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 medicalsocial 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 climatemedical complexes, balneotherapy, mud therapy, etc. Inhalation therapy Inhalation therapy used in sanatories for recovery patients with bronchopulmonary 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 is used for creation of concentrated heat of total and local character. It is used to decrease body weight, improved discharge toxins from the body,increase metabolism, treatment of flu diseases, lowers the stress level Massage Massage is a part of physiotherapy. Used for various diseases of different etiology. At this moment 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 of physiotherapy which used in pathologies of the nervous and mental systems. At Ukraine dolphinariums are 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 experienced source of pathology in child's brain at the level of bio-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 biowaves 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 in cosmetology used for: skin problems, psoriasis, eczema, for rejuvenation and improvement of total external look. Crio - therapy The modern method of treatment which is used in following diseases: low metabolism, overweight, skin diseases. Often this method practiced a known people (actors, popstars, 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 primitive crio-therapy. Magnet-treatment This method is 3000 years old. It is created by ancient Hindus. There are about 25 schools in India now, which are Involved in magnettreatment. Method is simple, does not cause negative consequences, can be used in various fields of medicine. Ultra – sound therapy Ultra - 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- treatment Is 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 is part of hydrotherapy. Used in endocrine pathology (obesity, lowered metabolism), prevention depressions of different genesis, various cosmetic defects. Practicing hydromassage, we must remember, that we can not direct the stream of water on the regions of face, mammae glandulas, genitals, proctology area. Treatment baths Treatment 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 Physical circle Kinetic-, Physio-, Aku-, Manual therapy Information circle -Chrono, Psychosomatic Bioresonance therapy Homeopathy Chemical circle Diet Fito-, Api-, Efferent-, Microecological therapy 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 Appropriate regime of nutrition 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. Thank you for attention!