Now let's look at what Technical means rehabilitation (hereinafter referred to as TSR) we are entitled to. TSR is what a disabled person needs for his continued existence, to facilitate his life activities, and to assist in rehabilitation and adaptation measures. According to clause 10 Federal Law 181 "On social protection of disabled people in the Russian Federation"(see Attachment):
" GThe state guarantees disabled people the opportunity to rehabilitation measures, obtaining technical means and services provided for by the federal list of rehabilitation measures, technical means of rehabilitation and services provided to a disabled person at the expense of the federal budget. "..."The scope of rehabilitation measures provided for individual program rehabilitation of a disabled person cannot be less than that established by the federal basic program for the rehabilitation of disabled people.”
Here the link goes to an existing onefederal list of TSR(see attachments) , approved by Moscow MMinistry of Health. Everything, thatstated in this list, we have the right to receive no less than this amount, subject to agreement with the attending physician (for example, in case of a spinal injury, it is difficult to prove the need for a guide dog). Thus, we are entitled to 4 strollers (home, walking, active and electric), canes, crutches, supports (walkers), handrails, prostheses, orthoses, orthopedic shoes, anti-bedsore mattresses and pillows (even in the absence of bedsores), devices for dressing, gripping items, special means for violation of excretory functions (diapers, catheters, urine and colostomy bags, diapers), chairs with sanitary equipment, Dynamic Parapodium!!!
Depending on the level of damage spinal cord and your condition as a whole, we need different TSRs, and thus the ITU employees determine what to give us, since, in theory, as the lost functions are restored, the necessary means of rehabilitation change. For example, first you are given a home stroller and a walking stroller, then you become more active and receive an active stroller, then walkers, canes, etc. But the rehabilitation process includes various TSR on different stages rehabilitation and ONLY THE PATIENT HIMSELF knows what he may need, because it is he who is being rehabilitated, and the ITU staff can only recommend TSR to you. Therefore, it is better to buy TSR yourself, with subsequent compensation (after it is included in the IPR). In connection with these needs, the Government of Moscow and the Moscow region created TSR classifier(see attachments), which was created with the purpose of:
“determining the amount of compensation for technical means of rehabilitation (products) purchased by disabled people (veterans) at their own expense, and (or) paid for own funds services for their repair, as well as specification of certain types of technical means of rehabilitation in the federal list of rehabilitation measures, technical means of rehabilitation and services.”
So EVERYTHING that is listed in the Federal List (Classifier) can be included in the IPR and purchased at your own expense. Read about the features of purchasing TSR at your own expense and the features of compensation for these funds in the attachment Order on the specifics of compensation for TSR. It is not necessary to enter everything at once to the maximum, write what you need now and can do at any time, for this you call your attending physician, inform him about the need for this or that TSR, he prepares a messenger sheet for making changes to the IPR with recommendations for the need for TSR (it is better to visit highly specialized doctors and get their recommendations on the need for TSR; for example, to obtain orthopedic shoes, orthoses and walkers, you need an orthopedic traumatologist. Additional recommendations will be another argument for ITU), then a new commission is created in the ITU BUREAU where, based on these recommendations they issue you a new IPR and enter a new TSR, :
Or contact your social security center with a request social security) your region, they have no right to refuse such information . If they do not have any TSR you need on their list, then they must make a request and hold a tender for this TSR and then either provide it to you or provide the cost for reimbursement!
Important point: Any TSR has its own service life, depending on this period you receive it according to the IPR. Attached below is "Order on the terms of use of TSR", it spells out all the terms for both strollers and diapers with catheters, for example. Based on this document, you can track how long the stroller is provided, how long after you can change it, how many diapers per day you should receive and when you change the walker. You may also need this information before.
If you have any questions about this tatier or any others, you can use ours!
Today, numerous technical means of rehabilitation have been developed to facilitate the movement of patients in postoperative period, as well as improving the quality of life of older people and people with disabilities. As a rule, such rehabilitation means help the musculoskeletal system perform its functions: these are a variety of telescopic canes, crutches and supports.
By purchasing the necessary rehabilitation means for your family and friends or in medical institution, it is important to clearly understand that people who need additional means of support feel somewhat differently than us healthy people. Therefore, all aids must, first of all, be easy to use and meet all the necessary requirements for their quality characteristics. The catalog of the online store “Medtechnika - for you” contains only professional and high-quality products for quick and comfortable rehabilitation of patients after various types of injuries, as well as various means for patient care.
