The Individual Rehabilitation Project as the core of person-centered rehabilitation: the Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists Framework for Rehabilitation in Europe

Abstract

to facilitate the interaction between the health professional and the patient, a framework to guide the rehabilitation process is needed. this framework would encompass three interwoven aspects: the rehabilitation management plan, individual rehabilitation project (irp), and rehabilitation cycle(s). all three framework aspects focus on the patient and on the aim of rehabilitation, i.e. to optimize a person's functioning across the continuum of care. an irp is a multi-element, person-centered rehabilitation management scheme, in which rehabilitation is generally provided by a multiprofessional team under the leadership of a physical and rehabilitation medicine (prM) physician, working in an interdisciplinary manner and together with the patient (or proxy). A reference system for operationalizing functioning and standardizing the process is the International Classification of Functioning, Disability and Health (ICF) -for assessing functioning needs, defining rehabilitation goals and outcomes. The objective of this paper is to present the IRP as a framework for rehabilitation in Europe (EUR-IRP). The specific aims are: 1) to introduce the IRP; and 2) to describe the framework components, elements and variables of the irp. demonstration projects (case studies) using the Eur-irp will be conducted. the present paper presents the efforts to date for developing the Eur-irp, a key part of the action plan of the prM section and board of the European union of Medical specialists to implement the icf systemwide across the care continuum. this paper serves as another step to bring together practice, science and governance in calling for contribution from rehabilitation clinicians and researchers and professional societies in prM and beyond.(Cite this article as: Zampolini M, selb M, boldrini p, branco ca, Golyk V, hu X, et al.; uEMs-prM section and board. the individual rehabilitation project as the core of person-centered rehabilitation: the physical and rehabilitation Medicine section and board of the European union of Medical specialists framework for rehabilitation in Europe.

Development of simple descriptions of the ICF Generic-30 Set in different languages: laying the foundation for an ICF-based clinical tool for Europe

“…An IRP is a multi-element, person-centered and interdisciplinary rehabilitation management approach that can be employed across the care continuum (acute, post-acute, long-term). 19 Although the IRP was developed primarily for individualizing rehabilitation services to patient functioning needs, its developers envision its use in supporting clinical quality management and national policy decisions regarding rehabilitation. Demonstration projects across Europe, that will likely use the different language versions presented in this paper as ClinFIT, are planned to evaluate its utility in these application areas.…”

Editorial: Pursuing quality education in Physical and Rehabilitation Medicine

“…To accomplish their role of "medical specialists of functioning", the PRM physicians are called to plan the rehabilitation process, tailoring it to the individual health needs (6). With more than 2.4 billion individuals worldwide experiencing a vast range of physical and mental health conditions (permanent or temporary) -and potentially benefitting from rehabilitation (7), the PRM physicians are expected to develop an equally wide range of competencies and skillsets.…”

Are non‐steroidal anti‐inflammatory drugs safe and effective in patients with acute gout? A Cochrane review summary with commentary

“…In this regard, determining the functioning needs, defining rehabilitation targets and outcomes are of value in the management of acute gout, as well. It might be also important to pay attention to patients’ preferences (patient‐centeredness) in rehabilitation, even when providing pharmacological treatments, as the multimodal nature of rehabilitation may also include pharmacological treatment 17 …”

“…It might be also important to pay attention to patients' preferences (patient-centeredness) in rehabilitation, even when providing pharmacological treatments, as the multimodal nature of rehabilitation may also include pharmacological treatment. 17 The Cochrane Review has some limitations to be discussed. Since…”