Services

WE OFFER A GLOBAL APPROACH TO NEUROREHABILITATION

We understand that neurological injuries affect many aspects, both of the person’s life and their close environment. We work in a network, coordinating and establishing the necessary synergies between the different disciplines that make up neurorehabilitation.

We approach the treatments depending on the person’s characteristics (strengths and weaknesses) and the environment around him or her (family, community, health care network, social services, and technology). Our goal is to minimize the consequences of the brain injury, and enhance the abilities of each person, empowering them to gradually regain control of their lives and the ability to decide for themselves.

We work with the environment removing barriers and facilitating all available resources, both personal and communal, in order to move forward on the reintegration path.

We provide assistance to people of all ages who for some reason need care, whether they are at home or in a medical center.

We offer treatments that can be done on an outpatient basis, ie: the patient travels and receives the treatment at our center, or we travel to where the person is: home, residence, hospital, work, health park, swimming pool, etc.

In order to know how we can help you, we make an initial assessment in which we reflect how the disease is affecting the life of the patient and his/her family’s: their needs and wishes, the effects of the disease on their daily lives, the capabilities that are preserved, the characteristics of the environment, the available resources, etc. That is to say, how the disease is affecting the lives of the person who needs the treatment and his/her family’s.

Once the problem and the situation have been identified, we send a report with a treatment proposal and an estimate quote. After that, we make an appointment to present the proposal and agree on the treatment for the affected person.

When we identify needs that are already covered by other professionals, or when the patient needs interventions that we cannot offer, we coordinate with the appropriate entities and people, ensuring that the intervention is comprehensive and focused on the person, and not divided according to who offers the service. We also work in coordination with the family and the environment to provide support and strategies to ensure the well-being of the patient and of the person who is taking care of him/her.

The treatments can be individual or in small groups up to 4 people.

The group treatment is offered when the person already has the elements to work independently or under supervision. The objectives of group work are:

  • Facilitate health maintenance.
  • Promote interpersonal relationships.
  • Empower participants and their families with strategies that maintain their health and facilitate social relationships.

The family, the main caregiver, and/or the closest people to the patient, participate in all stages of the intervention either when the patient requests it or the professional deems it appropriate, always with the previous consent from the person receiving the treatment. Namely: the initial assessment, the treatment agreement and the schedule, the objectives review, some treatment sessions and the discharge proposal. Everything is always discussed and agreed with the person being treated and his/her family. In addition, we offer a phone number and a contact address for both the patient and relatives to contact professionals, if they deem it necessary.

We offer individual and group training to caregivers so that the patient can continue the treatment at home. We deal with issues such as mobilizations, transfers, and displacements, the adaptation of the personal spaces and use of support tools, care tools for the caregiver, and communication skills, amongst others.

In ENDAVANT we want to promote an activity that gives citizens with neurological conditions the opportunity to get a physical therapy while performing a socializing activity, which they may struggle to do without external support.

One of our guidelines is health promotion and we do so by making it easier for the person affected to take care of maintaining his/her own health. We adapt the services to each person and teach them how to manage the available resources (public or private swimming pool private, beach, etc.). The aquatic activity we offer aims to enable these people to enjoy the benefits provided by the aquatic environment in order to maintain their health. It aims to give the patient and his or her familiy autonomy, as he/she would be able to swim safely and confidently either in swimming pools or in the sea.

The service offers:

  • Stretches for possible muscle-tendon retractions
  • Stimulation of the entire musculoskeletal system’s motor control.
  • Decreased spasticity or other changes in muscle tone
  • Balance work in a different environment than the usual, aqueous environment (unencumbered), which is very complicated in a usual ground environment.
  • Facilitation of movement reactions that would not be achieved in the terrestrial environment
  • Fall prevention
  • Contribution to improving the quality of life
  • Prevention of social exclusion

This activity can be done individually or in small groups. The number of users per group will range from two to four people with common deficits and who have previously been assessed to be able to carry out the activity without risk to the user’s health.

Telerehabilitation consists of carrying out rehabilitative therapy remotely (without a physical presence in the center), and without the face-to-face assistance from a healthcare professional.

We think it is important to empower and encourage those affected to continue taking care of themselves and recovering with minimal professional support.

Telerehabilitation advantages:

Rehabilitation at home offers very clear advantages. Starting with those that improve the patient’s quality of life, the most obvious are his/her own comfort and accessibility. On patients with mobility problems this is accentuated, but in any case, as long as trips to the medical centers are avoided, we are flexible with the schedules and places (home, that of a relative, or even a holiday’s place). Rehabilitation is less “traumatic” if performed in a familiar and known environment.

In addition to the time spent by the patient on each trip to the medical center, travel costs are minimized if the therapy is performed at home.

Another advantage is the empowerment or motivation of the patient for self-management of their care. Turning therapy into a game with measurable goals encourages the user to achieve these goals.

A better family organization is achieved, as the patient does not condition his relatives by not involving them in travel and scheduling the appointments in accordance with their daily activity. Therefore, absenteeism decreases, but not only for the patients, also for the professionals who can attend the patients remotely and on a flexible schedule, as the review of progress does not need to be done at the same time as they are performing the exercises. However, some systems include monitoring and sending directions to the patient in real-time.

We offer information and guidance on customized solutions, support products, and resources available with the aim of promoting and improving personal autonomy and accessibility to the environment. We also promote social integration of people with disabilities and the elderly.

A support product is any product (including devices, equipment, instruments, technology, and programs), specially manufactured or available on the market, which prevents, compensates, controls, mitigates, or neutralizes deficiencies, activity limitations, and restrictions in participation. This includes technical aids, splints, orthoses, wheelchairs, and walkers amongst others.

Due to the great diversity of products and the individual needs of each person and family, advice is often needed in order to choose appropriately.

This service is addressed to people with disabilities or dependencies and to their relatives and carers.

Accessibility is a basic condition for the rehabilitation, insertion, and quality of life of people with neurological disease.

The home spaces, the objects or instruments, tools, and devices for daily life, must be comprehensible, usable, and pragmatic for all the people who live in the house. They must be in comfortable and secure conditions in order to be as autonomous and natural as possible. To provide this we can use technology and community resources.

Accessibility presupposes the strategy of “universal design”, ie when environments, goods, products, services, objects, instruments, devices, or tools are conceived or designed, they are made in such a way that they can be used by everyone to the greatest extent possible.

As a city and as a province, Girona has many public and private resources that can make life easier for people with a neurological disease and make it more enjoyable.

  • Resources designed for everyone such as civic centers, volunteer organizations, adapted transport, accessible swimming pools and itineraries, and health parks, amongst others.
  • Resources designed especially for people with neurological and/or dependent diseases such as patient associations, the technical assistance bank, stores specialized in assistive technology, health, and social services, financial aid, amongst others.

We often do not use these resources because we are not aware of them. Sometimes, even if we are aware of them, we do not know how to use them or how to get them.

We also collaborate with stores and specialized workshops to adapt vehicles or homes. Renting or buying support products and technical aids is also an area ENDAVANT helps with.