An insider's view on person-centred rehabilitation: a case study.
OBJECTIVE
The author, a rehabilitation specialist of more than 30 years, presents her observations of the medical and rehabilitation services her husband received after a ruptured abdominal aortic aneurysm. Building on the person-centred approach, she identified several problems and describes theory-based strategies how she and her husband (patient) addressed these problems. In addition, she provides insight in the complex role she fulfilled as family caregiver: liaison, advocate and as personal health manager (taking care of her own health).


METHODS
A qualitative analysis and interpretation based on personal observations and discussions with medical and rehabilitation professionals.


RESULTS
The author argues that the culture of the institution (knowledge and compassion) and the role of the patient advocate have major implications on the outcome of a patient's functional gains. The International Classification of Functioning, Disability and Health can be a useful tool to enhance transparency within the patient-centred approach.


CONCLUSIONS
Although this case study is described from the perspective of one case, the information shared in this paper may stimulate further discussion and research in the concept and implementation of person-centred rehabilitation.
Nieuwenhuijsen
Els R
ER
Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan 48108-0744, USA. elsni@comcast.net
D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000534:rehabilitation*; D001019:Aortic Rupture / Q000534:rehabilitation*; D017028:Caregivers; D006801:Humans; D008297:Male; D057240:Patient Preference; D018802:Patient-Centered Care