Eular Workshop Saturday 3 november 2012

ZurichJ.K.C. Bloo Msc PT, Krijgsman

Transferable method

Roadmap EULAR Call to Action on Physical Activity

Wagner 2003

Refrence Rheumapatient, Bechterewpatient,Fibromyalgiapatient,polyartrosis

Intake

RA Bechterew Fibromyalgia Polyarthrosis

Exercise group pool

Graded Activity Group

Individual therapy

Exercise group pool

Graded activity group

Individual therapy

Exercise group pool

Graded activity group and courseFibro,hoe nu verder

Individual therapy

Exercise group pool

Graded activity group

Individual therapy

Sport :walkingSport extra /

CVB, Fysiq Vision

swimgroup RPV,group MOVB swimming pool

Own sport activity

Adloefgr

1. Hospital

3.Physical therapy \mensendieck\cesar

4. Welness

2. General practioner/ assistant GP

reference Fibromyalgia patient,polyartrosis

Reumanetwerk Zuidveluwe 2012 part Veenendaal

ExampleRegional network of rheumatic diseases, Gelderse Vallei

ExampleRegional network of rheumatic diseases, Gelderse Vallei

Answers pre-conference call• Difficulties• • • Education• the lack of specialized physiotherapist (a low number of them do have proper access to specialized education• The educational programs, for specially trained nurses or physiotherapists have not been set up. • • Cooperation • No cooperation of the professional sector ( e.g. specialists) the total lack of cooperation between social workers, healthcare insurers and municipalities.• Difficult communication with doctors and physiotherapists• Cooperation in Funding ( both professionals and patients and insurance company)• • Accommodation• Too little hot water pools (or, to much people who want to stay in the water pool? MK). • There are no rehabilitation centers for RMDS, even hospitals. We straggle for RMDS clinics, and rehabilitations centers.• • Exercise program• Lack of additional training programs• Lack of quality • • Financial problems• no reimbursement by the healthcare insurer • Funding: this can only be done with project approach and sufficient (financial) support• Cooperation in Funding• • Human resources• Lack of volunteers• no access to facilities that are appropriate for a project like this

Workshop Task

• Identify your chain partners in applying the eular activity document 10 min

• Checks and balances 10 min

• Your First step to implement a regional network in your country 10 min

• 1 Representative group feedback!!

Answers pre-conference call• • Solutions• • • Cooperation • The Ministry of health, the league of physiotherapists, the nurses league, the trainers league, Municipalities• Cooperation in Funding• • Exercise program• In many countries, probably a model for the program would help/ having national programs for people with RMDs.• education for well trained physiotherapists• • Financial problems• financial resources (not to depend completely on State funds)• funding.• financial resource by which you can motivate physiotherapist to do something like this• • Human resources• Professional help• Recruitment of volunteers• Time from a dedicate person in the leaque • • Lobby• persuading the authority that it is beneficial to RMDs, hence they could provide the resources needed.• if perhaps the Health Care system will intervene and together with our organization I guess it could be worked out.• an influent person with contacts in healthcare system and municipality;• • Professional help• Skilled project writer with contacts and influence• Availability of professional helpers