RT Journal Article
SR Electronic
T1 Reflections on recovery, rehabilitation and reintegration of injured service members and veterans from a bio-psychosocial-spiritual perspective
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP S219
OP S231
DO 10.1503/cjs.015318
VO 61
IS 6 Suppl 1
A1 Markus Besemann
A1 Jacqueline Hebert
A1 James M. Thompson
A1 Rory A. Cooper
A1 Gaurav Gupta
A1 Suzette Brémault-Phillips
A1 Sarah J. Dentry
YR 2018
UL http://canjsurg.ca/content/61/6_Suppl_1/S219.abstract
AB Medical interventions regarding trauma resuscitation have increased survivorship to levels not previously attained. Multiple examples from recent conflicts illustrate the potential return to high-level function of severely injured service members following medical and rehabilitative interventions. This review addresses the goals of rehabilitation, distills hard-won lessons of the last decade of military trauma and rehabilitation, and recommends the use of a bio-psychosocial-spiritual approach to care that can be applied at all tiers of the health care system. Questions on enabling participation in meaningful life activities include the following: Why do some patients do well and others do not? What elements contribute to positive outcomes? What factors relate to suboptimal results? Lessons learned revolve around the importance of considering the physical, psychosocial and spiritual aspects of a person’s well-being; empowering patients by fostering self-efficacy; and helping patients find meaning in life events and set high-level goals. A bio-psychosocial-spiritual model from the rehabilitation medicine literature — the Canadian Model of Occupational Performance and Engagement — is proposed as a guide to the provision of person-centred care and the maximization of a person’s functioning posttrauma.