Medical and social rehabilitation.

Patient as an object of medical and social

rehabilitation.

Principles of rehabilitation: - early start of rehabilitation;

- stages of treatment: from the beginning to the end of disease; - consistency and continuity of treatment at all stages; - the complex nature of rehabilitation; - individuality of rehabilitation methods;

- accessibility; - return to active work; - continued treatment upon return to public labour; - the need for rehabilitation in the team together with other patients.

Periods of rehabilitation

- the hospital period included I rehabilitation stage - hospital (stationary,

hospital) - after- hospital period included stage II - polyclinic or rehabilitation stage - sanatorium period and phase III – dispensary observation.

The purpose of the medical-social examination

is to determine the existence of any fact, degree, or cause of

temporary disability and the need to take out patient from work.

Major agents of rehabilitation programs are: rehabilitation and treatment

(prevention and treatment) institutions rehabilitation and health institutions rehabilitation and prosthetic institutions.

For a view of medical help distinguish the

following rehabilitation and

medical institutions - specialized (cardiac,

neurological and others) - polyprofile (common type).

General contraindications for referral of patients to

rehabilitation hospital treatment: - all acute diseases;

- all chronic diseases that requires special treatment; - infection diseases of children before the end of isolation; - batsylocarrying; - all infection diseases of eyes, skin, malignant anemia, neoplasmas, cachexia, amyloidosis of internal organs, active tuberculosis of lungs and other organs; - patients with diseases of the cardio-vascular system in insufficiency form (higher than I grade).

Structure of centers (branches) of

rehabilitation: - diagnostic department: clinical diagnostic laboratory,

office of functional testing, X-ray room, etc.; - physiotherapy department: phototherapy, electrotherapy, hydrotherapy, mud therapy, inhalation therapy, massage; - physical therapy department: specialized rooms, classrooms of physiotherapy, pool, sports fields, outdoor yards; - department of social and occupational rehabilitation: room of home rehabilitation, employment workshops; - department of social and psychological rehabilitation: office of psychotherapeutist,

sociologist, lawyer, a speech therapist.

Members of the rehabilitation commission: - permanent members of the

commission: head office doctor, the doctor-patient account specialist, physiotherapist, doctor of physical therapy, doctor of functional testing, instructor of occupational therapy, a lawyer; - non-permanent members: if need other specialists are invited (related specialties, psychotherapist, etc.).

Functional duties of

rehabilitation commission: - development technology of implementation of "Individual

Rehabilitation Plan" (IRP) and transmission in a certain sequence of rehabilitation programs for structural and functional units for execution; - functional specification of the diagnosis during rehabilitation and prediction of rehabilitation; - correction, if necessary, methods of IRP; - IRP performance management through regulation and interaction succession in the rehabilitation of structural and functional units; - accounting treatment effectiveness: a comparison of the results of treatment with programmed; - analysis of rehabilitation activity, quality and efficiency of individual programs and identify measures for their optimization; - addressing disability (able to work without restrictions, with restrictions in volume, time or nature of productive activities, is temporarily unable to work, requires referral to Medical and Social Expert Commission (MSEC) to continue the sick list.

Rehabilitation - health institutions

- sanatorium (trade unions, departmental, regional submission); - preventive health centers.

Sanatorium

- specialized residential institutions in the system of spa treatment that uses climate-medical complexes, balneotherapy, mud therapy, etc.

Inhalation therapy

Inhalation therapy

used in sanatories for

recovery patients

with broncho-

pulmonary

pathology.

Talassotherapy

Used in sanatorium

treatment for recovery

and treatment of

patients with different

pathology.

Apitherapy

Used for treatment

diseases of

neurological nature,

different inflammatory

processes and also to

strengthen immunity.

Beer-therapy

Beer-therapy used for

treatment of patients

with deficiency of body

mass, to improve

appetite and for

recovering of vitality

forces.

Applications of paraffin

Used at pathology of

joints (inflammatory

and endocrine

character), at

diseases of

neurological

sphere.

Heat-therapy

Ancient method of

treatment diseases of

broncho-pulmonary,

joint, muscular

systems. A classic

example is a Finnish

sauna.

Infrared sauna -

modern method of

treatment and prevention of

following diseases:

overweight,

cosmetic problems,

low metabolism,

stress disorders, vegetative

dystonia.

Heat capsule isused for creation of concentratedheat of total and local character. It is used to decrease body weight, improveddischarge toxins from the body,increase metabolism,treatment of fludiseases, lowers thestress level

Massage

Massage is apart of physiotherapy.Used for variousdiseases of differentetiology. At thismoment are present a great quantity of different massage techniques.

Relaxation massage

Used for removing

stress of different

etiology, disorders of

sleeping and for

improvement of

general health

condition of a patient.

Often massage is

used for removing

various pain symptoms

of different etiologies

(pain of low back,

pinched sciatic nerve,

etc.).

