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1. General InformationEuromed is a Russo-Polish joint company situated in the city of Mielno in Poland. Owned by the Ayurveda company, it was registered on 28 November 1994 as a rehabilitation center specialized in providing courses of rehabilitation treatment to patients with various forms of cerebral palsy on a commercial basis. Its main rehabilitation program is based on Adeli Methods, and it holds an exclusive license on the use of these methods inside Poland. Alongside of the Adeli basic methods, some other present-day methods of rehabilitation are also available at the center, such as kinesitherapy, physical therapy, massage, occupational therapy, and musical therapy. These techniques are normally combined with psychological and educational approaches integrated into a patient's individual rehabilitation program chosen according to his or her medical indications. Euromed offers the following medical and other services:
Beginning from 1 January 2001, the full cost of a course of treatment, including all the above-mentioned services, is $6,400. A system of discounts for various categories of patients is provided for.
The
center’s throughput is about 50 patients a month, with one or two caretakers.
Some 2,500 sessions of rehabilitation treatment have been conducted at the
center since its foundation. 2. Treatment and Accommodation FacilitiesThe Euromed rehabilitation center is located in a leasehold four-storied block of the Sirena therapeutic sanatorium in Mielno on the coast of the Baltic Sea (some 100 meters from an outfitted beach). The block is provided with two low-speed special lifts and ramps for wheelchairs. Each patient is accommodated, together with parents (or caretakers), in a one- or two-room suite 30 to 35 square meters in area. All suites are well furnished for comfortable stay, and are provided with a color television set (with 20 channels), a radio set, a refrigerator, an electric teakettle, a set of tableware, and a telephone connected to international trunk lines. Each suite has a large bathroom outfitted for crippled persons. All lodgers can have three meals a day at a spacious restaurant with children wheelchair access. The Euromed center has 10 rehabilitation halls for individual treatment sessions. Eight of them, 50 square meters each, are designed for parallel sessions of two patients, and two, 70 and 120 square meters, for parallel sessions of several children. Each of the halls is adequately equipped for rehabilitation treatment, including wall mirrors for patients to correct their posture, wall bars, appliances and trainers for balance exercises, walking training and upright-posture training, as well as with mattresses and rehabilitation balls. Some of the halls are also provided with therapeutic and massage tables. One of the larger halls is suitable for block exercises using suspension systems. To prepare children for rehabilitation exercises, either cryotherapy, in which part of the body is subjected to cold temperatures, or warmth therapy may be performed in special rooms, depending on their particular needs. Hydrotherapeutic procedures, such as underwater massage in one of the four hydromassage baths, or exercises in the swimming pool, may also be used to make rehabilitation more effective.
Each child is
provided, for the whole length of the rehabilitation course, with an Adeli Suit,
chosen individually to fit his size and other physical particulars, which are
recorded during the preliminary examination. After the treatment course, all
suits are washed under the recommendation of the State Institute of Hygiene in
Warsaw. 3. Treatment ProcessEuromed has ample staff to provide treatment and services to patients and their caretakers, namely:
Every child first undergoes preliminary examination by the center’s physicians before going on to full treatment. The absolute contra-indications for rehabilitation at the center are: (1) luxations and pseudoluxations the hip joints; and (2) epilepsy (if seizures occur more than once in three months). As for other contra-indications—(1) mental handicap making it impossible for the patient to cope with the physician’s directions; (2) severe diseases of the spinal cord and joints, such as scoliosis of at least the second degree, the Scheyerman disease, or the Perthes disease; (3) behavioral pathology or emotional reactions, such as schizophrenia, etc; (4) severe congenital or acquired heart defect, or hypertension; (5) chronic renal or pancreatic diseases; (6) active hydrocephalus or elevated cranial pressure; (7) acute infectious or contagious diseases; (8) severe tatraparesis involving mental deterioration—a decision about possible treatment is taken by considering how severely such conditions manifest themselves. Treatment includes 28 daily rehabilitation courses (or 23 to 24 daily session, taking into account the holidays). A case report is kept for each child, in which preliminary and conclusive examination findings by the center’s consulting physicians are also entered. The center has designed its own system of examination. On discharge, each child is given a reference sheet, in which results of treatment and recommendations over further rehabilitation at home are described.
Each
rehabilitation session lasts tentatively 220 to 240 minutes, including 60 to 120
minutes in an Adeli Suit (the time in an Adeli Suit is extended gradually,
depending on medical indications and the patient’s stamina). From two to three
rehabilitation specialists work with one patient at the presence of the parents
and under control of senior medical officers. A translator is normally present
at each session with a foreign patient. Each patient spends the remaining time
in working out various mobile exercises based on other techniques of cerebral
palsy rehabilitation. Rehabilitation sessions are held in two shifts. Patients
spend their afternoon in various forms of recreation and entertainment, beach
outings, musical therapy and occupational therapy. |
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