Barriers and Facilitators to Recommendation Adherence Following Discharge From Geriatric Rehabilitation

A Community-Based Physical Maintenance Program for Frail Older Adults

“…The Stay Well program promotes continued exercise following rehabilitation, which is significant for seniors as there is evidence that following inpatient rehabilitation stays, seniors have difficulty maintaining prescribed home exercise programs. 42 In contrast to other programs that have been described in the literature, the Stay Well program is not time limited: it is an ongoing maintenance program that participants can attend indefinitely. It is not condition specific, and although physician permission is necessary to participate, access to the program is not limited to physician referrals; self-referrals are accepted.…”

Sources older people draw on to nurture, strengthen and improve self‐efficacy in managing home rehabilitation following orthopaedic surgery

“…Close contact with available social networks for the first few weeks after discharge is important as family and friends are key predictors of participation and adherence to home exercise plans for people following discharge (DeForge et al. 2008).…”

“…Close contact with available social networks for the first few weeks after discharge is important as family and friends are key predictors of participation and adherence to home exercise plans for people following discharge (DeForge et al 2008). Similarly, recognition of the dynamics of a person's social network can assist health workers, effectively and efficiently, to allocate resources where they are needed.…”

“…The challenge is even greater when older people live alone. One study found that approximately half of its participants followed their exercise regimes only partially or not at all, because of lack of time or resources, complexity of discharge recommendations or lack of assistance (DeForge et al. 2008).…”

“…The challenge is even greater when older people live alone. One study found that approximately half of its participants followed their exercise regimes only partially or not at all, because of lack of time or resources, complexity of discharge recommendations or lack of assistance (DeForge et al 2008). Physical discomforts and limitations, the need for assistive devices and the loss of enabling skills also present obstacles to older people when trying to regain their functional status (Robinson 1999, Resnick 2004.…”