REPORT-UPLA Katy

“YEAR OF THE FIGHT AGAINST CORRUPTION AND IMPUNITY ”
PERUVIAN UNIVERSITY LOS ANDES

HEALTH SCIENCES FACULTY
PROFESSIONAL SCHOOL OF MEDICAL TECHNOLOGY
PHYSICAL THERAPY AND REHABILITATION SPECIALTY
BOARDING SCHOOL HEADQUARTERS: HUANCAYO-ESSALUD METROPOLITAN

POLYCLINIC
FINAL REPORT OF THE HOSPITAL INTERNATIONAL SCHOOL

I
SURNAMES AND FIRST NAMES: COSME AUQUI Mayumi
START DATE: February 1, 2019
END DATE: July 31, 2019
HEADQUARTERS COORDINATOR: Lic. TM. DIAZ BUENDIA Tessie
HUANCAYO-2019
TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

INTRODUCTION
Physical Therapy and Rehabilitation is a specialty of Medical Technology, whose
services are intended for the diagnosis, prognosis, treatment, prevention,
rehabilitation of pathologies in patients who have lost functional capacity as a result
of a genetic or acquired injury (stroke, infection, tumor, surgical intervention,
progressive disease, ECT).
Physiotherapy is a profession that is based on scientific bases where the medical
technologist widely develops all his abilities and his community performance
seeking the well-being of people since he is responsible for avoiding, curing and
preventing the consequences of multiple diseases.
During our training as professionals at the professional school of medical
technology specializing in physical therapy and rehabilitation, we carry out our
professional practices that consist of the hospital internship, which is a transition
stage between life as a student and as a professional, since it is oriented towards
integration, deepening and application of technical, scientific knowledge and
acquired skills focused on the ethical aspects of caring for people with a holistic
vision as a physiotherapist. The art of rehabilitation goes beyond treatment focused
on the human being as a holistic being, acting at the level of prevention, promotion
and recovery of health.

CHAPTER I
1.- SITUATIONAL DIAGNOSIS
1.1. Description of the Boarding School Headquarters:
The Huancayo Metropolitan Polyclinic - Red Asistencial - ESSALUD is located
on Avenida Independencia N°200 in the DISTRICT of El Tambo PROVINCE
Huancayo DEPARTMENT Junín.
HISTORICAL REVIEW
The history of the Huancayo Metropolitan Polyclinic - Tambo District. It has its origin
in the initiative of the health regulatory manager of the central management of
benefits of Essalud, who expresses his opinion in favor of the creation of the
healthcare center with a Polyclinic resolution level in the city of Huancayo,
considering that in the Junín healthcare network, It is necessary to implement first-
level care centers with sufficient resolution capacity, which allows them to resolve
the majority of demand for outpatient consultation and low-complexity care,
allowing their hospitals to reach an adequate level of efficiency when providing

medium-complexity services. as it responds to them, this in order to reorder the
healthcare services of the healthcare network medicine.
The Huancayo Metropolitan Polyclinic was created under the executive presidency
resolution No. 015-PE-ESSALUD-2008, on January 6, 2008 in the city of Lima.
Under the executive presidency of Eng. Fernando Barrios Ipenza; The inauguration
of this health establishment was on April 24, 2009 and it began to operate with care
for the insured on May 2, 2009, with Dr. Julio Troncoso Mena, Director of the
Huancayo Metropolitan Polyclinic, as Junín healthcare manager. Dr. Rigoberto
Palacios Meza.
Essalud inaugurated the first Metropolitan Polyclinic of the Mantaro Valley, located
in the city of Huancayo (Junín region), with the purpose of meeting the health
needs of more than 60 thousand policyholders in this area of the country.
This center opts for the preventive health system, which aims to prevent people
from getting sick, allowing ailments to be controlled in time and thus reduce the
damage to people.
For this reason, Essalud promotes the development of prevention as the main
driver of its service to achieve effectiveness in the health system, thus undertaking
a policy of strengthening primary care.
The services that this Polyclinic will provide are disease prevention, health
promotion, recuperative care, outpatient consultation, controls, immunizations,
dental care, among others.
This inauguration was attended by the executive president of ESSALUD Fernando
Barrios Ipenza and the authorities of the Junín region.

