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2 results

  • Chapter 47 - Rehabilitation

  • from Section IV - Principles of Care for the Elderly
  • Edited by Jan Busby-Whitehead, University of North Carolina, Chapel Hill, Samuel C. Durso, The Johns Hopkins University, Maryland, Christine Arenson, Thomas Jefferson University, Philadelphia, Rebecca Elon, The Johns Hopkins University School of Medicine, Mary H. Palmer, University of North Carolina, Chapel Hill, William Reichel
  • Book:
    Reichel's Care of the Elderly
    Published online:
    30 June 2022
    Print publication:
    21 July 2022, pp 578-592

  • Summary

    When age-related physical impairments affect a person’s performance of functional tasks, rehabilitation may restore function and improve an elder’s independence and participation in society. Included is a review of how to perform a functional assessment, a description of the members of a rehabilitation team, and an introduction to the various settings where an elder can receive rehabilitation. The chapter describes geriatric assistive devices that improve self-care and mobility and reviews specific rehabilitation interventions for common debilitating conditions such as stroke, Parkinson’s disease, hip fracture, and lower-extremity amputation.

  • 32 - The organization of neurorehabilitation services: the rehabilitation team and the economics of neurorehabilitation

  • from Section C - Disease-specific neurorehabilitation systems
  • Edited by Michael Selzer, University of Pennsylvania, Stephanie Clarke, Université de Lausanne, Switzerland, Leonardo Cohen, National Institute of Mental Health, Bethesda, Maryland, Pamela Duncan, University of Florida, Fred Gage, Salk Institute for Biological Studies, San Diego
  • Book:
    Textbook of Neural Repair and Rehabilitation
    Published online:
    04 August 2010
    Print publication:
    16 February 2006, pp 515-526

  • Summary

    The World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) provides a foundation for discussing the tenets of traditional rehabilitation and its social but is limited as a descriptive tool for the broader view of neurorehabilitation, which incorporates plasticity and repair of the nervous system. The makeup of the rehabilitation team and the requirements for qualification vary from one country to another, although in most cases, the basic principles are similar. The best guideline to apply to a patient requiring neurorehabilitation is to provide the environment with the most intense therapy that the patient can tolerate. The model of stroke rehabilitation best illustrates this concept. When compared with conventional or less intensive care, stroke rehabilitation in an inpatient rehabilitation facility (IRF) with coordinated, transdisciplinary care significantly reduced the statistical risk of death or institutionalization, or death or dependency, independent of age, sex, or stroke severity.