Geriatric Rehabilitation - Origins

Origins

Geriatric rehabilitation covers three areas – normal aging due to disuse and deconditioning, cardiovascular problems like vascular disease and stroke, and skeletal problems including osteoporosis and osteoarthritis conditions such as knee and hip replacements. Physical medicine Physicians use rehabilitation to work toward the goal of returning the patient to a pre-injury quality of life and may use physical, occupational, and speech therapies.

With increased age, patients often face many physical and emotional changes that can affect level of function and well-being. Rehabilitation maintains functional independence in the elderly. Rehabilitation of geriatric patients is imperative for the patients' well-being and for society, so that we can thrive socially and economically. Essential to geriatric rehabilitation is communication, specifically improving any sensory impairment, including those related to vision and hearing. The prevention of falls and osteoporosis can improve the patient's health and longevity. Addressing malnutrition can promote healing and vitalize the patient to participate in a formal rehabilitation program. Depression is common in the older population if a functional loss of mobility and an inability to perform activities of daily living (ADLs) predominates. Cognitive impairment, such as delirium and dementia, can affect the patient's rehabilitation goals and outcomes. Finally, a driver's evaluation for an appropriate elderly candidate is an underutilized part of rehabilitation that has a considerable impact on society.

Geriatric Rehabilitation also have a role in intermediate care, where patients are referred by a hospital or family doctor, when there is a requirement to provide hospital based short term intensive physical therapy aimed at the recovery of musculoskeletal function, particularly recovery from joint, tendon, or ligament repair and, or, physical medicine and rehabilitation care when elderly patients get out of sync with their medication resulting in a deterioration of their personal health which reduces their ability to live independently.

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