Retrospective study of inpatient patient records of the Center for comprehensive rehabilitation of disabled people "Butovo"

Abstract

BACKGROUND: The problem of medical rehabilitation/habilitation of patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays is extremely relevant. The article analyzes the comprehensive care for this category of patients on the basis of the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo".

AIM: analysis of the volume and methodology of prescribing physical factors in the provision of medical and social services to patients at the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo".

MATERIALS AND METHODS: In 2021, based on archival data for 2019–2020 an assessment was made of the conduct of socio-medical rehabilitation at the State Budgetary Institution Center for Comprehensive Rehabilitation of the Disabled "Butovo". The observation unit is represented by stationary patient charts.

RESULTS: The study revealed a sufficient volume and correct methodology for prescribing physical factors to patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays. At the same time, the absence of an adequate goal of rehabilitation/habilitation was noted. The goals that were set for patients were often unrealizable, non-specific, not defined in time, or not related to the needs of the patient himself.

CONCLUSION: A unified comprehensive approach is needed to assess the condition, identify needs and implement rehabilitation measures for patients with diseases of the nervous system, mental disorders, congenital anomalies and developmental delays. It has been determined that in this category of patients it is advisable to apply the International Classification of Functioning, which will allow one to concentrate on the necessary areas of diagnostics, select the necessary diagnostic tools, identify and link functional disorders and disability to each other, determine the areas of intervention of different specialists, unite specialists into one team with overall goal of rehabilitation/habilitation.

Keywords

medical rehabilitation / habilitation / physical therapy / International classification of functioning, disability and health / ICF / autism spectrum disorders

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