Overview of Principles of Geriatrics Rehabilitation

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Original Editors - Tolulope ADENIJI

Top Contributors - Tolulope Adeniji  

Introduction[edit | edit source]

Ageing is characterized by decline in general physiologic function and this make chronic condition and multi-morbidity prevalent among older adults. This characteristics among others make recovery a challenging one among older adults, therefore, understanding principles of rehabilitation will facilitates delivery of effective therapeutic outcome to older adults.

Foundations of Rehabilitation[edit | edit source]

Rehabilitation principles can basically be discussed under 7 principles:

  • Total Patient
  • Individualization,
  • Intensity
  • Specific sequencing
  • Compliance
  • Timing
  • avoid aggravation

Geriatrics Rehabilitation Model[edit | edit source]

Geriatric rehabilitation models are embedded in those conceptual models for understanding disability. This will help to understand mechanisms of disability and how to achieve effective rehabilitation to improve or alleviate the disability defined. Among the notable models are International Classification of Function, Disability, and Health (ICF),and International Classification of Impairments, Disabilities, and Handicaps (ICIDH-2) of the World Health Organization (WHO)[1]

Principles of Rehabilitation for Older adults[edit | edit source]

Three major principles to consider in geriatric rehabilitation are:

  1. Variation in older adults,
  2. Maximizing activity in older adults
  3. and concept that optimal health is directly related to optimal functional ability.

It is important to deal with an individual adult as a whole as variation in capacity of older adults of same age cadres greatly vary when compare to the variation noted within younger population cohort.[2] Rehabilitation goals should focus on improving older adults activity level because activity optimization is is key in rehabilitation of older adults and many of the changes over time are attributable to disuse among aged. In acute setting , principles of rehabilitation may be geared to first stabilizing the primary problems , preventing secondary complications like contractures and bedsores and finally to restore lost functions. [2]

Conclusion[edit | edit source]

Principles of geriatric rehabilitation is essential in optimizing function that is essential as a fundamental of effective therapeutic outcome to older adults.

Resources[edit | edit source]

References[edit | edit source]

  1. Hoenig H, Kortebein PM. Overview of geriatric rehabilitation: Program components and settings for rehabilitation. UpToDate, Waltham, MA. Accessed. 2019;3(24):20.
  2. 2.0 2.1 da Silva MM, Curty BI, Duarte SD, Zepeda KG. Nursing safety management in onco-hematology pediatric wards. Rev Rene. 2014 Nov;15(6).