Among the innovative technologies of medical care for citizens with impaired consciousness, a special place is occupied by the technology of mobile rehabilitation service (MRS), with the help of which a wide range of patients are served at home, and their relatives and friends receive extensive counseling. The practice of the Federal State Budgetary Institution Federal Scientific and Clinical Center for Resuscitation and Rehabilitation indicates the high efficiency of mobile rehabilitation in this category of patients. Positive experience can be developed, incl. due to the use of telemedicine after completion of the main rehabilitation course. The methodology, in which online sessions and consultations are conducted using video conferencing technology, can significantly increase the territorial coverage of MRS patients, and ensure the continuity of rehabilitation. A special place is given to the interaction of a speech therapist with patients and their relatives, in the framework of which the course of medical and social rehabilitation is continuing. It is stated that the use of telemedicine contributes to the development of remote rehabilitation of handicapped patients with impaired consciousness at home. The accumulated experience allows us to recommend the extensive use of a combination of technologies of MPC and telemedicine, thereby greatly expanding the rehabilitation potential of a significant number of patients at home. It seems expedient to scale up and replicate the experience of MRS FNKC RR within the framework of medical rehabilitation institutions in the country, as well as to raise discussion about the possibilities of expanding the practice of distance counseling and receptions to other stages of mobile rehabilitation.
The article analyses the problems of the formation of conflict interactions and relationships caused by the influence of conflictological culture and competence of the individual, which in recent years has become a priority. The article is based on the methodology of an integrated approach and system analysis. The theoretical basis of the article was the publications of Russian and foreign researchers devoted to conflict-related issues. The research methods used were a review of theoretical works and empirical research, comparative analysis, expert assessments, normative and logical methods. The analysis of methods, mechanisms, tools and other aspects of effective conflict management was carried out. Based on the results generalisation, the main directions of influence of conflictological culture and personal competence on the confrontational mode of conflict relations have been formulated. The conflict consequences determination by personal components of the participants in the conflict interaction is considered separately. In conclusion, the conflict management matrix is presented.
. As the practice of the Federal Scientific-Clinical Center for Resuscitation and Rehabilitation (FNKC RR) confirms, working with relatives is of paramount importance in the rehabilitation of patients with brain injuries, including those with impaired consciousness, since the main rehabilitation work is carried out in family-home conditions, and In addition, the emotional component of successful rehabilitation of this category of patients is shifted to loved ones. The technology of the School of Relatives involves a combination of collective (training seminars) and individual working methods (consultations of specialists of all profiles, of which the speech therapists consultations are especially important in the face of complex tasks of rehabilitation work). With a competent and systematic approach associated with comprehensive training and subsequent information and consulting support for relatives of the rehabilitated patient, it is possible to achieve significant progress in rehabilitation work, as evidenced by an analysis of the experience of organizing the School of Relatives in the FNKC RR. The introduction of telemedicine tools contributes to increasing the success of the functioning of the School of Relatives, which is important not only in the context of the continuity of interaction between relatives and specialists in ordinary conditions, but also ensuring continuous interaction in the context of restrictions on social contacts, including the provision of various types of medical care, in the context of a new pandemic coronavirus COVID-19.
In the last decade, considerable attention has been paid to the development of medical and social services including rehabilitation services, for citizens at home. Particularly noteworthy are patients with impaired consciousness, high-quality rehabilitation and social work with which at home has not been carried out before. According to the research materials, the creation of the Mobile Rehabilitation Service (MRS) in the Federal State Budgetary Institution Federal Scientific and Clinical Center for Reanimatology and Rehabilitation has allowed to accumulate and actively practice the unique innovative experience of mobile rehabilitation of clients with impaired consciousness. The data on the served contingent and the indicators of the effectiveness of the rehabilitation, convincingly confirming the need and high medical and social significance of the innovative technology the mobile rehabilitation service. The experience of MRS FNKC RR seems appropriate to scale and replicate in the framework of medical rehabilitation institutions in the country.
In contemporary research on organisational effectiveness, the concept of culture is gaining ground. Not only organisational and/or national culture is considered, but also the whole range of local subcultures: professional, personal, age, etc., which also need to be analysed and taken into account. This circumstance affects the micro- and macro-level functioning of the organisation in the cultural code. The article studies the phenomenology of conflict from the perspective of an organisation’s conflictological profile, which is a reflection of its cultural identity. A typological cross-section of the conflict, its operational, strategic and symbolic types has been revealed. They have individual characteristics and have an impact on the functioning of the organisation, shaping its unique conflictological profile.
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