物理治療對居家個案疼痛介入之應用

Applications of Home-bound Physical Therapy on Pain Intervention

我國即將邁入高齡化社會，這也表示高齡者的身體機能與日常生活品質在持續下降，所以政府積極推動長期照顧十年計畫，其中包含居家復健服務，以維持或改善高齡者的身心功能，增進失能者在家中自主活動的能力，保障生活品質與尊嚴。而物理治療具備預防、評估、治療、復健、諮商、教育等功能，以預防及改善機能損傷與功能障礙為目的，為協助居家個案能恢復身體功能、促進生活品質、回到社會或適應疾病，應是醫療照護的最終目標，所以在跨專業醫療團隊討論中都認為疼痛控制是第一目標，因此本文將探討物理治療在居家個案疼痛控制上的應用與原則，提供給各專業間及家屬互相配合及運用作為參考。

Facing the population aging in Taiwan, the physical function and the life quality of the elderly continuously decline, so that the government promotes the ten-year long-term care program positively, which includes home rehabilitation services to maintain or improve physical and mental function of the elderly, enhance the abilities of independent activities for the disabled people, and ensure the quality of life and dignity. The functions of physical therapy are prevention, assessment, treatment, rehabilitation, consultation and education, and the purposes of physical therapy are to prevent and improve the impairments and dysfunction. Assisting patients at home to restore physical function, promote the quality of life, and back to the community or to adapt disease should be the ultimate goal of health care. In a multi-disciplinary medical team considered pain control to be the first goal, so this article will explore the applications and principles of home-bound physical therapy on pain control for providing references for the professionals and family members.