ESPAESPAQUALITY STANDARDS

FOR EUROPEAN SPASJanka Zálešáková, Jozef Čársky, Slovakia

QUALITY STANDARDS FOR EUROPEAN SPAS

Janka Zálešáková, Jozef Čársky, Slovakia

Pamukkale, Turkey

September 17 th, 2004

NATURAL HEALING NATURAL HEALING WATERSWATERS

• Due to their chemical composition and their Due to their chemical composition and their physical qualities they produce therapeutical physical qualities they produce therapeutical effects to be used for prevention, curative effects to be used for prevention, curative therapies and rehabilitationtherapies and rehabilitation

• Local healing waters are the basis for foundation Local healing waters are the basis for foundation of spa placeof spa place

• Balneological report of medical authority with Balneological report of medical authority with indication spectrum and means of use is indication spectrum and means of use is necessarynecessary

• By drinking therapy it is necessary to take into By drinking therapy it is necessary to take into consideration an influence on internal consideration an influence on internal environment of the body environment of the body

PELOIDESPELOIDES

• Peloides are nonorganic or organic mixes, Peloides are nonorganic or organic mixes, produced from geological and biological produced from geological and biological processes, which are of a fine consistency processes, which are of a fine consistency mixed with water used for therapy (bath, mixed with water used for therapy (bath, packs, compresses)packs, compresses)

• Balneological report of medical expert, means Balneological report of medical expert, means of use, physical and chemical analysis, re-use of use, physical and chemical analysis, re-use of peat ( storage time) are necessaryof peat ( storage time) are necessary

• Local eupeloides can form a basis for Local eupeloides can form a basis for foundation of the spa place (Tŕeboň(CZ), Bad foundation of the spa place (Tŕeboň(CZ), Bad Kolgrub (D)Kolgrub (D)

NATURAL LOCAL HEALING NATURAL LOCAL HEALING GASESGASES

• are part of the natural remedies mainly from are part of the natural remedies mainly from deeper layers of earthdeeper layers of earth

• carbon dioxide, radon and hydrogen sulphide carbon dioxide, radon and hydrogen sulphide are the healing gases currently used for are the healing gases currently used for therapytherapy

• balneological experts report is necessarybalneological experts report is necessary

• they can be used for dry bathesthey can be used for dry bathes

• gas injections with COgas injections with CO22 ( CZ, SK, F, I) ( CZ, SK, F, I)

• Radon also as a inhalation( Bad Gastein, A)Radon also as a inhalation( Bad Gastein, A)

CLIMATE AS A THERAPEUTIC CLIMATE AS A THERAPEUTIC MEANSMEANS

• High quality of air (monitoring)High quality of air (monitoring)• bioklimatological report of medical autoritybioklimatological report of medical autority• Complex evaluation of meteorogical factors Complex evaluation of meteorogical factors

(aktinic complex, termic complex ....), (aktinic complex, termic complex ....), monitoring meteo faktors ( temperature, monitoring meteo faktors ( temperature, lees, atmospheric pressure, sunrise, speed lees, atmospheric pressure, sunrise, speed and direction of the wind...) and direction of the wind...)

• evaluation of irritable factors of the climate evaluation of irritable factors of the climate

• evaluation of the biotop of the countryevaluation of the biotop of the country• ...........calendar of the place ...........calendar of the place

SPA ENVIRONTMENTSPA ENVIRONTMENT

• Requirements on quality of air pollution, what is necessary Requirements on quality of air pollution, what is necessary to monitor (intervals,norms)to monitor (intervals,norms)

• Description of country – part of green, spa parks, equipment Description of country – part of green, spa parks, equipment in park, field cure for some indications, quality of pathses, in park, field cure for some indications, quality of pathses, sign and profile of pathes, possibility for nordic walking, for sign and profile of pathes, possibility for nordic walking, for conditional excercises, Kneipp elements in the fieldconditional excercises, Kneipp elements in the field

• Requirements on protection against noise, limitation of Requirements on protection against noise, limitation of transporttransport

• Requirements on suitable sports activities, availability and Requirements on suitable sports activities, availability and offer for spa clientsoffer for spa clients

• Informative intelligible system in the spa placeInformative intelligible system in the spa place• Requirements on social and cultural offer of the place Requirements on social and cultural offer of the place

( place for common activities, clibs, cultural rooms, theatre, ( place for common activities, clibs, cultural rooms, theatre, music hall and etc.)music hall and etc.)

