Rehabilitation for severe disabled in Lithuania

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Rehabilitation for severe disabled in Lithuania
Assoc. prof. Alvydas Juocevicius M.D. Center of
Physical Medicine and Rehabilitation, Medical
faculty of Vilnius University
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Lithuania in figures   Area 65.000 square
km Population 3.500.000 Capital Vilnius
600.000 inhabitants Nationality
Lithuanian 81 percent Polish 7
percent Russian 7 percent Other 5
percent   1994 year 2001 year Doctors/10.00
0 inhabitants 41,2 36,4 Nurses/10.000
inhabitants 93,2 78,1   Estimated exp. of
life 68,4 year 71,5 year   Mortality/1000
inh. 11,8 11,3 Mortality of infants/1000
inh. 16,3 7,9
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REHABILITATION
TRAUMA, DEASES
IMPAIRMENT
RESTORATIVE
PART.COMPENSAT.
COMPENSATION
NURSING
REHABILITATION I
COMPLEXREHA
INTEGRATION
SOCIAL PROGRAMES UNTERSTUETZUNG
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Steps of rehabilitation
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General needs for rehabilitation I

• First step/ 350.000 in patients, when they are on
  treatment in acute stage of diseases and traumas/
  in average 9 days
• Second step / 60.000 patient, when they are on in
  patient rehabilitation/, in average 22 days for
  short term rehabilitation,48 days/TBI/ 70 days
  /paraplegija/, 130 /tetraplegija/
• Third step /90.000 patients, when they are on out
  patient rehabilitation/ 16 working days
• If patient needs more time, the rehabilitation
  team must ask Regional Patient Cash /an expert /

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General needs of rehabilitation II

• First step rehabilitation services cost is
  included in day price, according profile of
  patients
• Second step of rehabilitation is paid by Patients
  Cash directly, according days of stay in
  rehabilitation unit and level of FIM
• Third step of rehabilitation is paid the same way

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• 1993-2003 years, period of implantation of new
  model /West model/ for comprehensive
  rehabilitation in Lithuania

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Central and East Europe model

• Prevalent passive rehabilitation means / physical
  modalities, water treatment, massage et./
• It is not training programs for occupational
  therapists, social workers at all
• Management of rehabilitation is vertical

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Children in patient rehabilitation
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Diagrama. Distribution of children according
districts in Lithuania
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Diagram.Children out patient rehabilitation
services according districts in 2002 year
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Diagrama. Distribution
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Diagrama. The places of inclusive teaching of
pupils with special needs
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Diagrama
.
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Isakymo itrauka
34.4. Stacionarines reabilitacijos (Reabilitacija
III ir Pakartotine reabilitacija III) paslaugas
teikia specialistai 34.4.1. fizines medicinos ir
reabilitacijos gydytojas 34.4.2. bendrosios
praktikos slaugytojas 34.4.3. bendrosios
praktikos slaugytojas, turintis sertifikata
fizines medicinos ir reabilitacijos slaugos
paslaugoms teikti 34.4.4. kineziterapeutas 34.4.
5. ergoterapeutas (ergoterapeuto
padejejas) 34.4.6. psichologas
(psichoterapeutas) 34.4.7. socialinis
darbuotojas 34.4.8. logopedas (esant
indikaciju).
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Thank You for attention
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Diagram. Children out patient rehabilitation
services according districts in 2001 year
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Diagram. Children out patient rehabilitation
services according districts in 2003 year
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Overview of occupational therapy teaching in
Lithuania

• Vilnius University, Medical faculty
• A. JUOCEVICIUS, R. DADELIENE, I.E. JAMONTAITE, A.
  CIRTAUTAS

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Aim overview the development of OT education and
occupational therapy services in Lithuania during
last 13 years (1991-2003).
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Here are some facts to characterize the social
environment of Lithuania

• the total number of population is about 3,49
  million
• about 5 of the population qualifies for the
  status of persons with special needs
• about x children are with special needs
• Kiek zmoniu tampa invalidais per metus?

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Some data of rehabilitation specialists in
Lithuania

• About x physicians
• About x1 physiotherapists
• About x2 occupational therapists

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According to the Europe standard we
needSocial situation (status) and needs of
rehabilitation specialists have influenced the
promotion of OT development.
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Gdg drgtrd
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We are interesting to participate in varies
internationals projects and we are starting to
work in this field.