The purpose of rehabilitative intervention is “to gain health”, in a perspective that considers the person with a disability and participation limitation no longer as “ill” but as a “person with rights” (2002 Madrid Conference, the European Year of the disabled person).
Therefore, the rehabilitative intervention task is to define the “person” and then carry out all the necessary health interventions to allow this person, in the real empowerment perspective, to reach the highest possible level of functioning condition and participation, taking into account his own will and his circumstances.
The Individual rehabilitation project (IRP) represents the specific synthetic and organic equipment, unique for each person, defined by the rehabilitation specialist doctor together with the other professionals involved. The essential elements are always given with complete information. The person involved, his family and life circumstances are knowingly and actively taken into account with regards to the choices and interventions. The interventions deriving from the rehabilitative project which are centred on various detected problems, require a systematic performance evaluation and definition of the aim and procedure indicators in order to verify the expected end result.
The IRP, applies the parameters of impairment, the movement and social participation listed in the International Classification of Function (ICF), it defines the prognosis, expectations and patient’s priorities and that of family members; the project is shared with the patient and when possible also with the family and caregivers; it defines the adequate and appropriate characteristics of the various interventions as well as the health care conclusion in relation to the results achieved.
(Based on: Ministero della Salute, Piano d’indirizzo per la Riabilitazione Gruppo di Lavoro sulla Riabilitazione, 2011)