Physical and rehabilitation medicine, medical rehabilitationPhysical and rehabilitation medicine, medical rehabilitation2658-68432949-1436Eco-Vector10653810.36425/rehab106538Review ArticleRehabilitation Environment for Patients with Chronic Impairment of ConsciousnessNekrasovaIuliia Yu.<p>Cand. Sci. (Technical)</p>nekrasova84@yandex.ruhttps://orcid.org/0000-0002-4435-8501BorisovIlya V.realzel@gmail.comhttps://orcid.org/0000-0002-5707-118XKanarskyMikhail M.kanarmm@yandex.ruhttps://orcid.org/0000-0002-7635-1048PradhanPranilpranilpr@yandex.ruhttps://orcid.org/0000-0002-3505-7504DeriushkinVladimir G.dvg@koziz.ruhttps://orcid.org/0000-0001-5218-8648SorokinaViktoriya S.vsorokina@fnkcrr.ruhttps://orcid.org/0000-0002-1490-1331PetrovaMarina V.<p>MD, Dr. Sci. (Med.), Professor</p>mpetrova@fnkcrr.ruhttps://orcid.org/0000-0003-4272-0957SternMarina V.<p>Cand. Sci. (Med.)</p>mstern@fnkcrr.ruhttps://orcid.org/0000-0002-1345-5237YarotskayaIrina A.<p>Cand. Sci. (Med)</p>yrotskayia@zdrav.mos.ruFederal Scientific and Clinical Center of Intensive Care Medicine and RehabilitologyPeoples Friendship University of RussiaMoscow State University of Medicine and Dentistry named after A.I. EvdokimovFederal Scientific and Clinical Center of Reanimatology and ReabilitologyFederal Research and Clinical Center of Intensive Care Medicine and RehabilitologyInstitute of Higher Nervous Activity and Neurophysiology of the Russian Academy of SciencesThe State Budgetary Healthcare Institution of Moscow "The Municipal Clinical Hospital named after M.P. Konchalovsky of the Moscow City Health Department"0807202242901042004202230052022Copyright © 2022, Nekrasova I.Y., Borisov I.V., Kanarsky M.M., Pradhan P., Deriushkin V.G., Sorokina V.S., Petrova M.V., Stern M.V., Yarotskaya I.A.2022<p>The article discusses aspects of providing care to patients with chronic impairment of consciousness at the post-hospital stage: it describes the difficulties faced by relatives of patients caring for loved ones at home; the prospects for the use of remote technologies for the rehabilitation of patients are indicated on the example of the experience of foreign researchers; the experience of creating a rehabilitation environment similar to home (Casa Iride model) is presented with an indication of its strengths and weaknesses. Thus, the basis of modern remote and mobile rehabilitation services should be system platform IT solutions that, based on the principles of digitalization, ensure coordination of interdepartmental interaction and efficient use of resources in the process of providing post-hospital rehabilitation care to patients with severe consequences of organic brain damage.</p>chronic impairment of consciousnessmedical and social aspectsrehabilitationassistancenursingCasa Irideremote technologiesхроническое нарушение сознаниямедико-социальные аспектыреабилитация, помощьуход за больнымиCasa Irideдистанционные технологии[Finch J, Groves D. A labour of love: women, work and caring. London: Routledge and Kegan Paul (Eds.); 1983.192 р.][Gilhooly KJ, Gilhooly ML, Sullivan MP, et al. A meta- review of stress, coping and interventions in dementia and dementia caregiving. BMC Geriatr. 2016;16(1):106. doi: 10.1186/s12877-016-0280-8][Swartz K, Collins LG. Caregiver care. 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