• Shoping infrastructure of the placeShoping infrastructure of the place

DISEASES OF CARDIO-DISEASES OF CARDIO-VASCULAR SYSTEMVASCULAR SYSTEM

• Resource of natural carbon dioxide Resource of natural carbon dioxide waters (COwaters (CO22) ) used for carbon dioxide used for carbon dioxide bathbath

• Resource of natural carbon dioxide as Resource of natural carbon dioxide as a gas suitable for dry carbon dioxide a gas suitable for dry carbon dioxide bath and for gas injectionsbath and for gas injections

• Iodic water Iodic water

NEUROLOGIC DISEASESNEUROLOGIC DISEASES

•Sulphureous water Sulphureous water

• Iodic waterIodic water

•Radon waterRadon water

•Natural warm water Natural warm water ( acratotherma)( acratotherma)

•PeloidesPeloides

ORTOPEDIC AND ORTOPEDIC AND RHEUMATHOLOGICAL RHEUMATHOLOGICAL

DISEASESDISEASES• Iodic waterIodic water

•Sulphureous waterSulphureous water

•Natural warm water Natural warm water (acratotherma)(acratotherma)

•Radon waterRadon water

•Radon as a gas ( Bad Gastein)Radon as a gas ( Bad Gastein)

•PeloidesPeloides

DISEASES OF DIGESTIVE DISEASES OF DIGESTIVE SYSTEMSYSTEM

• Sulphate with Ca, Mg, Na (bitter, plaster Sulphate with Ca, Mg, Na (bitter, plaster or glauber) waters – drinking therapyor glauber) waters – drinking therapy

• Hydrogen-carbonate sodium watersHydrogen-carbonate sodium waters

• Chloride sodium watersChloride sodium waters

• Sulphureous waters at liver diseasesSulphureous waters at liver diseases

METABOLIC DISEASESMETABOLIC DISEASES

• Hydrogen-carbonate waters Hydrogen-carbonate waters (NaHCO(NaHCO33))

•Chloride sodium watersChloride sodium waters

•Sulphate waters in case of Sulphate waters in case of hyperlipidemia hyperlipidemia

RESPIRATORY DISEASESRESPIRATORY DISEASES

• Hydrogen-carbonate sodium waters (NaHCOHydrogen-carbonate sodium waters (NaHCO33) ) using in inhalation therapyusing in inhalation therapy

• Chloride sodium waters (NaCl) using in Chloride sodium waters (NaCl) using in inhalation therapyinhalation therapy

• Calcium waters in case of allergic diseasesCalcium waters in case of allergic diseases

• Climatic places ( high mountain climate, or Climatic places ( high mountain climate, or sea climate)sea climate)

GYNEKOLOGICAL DISEASESGYNEKOLOGICAL DISEASES

• Natural hot or warm water Natural hot or warm water (acratotherma)(acratotherma)

• Radon waterRadon water

• Chloride sodium water Chloride sodium water

• Iodic waterIodic water

• Carbon dioxide waterCarbon dioxide water

• Radon as a gasRadon as a gas

• Peloides Peloides

DERMATOLOGICAL DERMATOLOGICAL DISEASESDISEASES

• Sulphureous watersSulphureous waters

• Chloride sodium waters (salty waters)Chloride sodium waters (salty waters)

• Salty or sulphureous peloidesSalty or sulphureous peloides

ONKOLOGIC DISEASESONKOLOGIC DISEASES

•Carbon dioxide waters for Carbon dioxide waters for external balneotherapyexternal balneotherapy

•Remedies of the climate Remedies of the climate according to Swiss clasification according to Swiss clasification slightly irritable (1)slightly irritable (1)

