{"id":46052,"date":"2015-12-03T18:18:18","date_gmt":"2015-12-03T18:18:18","guid":{"rendered":"http:\/\/uacrisis.org\/?p=38282"},"modified":"2015-12-04T17:55:38","modified_gmt":"2015-12-04T14:55:38","slug":"38282-reabiitacia","status":"publish","type":"post","link":"https:\/\/uacrisis.org\/en\/38282-reabiitacia","title":{"rendered":"Ukraine desperately needs to reform rehabilitation medicine \u2013 physical therapists, volunteers, members of Ukrainian association of disabled ATO veterans"},"content":{"rendered":"<p><a href=\"https:\/\/www.youtube.com\/watch?v=jEK4v17kkdY\" target=\"_blank\" rel=\"noopener\">WATCH IN ENGLISH<\/a><\/p>\n<p><em><strong>Kyiv, December 3, 2015.<\/strong> <\/em>Ukraine desperately needs to reform rehabilitation medicine. Such profession as \u201cphysical therapist\u201d and \u201coccupational therapist\u201d need to be included into the classification of occupations. Despite the fact that ministries of Healthcare, Social Policy, Education and Science have preliminary agreed to it, the process is being back-pedaled, said physical therapists, volunteers, members of the Ukrainian association of disabled ATO veterans during discussion at Ukraine Crisis Media Center. \u201cIn times when the war in Ukraine is on for two years and we have thousands of wounded, blocking the reform of rehabilitation medicine can be considered a state betrayal,\u201d said Vitaliy Rodin, physical therapist of the Ukrainian Physical Therapy Association. According to him, the problem is in the fact that rehabilitation specialists do not exist de jure, thus people cannot work as such specialists according to law. Respectively, they do not want to go and work at state-run medical institutions, because there they are offered positions that absolutely do not match their skills. \u201cIn the past 20 years I have already been registered as an exercise rehabilitation instructor and a nurse in the personnel chart,\u201d quoted own example Rodin. He explained that physical therapists are medics as well but they do not aim at doctors\u2019 posts. They are different from doctors as they cannot use pharmaceutical and invasive methods of treatment, but these people are responsible for everything that concerns movement of a patient.<\/p>\n<p>Lidia Butska, volunteer and physical therapist, explained that rehabilitation means restoring internal mechanisms of a person after the acute phase of the disease has been treated. It has to start already from the first hours of the patient\u2019s disease. It means a team of rehabilitation specialists needs to work in parallel with the doctors to lead the patients through until they completely adjust themselves to social life. Occupational therapists also work with the every patient from the first days. However, in contrast to the physical therapists that restore person\u2019s movement, occupational therapists \u201cput the meaning into this movement,\u201d elaborated Rodin. They help a person adjust to the environment and restore his\/her habits \u2013 to dress up, brush the teeth and cook. Although, the discussion participants noted that such occupations do not exist in Ukraine and no systematic rehabilitation has been set up for patients.<\/p>\n<p>According to Lidia Butska, no progress has been achieved in this issue, in particular because civil servants emphasize that the actual laws need to be re-written. \u201cI see that the only way to resolve this issue in our country is to step aside from the system that has decayed indeed and create our own instruments and mechanisms. As our two-year experience has demonstrated they are in the hands of the community \u2013 associations, professionals and volunteers,\u201d the physical therapist noted. The laws on rehabilitation must stipulate issues like \u201cwhere to direct the money for rehabilitation, which centers are to be certified, which universities are to be allowed to train the specialists\u201d need to be decided upon by professional associations and by those who need those services, Butska is convinced.<\/p>\n<p>Serhiy Triskach, member of the Ukrainian association of disabled ATO veterans, thinks that the state has taken up the monopoly for rehabilitation of ATO veterans. However, it is does not cope with this task properly as the programs for rehabilitation of wounded are not operational in reality but exist only \u201con paper\u201d. Civil society organizations on the contrary are capable of organizing this process and engaging best professionals they are not let participate in establishing rehabilitation centers. It is important to set up cooperation between the state and the civil society in this field, says Triskach. \u201cWe are noticed and heard only when some PR activities need to be done,\u201d said member of the Ukrainian association of disabled ATO veterans. He also emphasized that the state must fulfill its duty towards ATO veterans who have fulfilled their duty towards the country and lost their health. The state needs to provide them with decent conditions for adaptation and with the opportunities for personal self-realisation. It includes things without which a person with disability cannot even walk out of his\/her house \u2013 wheelchair ramps, accessible public transport and elevators etc.<\/p>\n<p>Uliana Suprun, Director of Humanitarian Initiatives of the Ukrainian World Congress, director of Ukrainian Catholic University School of Rehabilitation Medicine, said that the difference between Ukraine and the West as to the barriers is huge. There are also a lot of such people in the U.S. but the government has created all the decent conditions for them and they daily are seen on the streets. \u201cIn Ukraine I was quite shocked as I did not see these people. While I was three months on Maidan I saw probably three-four disabled people, not because they did not want to come to Maidan but because they physically cannot do that,\u201d noted Suprun.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>WATCH IN ENGLISH Kyiv, December 3, 2015. Ukraine desperately needs to reform rehabilitation medicine. Such profession as \u201cphysical therapist\u201d and \u201coccupational therapist\u201d need to be included into the classification of occupations. Despite the fact that ministries of Healthcare, Social Policy, Education and Science have preliminary agreed to it, the process is being back-pedaled, said physical [&hellip;] <a class=\"g1-link g1-link-more\" href=\"https:\/\/uacrisis.org\/en\/38282-reabiitacia\">More<\/a><\/p>\n","protected":false},"author":20,"featured_media":46053,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"video","meta":[],"categories":[705],"tags":[],"section":[648],"form":[31956],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ukraine desperately needs to reform rehabilitation medicine \u2013 physical therapists, volunteers, members of Ukrainian association of disabled ATO veterans | UACRISIS.ORG<\/title>\n<meta name=\"description\" content=\"https:\/\/www.youtube.com\/watch?v=E3Ty0b4sTfg WATCH IN ENGLISH Kyiv, December 3, 2015. 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