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Biomedical subjects

W Dern

Publications and source records attributed to W Dern.

8 recordsLinked to original sources

[Occupational choice and biography - biographical diagnostics as an approach to accessing the individual's perceptual horizons and resources in the context of vocational rehabilitation].

This contribution is focused on the core tenet that the process of choice of occupation must encompass in its everyday routines the disabled person's biography, his or her life experiences, biographical self-appraisals as well as action orientations. Unless this is achieved, its professional strategies and interventions will remain prone to missing, or even counteracting, the biographical resources as well as thinking and perceptions of its clients. Biographical Diagnostics is presented here as a method seeking to access the individual in the process of choice of occupation in an understanding manner. It constitutes a new concept in terms of a biography-based, hermeneutic case approach conceived for implementation in the everyday routines of vocational rehabilitation. Two case examples serve to explicate the method of Biographical Diagnostics and set out the relevancy of a biographical orientation in the process of occupational choice.

Adult↗

[Interdisciplinary cooperation in rehabilitation--problem solving following severe craniocerebral injury].

Therapy and rehabilitation of patients with craniocerebral trauma is particularly difficult to programme on account of the neuropsychological defects and personality changes found in this population. The Ulm rehabilitation hospital seeks to face up to this fact by intense interdisciplinary cooperation in the nursing and medical sector, the fields of logopaedics, Occupational Therapy, physiotherapy, immediate post-acute therapy including cerebral training, as well as the entire field of vocational rehabilitation. A dense time schedule has been established for graded introduction of the necessary therapeutic interventions in the sense of a therapy chain, with intense information flows among the therapists involved, thus ensuring a continuous process and joint adjustment of programming to the individual course, to new problems that may arise. The implementation of this concept is set out on the example of a young patient with craniocerebral injury, who had received treatment in various of our departments for a total of 12 months, finally bringing him up to the conclusion of his vocational education.

Adult↗

[Fitness assessment and work therapy in a Phase II facility--a case example].

A case example is used to set out the practice of vocational assessment and work adjustment in a medical-vocational, i.e. Phase II, facility. Formulated jointly by the rehabilitation team, the basic therapy objectives, by constant liaison with the employer, are differentiated in view of the future place of work and the performance required from the patient. The individual case serves to illustrate the effectiveness of this therapy approach intended to smoothen the transition from inpatient treatment to vocational reintegration.

Adult↗

[Adjustment to occupational reorienting within the scope of preparatory rehabilitation measures].

A phase II facility in the meaning of the federal government's action programme for the advancement of rehabilitation of disabled persons, the Ulm rehabilitation hospital offers a full therapy chain from acute treatment through to vocational rehabilitation measures. The range of services provided by the "vocational rehabilitation" department are oriented on the rehabilitees' individual potential, and are supported by a multitude of follow-along medical-therapeutic services. Experience over several years has lead to the conclusion that, obviously, comprehension and integration of the learning contents presented are not contingent on the individual's physical and intellectual capacities alone. A central determining factor for successful programme participation seems to be the personal coping strategy, closely linked with the rehabilitees' fundamental convictions and character. An attitude that attributes success to personal achievement can be contrasted with an attitude that views personal performance as being dependent on inapproachable outside influences, and an underlying optimistic attitude was found to correlate with successful outcome.

Adaptation, Psychological↗