1.- Concept:
This
physiotherapy
services at home in Dwarka is aimed at major subsidiaries of a
physiotherapeutic treatment as a consequence of the different pathological
processes that occur in this vital stage and in the search for greater
independence of the patient, individual.
Aging is a biological process
that progressively deteriorates the mature organism in apparently healthy
individuals.
Physiotherapy in
Dwarka is aimed at alleviating and delaying, as far as possible,
this functional and physiological deterioration.
·
Physical: treatment in physical capacity
·
Psychic: concerns, motivation to therapy.
·
Social: possibility of social relations
(mobility, communication, motivation before other people)
2.- Objectives:
·
Delay of physiological deterioration.
·
Search for motivation and patient
collaboration.
·
Achieve the highest degree of independence in
daily activities (washing, combing, going down stairs) and functionality, as
well as social integration in their environment.
·
Avoid hospital admissions and other more
traumatic alternatives for the elderly.
To prevent deformities
("senile" stooped posture) and the pain derived from it
·
To avoid muscle weakness as much as possible, as
well as the feared osteoporosis avoiding sedentary attitudes
·
To keep the joints in good condition.
·
Maintain the maximum strength and muscular
strength before intense exercises within the age of the patient
·
Digestive: constipation, etc.
·
Circulatory: reduce heart rate, lower blood
pressure
·
Respiratory: improve respiratory capacity
·
Genitourinary: treat urinary incontinence
·
Others: sensitivity, intellect, sleep.
3.- Equipment and material
needed:
·
Human resources: multidisciplinary team formed
by the
best physiotherapist
in Dwarka, social workers, psychologists, etc. Fundamental
family collaboration.
·
Material resources
·
Dependency: address of the individual, in a
place of this the best conditioning for therapy.
·
Materials: stretcher, canes, bandages,
electrotherapy equipment, dry heat systems.
4.- Considerations in the
domiciliary treatment:
Consult the medical data of the
person to be treated to determine the work intensities and our objective.
·
Check pulse and tension periodically.
·
Regular and constant physical activity.
·
Do exercises that involve the movement of the
person.
·
Special care with injuries.
·
Perseverance, tenacity and patience to achieve
the desired goal.
Patients with respiratory
problems (both acute and chronic):
·
Improve their respiratory capacity.
·
Make them capable of facing a somewhat greater
effort at rest without leading to fatigue.
·
Clean the respiratory system of
secretions.
·
Give health advice (no smoking, fresh air)
·
Relaxing, toning and analgesic massage.
·
Improve joints and muscles.
·
Postural hygiene.
·
Tips to avoid major consequences.
Patients with neurological
problems (hemiplegia, stroke, paraplegia, PC, Parkinson's)
·
Reeducate their nervous system
·
Give them the greatest possible mobility and
sensitivity
·
Achieve the greatest functionality in the
activities of daily life.
·
Observe and control the support systems
(prostheses, canes, wheelchairs)
·
Check the neurologist's revisions to see their
evolution.
Patients with problems of urinary
incontinence:
·
Prevent it in the case of signs of onset.
·
Toning exercises.
·
Advice and considerations to avoid it as much as
possible.
·
Psychological support.
Patients who perform a superior
physical activity (sport) within the age in which they are:
·
Treat possible injuries derived from the
activity (sprains, contractures, fractures)
·
Control the intensity of the exercise.
·
Advise about the possible problems that sport
involves in excess.
·
Encourage this type of activity among the
elderly.
·
Prevent from the factors that can cause the
trauma: falls, stairs.
·
Favor the recovery of the trauma with the least
possible pain.
·
Take the patient to the state he was in before
the trauma (as much as possible)
Patients with impairment of the
intellect (Alzheimer's):
·
Dynamize the person suffering from dementia, as
it is confined due to communication difficulties.
·
Help in the process of "new learning of the
environment"
·
Collaborate with the family in adapting the home
to the needs of the person.
·
Improve their degree of independence.
6.- Sessions - duration -
follow-up:
The sessions of the treatment are
one per day with a duration between one hour - hour and a half, which will
depend on the abilities of the person treated (fatigue, physical condition,
motivation, interest) and of the maneuvers carried out.
·
Initial evaluation: here the initial state of
the person is recorded (processes that afflicts, accompanying diseases, general
physical state). Objectives are established.
·
Follow-up report: progress is recorded and no
progress is made towards achieving the goals.
·
Report to the discharge: at the end of treatment
the status of the person is established again.
7.- Clinical case: Parkinson's
patient treated at home;
This case is an example (already
treated case) of the steps that would be followed:
Sessions: one every 2 days.
·
Duration of the session: one hour- hour and a
half (variable in this space)
·
Displacement: medium tourism.
·
Materials: portable stretcher, portable
electrostimulation device - analgesia, infrared lamp.
Practical advice for daily
life:
·
Get out of bed.
·
Personal hygiene
·
Dressing
·
Working in the kitchen.
·
Eating
·
Changes in bowel habits.
·
Control tremor
·
Walk
·
Talk
·
Lie down
·
Get up off the ground
·
Make activities as independent as possible.
·
Change position in the bed.
·
Correct posture
To keep fit:
·
Head and neck exercises.
·
Exercises for shoulders.
·
Breathing exercises.
·
Exercises for hands.
·
Exercises for feet.
·
Exercises for legs.
Number of sessions: 10 sessions.
Improvements achieved: the patient manages to
perform daily activities with greater independence, the tremor has decreased
when moving and presents fewer difficulties when starting to walk. His
motivation and mood is better because he is better able to fend for
himself. He knows how to perform each exercise and is aware of the
importance of these.