|Programme:||CZ11 – Initiatives in the field of public health|
|Programme area:||PA 27-3 – Prevention of consequences of illness and health problems in childhood|
|Programme result:||Improvement in access and quality of healthcare, including reproductive and preventative paediatric healthcare|
|Result of project:||Development of primary and secondary healthcare focussing on reducing the consequences of illness, injuries and health problems in childhood|
|Date of start:||1.1.2015|
|Date of completion:||30.4.2016|
|Budget - total expenditure of project:||8 678 873 Kč|
|Buget - amount of money from grant:||6 943 098 Kč|
|Budget - co-financing:||1 735 775 Kč|
|Total expenditure of project:||7 021 328 Kč|
|Amount of money from grant:||5 617 062,4 Kč|
|Co-financing:||1 404 265,6 Kč|
|Brief summary of project:||
In compliance with the focus of the call, the Plzeň Teaching Hospital expanded the activities of secondary and tertiary prevention by augmenting and expanding the activities of the already existing Developmental Care Centre (Czech acronym CVP). The project was focussed on multidisciplinary care beginning in the neonatal period and continuing up to preschool age and potentially further, and it is coordinated and concentrated on one outpatient site for the convenience of children and parents.
The aim of the CVP’s activity is to minimise the consequences of perinantal disability of at-risk children, their integration into the family, the education system and broader society and so to allow disabled individuals to participate in the well-being of society. The aims are achieved over the course of long-term monitoring of a child’s development, often up to the age of two or older. Monitoring of development and active searching for the first signs of impaired development represent an effective tool of secondary prevention. The CVP of the Plzeň Teaching Hospital has prepared a set of measures and included them in the prevention system.
The issue of original neonatal patients is diverse and combined, and it is important that after the expansion in the operation of the site it is possible to deal with several problems during a single visit. In a newly created office it was possible to increase the working hours of the psychologist who in these patients monitors the development quotient using planned methodologies and discovers disorders of, for example, the autistic spectrum.
Special needs teaching care in particular plays an irreplaceable role in training in and attainment of alternative methods of communication in the case of children with an existing disorder. The involvement of a special needs teacher for just a few hours a week was insufficient, and in view of increasing needs of her care, her working hours at the CVP was increased. And so there was a need to fit out a new office, which is currently also used for the clinical speech therapist. So speech therapy can be included from neonatal age, because the conditions for the subsequent development of the child’s speech abilities are prepared via orofacial stimulation and attainment first of the ability to receive nutrition.
In order to improve the positive feelings, the waiting room and office will be decorated using furniture, children’s toys and interactive elements so that the environment itself has a motivational impact on the children.
Ultrasound examination based on different indications represents an integral part of the examination of a child at CVP. In the case of small children it is possible to examine virtually any organ and tissue using ultrasound, but one condition is an adequate quality of display and suitable probe. So the ultrasound scanner is equipped for examining small objects and tissue changes of any organ, both for the smallest and larger children. The purchase of a modern ultrasound scanner made possible to perform all the necessary ultrasound examinations in small children at the CVP. The risk of a child being infected was eliminated, and there is also an increase in convenience for the child and parent.
Recently using of cameras for retinal examination, it is possible to make an objective evaluation of a finding on the retinas of premature children with retinopathy. The examination is gentle and if needs be it is repeated, the development of the findings monitored, and a timely treatment indicated. There are many other pathological eye finding at an early age which require ophthalmic monitoring and treatment. In view of the fact that small children are usually uncooperative, conventional eye examinations become difficult, and often impossible, and for these cases a retinal camera represents a significant benefit.
Brochure for parents will help in giving them information and ensuring good cooperation. It contains important information about health, treatment, nursing, social care etc. The main aim is to give parents a description of the main diagnoses in the case of a perinatally at-risk child, to explain the treatment and nursing procedures, and to emphasise the point of involving the parents in developmental care, all in a comprehensible form. The publication was prepared by a working group consisting of a neonatologist, ophthalmologist, psychologist, physiotherapist, special needs teacher and speech therapist.
The employees of the Plzeň Teaching Hospital ensured the implementation of the project.