Means of rehabilitation

Today, due to the increase in pathological, chronic and acquired diseases, the most important task of modern society has become to provide assistance to the disabled and the elderly. A significant role in the rehabilitation of patients is assigned to medical institutions that allow patients to adapt to new conditions of life in society.

Basic principles and conditions of rehabilitation

New means of medical rehabilitation help to solve such a problem as the social and labor incapacity of a sick person. In the absence of the possibility of complete restoration and normalization of the impaired functionality of the body, compensatory-substitutive methods are used. For the organization of treatment and adaptation of the patient, the following are used:

1.      Accurate diagnosis of emerging disorders.
2.      adaptive capacity of the body.
3.      Control over the emotional state of a person, his ability to withstand stressful situations.
4.      The effectiveness of medical and physiotherapeutic treatment is evaluated.
5.      An assessment is made of the severity of the pathology and the possibilities of the body's resources.

Means of rehabilitation are prescribed after an objective assessment of the pathological and psychological state. The examination is the main indicator for establishing the level of physical defects and damage to the functional organs of a person. Depending on the patient's state of health, treatment begins with an inpatient or day department and continues at home.

A person, in order to improve well-being, in addition to medical correction, receives physical, mental, social therapeutic effects. The complex of therapeutic and restorative agents slows down the development of the disease in its early stages. The full functionality of the body is restored and the patient returns to normal living conditions, everyday work processes, and studies.

Features of the recovery process

Professional treatment technology helps a person with disabilities to maintain confidence and joy in life, restore working capacity in everyday life and society. The importance and usefulness of a medical remedy for the recovery and rehabilitation of patients with a congenital disease is the prevention of its further development, the occurrence of complications and relapses.

Rehabilitation treatment is based on psychological, social and ethical principles. Innovative scientific achievements have contributed to the emergence of new treatment methods, these are:

• constructive, plastic surgeries, transplants;
• therapeutic gymnastics, massage;
• kinesitherapy, cryotherapy, manual therapy;
• psychological and speech therapy assistance;
• physiotherapy treatment, electrical stimulation.

To enhance the effect of the main means of rehabilitation, professional medical centers carry out a medical-pedagogical and educational process, improve the physical qualities of the patient, increase their emotional stability, and create an atmosphere of psychological comfort around the patient.

Provision of technical means of rehabilitation

Activities aimed at the treatment of people with disabilities include the use of technical means of rehabilitation and medical supplies. The decision to provide the patient with technical means is made on the basis of a medical opinion caused by the disease as a result of injuries or congenital defects.

Special products, equipment, sports equipment, movement equipment compensate and eliminate persistent limitations on the life of a disabled person. Goods for self-service, care, communication and exchange of information, training, education, employment under the law are provided without financial costs at the place of residence by authorized state authorities.

The technical means include veterinary care for guide dogs, for the maintenance of which the state allocates an annual monetary payment, taking into account inflation. Today, there is a wide range of rehabilitation aids for bedridden patients. Special rehabilitation simulators and structures help restore limb mobility, blood circulation, avoid muscular dystrophy, and reduce disability to a minimum.

Medical products for bedridden patients such as anti-decubitus mattresses, beds with adjustable sections for changing the position of the patient, wheelchairs simplify patient care during the recovery period. Modern technical products for rehabilitation can be selected on specialized sites on the Internet.

Conditions for obtaining TSR

In accordance with the legislation “on the social protection of the disabled”, people with disabilities have the right to receive TMR free of charge at the expense of the state budget. In order to receive a technical means for rehabilitation, the Executive Social Insurance Fund must provide:

• application and certificate of residence;
• a document confirming the identity of the patient;
• individual treatment program;
• conclusion of the medical advisory commission.

All documents certified in accordance with the established procedure are sent by mail or in electronic form through the Unified Portal of Public Services. The application and certified copies of material media are considered within 15 days. Upon the expiration of the period, the disabled person receives a written notification informing him of his registration with the provision of TMR and the right to receive it free of charge in one of the organizations selling medical equipment.

The authorized body issues a coupon or a nominal referral for unpaid travel to the location of the organization, providing TSR for free use, without the right to sell or donate to third parties.

When the patient independently purchases a disabled device, adhering to the approved Order by the Ministry of Health, monetary compensation is issued to the patient, according to the submitted application. The amount of compensation is established by the authorized body and paid by postal order or transfer of funds to a bank account.

Professional service mechanism

The purpose of rehabilitation medical centers is both the restoration of the health of patients and its prevention. The assistance provided to eliminate the consequences that led to a health disorder is carried out according to an individually drawn up program, which includes a clear plan, schemes for joint actions of a disabled person and a team of specialized doctors.

The developed recovery program includes:

1. Informing and consulting on issues of social adaptation.
2. Familiarization of relatives and the patient with the treatment regimen.
3. Acquisition of self-service skills when using TCP.
4. Mastering the skills and knowledge of hygiene.
5. Mastering the basic forms of the surrounding social environment.

All highly qualified medical personnel, being responsible for the effectiveness of treatment, regularly undergo special retraining, mastering new well-tolerated, safe methods and technologies. The health of patients, regardless of their age, the nature of the disease, the timing of the procedures, their sequence and impact on the body, allows patients to return to everyday, social, professional activities.

Rehabilitation centers and institutions, regardless of their form of ownership, are annually qualified. Information on the result of the certification of medical organizations that have received the right to provide rehabilitation services is posted on the website of the Ministry of Social Development.

Rehabilitation assessment

The effectiveness of restorative measures is evaluated by doctors at the end of treatment, confirmed by instrumental methods. A positive result of rehabilitation is the complete or partial return of the physical, psychological, social functions of the patient. The final course of intensive recovery is a certain period of maintaining the stability of treatment at home.