Professional reorientation and rehabilitation in pre-pension and pension age

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In a number of professions connected with a high tempo and rhythm of work, greater strength, liability and other extreme working conditions, people at pre-retirement age can not cope with his usual work. It is necessary to take preventive and rehabilitation measures aimed at the preservation of health and prolongation of working ability.
The main objectives of the rehabilitation of ageing workers are the prevention of disability and the increase in the period of active work by the medical-preventive, organizational-technical and social events. In General, the rehabilitation process is complex and often long-term, especially in relation to older persons of working age. It is customary to distinguish between medical, social and professional rehabilitation.
Strictly differentiate the separate moments of rehabilitation measures is not possible. Planned activities should be easy to implement and provide the final effect.
Considering the problem as a whole, it is often difficult to determine which method of rehabilitation should be applied before medical or social, because there is a deep constant interdependence of physiological functions and social conditions.
The theoretical interpretation and practical implementation of rehabilitation measures of a medical plan are based on changes of physiological functions of the organism, occurring during aging.
The basis of rehabilitation measures in pre-retirement and retirement age should be based on psycho-physiological peculiarities of the employee, which depend on the properties of the organism to adapt to the new conditions in connection with the level and nature of compensatory-reduction processes. It should be borne in mind that with increasing age, morbidity, and this hinders the usage of older people in the labour interrelated processes of the working groups.
Medical rehabilitation of ageing workers covers medical and preventive measures aimed at the preservation and restoration of health, and, if necessary, psychological preparation for vocational adaptation, rehabilitation and eventual re-qualification. The doctor monitors the health status, determines physiological characteristics of the body in relation to specific employment, i.e., the actual professional work capacity, substantiates the necessity of reducing the workload and selection of new activity in the future.
Reorientation - adaptation to new forms of human activity - physiologically due to a change in the usual dynamic stereotype developed in the course of employment. The older you are, the less physiological features! to rebuild the dynamic stereotype and the more difficulties in reorientation of the population (Schenfield, 1975; Welford, 1976).
As in the preventive work in rehabilitation activities in each doctor essential medical education, culture, health education and outreach. Important competent psychological preparation of working to age-related changes in the body, to a reasonably possible change disability and correct use of adaptive physiological mechanisms that promote the conservation and maintenance of optimal health.