- CHARACTERISTICS OF THE INFRASTRUCTURE OF THE INTERNSHIP
CENTER:
It is a single-story building divided into five blocks that have different functionalities
and block two and three are the Physical Therapy and Rehabilitation area, it has
blue and white environments.
The polyclinic has the following health professionals:
• Family doctors :5
• General practitioners :8
• Internist: 1
• geriatric doctor :2
• Gynecological doctors :4
• Pediatric doctor :4
• Dentists :7
• Obstetricians :6
• Pharmaceutical chemist :1
• Medical Technologist in Radiology :1
• Medical technologists in laboratory :2
• Medical Technologists in Physical Therapy :3
• Nurses : 14
• Psychologist :2
• Nursing technicians : 16
• Pharmacy technicians :3
• Physical therapy technician :0
• Laboratory technician :1

• Social worker :1
• Nutritionist :1
Administrative staff:
• Medical director :1
Administrative staff :1
Service staff
• Watchers :6
• Cleaning staff :6
ORGANIZATIONAL CLIMATE:
The work environment experienced in the institution is adequate and is in line with
the demands of the polyclinic, being dynamic and fluid in the work and social field,
respecting the privacy with which cases must be handled and respecting the code
of professional ethics. with the aim of achieving commitment and teamwork.
1.2. Functional organization of the Physical Therapy and Rehabilitation
Service
To be able to enter the Physical Therapy and Rehabilitation area, the patient goes
through General Medicine, after being evaluated the Doctor will designate them to
the Physical Therapy and Rehabilitation area. The area has basic materials (CHC,
CF, stretchers, bobath balls, theraband, flex floors, weights, sensorimotor materials,
dumbbells, etc.) and equipment (Electrotherapy, laser, Ultrasound, Combined
Therapy, Hydrotherapy, Paraffin, Infrared). Physiotherapy treatment.
The treatment consists of 8 sessions, depending on the patient's recovery, the
Medical Technologist refers the patient to General Medicine or discharges them.

1.3. Description of Rotation Services
PHYSICAL THERAPY AND REHABILITATION SERVICE
o PHYSICAL AGENTS
The physical medicine service has a variety of physical agents such as:
electrotherapy, laser therapy, infrared, ultrasound and combined therapy
which is beneficial for the physiotherapy treatment of patients. Physical agents are
means used in the physiotherapy profession for its various treatment techniques.
These are a form of treatment that will help improve and strengthen the health
situation that the patient presents. Their effects are excellent and fast, in addition to
allowing multiple ways of application, making them adaptable to almost any injury,
illness or condition.
Thermotherapy: It is the use of heat for therapeutic purposes. It is the

application of heat in its different degrees on the body for therapeutic
purposes. Application mode:
o Superficial thermotherapy: hot compresses and paraffin
o Deep thermotherapy: ultrasound
Electrotherapy: Electrotherapy is a discipline that is included within physical
medicine and rehabilitation and is defined as the art and science of treating
injuries and diseases through electricity.
Laser: It is a low-power treatment, based on the emission of photons,
concentrated light particles. Accelerates the recovery and formation of new
cell colonies.
o MECHANOTHERAPY

