Home care service in physiotherapy

1.- Concept:

This physiotherapy services at home in Dwarka is aimed at major subsidiaries of a physiotherapeutic treatment as a consequence of the different pathological processes that occur in this vital stage and in the search for greater independence of the patient, individual.

Aging is a biological process that progressively deteriorates the mature organism in apparently healthy individuals. Physiotherapy in Dwarka is aimed at alleviating and delaying, as far as possible, this functional and physiological deterioration.

The general objective of home physiotherapy in Dwarka is convincing: to achieve a state of health in the 3 dimensions:

• Physical: treatment in physical capacity
• Psychic: concerns, motivation to therapy.
• Social: possibility of social relations (mobility, communication, motivation before other people)

2.- Objectives:

General objectives of home physiotherapist in Dwarka:

• Delay of physiological deterioration.
• Search for motivation and patient collaboration.
• Achieve the highest degree of independence in daily activities (washing, combing, going down stairs) and functionality, as well as social integration in their environment.
• Avoid hospital admissions and other more traumatic alternatives for the elderly.

Specific objectives of home physiotherapist in Janakpuri: 

To prevent deformities (“senile” stooped posture) and the pain derived from it

• To avoid muscle weakness as much as possible, as well as the feared osteoporosis avoiding sedentary attitudes
• To keep the joints in good condition.
• Maintain the maximum strength and muscular strength before intense exercises within the age of the patient

Prevention and treatment of the alterations of the different systems done by physiotherapist in Dwarka are:

• Digestive: constipation, etc.
• Circulatory: reduce heart rate, lower blood pressure
• Respiratory: improve respiratory capacity
• Genitourinary: treat urinary incontinence
• Others: sensitivity, intellect, sleep.

3.- Equipment and material needed:

• Human resources: multidisciplinary team formed by the best physiotherapist in Dwarka, social workers, psychologists, etc. Fundamental family collaboration.
• Material resources
• Dependency: address of the individual, in a place of this the best conditioning for therapy.
• Materials: stretcher, canes, bandages, electrotherapy equipment, dry heat systems.

4.- Considerations in the domiciliary treatment:

Consult the medical data of the person to be treated to determine the work intensities and our objective.

• Check pulse and tension periodically.
• Regular and constant physical activity.
• Do exercises that involve the movement of the person.
• Special care with injuries.
• Perseverance, tenacity and patience to achieve the desired goal.

5.- Subsidiary patients of physiotherapy in Dwarka:

Patients with respiratory problems (both acute and chronic):

• Improve their respiratory capacity.
• Make them capable of facing a somewhat greater effort at rest without leading to fatigue.
• Clean the respiratory system of secretions.
• Give health advice (no smoking, fresh air)

Patients with rheumatological processes and osteoarthritis following activities are done by physiotherapy doctor in Dwarka:

• Relaxing, toning and analgesic massage.
• Improve joints and muscles.
• Postural hygiene.
• Tips to avoid major consequences.

Patients with neurological problems (hemiplegia, stroke, paraplegia, PC, Parkinson’s)

• Reeducate their nervous system
• Give them the greatest possible mobility and sensitivity
• Achieve the greatest functionality in the activities of daily life.
• Observe and control the support systems (prostheses, canes, wheelchairs)
• Check the neurologist’s revisions to see their evolution.

Patients with problems of urinary incontinence:

• Prevent it in the case of signs of onset.
• Toning exercises.
• Advice and considerations to avoid it as much as possible.
• Psychological support.

Patients who perform a superior physical activity (sport) within the age in which they are:

• Treat possible injuries derived from the activity (sprains, contractures, fractures)
• Control the intensity of the exercise.
• Advise about the possible problems that sport involves in excess.
• Encourage this type of activity among the elderly.

Patients who have suffered a trauma (bone, muscle, nervous), following point should be considered by top physiotherapist in Dwarka:

• Prevent from the factors that can cause the trauma: falls, stairs.
• Favor the recovery of the trauma with the least possible pain.
• Take the patient to the state he was in before the trauma (as much as possible)

Patients with impairment of the intellect (Alzheimer’s):

• Dynamize the person suffering from dementia, as it is confined due to communication difficulties.
• Help in the process of “new learning of the environment”
• Collaborate with the family in adapting the home to the needs of the person.
• Improve their degree of independence.

6.- Sessions – duration – follow-up:

The sessions of the treatment are one per day with a duration between one hour – hour and a half, which will depend on the abilities of the person treated (fatigue, physical condition, motivation, interest) and of the maneuvers carried out.

The monitoring is carried out by home physiotherapist in Dwarka through a series of elements:

• Initial evaluation: here the initial state of the person is recorded (processes that afflicts, accompanying diseases, general physical state). Objectives are established.
• Follow-up report: progress is recorded and no progress is made towards achieving the goals.
• Report to the discharge: at the end of treatment the status of the person is established again.

7.- Clinical case: Parkinson’s patient treated at home; 

This case is an example (already treated case) of the steps that would be followed:

Sessions: one every 2 days.

• Duration of the session: one hour- hour and a half (variable in this space)
• Displacement: medium tourism.
• Materials: portable stretcher, portable electrostimulation device – analgesia, infrared lamp.

Practical advice for daily life:

• Get ​​out of bed.
• Personal hygiene
• Dressing
• Working in the kitchen.
• Eating
• Changes in bowel habits.
• Control tremor
• Walk
• Talk
• Lie down
• Get ​​up off the ground
• Make activities as independent as possible.
• Change position in the bed.
• Correct posture

To keep fit:

• Head and neck exercises.
• Exercises for shoulders.
• Breathing exercises.
• Exercises for hands.
• Exercises for feet.
• Exercises for legs.

Number of sessions: 10 sessions.

Improvements achieved: the patient manages to perform daily activities with greater independence, the tremor has decreased when moving and presents fewer difficulties when starting to walk. His motivation and mood is better because he is better able to fend for himself. He knows how to perform each exercise and is aware of the importance of these.

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