There is a whole class of gurneys designed for patients with serious disabilities. Technical means of rehabilitation of disabled people must be especially reliable and convenient. They should be easy to fold, have a durable but lightweight design (that’s why walkers and gurneys are most often made of aluminum-based alloys) and the ability to adjust the height.
For children with cerebral palsy, rehabilitation means include various supports, specialized seats and verticalizers. The more devices these rehabilitation means have (walkers and their modifications), the more freedom and opportunities for active activity the child receives.
We also draw your attention to the presence in our catalog of additional accessories: devices for putting on socks, fastening buttons, special dishes for the disabled, electric lifts and much more.
Most citizens who suffer illness or injury are unable to perform any actions without outside help or without the use of technical means of rehabilitation (TSR). Most often this is due to negative changes in the musculoskeletal system. The legislation of the Russian Federation provides. These measures include a number of different benefits, the most important of which are purchase benefits medicines, medical care and provision for the disabled by individual means rehabilitation.
Legislative framework for provision of disabled people
Providing assistance to persons with disabilities regulated by a number of government acts. Most of them were adopted in the 90s, so many articles of these laws have been repeatedly changed and supplemented.
Privileges
All benefits to which persons with disabilities are entitled are specified in the following documents. This the federal law on disabled people No. 181-FZ dated November 15, 1995 latest edition dated 12/14/2015 and the Decree of the Government of the Russian Federation on provision of disabled people TSR No. 240 dated 04/07/2008 in the latest edition dated 03/07/2016. Issues about technical means of rehabilitation are discussed in more detail in Order of the Ministry of Labor No. 374 “n” dated July 18, 2016.
It is very important for disabled people to receive technical means of rehabilitation. Such means can be primary or auxiliary. Without basic aids, the patient cannot perform essential basic activities, such as movement and bowel movements. Aids can be used in the process of rehabilitation and preparation of a disabled person for integration into social structures.
If for any reason in the department social protection If a disabled person cannot be provided with the technical equipment he needs, he can purchase it on his own. Its cost will be paid only if the application for the provision of rehabilitation means has been officially registered with the relevant service.
If the necessary equipment was purchased before submitting the application, its cost will not be paid.
- Technical means of rehabilitation include the following devices:
- canes, crutches and other support products; wheelchairs
- manual and electrically driven; different kinds
- prostheses;
- special shoes;
- devices for grasping and holding objects;
One of the innovative developments – prostheses with bionic control – is being considered as a means of rehabilitation for people with disabilities. Such devices are still undergoing laboratory tests, but in the near future we can expect them to appear in medical centers.
IN separate group funds allocated for personal hygiene products. These include:
- urine and feces receivers;
- absorbent underwear with absorption function;
- special bedding;
- diapers.
For disabled people with visual, hearing and speech impairments, electronic technical means are provided:
- optical correctors for persons with severe visual impairments;
- e-books with voice text synthesizer;
- “talking” instruments for measuring pressure and temperature;
- speech synthesizers;
- vibration and light signaling devices for the deaf;
- individual hearing aids;
- TVs equipped with the Teletext function;
- telephones with information display.
In addition, for the rehabilitation of disabled people, they can be provided with guide dogs with additional equipment. To do this, a citizen who needs such a dog must write an application to social service. After a certain time, he will be given a dog from the kennel. The dog's food and treatment are provided from the funds of the social body.
If the dog is given or purchased, the state does not compensate for the costs of its maintenance.
Previously, technical means included special cars or motorized wheelchairs for disabled people, but since 2005 this benefit has been suspended.
Providing repair work
In accordance with Law No. 30-FZ dated March 7, 2017, changes and additions were introduced to Government Resolution No. 240. All work on the repair of rehabilitation technical equipment is carried out without a queue and free of charge. If a technical device cannot be repaired for any reason, it must be replaced free of charge. Early replacement of a product may require technical expertise, which is also provided free of charge.
Almost every region has municipal laws on supporting persons with disabilities. They may provide additional benefits to people with disabilities.
