er, this is a long-term job , tanya, i want to thank you for joining our broadcast today, and wish you success and thank you for your work, for what you do for our military, every day i know how huge and voluminous work it is, so be strong we wish you grace and patience . thank you for inviting us to the air. we really have a victory. we all have a victory and we are doing everything for it on various fronts. what am i methods are used by specialists to speed up the recovery of patients, our natalya shumak learned, she visited the center for psychological health and rehabilitation of veterans lisova polyana, the institution actually provides a very wide range of services, and after the story we will talk with its director to find out how you can

get to lisova polyana for rehabilitation and in the meantime, i suggest you take a look inside this rehabilitation center and see how our soldiers recover there after being wounded, we roll here and back there it hurts. it has to be pushed a little bit to put the soldiers on their feet. the key task of the rehabilitators of the forest glade is that most of the patients come here from hospitals . elements of non-rehabilitation, certain special physical exercises that stimulate the development of certain muscles that have lost

their function as a result of damage to the center of the central nervous system or peripheral nervous system, the three cardio and gymnastics halls are packed with modern equipment and are always crowded. most patients work out on the simulators independently according to the program prescribed for them and attend group classes. by a therapist on an individual basis, these are more complex patients in whom amputation is possible e-e as e in which there may be some e paresis or complications hmm joint function yes movement in the joints then it is like that with such patients we work individually and already control the dynamics of the personality but there are also

patients who cannot be driven into the hall because of their psychological state psychologists of the center come to help here very often in fact it becomes acute it becomes an acute reaction to stress is, well, it could be his old grief, or it could actually be such chronic combat fatigue of different levels, there are four levels, and very often, well, again, there are also suicidal ones trends we also diagnose them and in general, often these are precisely cognitive disorders, this is a deterioration of memory, attention and the ability to concentrate. and this is what really bothers a person in general in life. and if it is a military serviceman, he needs to return to his position, then this here are the symptoms that must also be dealt with as a priority so that he can restore his fighting capacity. each

patient undergoes psychological screening tests to assess the level of anxiety and suicidal tendencies. psychologists, both individually and in groups, our most common symptom is insomnia, because it is hyperarousal, well, actually after being in a combat zone, after traumatic events. and of course, until the patient begins to sleep , it is very difficult to reduce his symptoms, we joke colleagues say that first the patient must be put to sleep if he does not sleep , that is, to restore his ability to recover , in order to sleep, the patient needs to be relaxed; for this, the center uses many techniques : massage, yoga, acupuncture, art therapy, add in bits plus yes, but the favorite practice of most soldiers is to escape from reality into the virtual world, and here in lisova polyana it is possible. we offer you a journey in

virtual words. this is how a vr therapy session begins. it especially effectively helps to overcome the consequences of a concussion. one of the consequences of an ecobar injury is a decrease in the level of concentration . that is, uh, how in general, how does it remove the traumatic brain injury, that is, it infects all parts of the brain, little by little, they fall out like jigsaw puzzles, and if you look at a person in our country, in general, it seems completely normal but if you start to understand something here, some function is lame here, something is lame, and so the level of attention is lame, this is also the improvement of therapy with the help of glasses , the soldier is transferred to the wonderful world, and the voice prompts help him relax and focus on the detail , look at the place around us now it is full only you can feel windows and

peace here. that is, we are trying to teach fighters to concentrate their attention on one or another so that they have their focus of attention so that in the future when they will be in this is usual, well, in civilian life, in the future, if such a consequence as increased anxiety or something like that happens, so that they can, and i used to do it, i can do it now, i will focus at least for a moment, well, for some reason, experts plan to develop vr therapy and use it in the future to work through psychological traumas as a result of experienced stressful events, now it is relaxation, the ability to manage one's attention and disconnection from the surrounding environment and such a pathetic word zazem but i think that it is very appropriate here and although this relaxation technique

quite young and experimental, she has already won the favor of the military shows something that i have never seen milan , i really liked it and the real world also has its joys, for example, four paws, we are here for you to communicate with them, these police dogs from the threshold attract the attention of the military many guys like it, a smile appears, there is a desire to communicate, uh, many guys have their own dogs, which they haven't seen for six months , and this kind of thing gives them uh, well, a few minutes they remember this kind of communication they remember their dogs, they remember the dogs with whom they were on the front lines, who were attached to them because a dog is a friend of a person, and such a moment of communication with a friend of a person with such love, unconditional love, does not leave gold therapy indifferent to even the most depressed patients, we provide valuable support to our boys, our defenders , you can talk to the dog and you can stroke it, you can work with it, uh, when we stroke

the dog, it helps us feel the moment here and now it helps let's say to ground myself and helps to feel a little happier inside, well, at least i do. i hope that 's what psychologists say, and with them, military rank doesn't matter. dogs follow commands, even if it's a general , even if it's a junior lieutenant . as we just saw in the state institution the center for psychological health and rehabilitation of veterans forest song forest glade of the ministry of health of ukraine dealing with the so-called invisible wounds this is what we are talking about now about psychological health, another direction is the consequences of a concussion, since they also have a strong

