Cjelovit pristup rehabilitaciji u seronegativnim spondiloartropatijama
| Autor: | Rajko PAVLOVIĆ |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: | |
| Zdroj: | Fizikalna i rehabilitacijska medicina Volume 21 Issue 1-2 |
| ISSN: | 1848-171X 1846-1867 |
| Popis: | Načela cjelovitog (sveobuhvatnog) pristupa rehabilitaciji odnose se na sve vrste onesposobljenosti pa tako i reumatske bolesti. Dani su ICF/MKF modelu koji razrađuje bio-psiho-socijalni pristup rehabilitaciji. U sklopu SNSA, ankilozantni spondilitis je bolest kod koje je rehabilitacija najpotrebnija. U našoj ustanovi provodi se timski, interdisciplinarno u sklopu bolničkog liječenja. Redoviti članovi tima su fizijatarreumatolog kao liječnik, voditelj tima, fizioterapeut, radni terapeut i viša medicinska sestra. Po potrebi se uključuju liječnici ostalih profila (ortoped, internist, neurolog) te psiholog i socijalni radnik. Članovi tima sastaju se jednom na tjedan u zajedničkoj viziti. Najvažniji aspekt rehabilitacije je održavanje funkcionalnog statusa na najvišoj mogućoj razini. Od fizikalnih terapija primjenjuje se kineziterapija u dvorani i bazenu, elektroterapija, balneoterapija. Radni terapeut ima posebnu ulogu u dizajniranju aktivnosti svakodnevnog života. Osobito treba naglasiti edukacijsku i motivacijsku ulogu cijelog tima kako bi bolesnik aktivno sudjelovao u redovitom vježbanju, pri čemu se posebno preporuča plivanje. Principles of comprehensive rehabilitation are universal and can be employed in all kind of disabilities, rheumatic diseases included. They are presented in ICF model that elaborates the bio - psycho - social approach to rehabilitation. Amongst seronegative pondyloarthopathies, ankylosing spondyltis is a disease that requires the most intensive rehabilitation. In our hospital it is conducted interdisciplinary by a team of experts as a part of medical treatment. The team consists of the following permanent members: physioterapist, occupational therapist, nurse in rehabilitation and physician (physiathrist - rheumatologist) as the team leader. Occasionally, when needed, doctors of other medical profiles are included in the team, such as: physicians of another specialty, (orthopedist, internist, neurologist), psyhologist and social worker. The members of the team attend a meeting every week. The most significant aspect of rehabilitation process in Rheumatology is keeping functional status at the highest level possible. In range of physical therapy we use exercise therapy (both indoors and in swimming pools), electrotherapy and balneotherapy. The aim of occupational therapy is to educate the patient in proper conducting of ADL activities. Educational and motivational role of all members of the team is highly important in the process of therapy, as it is necessary to ensure patient’s regular exercise. Swimming is the most recommended form of exercise/recreation. |
| Databáze: | OpenAIRE |
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