P209 Control over execution of individual program of rehabilitation and (or) habilitation of children with disabilities. experience of city children’s clinic of regional centre of subarctic territory

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Rehabilitation activities are developed on the basis of needs of children with disabilities in a particular event. Electronic interaction between the exchange of information on implementation of activities under the individual program of rehabilitation and (or) habilitation (IPRA) disabled child include: 1) Medical rehabilitation, including dynamic monitoring; drug therapy; non-drug therapy; individual conclusion of the medical commission; other events; 2) Reconstructive surgery; 3) Prosthetics, orthotics; 4) Sanatorium`s treatment.

Control over the execution of IPRA includes: a list of activities, their artist, date of execution and conclusion: ’Done’ or ’Not done.’ The reasons for non-fulfilment of measures stipulated by IPRA are: 1) No treatment of a disabled child, or legal (authorised) person for the provision of specified events; 2) Rejection of a particular type, shape and volume of the planned measures; 3) Failure of the envisaged measures in general; 4) Specific reasons for failure events. More often it was preferential permits in sanatoria.

We present the results of performance monitoring at IPRA of 215 children with diseases that led to the occurrence of disability, including: 1) Diseases of the nervous system – 37.67%±3.30% (p<0.001); 2) Congenital abnormalities, chromosomal abnormalities – 22.33%±2.84% (p<0.001); 3) Endocrine, nutritional and metabolic disorders – 9.30%±1.98% (p<0.001); 4) Diseases of the ear and adnexa – 9.30%±1.98% (p<0.001); 5) Neoplasms – 8.84%±1.94% (p<0.001); 6) Diseases of the musculoskeletal system and connective tissue – 3.26%±1.21% (p=2.694); 7) Diseases of the circulatory system – 1.85%±0.92% (p=2.011); 8) Other – 4.66%±1.44% (p<0.001). The effectiveness of medical rehabilitation of disabled children was as follows: 1) Improved – 23.26%; 2) Stabilisation – 74.88%; 3) Deterioration of – 1.86%.

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