Rehabilitation
In Denmark, traditional home care services are combined with a strong emphasis on rehabilitation and reablement.
Municipalities are required by law to assess if a citizen in need of home care services could benefit from a reablement course, which is a person-centred time-limited course, adjusted to the individual needs and capabilities. While home care staff would typically be involved in solving tasks for the citizens, the staff in everyday rehabilitation focus on empowering and motivating citizens to solve the tasks and everyday activities themselves. The citizens are enabled to remain independent and self-reliant for as long as possible. This has been documented to improve their perceived quality of life as well as significantly reduce their need for assistance and support.
Danish healthcare transformation relies on stronger primary care and municipal services, which reduce the need for hospital in-patient stays. Therefore, several rehabilitation services have been transferred from hospitals to the municipalities.
Physical rehabilitation: This may include rehabilitation of people with physical injuries or illnesses, such as stroke, cardiovascular disease, or musculoskeletal disorders. Physical rehabilitation can include various training programmes and techniques to improve the person's strength, coordination, and mobility.
Mental rehabilitation: This may include treatment and support for people with mental health problems, such as depression, anxiety, or stress. Mental rehabilitation may include conversations with a therapist or a nurse, group therapy, or other forms of psychological support.
Social rehabilitation: This may include support and training for people who have social functioning difficulties due to, for example, unemployment, loneliness, or abuse. Social rehabilitation may include social skills training, work capability assessment, or other forms of support.
Technology-driven solutions are important in honouring the ambition of both rehabilitation and reablement and include, among other things, intelligent and motivational rehabilitation equipment such as motion sensors and robots that help citizens train independently. Real-time feedback during training motivates citizens and reassures them that they are performing their exercises correctly. The feedback allows for accurately adjusted training and ensures that the process is fully documented. Both citizens and healthcare professionals can access information about the training programmes and monitor progress via an app.
For instance, a sensor-based technology by the Danish company Icura helps patients set rehabilitation goals and keep track of their activities. The programme improves self-empowerment, physical activity, and functional levels in daily life.