Prerequisites for the formation of the concept. Physical therapy of children in need of palliative care

Abstract

The purpose of the research is the scientific justification and development of a system of physical therapy for children who need palliative care. The methods of research in this case are empirical methods (description, comparison, measurement), the method of theoretical knowledge (axiomatic), general logical methods (analysis, synthesis), systematic approach.

The basis of providing palliative care involves a patient-centered approach of a multidisciplinary team, the composition of which is determined by the patient's needs, his age, and the severity of his condition. If we consider the rehabilitation support of children who need non-oncological palliative care within the framework of the International Classification of Functioning, it can be stated that, having violations in the Body Structure and Functions component, they have significant limitations in the Activity-Participation component. Contextual factors – Environmental factors and Personal factors – play a significant role in the quality and effectiveness of rehabilitation. After the rehabilitation instrumental examination, the needs of the child and his family members, child-centered tasks are identified, and the goal of physical therapy is formed. The means of the rehabilitation program are therapeutic physical culture, massage, positioning, dance and movement therapy, photo therapy and art therapy using the «hand in hand» method; selection of technical means of movement, rehabilitation equipment for modification of the educational space. Therefore, the means of the physical therapy program will be directed to reducing the complication of the main disease, will help to form the household-educational-social organization of the space of children of this category, will contribute to the emotional and psychological stability of patients, their family members, and representatives of the interdisciplinary team.