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Department for rehabilitation of patients after injuries, with peripheral nervous system impairments and rheumatologic diseases The highest levels of comprehensive rehabilitation, research and professional education URI SOČA in the heart of Europe Brussels Frankfurt Paris Munich Zurich Milan Venice Prague Vienna Budapest Ljubljana - Slovenia Zagreb Rome SLOVENIA ▪ LJUBLJANA Welcome to URI Soča 5 Care and quality 6 Rehabilitation programs 8 A reliable team of experts 10 Learn about your rehabilitation process 13 How to get admitted 14 Welcome to URI Soča Welcome and thank you for considering the University Rehabilitation Institute, Republic of Slovenia – Soča as the institution for your rehabilitation. Our institute, named URI – Soča for short, was named after the emerald river Soča flowing out of the heart of the Alps. Just as the river Soča runs over different obstacles on its way, our experts with their knowledge, diagnostic and therapeutic equipment search for the best path to an independent and wholesome life for our patients. The current results of URI – Soča in physical and rehabilitation medicine are based on our continuous development since 1954. Our commitment to the improvement of rehabilitation programs has become stronger during those years. The success of our rehabilitation programs is based on teamwork and contemporary diagnostic and therapeutic equipment 4 including robotics and telerehabilitation. The research department at URI – Soča is constantly developing new technological solutions for therapy and evaluation. These are then included in the clinical practice in cooperation with our medical team. We recognize medical technical aids as an important part of rehabilitation that assists patients in their everyday activities. Our experts in the field of medical devices cooperate with the patient and the medical team to find the most suitable devices adapted to each individual patient. The patients can reside for a few days in our Dom IRIS smart home equipped with state-of-the-art medical devices that enable independent living at home. There, they can select the most suitable devices out of the many possibilities offered. 5 Care and quality URI – Soča specializes in the comprehensive multiprofessional rehabilitation of patients with various disabilities. Our medical team ensures the selection and performance of suitable therapies that facilitate the rehabilitation process. Our entire staff ensures a high level of professional care, comfort and satisfaction. With the words of one of our patients: “All the staff try to bring back a smile on the faces of the patients.” We treat over 15,000 out-patients and 1,800 inpatients yearly. We are proud to care for the most demanding patients from all over the world. Each year we treat patients from Germany, Kuwait, Russia, Bosnia, Croatia, Qatar, Kazakhstan, Egypt, Libya and many other countries. Our continuous improvement of the quality of the rehabilitation programs has been the basis for receiving the ISO 9001:2008 and DNV accreditation certificate for hospitals. URI – Soča is also an accredited teaching centre for physical and rehabilitation medicine. Several employees are recognised researchers. All this has placed URI – Soča among the best rehabilitation centres in Europe. 6 7 Rehabilitation programs Comprehensive rehabilitation programs are performed at the department for rehabilitation of patients after injuries, with peripheral nervous system impairments and rheumatologic diseases. The department admits patients after intensive and acute treatment of their primary disease or injury: Patients after injuries: • Younger patients after multiple trauma and without traumatic brain injury or spinal cord lesions • Elderly patients after fresh fractures of individual major bones and with chronic neurological impairment or severe internal diseases Patients with acute peripheral nervous system impairment resulting due to diseases or injury (Guillain-Barre syndrome, critical illness polyneuropathy and myopathy, cauda equina syndrome…) 8 Patients with inflammatory rheumatic diseases and consequent impairments of movementrelated functions The admission criteria include stable general (internal) health state, satisfactory cognitive functioning, adequate motivation and the ability to participate actively in rehabilitation programs. Patients after injuries, especially young patients after polytrauma and elderly patients with fractures of major bones, are trained in independent gait and performance of activities of daily living, usually with the assistance of medical technical devices. The goal of rehabilitation in patients with peripheral nervous system impairments is to decrease the impairments of body functions and to improve muscular strength. We aim at improving activities of daily living and independent mobility, with the assistance of medical technical devices. In persons with rheumatic diseases and consequential severe impairments of movementrelated functions and comorbid pain we aim to improve this functions and the performance of the activities of daily living, as well as decrease pain. 9 A reliable team of experts Our patients play the central role in the team of healthcare professionals and our rehabilitation programs are individually adjusted to each patient. The rehabilitation program is conducted by a team of experts including: A medical doctor – specialist in physical medicine and rehabilitation - plans and manages the process of rehabilitation, directs and coordinates team activities, is in charge of medicamental therapy and solves any health complications. Healthcare staff (certified medical nurses and healthcare technicians) are in charge of rehabilitation care, assistance, nutrition, wound and skin care, respiratory system care (inhalation, aspiration), care of urinary system and regular defecation and instructing the patient on the use of devices for self-care and daily activities. A physical therapist follows an individually prescribed therapy for all the impairments of the patient's motor system and uses physical therapy interventions to treat various pain syndromes. A respiratory physical therapist teaches the patient adequate breathing and coughing maneuvers and performs therapeutic exercises to improve lung functioning. 