Lecture 4- Geriatric Rehabilitation Flashcards
Goals of geriatric rehab
Intervention (multidisciplinary!) to assist the disabled older adult in the return of or optimal completion of physcial, psychological and social skills necessary to…
- increase level of independence
- Live in the most satisfying environment
- Maintain social engagement and involvement
____ of individuals 65 years and older have at least one chronic conditions
86%
Geriatric rehab focuses on attainment of _____, not necessarily ______ functional abilities
maximal, normal
Consequences of disabilities
- increased rate of mortality
- Decreased life span
- Increased risk of acquiring chronic health issues
- Increased risk of institutionalization
- Increased use of the health care system
- Frailty- medially complex elderly
Variability of the elderly
- chronologic age not a performance predictor
- Normal aging is NOT necessarily burdened with disability.
Decreased activity leads to _____________
decreased function
Issues with immobilization (BEDREST mneumonic)
B- bladder/ bowel incontinence, bedsores E- Emotional distress D- Deconditioning, depression, demineralization of bones R- ROM loss E- Energy depletion S- Sensory depreivation T- Trouble
Who makes up a geriatric Rehab Team
- patient
- caregiver
- physician/physician assistant
- Nursing
- social worker
- physical therapist
- occupational therapist
- speech therapist
- psychologist
- Other…
Purpose of Elderly Functional assessment
- Determine current functioning level
- Determine need for intervention
- Determine discharge/placement
Components of Elderly Functional Assessments
- ADLs
- IADLs
- Mobility- community negotiation
Places where Geriatric Rehab takes place (what types of facilities?)
- Inpatient- acute care, rehab unit, skilled nursing unit
- Home health
- Outpatient
- Long term care facility
- Work Environment
ICF Model for geriatric rehab
- What are the body systems they are having an issue with ? (functional and structural integrity)
- Activities- How well can they do various activities
- Participation- because of their limitations, what does that mean for their ability to do the “normal” aspects of their life.
Is age a predictor of performance
NO!!! - do not tell them that’s just normal for getting older
Physician’s specific role in geriatric rehab
- diagnosis/prognosis
- determination of intervention site- hospital, outpatient, home
- Anticipated outcomes- if known
- identification of team - other referrals
Therapist’s role in geriatric rehab
- examination
- evaluation
- diagnosis/prognosis
- Plan of care- frequency, duration, goals, interventions
- Discharge planning