REQUIREMENTS ON MATERIAL REQUIREMENTS ON MATERIAL AND TECHNICAL EQUIPMENT AND TECHNICAL EQUIPMENT

OF THE SPA PLACEOF THE SPA PLACE

• Equipment must be in accordance to Equipment must be in accordance to indikation spectrum ( requirements on indikation spectrum ( requirements on natural local remedies, spectrum of natural local remedies, spectrum of therapies, necessary diagnostic equipment, therapies, necessary diagnostic equipment, medical and nursery dutymedical and nursery duty

• Equipment must be in accordance with main Equipment must be in accordance with main product and character of the spa enterprise product and character of the spa enterprise ( spa clinic, spa hotel, day spa, wellnes ( spa clinic, spa hotel, day spa, wellnes hotel, tallaso -hotel, enterprise for Kneipp-hotel, tallaso -hotel, enterprise for Kneipp-therapy, therapy,

REQUIREMENTS ON REQUIREMENTS ON EQUIPMENT OF SPA CLINICEQUIPMENT OF SPA CLINIC

• permanent medical and nursery dutypermanent medical and nursery duty• physicians-specialists according to indication physicians-specialists according to indication

spectrumspectrum• consulting- rooms in clinicconsulting- rooms in clinic• available diagnostic methods according to available diagnostic methods according to

indication spectrumindication spectrum• architektonic equipment according to indication architektonic equipment according to indication

spectrumspectrum• advisor for nourishmentadvisor for nourishment• therapeutic methods (balneotherapetic, therapeutic methods (balneotherapetic,

hydrotherapeutic, electrotherapeutic, hydrotherapeutic, electrotherapeutic, mechanoterapeutic, remedial gymnastics methods, mechanoterapeutic, remedial gymnastics methods, ergotherapy )ergotherapy )

SPA CLINICSSPA CLINICS

• for cardio-vascular diseasesfor cardio-vascular diseases• for post-accidental and post-operation for post-accidental and post-operation

rehabilitation of the locomotor apparatusrehabilitation of the locomotor apparatus• for rheumatic diseasefor rheumatic disease• for neurological diseasesfor neurological diseases• for dermatological diseasesfor dermatological diseases• for diseases of metabolism and disorders for diseases of metabolism and disorders

of nourishmentof nourishment• for mother and childfor mother and child• for therapy of childrenfor therapy of children

REQUIREMENTS ON PERSONAL REQUIREMENTS ON PERSONAL EQUIPMENT IEQUIPMENT I

• physicians- specialists ( education, training, physicians- specialists ( education, training, certificates for special methods (e.g. acupuncture, certificates for special methods (e.g. acupuncture, chiropraxis...)chiropraxis...)

• nurses ( education, training, certificates)nurses ( education, training, certificates)• physiotherapeutists – (education, training, physiotherapeutists – (education, training,

certificates on special methods ( e.g. Vojta´s certificates on special methods ( e.g. Vojta´s therapy, mannual lymphodrainage..)therapy, mannual lymphodrainage..)

• ergotherapeutists – as well as physiotherapeutistsergotherapeutists – as well as physiotherapeutists• specialist for psychotherapeutic methods, specialist for psychotherapeutic methods,

certificates for special metods ( musical therapy, certificates for special metods ( musical therapy, artetherapy, autogennic excercises...)artetherapy, autogennic excercises...)

• psychologistpsychologist• logopedistlogopedist

REQUIREMENT ON PERSONAL REQUIREMENT ON PERSONAL EQUIPMENT - II EQUIPMENT - II

• specialist for phytotherapyspecialist for phytotherapy

• specialist for application of Kneipp specialist for application of Kneipp proceduresprocedures

• masseur – (education, training, certificates masseur – (education, training, certificates for special methods ( reflex massages, for special methods ( reflex massages, mannual lymphodrainage, acupressure...)mannual lymphodrainage, acupressure...)

• health resorts workers for balneotherapy, health resorts workers for balneotherapy, hydrotherapy, thermotherapy, hydrotherapy, thermotherapy, thalassotherapy (education, training) thalassotherapy (education, training)

THANK YOU FOR YOUR THANK YOU FOR YOUR ATTENTIONATTENTION

THANK YOU FOR YOUR THANK YOU FOR YOUR ATTENTIONATTENTION

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