10 An occupational therapist performs therapy to improve upper limb function, increase independence in daily activities as well as advises and handles fitting with medical devices for easier performance of everyday activities. A psychologist evaluates the patient’s psychological functioning and offers psychological treatment and support. Certified prosthetist and orthotist advises the patient and manufactures individually-adjusted orthoses for upper and lower limbs and the spine. A social worker. When necessary, the team includes an internal medicine specialist, a neurologist, a traumatologist, an orthopedic surgeon, a rheumatologist, a plastic surgeon and a psychiatrist. A clinical pharmacologist can be included to advise on the daily combination and administration of medications. 11 Learn about your rehabilitation process The rehabilitation program starts daily with morning care when the patient learns morning daily activities with the assistance of medical nurses. The patient is educated on dressing, personal hygiene, transfer to wheelchair and eating. After the morning care, the patient attends the prescribed programs of therapy, where he or she receives individual treatment performed by therapists and experts with contemporary methods and techniques. The methods and techniques include exercises for muscular strength and endurance, improved balance and motor coordination, fine motor functions and hand motor skills, gait training and training of daily activities. When indicated, the patient is referred to the program of pain therapy, where physical therapists apply the prescribed treatment on contemporary and new devices. If necessary, the patient attends hydrotherapy in a therapeutic pool or therapeutic (Hubbard) bathtub. 12 When necessary, regular measurements of blood pressure, glucose and INR levels are performed at the department. Every day, basic laboratory testing of blood samples is also possible. When necessary, additional diagnostic procedures can be performed at the University Rehabilitation Institute (bioimpedance analysis for estimating body composition and nutrition advice, ultrasound of the musculoskeletal system, EMG, MEP, SEP, urodynamic testing, in-shoe pressure measurement, spine mobility measurements and body posture assessment, isokinetic dynamometry, clinical gait analysis in the kinesiology laboratory) or at the University Medical Center Ljubljana (RTG, CT, MRI). In-between therapy sessions, the patient can rest in the hospital room or socialize with other patients and staff in the day room. Therapy programs are performed from Monday to Friday between 8.00AM and 3.30PM while basic healthcare and nursing procedures are performed all day 7 days per week. All patients are guaranteed 24-hour medical assistance by a medical doctor and a certified nurse. 13 How to get admitted? To ensure the highest level of services and to meet your expectations, we pay special attention to the patient's suitability for rehabilitation at our institution. Therefore, our medical team first studies a patient's medical documentation and evaluates his or her suitability for admission and the expected rehabilitation results. Before admission, our medical team needs: Medical records of previous treatments, Medical opinion: a description of the current general health state and functional state as well as any data on colonization with multi-resistant bacteria, Expectation of the patient and relatives in regard to rehabilitation goals. The documentation can be sent to the marketing department at [email protected] or faxed to +386 1 4758 599. Within one week of receiving your documentation, the marketing department will contact you in regard 14 to your admission, suggested length of rehabilitation and its costs. Should you decide on rehabilitation at our institute, you will receive the phone number of one of our staff who will be your contact person regarding your arrival and other logistic issues. The contact person will also be your host and will be available to answer questions during the rehabilitation. Your host will make sure you feel welcome. He or she can organize transportation from the airport to the clinic, find a hotel or organize excursions. Beside the beautiful sights of Slovenia such as the charming Lake Bled and the mysterious Postojna caves, you can visit Vienna, Venice, Salzburg and other European sights. We are available for any questions and information. We can be contacted at: Marketing department Phone: +386 1 4758 200 | Fax: +386 1 4758 599 E-mail: [email protected] 15 University Rehabilitation Institute, Republic of Slovenia−Soča Linhartova 51 ▪ Ljubljana ▪ Slovenia Phone: +386 1 4758 200 Fax: +386 1 4758 599 E-mail: [email protected] www.ir-rs.si/en