Medical rehabilitation in the conditions of the branch of JSC “LOK“ Okzhetpes” “Almaty”

2 september 2019
Medical rehabilitation in the conditions of the branch of JSC “LOK“ Okzhetpes ”“ Almaty ”- these are rehabilitation programs developed according to modern international standards;
programs based on the experience of scientific and clinical centers of near and far abroad;
programs adapted to the unique natural advantages of the sanatorium and the available modern facilities;
programs that include a medical assessment of the patient’s functional state, physical exercises (training), modification of cardiac risk factors, training and counseling of patients, based on individual exercise tolerance.
 
Rehabilitation programs at Almaty Resort:
 
  1. Cardiorehabilitation No. 1 (after aortocoronary, mammary coronary artery bypass grafting, operations on the valvular apparatus of the heart)
  2. Cardiorehabilitation No. 2 (after myocardial infarction, stenting)
  3. Cardiorehabilitation No. 3 (with stable angina pectoris, arterial hypertension, chronic heart failure)
  4. Neurorehabilitation (after acute cerebrovascular accident, after surgery on the brain, after traumatic brain injury)
  5. Rehabilitation of patients with diseases of the musculoskeletal system (osteochondrosis, protrusions and hernias of the spine, scoliosis, joint injuries, after joint replacement - on the rehabilitation apparatus Red Cord, Artromot K1, SP3, S 3, F and on the Bubnovsky simulator)
  6. Rehabilitation for diseases of the gastrointestinal tract (gastritis, duodenitis, peptic ulcer, pancreatitis, biliary system diseases, chronic hepatitis)
  7. Rehabilitation for respiratory diseases (bronchial asthma, chronic obstructive bronchitis, pneumonia convalescence)
  8. Rehabilitation of patients with diseases of the endocrine system (obesity, hypothyroidism, thyrotoxicosis, diabetes mellitus)
  9. Rehabilitation of patients with allergic dermatitis, atopic dermatitis
  10. Contrast diets, detox cleansing programs

Cardiorehabilitation.

Programs consisting solely of physical training cannot be considered cardiological rehabilitation. Comprehensive care for a patient with heart and vascular disease is recognized by the fact that he applies cardiological rehabilitation / secondary prevention programs to his comprehensive programs. To this end, the principle of a multidisciplinary approach and a multidisciplinary team has been developed at all stages of the provision of cardiological rehabilitation care. This implies the interaction in the medical rehabilitation process of various specialists. The staff of specialists in cardiac rehabilitation consists of cardiologists, rehabilitologists, psychotherapists, nutritionists, physiotherapists, functional diagnostics doctors, exercise therapy instructors, nurses and others. A cardiologist plays a leading role in this team. Accordingly, in neurorehabilitation, a leading role in a multidisciplinary team is assigned to a neurologist; in rehabilitation for diseases of the gastrointestinal tract - to a gastroenterologist, etc.
 
A multidisciplinary team ensures balanced decisions and patient management on a multidisciplinary basis: sets goals, develops an individual rehabilitation program, carries out ongoing medical monitoring and a range of rehabilitation measures, determines the need, duration, sequence and effectiveness of each specialist's participation at every specific moment of rehabilitation time.

 Cardiological rehabilitation includes the following elements:

  1. Assessment of the clinical condition of the patient;
  2. Optimization of pharmacological treatment;
  3. Physical rehabilitation - a stepwise and controlled increase in physical activity, adapted to the individual capabilities of a person;
  4. Psychosocial rehabilitation, the purpose of which is to teach the patient to help himself in stressful situations, emotional states, such as fear and / or depression, to develop the ability to psychological adaptation to the consequences of the disease;
  5. Diagnosis and control of risk factors for coronary heart disease;
  6. Lifestyle changes;
  7. Training of patients and their relatives;
  8. Monitoring the effects of Raman.
In recent years, the number of patients referred for coronary bypass surgery has changed significantly. The number of patients with critical multivascular damage to the coronary arteries, the so-called "compromised distal bed", increased; complicated forms of coronary heart disease - with extensive cicatricial myocardial changes; dysfunction of the valvular apparatus of the heart, severe circulatory failure; severe concomitant pathology - diabetes mellitus, malignant arterial hypertension with damage to target organs, multifocal atherosclerosis, cerebrovascular disease, renal failure.
 
In patients with a cardiac surgical profile, characteristic complex syndromes are revealed: cardiac, post-sternotomy, respiratory, hemorheological with impaired microcirculation, psychopathological, hypodynamic, metabolic and postphlebectomy. The above facts actualize the problem of effective postoperative rehabilitation, therefore, we offer a separate program Cardiorehabilitation No. 1 after aortocoronary, mammary coronary artery bypass grafting, operations on the valvular apparatus of the heart.
 
The main principles of the cardiological rehabilitation system are:
-Stage;
-Multidisciplinarity validity;
-individuality;
-continuity;
-availability;
-orientation;
-informed patients and the formation of the correct goals of expectation from rehabilitation care.
 
Phased treatment in cardiac rehabilitation can reduce the percentage of disability, reduce the length of stay on the disability sheet, the number of repeated acute myocardial infarction and myocardial revascularization, the number of serious clinical complications (rest angina pectoris, chronic heart failure, arrhythmias).
 
Cardiac rehabilitation reduces the frequency of hospitalization due to exacerbation of coronary heart disease during the first year, reduces mortality from cardiovascular diseases, increases the ten-year survival of patients after acute myocardial infarction, increases the percentage of motivated patients (giving up bad habits - smoking, adherence to pharmacotherapy, combating factors risk), improves the quality of life of patients due to a significant increase in the functional reserve and rehabilitation potential.
 
The material was prepared by the head of LRO
G. Tulepbergenova.
 
For rehabilitation, call the phone number:
+7 727 300 35 00
+7 701 355 18 16

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