IX Rehabilitation Nursing Sub-specialty Module 9. Fundamental Module 9.. The Rehabilitation Philosophy 9..2 The goals and functions of rehabilitation nursing 9..3 The principles of rehabilitation nursing and their application across the health care continuum 9..4 The multidisciplinary team approach 9.. Application of case management 9..6 The wellness model of health care 9.2 Ambulatory and Community Service 9.2. The social construction of disability 9.2.2 The social support system, social welfare services and resources available in Hong Kong 9.2.3 Impact of impairment, disability and handicap on the daily activities of the chronic illness 9.2.4 Empowerment of clients with chronic illness and disabilities to enhance autonomy in decision making related to their health 9.2. Coping strategies and stress relief measures to support the clients and families 9.3 Health Assessment 9.3. Integrated physical, psychosocial and spiritual health assessment 9.3.2 Norton Score or Braden Scale 9.3.3 Stress and Depression Assessment 9.3.4 Functional Independence Measure 9.3. Fall risk assessment 9.3.6 Functional ability 9.3.7 Nutritional assessment 9.3. Abbreviated Mental Test 9.4 Nursing Care Module Essence of nursing care - Modification of activities of daily living - Family relationship and conflict resolution - Sexual relationship and counseling - Reintegration to society - Managing frail condition and end of life care 9.4. Establishment of patient centered care Therapeutic relationship. 9.4.2 Management of patients with paraplegia/spinal Cord compression 9.4.3 Management of patients with right/left hemiplegia 9.4.4 Management of patients with quadriplegia 9.4. Management of patients with aphasia /dysphasia 9.4.6 Management of patients with dysphagia 9.4.7 Management of patients with respiratory problem 9.4. Management of patients with disability complicated with medical conditions 9.4.9 Management of patients undergoing Rehabilitation Program: Cardiac, Gerontology, Orthopedic, Pulmonary and Acquired brain injury 9.4.0 Continence Care and Management of patients with Urological problems 9.4. Education and empowerment of patients on self-care and self-efficacy 9.4.2 Pain Assessment and Management in Rehabilitation
9.4.3 Management of patients with psycho-spiritual distress 9.4.4 Management of patients exhibiting aggressive behavior with cognitive impairment 9.4. Management of patients with altered mental state 9.4.6 Management of patients with suicidal risk 9.4.7 Management of patients with nutritional problems 9.4. fall prevention and management in rehabilitation 9.4.9 Prevention and management of patients with pressure injuries 9.4.20 Patient empowerment: Counseling skills, patient support group referral; legal and ethical issues 9.4.2 Health education in Rehabilitation 9.4.22 Empower and support family caregiver in patients rehabilitation journey: Psychological support, carer training, family meeting, discharge plan 9.4.23 Interdisciplinary collaboration: Case Conference; team meeting; Interdisciplinary Care Plan; discharge plan 9.4.24 Discharge planning 9.4.2 Support patients with long term illness and disabilities 9.4.26 Management of Long Stay or Difficult Discharge patients 9.4.27 Community Engagement: Social Work Services, Ambulatory rehabilitation care and community service: Geriatric Day Care, Community Day Care Service, Non-Governmental Organization, Patient Support Group 9.4.2 Manage frail condition and end of life care 9. Development of Nurse Led Clinics 9.6 Legal and ethical issues 9.7 Quality and risk management 9. Management and leadership skills 9.9 Facilitate change and adopt evidence-based practice in nursing care 9.0 Participate postgraduate education, lectures, clinical meetings, conferences 9. Design and Framework of Rehabilitation Nursing Sub-Specialty Module The Rehabilitation Nursing Sub-Specialty Module is designed under the competency framework (appendix 2) of HKCMN. Below indicated the Sub-Specialty Module matching the competency framework: No. Subject Areas 6. Fundamental Module 6.. The Rehabilitation Philosophy,4,, 6,9, 6..2 The goals and functions of rehabilitation nursing 6..3 The principles of rehabilitation nursing and their application across the health care continuum Domains 2 3 4 6 7,4,, 6,9,,4,, 6,9,,3,4,,3,4,,3,4, 6,7 6,7 6,7 6..4 The multidisciplinary team approach,4,, 6,9, 6.. Application of case management,4,, 6,9, 6..6 The wellness model of health care,4,, 6.2 Ambulatory and Community Services 6,9,,3,4,,3,4,,3,4, 6,7 6,7 6,7 6.2. The social construction of disability,4,,,3,4, 6,7