Medications
For persons with disabilities, medications are provided, including potent ones, which are provided with appropriate discounts or free of charge. This benefit is regulated by the list medicines. This list was determined by Decree of the Government of the Russian Federation No. 2782 “r” dated December 30, 2014 and was increased by 25 types of medicines in 2017. This list includes the following groups of drugs:
- opioid analgesics;
- non-narcotic painkillers;
- gout remedies;
- anti-inflammatory drugs;
- antiallergenic and anticonvulsant drugs;
- agents for the treatment of Parkinson's disease;
- anti-anxiety medications and antidepressants;
- drugs affecting the central nervous system;
- antibiotics and synthetic antibacterial agents;
- antiviral and antifungal drugs.
There are two large groups of funds that affect cardiovascular system And gastrointestinal tract. One of the diseases for which you can receive a disability group is a sharp decline insulin levels in the blood, so diabetes treatments are important and free for many people with disabilities.
Add to list medical supplies, which a disabled person can receive free of charge, but only by decision medical commission, includes a large group of medicines. Some of them are narcotic or expensive foreign-made drugs and can be obtained in pharmacies with a special prescription.
How to get
To receive free technical means of rehabilitation, a disabled person must prepare certain documents:
- application for provision of rehabilitation means;
- identification document;
- IPRA.
Among the technical means of rehabilitation there are various devices that facilitate daily life sick person. These are crutches, prostheses, wheelchairs, hearing aids and much more.
Rehabilitation means include mechanisms, products, electronic devices and other devices that make the daily life of the patient, as well as loved ones caring for him, easier. The main purpose of these products is rehabilitation after surgery or providing the most comfortable living conditions for people with poor health.
What are technical means of rehabilitation
For disabled people, as well as people with poor health, a number of technical means of rehabilitation (TSR) have been developed to ensure a normal lifestyle and meet basic needs - the ability to fulfill physiological needs, self-care skills, move normally, etc.
The list of technical means of rehabilitation has been compiled in accordance with Federal Law No. 181. Moreover, each patient can count on receiving these funds free of charge in the established amount from social protection authorities, in accordance with the procedure established by the individual rehabilitation program - IRP.
Based on this program, a specific amount is allocated, within which a full set of technical equipment can be obtained from the budget. This list includes devices and devices for the recovery of a patient, for example, from complications of diseases of the musculoskeletal system, and means for bedridden patients. In this case, the patient can purchase and additional funds at your own expense, for example, in accordance with your doctor’s recommendations.
This federal law provides for the provision of disabled people with technical means of rehabilitation of the following types:
- assistive devices for self-care, meeting basic needs (for example, a toilet chair)
- care products;
- auxiliary mechanisms for training, the ability to fully perform work activities;
- means to help navigate in space, including specially trained guide dogs;
- prosthetic products, including eye prostheses, hearing aids, etc.;
- sports equipment;
- mechanisms for movement.
All these devices can only be issued by social security authorities based on the relevant medical reports, orders and other regulations.
The right to use arises for a temporary period, for example, a year before the next medical examination, or indefinitely, for example, for disabled children who received the group from childhood.
Classification of product types
A complete list of technical means for the rehabilitation of disabled people can be found in regulatory documents, for example, in the “Classification”, which is approved by Order of the Ministry of Health and Social Development No. 214n. The document contains a list of names (nomenclature) of various medical products and devices. Their classification is based on different indicators, but mainly different types are grouped depending on the disability group and specific diseases– impairment of hearing, vision, etc.
Self-care facilities
First of all, technical means of rehabilitation (tcp) are allocated for human self-care. They allow you to normally satisfy natural physiological needs, and this can be done independently or with minimal assistance outsiders.
A brief list of these funds can be classified as follows:
- Diapers, which are used as a rehabilitation aid for bedridden patients, for example, after a stroke or diseases associated with cardiology.
Note! Along with diapers for children, there are special products for adults.
- Toilet chairs. Disabled wheelchair users who are not paralyzed, but at the same time experience significant problems when moving, use toilet chairs. They can be placed next to the bed.
- Devices for grasping objects are rehabilitation tools that are suitable not only for the disabled, but also for people suffering from diseases of the musculoskeletal system. With the help of such simple devices you can reach a fallen object, as well as something that is located unattainably high.
- Similarly, such patients need to use devices for putting on clothes or putting on slippers, boots, and other types of footwear independently. Especially for them, frames are provided for tightening, putting on socks/stockings, fastening buttons, holding hats, etc.
