General principles of service provision
HNRC’s mission and the main goal of our treatments is to restore/enhance/maintain the patient’s/client’s independent daily living and (re)integration into society by making use of their greatest potential.
In order to achieve the aforementioned goal in the best possible way, we follow certain principles in our work the brief description of which is given below.
The implementation of the team-based and patient-/client-centred approach is multi-disciplinary and employs our professional knowledge, skills and experiences while taking into account the patient’s/client’s particularities and needs, and the problem in question.
Targeted action requires the problems to be adequately recognized and prioritized so they can be used to establish multi-level objectives.
The objectives are based on the patient’s/client’s subjective evaluation of their own independence and quality of life, and on the information gained using evidence-based assessment instruments.
HNRC uses the FIM® instrument to evaluate the rehabilitation process as a whole, but the assessment instruments that depend on the patient’s specifics differ from profession to profession. The evaluation results, problems and goals, and all the achieved outcomes are documented in the patient’s/client’s case record. The goal(s) for the treatment period are always made known to the whole team, including the patients/clients and the people closest to them.
In view of the history of Estonian society and our people’s prevailing experiences with and attitudes towards medicine and rehabilitation – most of which are defined by passive orientation, the so-called „cure me” mentality – the empowerment of patients/clients has become an integral part of our activities.
The empowerment in our hospital is characterized by two key concepts: the principle of equal support and inclusion.
According to the principle of equal support, an integral part of the rehabilitation process is contact with people who share the same experience both directly in a communicative situation and indirectly while using the same resources like rooms (wards, therapy rooms, dining area, etc.) or time (the time spent participating in therapeutic activities as well as free time).
This notion of common time and space is kept in mind when assigning patients/clients to rooms, organizing therapy and care (eating in the dining area as soon as possible, participating in therapeutic activities in the therapy rooms, etc.), creating leisure activities for the patients (snooker, common recreation areas, cafeteria, etc.).
Inclusion is the involvement of patients/clients and the people closest to them in the treatment process in order to ensure that the patients/clients are properly informed and able to make informed decisions and enable the situation to be adequately assessed so that objectives can be established. For the inclusion to work, each staff member should try to activate and motivate the patient/client in every possible situation.