6.2.2 The social support system, social welfare services and resources available in Hong Kong 6.2.3 Impact of impairment, disability and handicap on the daily activities of the chronic illness 6.2.4 Empowerment of clients with illness and disabilities to enhance autonomy in decision making related to their health 6.2. Coping strategies and stress relief measures to support clients and families along the care pathway 6,9,,4,,,3,4, 6,9,,4,,,3,4, 6,9,,4,,,3,4, 6,9,,4,,,3,4, 6,9, 6,7 6,7 6,7 6,7 6.3 Health Assessment Module 6.3. Integrated physical, psychological and spiritual health assessment,3 6.3.2 Norton score or Braden Scale,3,, 6.3.3 Stress and depression assessment,,3,3, 6.3.4 Functional Independence Measure, 4,,3, 6.3. Fall risk assessment,3, 4,, 6,3, 4, 2,3, 6, 6.3.6 Functional ability assessment 4,, 6.3.7 Nutritional assessment 4,, 6.3. Abbreviated Mental Test all 4,, 6.4 Nursing Care Module,2,3 4 6.4. Establishment of patient centered care,3,4, and therapeutic relationship 6.4.2 Management of patients with paraplegia,3,4, 6.4.3 Management of patients with right/left,3,4, hemiplegia 6.4.4 Management of patient with,3,4, quadriplegia 6.4. Management of patients with aphasia,3,4, /dysphasia 6.4.6 Management of patients with dysphagia 4, 6.4.7 Management of patients with altered breathing technique 6.4. Management of patients with disability complicated with medical conditions,3,4,,3,4,,2,3,3,4, 4, 4, 4, 4, 4, 4, 4,,3,,3,,3,,3,4, 2,3,4 2,3,4,,9,0. 2,3,4,,9,0. 2,3,4,,9,0. 2,3,4,,9,0. 2,3,4,,9,0. 2,3,4,,9,0. 2,3,4,,9,0.
6.4.9 Management of patients undergoing Rehabilitation program: Cardiac, Gerontology, Orthopaedic, Pulmonary, Stroke 6.4.0 Continence care and management of patients with urological problems 6.4. Education and empowerment of patients on self-care and self-efficacy 6.4.2 Pain Assessment and Management in Rehabilitation 6.4.3 Management of patients with psychospiritual distress 6.4.4 Management of patients exhibiting aggressive behavior with cognitive impairment 6.4. Management of patients with altered mental status 6.4.6 Management of patients with suicidal risk 6.4.7 Management of patients with nutritional problems 6.4. Fall prevention and Management in Rehabilitation 6.4.9 Prevention and management of patients with pressure injuries 6.4.20 Patient empowerment: Counseling skills: patient support group referral; legal and ethical issues 4, 4,,3,4, 4,,,2,4 4,,7 2,3,4,,9,3,,3,4, 2,,,3,,3,4, 2,,,3,,3,4 2,,,3,,3,4 2,,,3,,3,4 2,,,3,,3,4 2,, 2,, 2,, 6.4.2 Health education in Rehabilitation 6.4.22 Empower and support family caregiver in patients rehabilitation journey: psychological support, carer training, family meeting, Discharge Plan 6.4.23 Interdisciplinary collaboration: case conference, team meeting: interdisciplinary care plan; discharge plan 6.4.24 Discharge planning 6.4.2 Support patients with Long Term illness and disabilities 6.4.26 Management of Long Stay or Difficult Discharge Patients 64.27 Community Engagement: Social Work Services, Ambulatory rehabilitation care and community services: Geriatric Day Care, Community Day Care Service, Non- Governmental Organization, Patient support 64.2 Manage frail condition and end of life care 6 Development of nursing service and nurse-led clinic,, 9, 0,, 2, 3, 4 4, 2,,2
6.6 Legal and ethical issues 3, 4,,2,4,4,4,4 6.7 Quality and risk management 9,3,4, 4, 2,3,4, 7 6. Management and leadership skills 7 3,4,, 6,7,2 6.9 Facilitate change and adopt evidencebased practice in nursing care 6.0 Participate postgraduate education, lectures, clinical meetings, conferences 9,,3,,, 6 2,3,, 6,7,6,7, 9,, 2,3, 4,2