F-3-16-7
THE PRESENT STATE OF A PRIVATE REHABILITATION HOSPITAL IN EHIME, JAPAN
Masahiko Ishizawa, Horoshi Hirama (Matsuyama Rehabilitation Hospital, Matsuyama, Japan)
Purpose: Our hospital is specialized in the rehabilitation therapy but at the end of the therapy only a few patients can go back to their homes directly. We researched into this situation and will report the present state of our hospital. And we'd like to discuss the present medico-social welfare system in Japan and the foreign countries.
Method: All inpatients in our hospital were reviewed. We classified the patients into two categories: 1. the patients who were given the rehabilitation therapy actively, 2. the patients after the several months' therapy who could not discharge because of some reasons. We studied the two groups and picked up some problems of the present social system as well as of our hospital.
Result: Only 93 (27%) of all patients (343) were "active" ones. 25 of all patients were in the vegetative state and 52 were in the all-helped state. Of these (25+52) patients 41 were tube-fed and 8 were performed tracheostomy.
Conclusion: Generally speaking, Japanese houses are not suitable for the disabled or the aged. Most of the family members of the patients tend to think that they can't take care of these physically or mentally ill patients. Recently nursing homes have been constructed here and there but the absolute number is very short. We must consider the better medico-social welfare system.
F-3-16-08
JOINT COMMUNITY BASED REHABILITATION PROJECT VIETNAM/AUSTRALIA, FOR CHILDREN WITH DISABILITIES IN QUANG TRI AND THUA THIEN HUE PROVINCES
Lindy Kerr, Joy Barrett, Pham Quang Lung
1. Purpose: ?@ To identify the number of children with disabilities and type of impairment and/or handicap in these provinces. ?A To establish a culturally appropriate Rehabilitation program for Community Care Workers to facilitate appropriate support.
2. Method: Survey instrument devised, (joint Vietnamese/Australian involvement) and training given to 500 health care workers to collect data. Data analysed by The Spastic Centre of New South Wales/Royal Blind Society and Vietnamese Department of health, and training devices and presented to meet identified needs.
3. Results: 3695 children with disabilities identified, 874- 0 to 5, 2821- 5 to 18. Incidence of disability relatively stable. The predominant cause of impairment would appear to be cerebral palsy and related neurological damage. The multiple disability level was high, there was underreporting of partial impairment and the nature and transmission of illness and disease was little understood. Training was devised and presented accordingly and evaluation indices established.
CBR training program in collaboration with Professor Pham Quang Lung, Hanoi Medical University.
