I believe that there are a number of areas in which we should discuss how to improve clinical rehabilitation for patients. For example regarding the issue of where the majority of rehabilitation should take place;
It could be argued that the more rehabilitation takes place in the family home the better the potential for the patient for the following reasons;
Working Environment: Apparently, the environment we are in determines how we live our lives, and the influence of family, friends and neighbours needs to be appreciated and incorporated more into rehabilitation. Gladwell (2011) introduces the ‘Rosetto Effect’ (apparent cardiovascular prevention from living in a close community environment), and rehabilitation patients may also benefit from the cumulative effects of rehabilitating at home. As brain changes are context dependent (Robertson 2012), home advantage increases testosterone release due to associated cues, and the physical and social world we inhabit shape our brain. Home creates a set of smells, sounds, cues that reduce stress. Any safety signal (being at home) acts as an antidote to some of the damaging effects from the stress of being disabled and potentially losing control of independence. Furthermore, it also releases brain-derived neurotrophic factor (BDNF) a brain fertiliser that helps foster new connections in brain. Thus being at home actually inhibits stress and its toxic consequences. If home is associated with a signal that we will not be subject to stress i.e. warning signals, then does it not make sense to carry out more rehabilitation at home.
What is your opinion of this? Thanks Ken
Md. Israt Hasan, thank you for your comment and I'm delighted you found it useful. I'm very interested in this area. Do you have any experience of rehabilitation in a home setting, and what aspect of my suggestion did you find most important.
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