Inpatient palliative rehabilitation care of neurological patients in Post-acute and Palliative Care Department Novi Marof, General Hospital Varaždin

Palijativna rehabilitacijska skrb dio je bolničke palijativne skrbi kojom se holističkim pristupom bolesniku, ciljanim metodama multiprofesionalnog tima, svima, pa i neurološkim bolesnicima u fazama pogoršanja kronične bolesti ili kod brzoprogresivnog neurološkog stanja nastoji pomoći u poboljšanju funkcije i smanjenju oštećenja struktura tijela, umanjiti ograničenja u aktivnostima i participaciji. Time se i u fazama bolesti kada aktivno liječenje više nije indicirano, bolesnicima omogućuje samostalnost dajući im dignitet do samog kraja života, koliko to prirodni procesi dopuštaju. Uloga specijalista fizikalne medicine i rehabilitacije i tima suradnika može biti ključna u ovim procesima.Palliative rehabilitation care as a part of palliative care integrates multiprofessional team approach and holistic model in management of palliative patients, including neurological in phases of chronic deteriorating or acute progressive conditions, enabling them to improve functioning, diminish structural impairments and reduce activity limitations and participation restrictions. The approach empowers patients in self-care in stages of diseases where an active treatment is no longer feasible, enabling their dignity to the end of life, as much as the nature of the condition allows. The role of Physical and Rehabilitation Medicine specialist and the team may be of key importance in this process

Croatian Version of Standard Neurological Classification of Spinal Cord Injury

Croatia, neurological classification, spinal cord injur

Recommended Knowledge and Skills Framework for Spinal Cord Medicine

Navedeni kurikulum opisuje kompetencije, znanja i vještine u medicini ozljede kralježnične moždine (MOKM). Kurikulum je nastao i tiskan od ISCoS-a (International SpinalCordSociety) i podrazumijeva da postoje značajne internacionalne razlike u pružanju usluga, u resursima, ustanovama i osoblju. Praksa MOKM-a treba u obzir uzeti specifični kontekst u kojem se odvija, a trening odražavati socijalni, kulturni i ekonomski aspekt službi koje će je pružati. Vrlo je važno razumijevanje da se očekivani ishodi mogu mijenjati u različitim sustavima, te da na njih utječu kulturološki faktori i očekivanja skrbnika. Edukacija u MOKM-u treba razvijati odnose, vještine i znanja relevantna prilikama u kojima se pružaju usluge. Struktura dokumenta uključuje: Znanje – teorijsko i akademsko znanje za uspješno provođenje prakse MOKM-a i razvijanja vještina. Vještine i kompetencije – koje će se razviti tijekom treninga ili iskustava, a potpomognuto usvajanjem znanja. Ostale vještine i znanja – kojima se nadograđuju osnovna znanja i vještine, za pojedina specifična stanja. Proceduralne vještine – specifične intervencijske vještine za koje je potrebna dodatna edukacija i praktični rad. Razvoj takvih vještina osniva se na potrebama sustava/zemlje u kojem se edukacija i služba odvijaju.spinal cord injury medicine. It has beenproduced by ISCoS (International Spinal Cord Society) and recognises that there will be considerable variation internationally in service delivery models, resources, facilities and staff availability. The practice of spinal cord medicine should take into account the specific context in which the practice is being delivered and the training should reflect the social, cultural and economic context where delivery of SCI services will be implemented. It is of utmost importance to recognise that the expected outcomes will change in different settings and can be influenced by cultural factors and caregivers’ expectations. Training in SCM should aim to develop aptitudes, skills and knowledge that are relevant to the context in which the service is delivered. The structure of the document includes: Knowledge – the background theoretical and academic knowledge that a trainee should have to successfully undertake the practice of SCM and to help develop his/ her skill set. Skills and competencies – the proficiencies that the trainee will develop through training or experience and which is helped by the acquisition of knowledge. Miscellaneous skills and knowledge – additional to the core knowledge and skill set, which apply to specific situations/conditions. Procedural skills – specific interventional skills, which require additional training and practice. The development of such skills will be based on the needs of the system/ country that the trainee is working in

Autonomic dysreflexia and launching of AD card

Autonomna disrefleksija (AD) sindrom je kod nekih osoba s neurološkom razinom ozljede kralježnične moždine iznad T6, uzrokovan noksom distalno razini ozljede, u kojem radi disregulacije autonomnog živčanog sustava dolazi do niza simptoma, od kojih je najopasnije izrazito povišenje krvnog tlaka. U članku se navode preporuke za postupak kod sindroma AD-a, te se preporuča izrada i distribucija AD kartica za osobe sa sindromom.Autonomic dysreflexia (AD) is a syndrome at individuals with neurological level of spinal cord injury above T6, caused by noxious stimulus distal to the lesion level and with disregulation of the autonomous nervous system, leading to a variety of symptoms, most important one being highly elevated blood pressure. Suggestions of the procedures to alleviate and treat AD are presented, and the creation and distribution of AD cards has been proposed