01.Medical rehabilitation

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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!
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