Definitions

Definition

Therapeutic activating nursing refers to individuals requiring care and forms the basis for the development of physical, mental, emotional, and social abilities. It incorporates existing abilities and skills, placing them in a meaningful context. Therapeutic activating nursing is characterized by a relational process involving targeted measures and activities. Interventions within therapeutic activating nursing, as well as their objectives, are planned, implemented, and evaluated in the process together with patients, the team, and their relatives.

Therapeutic activating nursing encompasses the relational level and action competencies under the following aspects:

• the assessment of self-care ability and self-care needs
• guidance, counseling, support, and assistance in managing all daily activities, considering the goals of the person receiving care
• adaptation to the current situation
• strengthening motivation for self-activity and autonomy
• the design of movement transitions and positions to enable the person receiving care to experience movement
• the deepening and consolidation of action sequences through repetitions within everyday situations
• individual support and promotion of self-responsibility

Facilitation is a technique that serves the interactive learning process to facilitate and enable neuromuscular function or daily activity (BIKA®; 2015 (based on IBITA 2008).

Goals of Facilitation

• Initiation or motor control of movement for daily activities
• Support of sensorimotor learning through the provision of various movement experiences
• Promotion and integration of the patient’s movement activity during nursing interventions

Facilitation is carried out through the specific use of tactile information in sensorimotor dialogue. Facilitation can be aided by verbal input, the targeted design of the environment, or the setting of a task. Facilitation includes an evaluation of the outcome. This may result in an adjustment of the intervention.

Facilitation is a professional competence that aims at directly influencing the central nervous system positively for sensorimotor learning, thereby inviting the patient to a selective movement strategy through improved postural control.

As a distinctive feature of the Bobath Concept, facilitation is employed by the interdisciplinary team for the therapeutic activation of patients.

Definition

Daily life – refers to the constantly recurring routines of an individual for self-care and individual personal lifestyle, depending on their emotional situation and personal background. Activity – is the conscious or unconscious motor and/or cognitive action.

In the context of therapeutic activating nursing, daily activity means that nursing staff are aware of the individually significant routines of a person for self-care or personal lifestyle within a nursing setting. Within therapeutic activating nursing, these significant routines represent the goals. To achieve the best possible independence, these goals must be utilized in terms of task orientation.

Definition

Every daily-oriented action has an individual meaning and can be performed in different ways. The task prepares postural control/balance for movement. An individual’s motivation threshold, along with their specific prior experience, prepares and initiates movement. The central nervous system selects a strategy for solving an everyday action.