The conditions covered in the specialist inpatient rehabilitation package (ειδικό νοσήλιο) by EOPYY in the NEW EOPYY REGULATIONS   are restricted to the following conditions:

• Acute Stroke (hemorrhagic/ischemic) with documented neuromotor impairment (by disease code)
• Anoxic-Ischemic Encephalopathy
• Brain and spinal cord surgery
• Craniocerebral injuries or spinal cord injuries
• Acute disseminated encephalomyelitis
• CNS infection with neuromotor problems
• Acute myelitis/myelopathy
• Acute Polyneuropathy (Guillain-Barré, toxic polyneuropathies from any cause),
• Relapse of multiple sclerosis or chronic inflammatory polyneuropathy during the manifestation of recent neurological deficits that were treated with corticosteroids and cause inability to stand and walk in patients who were ambulatory (even with support) before the recent relapse,
• Myopathies – myasthenia of any etiology
• Multiple trauma patients with inability to stand and walk
• Patients with pelvic ring instability and patients with fractures of both limbs, causing inability to stand or walk
• Girdlestone arthroplasty
• Major orthopedic operations with proven inability to stand and walk, confirmed by the treating medical practitioner who performed the surgery, after the average duration of hospitalization in the ICU selected for inpatient hospitalization
• Revision arthroplasty, periprosthetic fractures
• Amputations of upper and/or lower limbs.

If you are insured with an insurance company that is not part of the Hellenic National Organization for Health Care Services (EOPYY), you should ask your insurance company which conditions they cover, always referring to PD 383/2002 as a guide. Other health care providers often adopt the respective EOPYY Regulation.

The specialist inpatient rehabilitation package (ειδικό νοσήλιο) only applies to legally defined conditions that require rehabilitation (e.g., cardiac diseases, diseases of the urinary tract, gastrointestinal system, diabetes mellitus, etc.) and does NOT cover other conditions.

The patient can choose a specialist from Anaplasi or his own specialist, regardless of whether the specialist is contracted to EOPYY, for the monitoring of any other conditions.

Specific prices apply for your hospitalization in a triple, double, or single room. As an EOPYY insured, you will pay us a contribution for inpatient hospitalization in a room higher than the C category (quadruple), as in the procedure defined by EOPYY. A bed upgrade does NOT mean that the treatments and services of the other rooms are downgraded! Each patient is unique to us, regardless of whether they choose a triple, double, or single room. In Anaplasi, we do not confine ourselves to the basics but do everything possible for a successful rehabilitation outcome.

The new EOPYY Regulation determines the maximum length of hospitalization in a Rehabilitation Center for the diseases covered by the specialized hospital. You will be informed of this time when arranging your admission by the Inpatient Admission Officer of ANAPLASI.

Please bring the following: discharge certificate (original) from the hospital currently treating you; medical opinion for admission to ANAPLASI (original); up to date health insurance booklet; police ID card; recent medical test results; enough medications for 48 hours; written instructions from the doctor responsible for your treatment; and your personal belongings. Take care that the medical opinion is complete, detailed, and fulfils the requirements of EOPYY. Your health insurance booklet is kept at the ANAPLASI Admission Office, as determined by EOPYY, for the duration of your stay. On admission, you will be given written instructions regarding the Inpatient Regulations.

The duration of a typical therapy session is 45 minutes. However, the duration and frequency of treatment sessions depend on the neurological, functional, and general condition of the patient. In patients with reduced stamina, for example, kinesiotherapy, occupational therapy, or speech therapy may be performed for 10-15 minutes every two hours, throughout the day (9:00-21:00). At the discretion of the Rehabilitation Team, treatments from different specialties may be performed in parallel and simultaneously, ensuring maximum benefit for the patient. For seriously ill patients, additional treatments are implemented in bed. With the help of computers integrated into the robotic beds, personalized programs that include vibration, percussion, and programmed changes of positions can be performed, continuing if indicated, throughout the 24 hours.

Nutrition plays a crucial role in Rehabilitation. The clinical Dietitian of ANAPLASI, in collaboration with the other members of the Interdisciplinary Rehabilitation Team, provides the correct dietary support, based on nutritional needs, and an objective feeding assessment of each patient. Thus, meals will be different for patients with, e.g., nasogastric tubes, dysphagia, diabetes, renal impairment, hypertension, cardiovascular disease, gastrostomy, obesity, or cachexia. For the nutrition of our inpatients, we have taken care to ensure that the strictest hygiene and safety rules are observed, not only based on ISO 22000, 9001, 14001, and HALAL Certifications, but also with additional controls and special specifications.

