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!