IPHREHAB: HEALTH IS PHYSICAL, MENTAL, SOCIAL & SPIRITUAL WELL BEING

IPHREHAB
HEALTH IS PHYSICAL, MENTAL, SOCIAL & SPIRITUAL WELL BEING

HEALTH IS NOT MERELY THE BODY FREE FROM DISEASE HEALTH IS PHYSICAL, MENTAL, SOCIAL & SPIRITUAL WELL BEING

• WE HAVE COMPLETELY FORGOTTEN THE SPIRITUAL PART OF HEALTH
• WE FEEL THAT ONLY DISEASES ARE TO BE TREATED (TERTIARY CARE) MEDICAL  & SURGICAL

PLEASE REMEMBER

• PUBLIC HAS LOST FAITH IN DOCTORS
• DOCTORS BEHAVIOUR IS HIGHLY APPAULING
• DOCTORS ARE VERY BUSY HAVE NO TIME FOR PATIENTS
• DOCTORS DON’T TALK  ABOUT PREVENTION OF DISEASE
• BILLIONS ARE SPENT ON TERTIARY CARE HOSPITAL
• BUT NOT A SINGLE PENNY ON PRIMARY HOSPITAL

DOCTORS DON’T EXAMINE THEIR PATIENT

• CLINICAL EXAMINATION HAS BECOME  OBSOLETE
• INVESTIGATIONS ARE  KING OR MASTER
• DOCTORS ARE TECHNICIAN         
• NO MORE PHYSICIANS
• DOCTORS DO NOT GIVE SERVICE THEY HAVE BECOME BUSINESS PERSON
• INVESTIGATIONS HAVE ATTENDED ROYAL STATUS
• TREATMENT IS STARTED ON RESULT OF INVESTIGATIONS
• NO BODY KNOWS THAT MACHINES CAN BE WRONG
• ECG’s ARE INTERPRETED BY COMPUTER
• TMT & ECHO ARE ORDERED WHETHER NEEDED OR NOT

INVESTIGATIONS

• X-RAYS ARE NOT TO BE DONE. 
• CT SCAN  ARE ORDERED FOR CLEAR CUT CASE OF TUBERCULOSIS
• Dr. SAYS THAT EVERY ONE COMES TO THEIR CHAMBER IS ALWAYS  WITH CT SCAN

I FEEL IN ANY CASE DIAGNOSIS DEPEND ON

• HISTORY:-  IT  FORMS FOUNDATION OF DIAGNOSIS
• CLINICAL EXAMINATION IS LIKE CONSTRUCTION OF BUILDING
• INVESTIGATIONS ARE LIKE DECORATIVE PIECES

INVESTIGATIONS

• DAILY NEW TESTS ARE BEING  ADDED SUPPOSED  TO BE SUPERIOR THAN PREVIOUS ONE.
• NEW EQUIPMENTS  ARE ADDED IN GEOMETRICAL PROPORTION.
• THEY ARE ALL DUMPED IN THIRD WORLD COUNTRIES - SOUTH EAST ASIA
• INVESTIGATIONS  ARE GLORIFIED.

THERE  IS NO DRUG POLICY

• SPURIOUS DRUGS  MARKET IS WORTH MORE THEN  4000 CRORES
• ANTIBIOTICS ARE MISUSED
• SO ARE STEROIDS
• QUACKS ARE FLOURISHING UNDER NAME OF ALTERNATIVE MEDICINE

(DR.ANANT PHODKE THESIS Excellent Study Of Drug Supply & Use

50% of drugs prescribed are irrational or have no connection to disease

He short listed 27 Essential Drugs for 90% of General Diseases)

I BELIEVE IN OLD SAYING

• IF YOU THROW ALL THE  MEDICINES INTO THE THE SEA 
• IT WILL BE GOOD FOR HUMAN BEINGS AND BAD FOR FISH.

IPHREHAB : COMMUNITY BASED REHABILITATION

IPHREHAB

Community based rehabilitation CBR]

1) Community based rehabilitation [CBR] is a strategy within community development for the rehabilitation, equalization of opportunities & social integration of all people with disabilities.

2) CBR is implemented through combined efforts of disabled people themselves, their family & communities, & the appropriate health, education, vocational & social services.

3)    At global level→ 7- 10 % of popln. Disabled & in India→ 5 % of popln.

4)   CBR concept was developed by WHO at late 1970s→ concentrating mainly on health, later ILO & UNESCO joined to make it a multi -sectoral approach- covering all aspects of life.

5)   To ensure that people with disabilities are able to maximise their physical & mental abilities, to access regular services & opportunities, & to become active contributors to the community & society at large.

6)    To activate communities to promote & protect the human rights of people with disabilities through changes within the community, for ex.- by removing barriers to participation.

7)  Health – state of complete physical, mental & social wellbeing & not merely an absence of disease or infirmity & includes the ability to lead a socially & economically productive life.

8)      First level of contact btw individual & health system & is closest to the people

9)  CBR is fully consonant with the concept of PHC- promotes awareness, self reliance & responsibility for rehab within community.  Encourages the use of simple methods & tech. that are acceptable, affordable, effective & appropriate for the local setting.

10)   The most rehab activities can be carried out in the pts own community.

CBR has 7 different components:

1.       Provision of rehab services

2.       Empowerment, Education & training opportunities

3.       Creation of income generation opportunities

4.       Long term care facilities

5.       Prevention of causes of disabilities

6.       Monitoring & evaluation

7.       Creation of positive attitude

Empowerment

—  Of disabled & their family

—  Of community by 5 approaches:

1)      Social mobilization

2)      Political participation

3)      Language & communication

4)      Self help groups

5)      Disabled people s organizations

Social mobilization

—  To bring people & resources together to achieve a particular task

—  Purpose- to get disability into social consciousness of community & integrate it into all development programs

—  Advocacy & negotiation skill is required to mobilize community

—  Advocacy- to ask & persuade, negotiation- what is required & what not.

Political participation

—  Political & economic approach is most powerful

—  Means- people using their power as citizens to take part in & shape the decisions that affect their lives 

a)     a common goal shared by all & originates from needs of the members

b)      a set of rules & regulations to work together

c)       shared responsibility among members

d)      democratic decision making

e)      leadership from within the group

Training of the Group on how to:

ü  Prepare an agenda

ü  Conduct meetings

ü  Resolve differences

ü  Learn from failure

ü  Delegate tasks

Effects of political participation

—  INCREASED awareness of political processes

—  INCREASED awareness of civic rights

—  INCREASED awareness of civic responsibilities

—  Ability to exercise civic rights & responsibilities

—  INCREASED knowledge of how to benefit from policies & programs

—  Ability to get grievances redressed through political processes

Communication & language

—  It’s an essential part of social, cognitive & emotional growth

—  It connects us to our family & community

—  CBR has a key role in working with people with disabilities, to improve their ability to express themselves & engage with others

     Self help group

—  Enable disabled to advocate for themselves & take responsibility for their own development

—  Characteristics of SHGs :

ü  Plan & review progress

ü  Speak in public with confidence

ü  Analyze- links btw. Disability, poverty & discrimination

ü  Create link with other existing programe of different issue