosi sulle singole opere (anche se quelle minori, in gran parte sconosciute, meritano di essere rese note) quanto sulla sua attività anche in ambito non solo clinico e sulla sua personalità. Dalla descrizione ne emerge un uomo di grande bontà e di profonde tensioni ideali, uno studioso ad ampio raggio e uno spirito riformista e di grandi istanze libertarie. James Parkinson aveva dedicato la sua vita non solo al miglioramento delle conoscenze mediche ma anche all’elevazione delle condizioni di vita delle classi sociali più vulnerabili e indigenti.
Patients often are asked to fill out questionnaires before or after going to the doctor's office or hospital. What is the point of these questionnaires? Why do the questions often seem irrelevant? Does it matter if patients fill them out or ignore them? This book addresses these questions while also providing historical context about how these questionnaires became so popular. These questionnaires, which philosopher Leah M. McClimans calls 'Patient-Centered Measures' have a fascinating history that combines the contemporary emphasis in medical ethics on patient-centered care with the contemporary preoccupation with evidence-based medicine (the idea that medical decisions should be based on empirical evidence). Patient-centered measures sit between these two concerns and thus serve as an excellent example of a medical technology for the twenty-first century.
La récupération de la fonction motrice, qu'elle soit spontanée ou dirigée par le rééducateur, relève d'un double processus de plasticité, largement interdépendant, intéressant à la fois le système nerveux mais aussi l'appareil musculo-squelettique. Plus généralement, dans toutes les affections mettant en jeu l'activité corporelle, du fait de troubles de sa commande et de son contrôle, ou du fait de la perte de l'intégrité de l'appareil d'exécution, le renforcement des muscles et le reconditionnement physique paraissent essentiels et indissociables de la rééducation neuromotrice conventionnelle, dans la mesure où l'activité est bien à la fois résultat et média de la plasticité.