Devices and mechanisms for movement
These devices allow a person to move comfortably and safely. The patient can move independently; he can also be seated and, less often, put in a chair in order to move with the help of a stranger. The most common devices are:
- , and . Indicated at the first stage of rehabilitation after fractures, dislocations and other leg injuries.
- – for the movement of a patient with poor health: elderly people, people with impaired body coordination, neurological patients, completely or partially paralyzed. There are mechanical and electrical devices, the latter allow you to move completely autonomously, without the help of another person.
- serve as a reliable support for moving around the room or outside. They can be equipped with wheels (so-called rollators) for more comfortable movement.
Note! Each technical means of rehabilitation of disabled people has its own indications for use, as well as instructions and guidelines, presentations describing the features of use. The brochure should be read first, even if the instructions for use are intuitive.
Devices for hearing loss
The main mechanism in in this case is hearing aid. This is an electronic, fully automated device that significantly enhances sound wave, due to which the patient with severe violation hearing can recognize human speech and other sounds.
Devices and means for visual impairment
There are several means of technical rehabilitation for blind people - the current list for people with disabilities is as follows:
- , which allow you to determine by touch the nature of the surface, nearby objects, and also attract the attention of other passers-by (due to red transverse stripes).
- Guide dogs undergo special training, after which they accompany a blind owner for several years.
Prostheses
In general, a prosthesis is a means of rehabilitation for disabled people or people with health problems, which partially or completely replaces the function of a certain part of the body, a limb: arms, legs (for example, hip joint with a fracture of the femoral neck). To date, much has been developed a large number of all kinds of prostheses, for example:
- shoulder;
- finger;
- forearms;
- hips;
- feet
- sky;
- ear prosthesis;
- nasal prosthesis and many others.
The main purpose of these products is adequate replacement the corresponding part of the body, unloading the body, the ability to maintain the ability to move (for example, a knee joint prosthesis).
Cost of various rehabilitation means
Technical rehabilitation equipment for disabled people and other patients with poor health can be purchased in pharmacies, specialized orthopedic stores, as well as on Internet sites. The price depends on several factors - manufacturer, warranty, material of manufacture, etc. As a rule, delivery is paid separately.
It is carried out throughout the country - as in major cities(Moscow, St. Petersburg, Krasnodar), and in small ones (Irkutsk, Novokuznetsk). Delivery is also possible to small settlements, for example, in Krasnodar region, Omsk region and all other regions. Also, goods are delivered to other countries - for example, to Ukraine, China. Under certain conditions (for example, purchases over 5,000 rubles) delivery is free.
Table 1. Overview of rehabilitation means
| Model name | Description | price, rub. |
|
Designed for the movement of a disabled child, as well as children with cerebral palsy; movement is possible both at home and outdoors (but only on a hard surface) | 13 900 |
|
Convenient and inexpensive model on wheels, made of durable metal alloy. It is possible to adjust the height, as well as sit on the soft seat | 4 400 |
|
Made from durable aluminum alloy, height adjustable | 2 300 |
|
Thanks to its two-level design, this inexpensive model makes it not only easy to move around, but also easy to get out of bed | 2 300 |
|
Equipped with underarm supports and 2 brakes; support patient weight up to 100 kg | 7 500 |
|
The functional chair with sanitary container is made of durable plastic; warranty period 1 year | 3 300 |
|
A convenient folding chair model with a sanitary container takes up little space, so it can be placed even in a small room next to the patient’s bed | 2 300 |
|
Manufacturer Germany, the model is new, as it has hardly been used | 12 500 |
|
Durable body, stroller suitable for walking around the house and outside, manufacturer Germany | 9 000 |
|
Reliable crutch, equipped with an anti-slip system | 690 per piece |
|
Small crutches, designed for patients with average height (150–160 cm), USA manufacturer, service life 7 years | 1 300 |
Note! When selecting a specific mechanism or device, you need to make sure that it is in good technical condition (especially if we are talking about used goods). It is best to choose products no earlier than 2013 (preferably no earlier than 2015-2016).
You can get acquainted with the latest technical means of rehabilitation in the video:
Each remedy, to one degree or another, makes the patient’s life more comfortable. For correct use You need to carefully select the most suitable model, and if necessary, consult a doctor before purchasing.
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