Methods of examination and evaluation of treatment effectiveness

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Sanatoriums for children differ in terms of age groups of patients, medical profile, climatic and other conditions. All sanatorium-and-Spa institutions is health promotion, restoration of impaired functions, increase immune resistance of the organism, taking into account individual peculiarities of a child.
In most resorts and sanatorium pioneer camps recruitment system provides simultaneous arrival of large numbers of children (1-3 days). This necessitates a well-planned and organized them. For this purpose must be customized space, isolated from other children's corps or with a separate entrance. As part of the reception Department should be the lobby (lobby) with wardrobe, reception, doctor's Cabinet, sanitary unit. Cosy, well-decorated reception favorably impressed, helps parents and children on a specially organized here stands to navigate in the key moments of the sanatorium. The nurse checks the presence of the necessary documents (voucher, sanatorium card, extract from the case history, a certificate from the epidemiologist, the results of bacteriological examination, if they are necessary), measures the temperature of the body of a child gets in his history, writes the necessary data logging and sends to the doctor's office which conducts thorough prophylactic examination admitted patient (skin, mouth, mucous membranes, hair), a brief clinical examination and records the results in the case history. If any suspicious symptoms of an infectious disease, the child is immediately isolated. The doctor prescribes the mode and power on the first day, if you plan survey, puts the signature, date and hour of admission, routes it to the appropriate Department. If a child is brought by parents, it should be clarified to individual features (food and drug Allergy, enuresis, meteorological sensitivity, family risk factors, living conditions, and so on), history of illness, previous treatment.
Teacher : (teacher) examines the peculiarities of the behavior of the child, the reaction on the environment (normal, inadequate, perverted), efficiency (good, low), academic performance, Hobbies, etc.
The child accepts hygienic shower, and escorted to the Department, formed according to age groups. It is important to distribute the sick so that the house had children with the same motor regime. Picking offices on the floor optional, but must be two separate bathrooms. Note that children quickly get used to his friends, so their translation into another chamber must be done only in special cases.
The attending physician in the Department of carefully examining the child, writes clinical status, the data which are essential for diagnosis, consultation, laboratory tests, treatment, assessment of its effectiveness. It assesses the General condition of the child (mood, sleep, appetite, complaints to pains and other), writing data anthropometric surveys - height, body weight (in comparison with the age norm), the breast, the thickness of the fat folds, vital capacity of lungs (spirometer), manual dinamometru. This is followed by a detailed description of the state of the nasopharynx and oral cavity, respiratory, circulatory, selection, gastrointestinal tract, musculoskeletal system, nervous system, mental development, the extent of puberty (acceleration, rate, retardation) and indicators regular thermometry (2 times a day). Define data simplest functional tests, describing the function of the cardiovascular and respiratory systems, physical training of the child. Most common of them are: orthostatic test with the definition heart rate during 10 seconds, check blood pressure when lying down, with a change of position. Rejecting a heart rate of more than 20 beats per minute and blood pressure more than 5-10 mm RT. post * roundtrip indicates a lack of regulation of vascular tone, the prevalence or the oppression of the sympathetic nervous system. Test Post with breath on breath, variable; it depends on the emotional factor, state of the cardiovascular and respiratory systems; older children it is 35-45 S. the Sample of Genc - the duration of breath-holding on the exhale is 15-25 C. Sometimes repeat these samples after 15 squats done by the child for 30 to probe Zabrze, which is of some importance in the dynamics. The sample of dosed physical activity (on Shelkovo, Kushelev) is characterized as favorable or unfavorable (normotimicescoe, asthenic) amplitude of heart rate and blood pressure, as well as recovery time benchmarks. Improvements in the treatment process helps more objectively judge the results.

* The international system of units.