|Sai Rehabilitation Programme
The Sai Rehabilitation Programme is a unique outreach programme for patients discharged from Sri Sathya Sai Institute of Higher Medical Sciences (SSSIHMS), Prasanthigram, after a cardiac procedure or surgery with focus on patients who have undergone valve replacement surgeries for effective valve maintenance. The programme approach is a truly holistic one, which includes overseeing medication, rehabilitation and integration into society, and as close as possible to the life they were leading before treatment.
The programme was initiated at SSSIHMS, Prasanthigram, on February 16, 2008 with the blessings of Bhagawan Sri Sathya Sai Baba and the effective supervision of the programme by Dr. A.N. Safaya, the Director of SSSIHMS, Prasanthigram.
The Sai Rehabilitation Programme is unique in that it is not only an outreach programme but also contains three levels of counselling, namely, physical, emotional (counselling before surgery) and spiritual (post-discharge) for enhanced quality of life and efforts to integrate the individual back into the family and society and rehabilitate him/her for assumption of a useful role.
To ensure that the patient has easy access to all the above factors for the duration of the rehabilitation programme, the tertiary care centre of SSSIHMS, Prasanthigram, works in tandem with the Sri Sathya Sai Seva Organisations at the State and District levels for implementing the programme.
Medical monitoring and management are the key issues. Hence SSSIHMS has taken the lead role in program formatting and implementation with the SSSSO providing local volunteer doctors and other support staff in every district.
This programme is specially structured to cater to the large segment of rural and semi- urban patients with low literacy and economic status to create awareness to follow a structured lifestyle after surgery or intervention. Further, a long term surveillance rehabilitation to help the patients maintain lifestyle changes, life-long medication compliance and improve their quality of life.
Patient counselling the Sai way
In-house patient counselling provides an emotional and spiritual support to a patient complementing the primary role of the doctor, nurses, physiotherapists, dieticians and other medical staff in treating the patient issues.
Methodology of patient counselling
1. Empathy and action
2. Emotional support
3. Fostering Spirituality
All efforts are made to reach out to the admitted patients in their local language and to fit in to the local culture and patient’s lifestyle.
Efforts are also made to highlight the regimen and instructions given by the treating doctors and ward nurses, with special attention to patients who have under gone catheter based procedures and cardiac surgeries.
In addition, the counsellors interact with the patient and relatives to impress upon them, the necessity for life-style changes like stopping smoking, drinking alcohol, avoiding irregular, heavy and fried foods, regular exercise as tolerated, periodic medical check-up and dietary changes as advised by the dietician.
In cases where valve maintenance is required, special attention is devoted to make the patient understand the anti-coagulant regimen.
Finally, the importance of prayer and meditation is highlighted to the patient and relatives, in their own language, in the reduction of negative emotions like fear, anxiety, worry and anger and promotion of tonic emotions like courage, peace, happiness and love.
Brief calendar of events
1. An orientation workshop on Sai Rehabilitation Programme was held on February 16, 2008, in the SSSIHMS, Prasanthigram, for the benefit of doctors, state and district level functionaries of Sri Sathya Sai Seva Organisation, Andhra Pradesh, under the chairmanship of Dr. A.N. Safaya, Director SSSIHMS, Prasanthigram, with inputs from departments of Cardiology, Cardio-Thoracic and Vascular Surgery and Dietary.
2. The in-house patient counseling services cell consists of three members and started functioning from June18 ,2008, for patients — post – admission and post – discharge after cardiac surgeries and cath interventions, with a focus on valve maintenance protocol after valve replacement surgeries and necessary life-style modifications for all patients - Andhra Pradesh, Karnataka, and Kerala, currently under ‘Sai Rehabiitaion Programmes’, as well as other states not covered under SRP as yet.
3. SRP- Kerala was initiated on September 09, 2008, at the SSSIHMS, Prasanthigram, with an orientation workshop for the benefit of doctors and paramedics and functionaries at State/ district levels, where over 60 participants.