FOURTH PROFESSIONAL (REHABILITATION MEDICINE-Syllabus)


                            
Rehabilitation Medicine
(Disability and development)
Total Lecture: 100 Hrs
Exam time: 3 Hrs.                                                                        Total marks: 150
                                                                 Written: 100
                                                                                     Course Work: 30
                                                                                                               Sessional: 20
1.      Conceptual framework of rehabilitation, roles of rehabilitation team members, definitions and various models of rehabilitation.
2.      Epidemiology of disability with emphasis on locomotor disability, its implications- individual, family, Social, Economic and the state.
3.      Preventive aspects of disability and organizational skills to manage it.
4.      Community Based Rehabilitation and out reach programmes to rehabilitate persons with disabilities living in rural areas.
5.      Statutory provisions, Schemes of assistance to persons with disability.
6.      Role of N.G.Os in rehabilitation of the persons with disabilities.
7.      Basic principles of administration and finance including personnel management and budget preparation and procurement etc.
8.      Principles of Orthotics’- types, indications, contra-indications, assessment (check out), uses and fitting- region wise.
9.      Principles and mechanisms of Communication including speech and hearing.
10.  Common disorders of speech and hearing- etiogenesis, clinical features, assessment and principles of management.
11.  Principles in the management of vocational problems, including evaluation and vocational goals for people with disability.
12.  Principles of rehabilitation nursing, including function of Nursing personnel and Nursing practice in rehabilitation.
13.  Identification, assessment and classification of mentally subnormal.
14.  Etiogenesis and principles of management including prevention.
15.  Rehabilitation of the mentally subnormal, including vocational training & home education programme.
16.  Definition, scope & importance of Activities of Daily Living (ADLs).
17.  The teaching and training (a) wheel chair activities, (b) bed activities (c) transfer activities (d) Locomotor activities (e) self care activities, such as toilet, eating, dressing etc.
 
An introduction to CBR, it’s concept, how it started and what is going on in Bangladesh:
·         The components of CBR, community and rehabilitation.
·         The correlation between CBR and institute based rehabilitation.
·         The aims and objectives of CBR, its framework and its role in Bangladesh.
·         The strengths and weaknesses of CBR.
·         Legal aspects of working in the community.
·         The members of a CBR team.
·         How CBR is being run by non-government organisations (NGOs) and the government.
·         The removal of stigma surrounding disability.
·         The role of the Disability Resource Person (DRP) in CBR in raising awareness, cooperation, training, prioritising community needs, and arranging cultural programmes.
·         The role of the physiotherapist as a consultant teacher.
·         Setting up community physiotherapy services.
·         Initial research, identification of target groups with specific needs likely to be encountered in a rural setting, identification of social and cultural barriers to CBR and liaison with the DRP in CBR.
·         Types of services, suitable equipment, methods of data collection and evaluation.
·         Presentation skills, the production of information leaflets, planning teaching/lectures for other health care professionals and planning information presentations to target groups in the community.

Practical Application:

The planning of the methods of data collection to be used to investigate the epidemiology, causes, process of rehabilitation and reintegration about different kind of peoples with disability.
The student will work for data collection with different NGO’s who are working about disability such as-CRP, CDD, ADD, Handicraft International, Save the children, BRAC, Acid Surviver and also patients from other NGOs.
Specific groups to be targeted include: -
·         Cerebral palsy (CP).
·         Chronic juvenile arthritis (CJA).
·         Childhood Scoliosis.
·         Polio.
·         Burns.
·         Contractures.
·         Spinal cord injury.
·         Abnormal child development.
·         Post-cerebral vascular accident (CVA).
·         Post fracture.
·         Post myocardial infarct (MI).
Other areas to be addressed include: -
·         General issues.
·         Community knowledge about disability.
·         Pre-existing prejudice about disability.
Services available/provision of services.

Books Recommended:


1.       Physical Rehabilitation- assessment & Treatment- Sullivan & Schmitz- F.A. Davis.
2.       Occupational Therapy and Physical disfunction: Principles, Skills & Practices- Turner, Foster & Johnson- Churchill Livingstone.
3.       Hand Splitting - Wilson- W.B. Saunders.
4.       Orthotics in Rehabilitation: Splinting the hand and the boby- Mckee & Morgan- F.A. Davis.
5.       Atlas of Limb Prosthetics- American Academy of Orthopaedic Surgeon- Mosby.
6.       Atlas of Orthotics- American Academy of Orthopaedic Surgeon- Mosby.
7.       Krusen’s Handbook of Physical Medicine & Rehabilitation- Kottke & Lehamann- W.B. Saunders.
8.       Willard and Spackman’s occupational therapy- Neistadt & Crepeau- Lippincott
9.      Gibson, A., (1988) “Physiotherapy in the Community”.
10.  Punam, B., (1987) “Children with Disabilities”
11.  .Soehand, D., (1995) “Simple equipment for helping people with disabilities”.
12.  Warner, D., (1988) “Disabled Village Children”.
13.  World Health Organisation, (1999) ICDH-2, Bita-2 draft.
14.      World Health Organisation, (1989) “Training in the community for People with Disabilities”.


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