62. CCA Study Notes: Rehabilitative and Restorative Care Goals and Whole-Person Focus

The Big Picture

The goals of rehabilitative and restorative care depend on the client’s condition. Many clients want to rely less on others and become more independent.

The goal will not look the same for every client. One person might work toward returning to a former level of function. Another might improve certain abilities, learn new skills, or prevent further health problems.

Restorative care also looks at the whole person. Physical health matters, but emotional, social, intellectual, and spiritual health matter too.

Look for Nova Scotia CCA Notes throughout this page for current provincial guidance.

Quick tip: Tap, click, or press Enter on any term with a dotted underline and an ⓘ icon to see its plain-English definition.

Jump to:

Course Notes: Key Ideas You Need to Know

Rehabilitative Care

Rehabilitative care is the process of helping a person reach the highest possible level of functioning through therapy, exercise, and other methods.

It can focus on maintaining function or slowing a decline in function. Its goals include supporting the client’s quality of life and independence.

Restorative Care

Restorative care focuses on preventing health deterioration and maintaining or improving quality of life. It also aims to restore the client toward their previous functional level as much as possible.

The Four Main Goals

Rehabilitative and restorative care goals are based on the individual client’s condition. The goals may include four main areas.

1. Restore Function to Former Levels

Some clients work toward returning to the level of functioning they had before an illness or injury.

Full restoration is the goal for most clients with acute or temporary conditions. For example, a person recovering from a simple leg fracture might work toward full recovery.

2. Improve Functional Abilities

Returning completely to a former level of function is not possible for every client.

In these situations, the goal is to improve abilities as much as possible. A client might work on mobility or become more independent with activities of daily living, ADLs.

3. Learn New Skills

A client might need new skills to adjust to a disability or limitation.

For example, a person who loses the ability to speak after removal of the larynx might work on another way to communicate, such as sign language.

4. Prevent Further Disability and Illness

Care can also focus on preventing complications that cause more disability or illness.

Immobility can lead to pressure ulcers or contractures. Supported preventive measures include:

  • proper skin care
  • exercise and activity
  • good alignment
  • frequent repositioning

Rehabilitation Goals Depend on the Client

Different conditions lead to different rehabilitation goals.

A client with hemiplegia, paralysis of one side of the body, might need to maintain current range of motion, ROM, adapt to a wheelchair, and perform self-care.

A client recovering from cocaine addiction might have goals of restoring healthy physical and psychological functions and preventing relapse. The client will learn to avoid situations where drugs are present and will be encouraged to join Narcotics Anonymous, NA.

A client who has had a heart attack might have the goal of preventing another heart attack. The rehabilitation program should include counselling that recommends exercise, healthy eating, and stress management techniques.

A client who has had a stroke might need to restore function and learn new ways to communicate. Preventing another stroke through medication, exercise, and a healthy diet is also a goal. The family needs to learn how to help with the client’s care.

A client recovering from a hip fracture might work toward returning to former functioning and remaining in their own home. The client also needs to take measures to prevent another fall.

Rehabilitation in Older Clients

Rehabilitation often takes longer for older clients.

Age-related changes can affect:

  • healing
  • mobility
  • vision
  • hearing
  • other functions

Older clients often have chronic health problems that slow recovery. They are also at risk for injuries.

Older clients do not tolerate long or fast-paced rehabilitation programs. Their rehabilitation is therefore usually slower.

Restorative Care When a Client Is Too Weak for ADLs

Some clients are too weak to perform their activities of daily living, ADLs.

Restorative care may include measures that promote:

  • self-care
  • elimination
  • positioning
  • mobility
  • communication
  • cognitive function
  • prevention of unnecessary decline in function

Restorative Care Looks at the Whole Person

Illness and disability can affect several areas of a client’s health.

Restorative care addresses the whole person instead of focusing only on physical function. The main dimensions include:

  • physical health
  • emotional health
  • social health
  • intellectual health
  • spiritual health

Physical Health

Physical health includes the client’s condition and ability to perform ADLs.

Professionals assess these areas during rehabilitation. The client, family, and caregivers continue to monitor them.

Physical restorative care can include:

  • preventing complications
  • performing ROM exercises
  • learning or relearning self-care skills
  • learning or relearning mobility skills

Clients rebuilding joint and muscle strength and function often experience pain.

An important part of rehabilitation is learning to cope with physical pain without misusing or becoming addicted to opioid pain relievers, alcohol, or nonprescription drugs.

Emotional and Social Health

Illness and disability can affect emotional and social well-being.

Professionals can assess these areas. Support may include family counselling and help with returning to the community or workplace when needed.

Intellectual Health

Intellectual health includes areas such as:

  • thinking
  • speech
  • memory
  • organization

These areas are assessed. Measures to improve cognitive functioning are planned.

Spiritual Health

Spiritual health forms another part of whole-person care.

Counselling from spiritual advisors is provided as needed.