Questions and Answers
What is a primary focus of Geriatrics Rehabilitation principles?
What is a common musculoskeletal condition often seen in geriatric patients?
Which of the following is an indication for geriatric PT referral?
What is a potential consequence of geriatric patients experiencing a lack of specialized and trained manpower?
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What is a common integumentary condition seen in geriatric patients?
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Why is geriatrics not yet a popular specialty?
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What is a potential consequence of geriatric patients experiencing musculoskeletal pain?
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What is a common neurological condition seen in geriatric patients?
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What is an indication for geriatric PT referral in terms of mobility?
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What is a potential consequence of geriatric patients experiencing depression?
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Study Notes
Geriatric Rehabilitation
- Geriatric Rehabilitation (GR) aims to restore function or enhance residual functional capability, improving the quality of life in older people, particularly those with disabling impairments and/or frailty.
Principles of Geriatric Rehabilitation
- Rehabilitation should encompass psychosocial components of health and wellbeing.
- Principles of GR are essential in optimizing function, which is essential for effective therapeutic outcomes in older adults.
- Rehabilitation focuses on function and well-being, not exclusively on disease.
Importance of Geriatric Rehabilitation
- 11% of older patients are referred to rehabilitation facilities after hospitalization.
- The increasing geriatric population and apparent increases in disability will increase the need for rehabilitation.
- GR can assist in preserving functional independence and improving the quality of life.
Rehabilitation of Older Adults
- Emphasize functional activity to maintain functional mobility and capability.
- Improve balance through exercise and functional activity programs.
- Ensure good nutrition and general care.
- Provide social and emotional support.
Preventing Complications
- Prevent complications such as:
- Aspiration
- Anorexia
- Inactivity
- Bedsores
- Constipation
- Contractures
- Cognition
- DVTs
- Depression
- DFUs
Geriatric Physical Therapy Role
- Combating and minimizing the accumulative disabling effects of physical illness.
- Reducing institutionalization of patients.
- Providing education for patients and caregivers.
- Contributing to the comfort and well-being of patients.
Geriatric Physical Therapy Settings
- Inpatient medical rehabilitation
- Outpatient (primary care, private practice, etc.)
- Home health rehabilitation
- Long-term care
- Nursing-home rehabilitation
Common Geriatric Disorders for PT Cases
- Cardiovascular disorders: hypertension, CHD, heart failure
- Respiratory disorders: asthma, COPD
- Neurological and cognitive conditions: Stroke, Parkinson's disease, dementia, depression
- Musculoskeletal: osteoporosis, OA, RA, falls, fracture, incontinence
- Integumentary conditions: pressure ulcers, diabetic ulcers, venous stasis ulcers, herpes zoster, malignant tumors
Indications for Geriatric PT Referral
- Recent fall or history of falls
- Open wound
- Deficits in strength or range of motion
- Neurological disorder
- Balance deficits
- Loss of mobility or ambulation requiring an assistive device
- Musculoskeletal pain
- Difficulty with transfers
- Need for adaptive equipment to enhance safety and function
- Bed bound status
Challenges in Geriatric Rehabilitation
- Lack of specialized and trained manpower
- No dedicated health care infrastructure
- Geriatrics not yet a popular specialty
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Description
This quiz covers the principles of geriatric rehabilitation, including the importance of optimizing function and enhancing residual functional capacity in older adults. It also discusses the role of rehabilitation programs in promoting psychosocial components of health and wellbeing.