impact on psychological health, and even here they pay great attention to those who have already survived captivity, torture, torture and, of course, injuries, so it is precisely in connection director of the state institution of the center of mental health and rehabilitation of veterans lisova polyana of the ministry of health of ukraine neurologist kseniya voznitsyna ms. ksenia i congratulate you can you hear me limes were polite let's try anyway to talk because we have certain technical problems, that is precisely because the air alert continues, we have to leave the same conditions, can you hear me, ms. ksenia, yes, uh, i congratulate you , ms. ksenia, the first question i will ask you is probably about those who are currently interested in how to get there

for rehabilitation to your institution in emphasis you that we have treatment not only rehabilitation because we have people coming straight from the front right here the front line and what kind of young people what are the health problems with him or should such actions you explosion correct telepolonka ago well, we are referring with the advanced one, it will be in other productions, the ways are this, it is referred to institutions with it, or you have a part to us for treatment, we have technical problems, let 's try again, because we can't hear you

. i think that our viewers don't understand very well. i understood that to your rehabilitation center, since it is not only a rehabilitation center, it has a medical facility, military personnel enter immediately from the front and immediately after the hospital, so i understood correctly that you are not there. unfortunately , we have no contact with ksenia and we will try to contact you now with representatives of the ministry of health in order to find out what the situation is in our country with rehabilitation for military personnel, how it currently works , how well it is established, how many centers there are in our country , and for now i will tell you how to undergo rehabilitation , explained the national health service of ukraine and here is a list of certain rules , the medical guarantee program ensures the needs of patients in receiving quality medical care in the main directions, regardless

of the financial capacity of the patient's state of health and location. so in the program medical guarantees also include rehabilitation services for adults and children with damage to the musculoskeletal system, as well as damage to the nervous system, if, according to medical indicators, the doctor prescribes rehabilitation for you or your loved ones, do not ignore this recommendation, as we have already discussed with our first representative, the director of the fund e -e with whom we talked, she also said that first of all, when these referrals for rehabilitation are neglected and this time is delayed, then it is much more difficult to provide her with help for our military, the basis for free medical rehabilitation is this very referral that will provide the doctor, it can be prescribed by the primary care doctor with whom the declaration was made, it

can be a family doctor, it can be a general practitioner or a treating doctor, and also the patient can be transferred to rehabilitation from another institution or a clinical unit of a health care institution; rehabilitation services can be provided as an outpatient inpatient setting , i.e. a person can simply come to rehabilitation a can be permanently in a rehabilitation center and receive rehabilitation, that's exactly what the rules are. well, how does it actually work in practice and how does it work in life, let's say so, we'll find out now. i'll ask our directors now . can we talk already? with the representative of the ministry of health, they show me that they are establishing contact with him, so i also want to say that he is in contact with us .

civilians who were injured as a result of the war and are in touch with us vasyl shrelka, director of the department of high -tech medical care and innovation of the ministry of health of ukraine mr. vasyl i congratulate you well, i want to ask you how the system of rehabilitation of the wounded is currently set up in ukraine who have already been treated in a hospital, now need rehabilitation first of all i want to explain what rules the ministry of health has established for rehabilitation in general when a person after an injury does everything with a stroke fall into the hospital where she is treated and already in the inpatient department where she receives treatment , a rehabilitation specialist must come to her and rehabilitation begins without waiting for the end of the treatment, the example has already been paid for by the state and such requirements are established

by the national health service of ukraine after the person no longer needs constant supervision of the attending physician when the treatment is completed. that is, if there are any residual effects or functional limitations, the person should be referred to rehabilitation immediately, i.e. without waiting for a few months because the main time, if time is lost, then it may not be possible to restore those functions that could be restored . if there are applications right away . and in fact, when we are managed for rehabilitation, today we have 244 institutions that have signed a contract with the national health service of ukraine for the provision of inpatient rehabilitation, that is , in these institutions, rehabilitation is guaranteed and paid for by the state, and inpatient rehabilitation includes them too.

now answer all the questions in one question at once: how many such institutions exist in our country, or can we say how many of these rehabilitation centers are fully operational now during the war and can provide assistance to our military? the concept of fully is such an abstract concept. and claim that they have a sufficient number of specialists and equipment to provide rehabilitation assistance, but we understand that some a large part of these institutions only in this year or the previous year, they started doing rehabilitation. therefore, we have an uneven picture throughout ukraine . there are institutions that provide good rehabilitation that have been doing it for 6 years, for example.