Dolphine-therapy

The modern method ofphysiotherapy whichused in pathologies of the nervousand mental systems. AtUkraine dolphinariumsare located at Evpatoria, Feodosia,Sevastopol and Yalta.

Especially this method is

effective in treating children

with cerebral palsy, autism.

The process of treatment

happens in a game manner

with a dolphin that

improves emotional state of

the child.

Dolphins experiencedsource of pathology inchild's brain at the level ofbio-waves, they adjusting the radiation, acting on it in a complex manner (due to movement in the water, positive attitude to a child,correction source of pathology by radiation of bio-waves of their brain).

Horse therapy

Used in sanatorium

treatment at

pathologies of the

spine, female genital

sphere, emotional

disorders, diseases of

broncho-pulmonary

genesis.

Fermented horses milk treatment

Patients suffering from

tuberculosis often

appointed fermented

horses milk treatment (use

inside this milk). In East

Countries for this purpose

using milk of camels.

Fermented horses milk

has antiseptic and energy

properties.

Mud-therapy

The time-tested

method used in skin,

joints, bones diseases.

Often muds used in

cosmetic field

(Dead sea muds,

blue muds of the

Black coast).

Healing muds incosmetologyused for:skin problems,psoriasis, eczema, forrejuvenation andimprovement oftotal externallook.

Crio - therapy

The modern method of

treatment which is

used in following

diseases: low

metabolism, overweight,

skin diseases.

Often this methodpracticed a knownpeople (actors, pop-stars, politicians, TV presenters).Bruce Willis, Hollywood movie star, every morning plunges his face and head in a bucket of ice water with ice cubes, it is example of a primitivecrio-therapy.

Magnet-treatmentThis method is 3000 years old. It is created byancient Hindus.There are about 25schools in India now, which are Involved in magnet-treatment. Method issimple, does not causenegative consequences,can be used invarious fields of medicine.

Ultra – sound therapyUltra - sound

therapy is applied in

medicine as the purpose of

diagnostic and

treatment. Areas of

using: gynaecology,

internal medicine,

cardiology, urology,

surgery.

On the slide

demonstrated

method of treatment by

ultra-sound

arthritis of shoulder

joint of the patient.

SPA- treatmentIs part of a

modern physiotherapy.

Includes large range of

regenerative procedures of

different nature

(heat, cold, radial, mud,

massage, swimming,

beauty procedures, etc.).

Profiles of sanatoriums for

treatment of patients: - with diseases of the cardio- circulatory

system; - with diseases of the digestive system; - with respiratory diseases (non tbc. origin); - diseases of female (gynaecological sphere) - with diseases of musculo-skeletal system; - with skin diseases; - with kidney diseases and urinary tract; - with metabolic disorders.

Contraindications to spa treatment:

- acute illness; - diseases of internal organs in the presence of total organic and systems failure; - infections diseases, including sexually transmitted; - mental disorders, alcoholism, drug addiction;

- second half of pregnancy, all term of pathological pregnancy, status of abortion (the first menstruation), lactation; - inclination to bleeding; - cancer; - acute progressive forms of pulmonary tuberculosis and tuberculosis in the chronic period of dissemination and tendency to bleeding; - lack of patient ability to self-service.

Hydrotherapy

Hydrotherapy is a

large segment in

physiotherapy. Is used

for various pathologies

of neurological,

rheumatic,

traumatological

character.

Hydromassage

Hydromassage ispart of hydrotherapy.Used in endocrine pathology (obesity,lowered metabolism),preventiondepressions of differentgenesis, variouscosmetic defects.

Practicing hydro-

massage, we

must remember, that

we can not direct the

stream of water on the

regions of

face, mammae glandulas,

genitals, proctology

area.

Treatment bathsTreatment baths - are

the part of hydrotherapy.

There are different types of

treatment baths : to the

water that fills them, we

adds various healing

substances, gases,

extracts from plants,

salts.

Healing showers

Healing showers

used in physiotherapy

for different purposes:

excitation, relaxation,

massage, increasing

overall resistance

of the organism.

Stimulation of sanogenesis

 Kinetic-, Physio-, Aku-, Manual therapy

-Chrono, Psychosomatic Bioresonance therapy Homeopathy

Diet - Fito-, Api-, Efferent-, Microecological therapy

Physical circle Information circle Chemical circle

Benefits of Natural medical factors

have a positive impact in acute and chronic diseases directed treatment influence over the whole body stimulation of sanogenetical mechanisms, reducing conversion of acute forms in chronic diseases possibility of combining with all the existing treatments.

Complementary methods

Phytotherapy

       Homeopathy

              Reflexology

                     Manual therapy

                            Nutritiology

                                Psychosomatic Therapy

                                        Efferent therapy

Eat a sufficient but not excessive amount of food containing carbohydrates such as bread, pasta, rice, potatoes, fruits.  Vegetables can be consumed without restrictions. Should reduce the amount of fat and limit or decrease salt intake, especially if high blood pressure is present.

Appropriate regime of nutrition

Thank you for attention!