Exam #2: Geriatric Rehabilitation Flashcards
What is the most common functional activity that requires on to ambulate a mile?
Going to the grocery store
What is geriatric rehabilitation?
Multi-disciplinary approach aimed at increasing physical & psycho-social skills
What are the goals of geriatric rehabilitation?
1) Increasing independence
2) Living in most satisfying living environment
3) Maintenance of social engagement & involvement
Note that rehab focuses on attainment of MAXIMAL not necessarily “normal” function
What is the ICF Model? What is the ICF Model used for?
International Classification of Function, Disability, & Health
- Used to determine if a patient NEEDS geriatric rehab
List six consequences of disability.
1) Increased mortality
2) Decreased life span
3) Increased risk of chronic condition
4) Increased risk of institutionalization
5) Increased use of health care system
6) Frailty
What are the general principles of geriatric rehab?
- Geriatric population is inherently variable
- Activity is the cornerstone of rehab
- Optimal health–> Optimal function
What is the “BEDREST” mnemonic used for?
Remembering the side effects/ consequences of bedrest
What are the different functional assessment tools?
- Mini-mental exam (dementia)
- Berg balance scale (falls)
- Katz (ADLs)
- Individualized
What are IADLs
Instrumental ADLs
- Typing
- Communicating
- Determining need to go to grocery store
**These are higher level activities that are instrumental to daily life.
Who are the different members of the geriatric rehab team?
- Patient
- Caregiver
- Physician/ PA
- Nursing
- Social Worker
- PT
- OT
- Speech
- Other
What is important to remember about the caregiver in the geriatric team?
The caregiver is more often NOT a family member; important HIPPA concerns that need to be addressed b/c the caregiver will be integral to the care of the patient
What are the different geriatric rehab settings?
Inpatient Home Health Outpatient Long-term care facility Work environment
Outline the geriatric rehab process on the part of the DO.
- Diagnosis/ prognosis
- Determine site
- Anticipated outcomes
- Identification of team
What is the role of the therapist in the geriatric rehab process?
- HP/ Exam
- Evaluation
- Diagnosis/ prognosis
- Plan
- Discharge planning
Where do health practitioners need to focus on improvements when treating the geriatric population?
1) Healthy brain
2) Health literacy
3) LGBT
4) Mental health issues (depression…etc.) affecting the elderly
5) Cultural competence