The mechanotherapy area has two stationary bicycles, one hand bicycle.
These work instruments are essential in the execution of the patient's
treatment since due to the limited space they cannot be used effectively.
o PSYCHOMOTORTICITY:
The area of psychomotor skills in the area of physical therapy and
rehabilitation. In this area we can find materials such as: bobath balls, and
psychomotor kits.
o CHRONIC PAIN:
Pain is a signal from the nervous system that something may be wrong. It is an
unpleasant sensation, such as stinging, tingling, stinging, burning, or discomfort.
The pain may be sharp or dull. You may feel pain in one area or all parts of your
body. There are two types: acute and chronic. Acute pain lets you know that you
may be injured or have a problem that needs attention. Chronic pain is different. It
can last weeks, months or even years. The original cause may have been an injury
or infection. There may be an ongoing cause of pain, such as arthritis or cancer. In
some cases, there is no clear cause. Environmental and psychological factors can
worsen chronic pain.
Many older adults have chronic pain. Women also report having more chronic pain
than men, and are at higher risk for many conditions that cause pain. Some people
have two or more diseases that cause chronic pain.
o MISCELLANEOUS:
In this area we interact with patients of all ages, and perform all types of treatment
(physical agents, kinesic therapy, gym).

Firstly, we carry out the evaluation for the physiotherapeutic diagnosis using the
evaluation form that we have in the area and then we carry out your treatment plan.
The treatment given to the patient is 30 to 45 minutes daily or every other day. If we
observe that the patient does not show improvement, another treatment plan will be
modified.
The treatment consists of physical agents, kinesic therapy, manual therapy and
gym.
The treatment we perform on geriatric patients is, for the most part, to relieve pain,
for which we exclude gym treatment since they cannot perform it adequately. After
completing the 8 sessions, all patients are transferred to group therapy for 1 year
for physical maintenance and to prevent the injury from returning.
o GROUP WORKSHOPS FOR SENIORS, ADULTS, TEENS AND CHILDREN
The Physiotherapist of physical activity in adults must know and master their specific
skills and for this a training itinerary is necessary in accordance with international
standards.
The regular practice of physical activity produces a series of morphological and

functional adaptations that improve psycho-biological health in different functional
systems such as:
- Locomotor system
- Bones: stimulation of osteoblastosis, better nutrition of the growth cartilage,
condensation and organization of bone trabeculae, increase in bone
mineralization and density (prevents fractures, osteoporosis and other
injuries to the bone system).
- Joints: improves joint lubrication and increases joint mobility (prevents
arthritic and arthritic processes).
- Muscles and ligaments: increased synthesis and organization of collagen
fibers, increased tendon and ligamentous resistance, general or selective

muscle hypertrophy (slow or fast fibers), metabolic improvement (aerobic

and anaerobic).
During school age and adolescence we find in our consultations that boys and girls
come with generalized back pain.
The role of Physiotherapy begins to develop a very important diagnosis about these
problems at these ages since very important physiological changes occur in the
development of the musculoskeletal system, also looking at the physical condition
of the child. Therefore, children or adolescents are taught and corrected about
good habits of postural hygiene and the importance of physical activity at their age
so that there are no complications later in adulthood, such as sitting, sleeping, lifting
objects from the floor. , etc.
1.4. Duration of the Practices.

The execution of the pre-professional internships consists of 12 months divided into
2 parts:
Hospital internship 1: February 1, 2019 to July 31, 2019
Hospital internship 2: July 31, 2019 to February 1, 2020
1.5. Boarding School Schedule.
MORNINGS: 7:00 am – 1:00pm

AFTERNOONS: 1:00 pm – 7:00pm
FEBRUARY 2019
d l M M J. V Yes
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M M M M M M
10 11 12 13 14 15 16
M M M M M M
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My T M M M M M
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HOURS PER DAY: 6 hours
TOTAL HOURS: 150 hours
MARCH 2019
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1 2
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T T T T T T
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T T T T T M
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M M M M M M
31
APRIL 2019
d l M M J. V Yes
1 2 3 4 5 6
M M M M M M
7 8 9 10 11 12 13
M M M M M M
14 15 16 17 18 19 20
M M M M M M
21 22 23 24 25 26 27
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28 29 30
M M
MAY 2019
d l M M J. V Yes
1 2 3 4
M M M M
5 6 7 8 9 10 11
M M M M M
12 13 14 15 16 17 18
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19 20 21 22 23 24 25
M M M M M M
26 27 28 29 30 31