includes then here is this rehabilitation and do they somehow check these institutions because 244 institutions are actually uh, well, this is quite a normal number if we talk about the provision, it is really as you say. it is impossible to say what a full-fledged rehabilitation is, so that then they include these institutions, how rehabilitation takes place in them, one of the key requirements for the provision of rehabilitation care is that rehabilitation must be carried out by a multidisciplinary rehabilitation team , i.e. when a person is admitted and referred for rehabilitation, the functional state is assessed and the team divides roles and each specialist physical, occupational therapist , psychotherapist, he will work with a person in accordance with his competences and in parallel with the achievement of the goals of rehabilitation which were presented at the beginning and for inpatient rehabilitation there is a requirement and this thesis is paid by the state that every day a person must

receive at least three hours of rehabilitation , that is, if you are a person who is in inpatient rehabilitation and receives less than 3 hours, this means that he does not receive the same for which has already been paid by the state, as we are now , when we have a significant number of wounded and such a large number of institutions that are uneven , first of all, along the evacuation route , those institutions that are filled with rehabilitation they provide better rehabilitation, after they are filled, the institutions that later joined the rehabilitation program are filled. that is, we will introduce it here not because of the inspection of institutions, but because we fill the institutions better, mr. vasyl . well, look, you say that there are those that provide better, that is, after all, the state knows about it and you control and know which institutions provide better rehabilitation and can send more fighters there, but please tell me, i

am interested in these institutions you are talking about , you can say where most of them are located regions of our country, and this is evenly the territory of ukraine, if we look geographically, then the largest number of institutions have concluded agreements with the national institute of health, it is in the dnipropetrovsk region, in second place, kyiv and further , vinnytsia, lviv region, sumy region, we have more or less evenly distributed signs throughout the territory of ukraine. and why is this so? which is currently tariff and interesting enough for institutions and they try and try to get into the rehabilitation program in the class of the contract to provide rehabilitation services, but still it is more hospitals are sanatoriums the majority of hospitals, and the ideology and purpose that we as the ministry of health tell you is that the main mass of rehabilitation services should be provided

in the general rehabilitation department , because it is available to the patient. then let's do it if it is available to the patient. how does it all happen because i was talking about medical guarantees, about what the national health service of ukraine guarantees that you can actually get into rehabilitation on a free basis, tell me if these are really rehabilitation vouchers are they free of charge or do you still have to pay something? any medical care provided within the framework of the medical guarantee program has vouchers free of charge for the patient - this is in this case the direction of management and rehabilitation may not be rehabilitation , the patient is referred as the attending physician yes and a doctor of physical and official medicine, and this referral to rehabilitation provides a reason for the patient to receive this help free of charge, and

we still talked about rehabilitation today only in ukraine, about rehabilitation abroad with the help of charitable funds of charitable organizations that deal with this, if we are talking about rehabilitation abroad , is there any role in this for the ministry of health, can our state actually send people for rehabilitation, and did it conclude that it is possible contracts with someone, cooperates with someone in order for the rehabilitation of military personnel to take place abroad, if we are talking about treatment and rehabilitation abroad, then there is also the leadership of the key ministry of defense health because a year ago in march , we, the ministry of health, the minister of health addressed a letter to all the ministers of health of the european union and the european commission regarding the possibility of accepting our wounded for

treatment in the country of the european union and today, as the ministry of health, we have direct cooperation with the european commission, which is like the government of the european union and directs for treatment to the countries of the european union those who are submitted to us by the command of the medical forces, i.e. the military submits lists of wounded who need treatment outside of ukraine, and the ministry of health organizes all further logistics and referrals, payment for this treatment is made at the expense of the receiving party. that is, we as a state do not currently pay for treatment abroad, it is paid by the countries of the european union, and when this patient gets injured abroad and the treatment and rehabilitation required for this patient is covered by the receiving party, i.e. most fish as those who receive rehabilitation they receive

those as a part of and after the treatment for which they are closely trained mr. vasyl well, we can say now how many military men were actually sent abroad and received treatment and rehabilitation there , do you have the numbers here, and it is 2,200 people, this is how both military and civilian, 80% of them are victims of chemical reactions during this period who were sent for treatment abroad, mr. vasilovna, we have very little time left , literally one minute, i want to ask you such an important question, we understand that ah, the need for rehabilitation centers will still remain because the war continues and we do not know how many more will be injured, both military and civilian , does the ministry of health plan to open possibly new rehabilitation centers, or maybe reformat the existing ones that exist in our country in order

to be able to provide rehabilitation even more fully , we are working in this direction, but our main tool that we use to influence the system is tariffs, that is, the state pays 33,000 uah for the rehabilitation service if it rehabilitation with two directions and 19,700 if for one direction and this is the amount of funds that stimulate hospitals that are owned by communities and utilities to open recreation departments in themselves, hire staff and come in to start providing rehabilitation services, we in turn give them the opportunity to learn from the best who are on the territory of ukraine and we attract foreign specialists and their training, and we can talk more about how foreign specialists and people with a world name help us to develop the rehabilitation of our girls in ukraine specialists, mr. vasyl, i thank you for joining our broadcast today. thank you, it was vasyl strelka, the director

of the department of high-tech medical care of the ministry of health of ukraine. well, all i have to do is add that you heard the importance of this topic and appeal to all military personnel and their families, if your loved one has returned from the front, if a person has been injured, please do not delay in applying for rehabilitation, as you understand that it is very important. well, we tried in such conditions in which we can already today during the air alert give you the maximum amount of information with you was yaryna koval and the program about health take care of the harvest on your plot, you want to protect it from pests and bad weather or maybe you want to collect several crops at one the season unpack

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