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Biomedical subjects

K A Jochheim

Publications and source records attributed to K A Jochheim.

At least 19 recordsLinked to original sources
PubMed2001

[From the "Rothenfelser Denkschrift" to book IX of the German social code - Milestones of governmental responsibility for integrating people with chronic illness and disabilities in occupation and society].

After World War II, further development of the social protection schemes in place seemed an urgent requirement given a rapidly unfolding industrial society. At the request of Federal Chancellor Konrad Adenauer, four renowned social scientists drafted the "Rothenfelser Denkschrift" published in 1955, which, on the basis of thorough analysis, presented concrete proposals for reshaping the field of social protection. Quite a few of these suggestions have since been incorporated in various books of the German social code, and some of their ideas are quite topical also in the context of the statutory health insurance reform to come. So, curative treatment and rehabilitation might both be considered indispensable constituents of health and social provision, with seamless transitions required in the interest of those affected as well as of meaningful utilization of resources.

Chronic Disease↗
PubMed1997

[Geriatric rehabilitation needs in Cologne: the concept of "integrated geriatric rehabilitation"].

Given a growing number of elderly people and the related consequences for the health care system, such as increasing numbers of persons with chronic diseases or in need of long-term nursing care, the present rehabilitation system must be extended and new services be introduced. Hospitals in Cologne report that an average 48% of their geriatric patients are in need of rehabilitation measures. Taking into account the patients' willingness and capacity to undergo rehabilitation treatment, the figure reduces to 30%. Based on the number of geriatric patients treated in hospital each year, rehabilitation facilities for 15416 geriatric patients a year have to be provided. About two thirds of the patients require continued hospital treatment after the acute phase. Obviously, these treatments are not only performed in the geriatric departments of the hospitals, as only 161 geriatric beds are available in Cologne. One third of the patients could be taken care of on a partial hospitalization or outpatient basis after the acute phase. Thus, limiting a patient's length of stay in hospital could have a cost-containment effect. As partial hospitalization and outpatient rehabilitation facilities are lacking, the Cologne "Geriatrics" study group has developed a concept of "integrated geriatric rehabilitation", suggesting the establishment of mobile rehabilitation teams. The concept aims at developing a cooperative network linking outpatient with partial hospitalization and inpatient services, and including the physicians at community level.

Aged↗
PubMed1997

[Assessment methods for vocational integration of disabled persons--from ERTOMIS methods to the IMBA information system].

The background for the development of actual assessments for evaluation of vocational integration of disabled people (i.e., EAM, IMBA) in Germany is described. Resulting perspectives for future procedural approaches are presented. So far, the EAM, Ertomis Assessment Method, approach has gained limited acceptance only. In light of WHO and European impulses, as well as the economic constraints at hand, it remains to be seen whether the IMBA information system will turn out a practical and problem-focussed tool. A critical review is done to provide constructive suggestions for further applications of IMBA.

Disability Evaluation↗
PubMed1995

[Neurorehabilitation: yesterday, today and tomorrow].

Rehabilitation has its roots in the so called "care for cripples", later on in the postcare of war victims. It is a new way that neurologists do a specialized task within rehabilitation. Increasing lifepan furthermore gives a great overweight to cerebrovascular patients for rehabilitations. Only a holistic aspect can coop with this new challenges. It has to regard the patient and his family as well as to create new ways in social politics. The "Vorarlberger Modelle" (organized by Barolin) has not only given postulates, but practically shown new ways for rehabilitation in the future.

Adult↗
PubMed1992

[25 years rehabilitation. Questions--answers, unanswered questions--retrospective answers].

Starting out from the 10th World Congress of the International Society for Rehabilitation of the Disabled, held 1966 in Wiesbaden on the subject of "Industrial Society and Rehabilitation", social-legislational developments are out-lined, among them the 1971 accident insurance coverage for pupils, the 1974 rehabilitation harmonization act, and the 1975 extension of social insurance coverage to disabled persons working in workshops for the disabled; problems yet unsolved in the structured system of social protection are pointed out. The problem of "early rehabilitation", still to a very great extent unresolved, is dealt with in the context of the present distinction between "acute medicine" und "rehabilitation" facilities. In rehabilitation of persons with chronic mental illness, numerous models have been developed; a generally accepted, and available approach however has not emerged so far. For ensuring care quality and continuity, the urgent need for community-based availability of the "rehabilitation team" is underlined, and interdisciplinary further education efforts are demanded for all professions in the team, both in facility- and community-based service delivery.

Disability Evaluation↗
PubMed1991

[Medicine and education].

Medical-educational cooperation is of long standing in disability care. The roots of this tradition in the fields of blindness, deafness, physical disability, and mental retardation are touched on, and the further development of the overall medical-educational task in rehabilitation is outlined. Various aspects of team work and of remedial education systematics are set out in light of the changing positions among experts in the rehabilitation process. The importance of value orientation is emphasized.

Blindness↗
PubMed1990

[80th anniversary of the German Society of Rehabilitation].

Given the profound structural changes of the first industrial revolution, physically disabled people, just like blind, deaf or epileptic children, had come to be confronted with disastrous living conditions in the large cities. Based on a sense of joint responsibility, the German Society for Cripple Care (today: German Society for Rehabilitation of the Disabled) was founded already in 1909, which, in the 80 years of its existence, has both considerably influenced pertinent legislation and herself been influenced in terms of constitution, membership and issues dealt with by the broadening of the rehabilitation philosophy. The call for clinic, school and vocational training under one roof had been the beginning of the rehabilitation team. The subjects dealt with at the Society's conferences over the last two decades have included numerous topics that in the meantime have attained socio-political relevancy, a fact that underlines the pacesetting role of non-profit, voluntary organizations in our social welfare state, but in the international network as well.

Persons with Disabilities↗
PubMed1987

[Adequate life style of the handicapped patient].

Eventually, the continuous medical care is decisive for the answer to the question, whether our medical progress will constitute an increment in quality of life or an increased burden for the individual and society. Essential is advanced analysis with respect to the changes of the social role of the elderly. Most helpful is a warm-hearted family bond.

Aged↗
PubMed1987

[Current status of after-care cures in oncologic patients].

Some 40 accredited aftercare clinics are available for inpatient cancer aftercare, since 1981 also for immediately post-acute treatment courses. These clinics are used for both, the frequent physical treatment aftermath from oncological diseases in the otological or gynaecological field, and for psychic stabilization when psychosocial problems arise. Participation in autogeneous relaxation training, yoga, and/or psychotherapeutic services are found to entail improved disease coping. Concrete patient care expectancies primarily center around movement therapy, lymphatic drainage (in breast carcinoma), speech therapy (in laryngectomees), pain control, but are also directed at psychosocial care in terms of achieving" inner calmness and relaxation". Given the age distribution seen, increasing the quality of life takes priority over restoration of the working capacity.

Aftercare↗
PubMed1983

Psychological aspects of spinal cord injuries--an important point in the outcome of rehabilitation.

With modern management of spinal cord injury, the mortality rate has reduced and life expectancy increased, and psychological and social counselling have become an integral part of the total rehabilitation process. Observation and exploration as well as some additional tests form the basis for a proper evaluation of the individual coping mechanism. Typical behaviour patterns are discussed and therapeutic approaches with specific indications, analysed. The most important issue, however, is the willingness of the family and the community to accept the disabled cocitizen as an equal partner in all activities concerned.

Adult↗