Proefschrift

Chapter 5 54 Figure 5.2 Four basic elements of PROMETHEUS. Aftercare Aims Identification Guide (AAIG) The AAIG helps to classify patient-defined treatment aims at the activity level (therapy milestones) aimed for during the recovery process. The classification embodies five areas of the ICF classification: mobility, self-care, domestic life, major life areas and social and civic life. The early rehabilitation phase, which primarily aims at stance and ambulation, is subdivided into several sub-phases, of arbitrary length, i.e. with a certain bandwidth, during which weight bearing on the fractured leg is gradually increased with a simultaneous decrease in the use of mobilization-supporting aids, like hydrotherapy, bars or crutches. The change from one sub-phase to the next is gradual and depends on the effectiveness with which the activity is performed by the patient, based on criteria defined in the protocol. Once a therapy milestone has been reached, it is marked and time-stamped in the AAIG, thus providing an overview of the progress of weight bearing at the activity level and the progress of the patient’s functional activities. This also enables the therapist to correlate information on the achievement of specific milestones to therapy effects recorded in the Treatment Evaluation Guide (TEG) (see below) and to the possible occurrence of complications. Table 5.1 presents an overview of the AAIG.

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