Prezentare Montecatini

7/29/2019 Prezentare Montecatini

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OLGA SURDU

SIBEL DEMIRGIAN

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In BRST elderly patients are admitted with a

referral letter from their general physicians or

with a balneal ticket from National House of

Pension Patients scheduled for a physician will present

the documents at the admissions committee

The admissions committee is composed from

two specialist s in Rehabilitation whoestablished at the same time contraindications

for balneal cure

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• If the patients does not have contraindicationswill be registered by the admissions office

• After accommodation they go to physician for acomplete medical examination

• The physician get the patient’s medical historyand perform a general and specificmusculoskeletal exam

• After that physician asseses the laboratory tests,

radiological results, he diagnoses the patientand establishes the rehabilitation plan

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• Local examination of osteoarticular systemincludes: articular and muscular evaluationand patient assessment using differentscales, depending on pathology

• For patients with uncertain diagnostic thephysician recommends laboratory tests,radiologic examination or rheumatologicconsult

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An initial consult is recommended forpatients with gynecological affections fordiagnosis and treatment with specific factors

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Balneal treatment (usual applied in BRST):

• hydro-(kineto)-thermo-therapy: once a day;

Adjuvant treatment (physiotherapy):

• 2 – 4 adjuvant electrotherapy procedures;

Kinetotherapy in the gym room 1-2 time aday and one session (daily) of massage

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hydro-kineto-thermo-therapy

in the swimming pool with

salt water from the lake

(35º –36ºC), applied

individual or to a group of

patients with similar

deficiency or

in special tubes using tapwater/salt water (36º-37ºC),

applied individual;

hydro-thermo-therapy

bathing (without

kinetotherapy) using salt

water or plant extract (37º –

37.5ºC), or

mud bath (38º –38.5ºC), or

mud wrapping (42º –

45ºC)

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For mud bath we use 10 Kg mud put in 120-150L saltylake water. The temperature of mud bath is between

370-390C and stand 20-25 minutes. After bath the

patients receive a warm shower for mud cleaning, and a

short cold shower in order to stop reflex veinvasodilatations.

Salt bath can be done in a single tub, at 370-380C

temperature, alternative with mud bath, or hydrokinetotherapy in pool with salty lake water at 350C.

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Mud wrapping is done using 10-15 kg mud, heatedto 42˚C - 45˚C. Mud is spread all over the body,from the feet to the cervical region. The patient iscovered with a sheet and a blanket and we apply a

cold compress on his forehead to prevent excessivevasodilation of cerebral vessels. The timeapplications is 30 min.

In the end of procedure the patients receive a warmshower for mud cleaning and a short cold shower in order to stop reflex vein vasodilatations.

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• Fever;

• Infectious diseases - including the venereal diseases(syphilis, clap, AIDS, hepatitis acute type B, C, etc.);tuberculosis - except in cases with healing confirmed by the

specialist physician; healthy carriers of pathogens - includingparasitic agents;

• Cachectic states, by any causes;

• Cancers, in every location or stage;

• Bleeding from any cause;

• Hematological diseases;

• Epilepsy, psychopathy - including chronic alcohol or other drug addiction;

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• Organ failure status (cardiac, renal, hepatic insufficiencydifficult to control with medication, high blood pressure withouttherapeutic control;

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Lesions and/or skin diseases, with aggravation risk, areaswith skin irritation, solutions of continuity;

• Patients who can not care for themselves;

• Patients recovering from serious and recent illness

• Pathological pregnancy no matter pregnancy age and normalpregnancy after three months

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Qualified staff must examine the patient before

immersion in tub or in swimming pool.

General warm procedures must not be appliedsecondary abundant meals (lunch), stress or physical

exercises. It is preferred that application should take

place in the morning.

If the patient has two major procedures in the same

morning, it is necessary to have a 2 hours break

between them.

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The cold mud application will be done only on warm skin

or on sun heated skin

Hot or warm mud applications will always be followed bya short cold shower, in order to avoid consecutive

vasoplegia

The assistant/therapist must supervise the patient

carefully meanwhile the application, in order to prevent

incidents or accidents which can happen.

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Prezentare Montecatini