Of course!  Tracheostomy and gastrostomy are carried out to minimize the development of serious complications (aspiration pneumonia, esophageal ulcerations from prolonged nasogastric tube placement, malnutrition, etc.).

Their presence, in the majority of cases, does mean the patient cannot be rehabilitated. On the contrary, “in experienced hands”, these procedures facilitate and accelerate the rehabilitation process.

At ANAPLASI, we have the knowledge and experience, and of course, the infrastructure and equipment to treat patients with tracheostomy and/or gastrostomy with the highest possible safety criteria.

The combination of intensive rehabilitation therapy and care from the specialized medical, nursing, and therapeutic staff that make up the Dysphagia Unit leads to the speediest return to normal function.

As we grow older, the risk of falling and being injured also increases.

According to the World Health Organization, falls in people over the age of 65 are the second leading cause of injury leading to death, as, from this age, the number of falls that prove fatal increases.

However, falls not only cause serious injuries, but also have a detrimental psychological impact on the patient.

Most falls are due to slipping or tripping while walking, even on a flat surface (“fall from the same height”). The most common injuries sustained by people who fall from the same height are to the wrist, hip, spine, and head.

The presence of osteoporosis at these ages increases the risk of fractures from falls.

When dementia and/or other serious cognitive disorders coexist, such as organic psychosis, then things become extremely dangerous, especially when the patient remains undiagnosed and therefore is not taking the appropriate medication.

Patient falls inevitably occur in the hospital environment.

The international bibliography and accompanying statistics confirm that, even with the adoption of all necessary protective measures, the risk of falls in patients with the aforementioned pathology in Hospitals and Rehabilitation Centers can be reduced, but it does not disappear, as it is the nature of serious cognitive disorders that makes patients unpredictable and prone to falls, even with medication.

Of definitive importance for reducing the risk of falls is the Quality Policy that is applied internationally in modern Healthcare Structures.

Modern Quality Management Systems include risk assessment in the development of each activity.

At ANAPLASI, our patients are hospitalized in a safe and fully accessible environment, with specifications that contribute to minimizing the chance of falling (accessible, bright, comfortable rooms and treatment areas, robotic beds with position locking function and protective supports, special hospital floors, a multitude of special aids that help patients’ functionality).

The experienced nursing and therapeutic staff of ANAPLASIS apply a series of assessment scales, increasing their vigilance in patients who are at high risk of falling. At the same time, they design and implement an individualized Rehabilitation Program for patients who come for Rehabilitation of physical problems. This program aims not only to improve balance, posture, walking, and self-care skills as quickly as possible but also to stabilize and improve psycho-mental skills and to ensure emotional stability through the use of specialized psychometric tests and ongoing psychological support.

Your role, the role of those close to you, is crucial in this evaluation.

The honest information provided to our doctors by people close to a patient with dementia or organic psychosis, regarding their history of falls and the medication they are receiving, is very important.

Even more important is your immediate response and ongoing collaboration with the Rehabilitation Team, especially in undiagnosed patients and in patients whose medication needs modification.

It is important to set a good example for the patient, primarily by implementing medical instructions yourself:

-Prevent patients from mobilizing themselves and

-Do not attempt to mobilize patients without the approval of our doctors or without the help and supervision of the nursing and therapeutic staff.

Even patients with impaired psycho-mental functions can feel the care of the ANAPLASIS Rehabilitation Team.

“We treat our patients as we would treat our own family.”

At ANAPLASI, we consider it inconceivable that a relative or friend of the patient should replace the nurse or therapist in their duties. Thus, it is NOT your relatives or friends’ duty to, for example, remind you of your medications, check your intravenous fluids, take you to the toilet, take care of your personal hygiene, or “do exercises with you”. All of this is taken care of by our medical, nursing, and therapeutic staff.

It is important, always in consultation with our doctors, that your family and friends keep you company and enjoy activities together in your free time. The remaining hours of your time in ANAPLASI are dedicated to your treatment and rest. Patients of the Rehabilitation Centers belong by definition to the category of “vulnerable groups”. This means it is equally important that your loved ones respect the ANAPLASI Operating Regulations and observe all hygiene measures, for your benefit and that of other patients.

You can continue your rehabilitation treatment as an outpatient in Anaplasi. That means you can come to ANAPLASI, have your treatment, and return home and to your activities. You are legally entitled to 60 or 80 treatments per year, depending on the severity of your condition, for two years. These treatments are fully covered by your health insurance provider.

If you are insured with EOPYY, there are time limits for outpatient treatment. The Outpatient Office and the Social Workers of ANAPLASI can inform you of your entitlements.