M M M M M
JUNE 2019
d l M M J. V Yes
1
M
2 3 4 5 6 7 8
M M M M M M
9 10 11 12 13 14 15
M M M M M M
16 17 18 19 20 21 22
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M M M M M M
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JULY 2019
d l M M J. V Yes
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7 8 9 10 11 12 13
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14 15 16 17 18 19 20
M M M M M M
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“YEAR OF THE FIGHT AGAINST CORRUPTION AND IMPUNITY ”

PERUVIAN UNIVERSITY LOS ANDES

PHYSICAL THERAPY AND REHABILITATION SPECIALTY

BOARDING SCHOOL HEADQUARTERS: HUANCAYO-ESSALUD METROPOLITAN

FINAL REPORT OF THE HOSPITAL INTERNATIONAL SCHOOL

SURNAMES AND FIRST NAMES: COSME AUQUI Mayumi

START DATE: February 1, 2019

END DATE: July 31, 2019

HEADQUARTERS COORDINATOR: Lic. TM. DIAZ BUENDIA Tessie

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

in the initiative of the health regulatory manager of the central management of

healthcare center with a Polyclinic resolution level in the city of Huancayo,

considering that in the Junín healthcare network, It is necessary to implement first-

the majority of demand for outpatient consultation and low-complexity care,

allowing their hospitals to reach an adequate level of efficiency when providing

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

medium-complexity services. as it responds to them, this in order to reorder the

healthcare services of the healthcare network medicine.

resolution No. 015-PE-ESSALUD-2008, on January 6, 2008 in the city of Lima.

Huancayo Metropolitan Polyclinic, as Junín healthcare manager. Dr. Rigoberto

needs of more than 60 thousand policyholders in this area of the country.

a policy of strengthening primary care.

promotion, recuperative care, outpatient consultation, controls, immunizations,

dental care, among others.

This inauguration was attended by the executive president of ESSALUD Fernando

Barrios Ipenza and the authorities of the Junín region.

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

- CHARACTERISTICS OF THE INFRASTRUCTURE OF THE INTERNSHIP

blue and white environments.

The polyclinic has the following health professionals:

• Medical Technologist in Radiology :1

• Medical technologists in laboratory :2

• Medical Technologists in Physical Therapy :3

• Physical therapy technician :0

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

of professional ethics. with the aim of achieving commitment and teamwork.

1.2. Functional organization of the Physical Therapy and Rehabilitation

dumbbells, etc.) and equipment (Electrotherapy, laser, Ultrasound, Combined

Therapy, Hydrotherapy, Paraffin, Infrared). Physiotherapy treatment.

The treatment consists of 8 sessions, depending on the patient's recovery, the

Medical Technologist refers the patient to General Medicine or discharges them.

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

1.3. Description of Rotation Services

PHYSICAL THERAPY AND REHABILITATION SERVICE

electrotherapy, laser therapy, infrared, ultrasound and combined therapy

Thermotherapy: It is the use of heat for therapeutic purposes. It is the

injuries and diseases through electricity.

Laser: It is a low-power treatment, based on the emission of photons,

concentrated light particles. Accelerates the recovery and formation of new

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

These work instruments are essential in the execution of the patient's

The area of psychomotor skills in the area of physical therapy and

unpleasant sensation, such as stinging, tingling, stinging, burning, or discomfort.

or infection. There may be an ongoing cause of pain, such as arthritis or cancer. In

worsen chronic pain.

have two or more diseases that cause chronic pain.

(physical agents, kinesic therapy, gym).

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA

for physical maintenance and to prevent the injury from returning.

o GROUP WORKSHOPS FOR SENIORS, ADULTS, TEENS AND CHILDREN

The regular practice of physical activity produces a series of morphological and

TECNOLOGÍA MÉDICA HACIA LA EXCELENCIA ACADÉMICA