Rehabilitation

Brummel‐Smith, Kenneth

doi:10.1007/978-1-4757-2093-8_12

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…The rehabilitation of the elderly is quickly becoming one of the major undertakings in the rehabilitation profession (Brummel-Smith, 1990; Hartke, 1991). Hartke (1991) pointed out that historically the elderly have been viewed as resistant to psychological interventions and to behavior change.…”

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confidence: 99%

Characteristics of geriatric rehabilitation programs: A survey of practitioners.

Lichtenberg¹,

Rosenthal²

1994

Rehabilitation Psychology

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Four-hundred-thirty-two Commission on Accreditation of Rehabilitation Facilities (CARF) accredited inpatient facilities were surveyed to examine the nature of their geriatric programs, patients, and practitioners. There were 180 respondents (41.7%), including psychology directors and staff psychologists. Results revealed that geriatric patients, particularly those suffering stroke and orthopedic injuries, were prevalent in rehabilitation programs. Neuropsychological assessment and psychotherapy were the most common services delivered by psychologists. Although satisfied with geriatric work, practitioners reported little in the way of academic preparation and training experiences. Coursework, supervised training, and continuing education were consistently related to satisfaction with geriatric work experiences.

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confidence: 99%

Characteristics of geriatric rehabilitation programs: A survey of practitioners.

Lichtenberg¹,

Rosenthal²

1994

Rehabilitation Psychology

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“…The electrocardiogram showed an inferior wall myocardial infarction, and there was mild dyskinesia of the inferior wall on the echocardiogram. Many patients who are elderly and who do not reach stages of exercise that would cause symptoms for coronary artery disease often do not become symptomatic until they are well into rehabilitation 7 . It is also well noted that many elderly patients have asymptomatic coronary artery disease 8 .…”

Section: Discussionmentioning

confidence: 99%

Clinical Problem‐Solving in Geriatric Medicine: Obstacles to Rehabilitation

Williams

Löwenthal²

1995

J American Geriatrics Society

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This case illustrates how multifactorial medical, neurological and psychiatric conditions can synergistically effect the functional status of elderly individuals. This case also illustrates how iatrogenically induced illness, most commonly in the form of drug therapy, can significantly affect patients' conditions and their progress in rehabilitative therapies. This case also illustrates how the atypical presentation of disease in the elderly, as well as the medical ramifications of rehabilitative therapies, need to be strongly considered during trials at functional rehabilitation. More importantly, however, this case demonstrates how even a community-based geriatrician can be instrumental in recognizing the need of more appropriate evaluations in elderly patients with functional disabilities and how even in the setting of a multidisciplinary team there can still be a consulting relationship, with each person seeing the patient individually and communicating with other members of the team as necessary. Although each team member may have a specific area of expertise, there is still a very important role for the geriatrician to play in making sure that all the different components of the rehabilitation and the medical care proceed in a way that will provide the most favorable outcome for the patient.

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“…ADL assessments are used to evaluate the level of patient disability and guide treatment. The objectives of the rehabilitation process include stabilizing the primary order, preventing secondary disabilities, decreasing pain perception using a multidisciplinary approach, treating deficits in function, and promoting overall adaption to the disability and life demands (Brummel- Smith, 1997). The beneficial effects of spinal manipulative therapy and acupuncture on the attenuation of pain sensation have been established by recent studies; however, their effects in elderly populations remain to be elucidated (Bialosky, Bishop, Robinson, Zeppieri, & George, 2009;Lang, Stoer, Schober, Audette, & Irnich, 2010).…”

Section: Physical Therapy and Alternative Modalitiesmentioning

confidence: 99%

Geriatric pain management, pharmacological and nonpharmacological considerations.

Kaye

Baluch

Niaz

et al. 2014

Psychology & Neuroscience

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Persistent pain is prevalent in the elderly population, although it is not an inevitable part of aging. It is important to understand how to manage pain effectively in old age, particularly because an increasing number of individuals are becoming older, or living longer. Several problems, less common in younger adults, may complicate the treatment of pain. An accurate pain assessment is required for the most efficient strategy of pain treatment. Challenges to an effective pain assessment include: pain underreporting by patients, atypical manifestations of pain in elderly, age-associated pharmacodynamic and pharmacokinetic changes to specific drugs, other general age-related changes, and misconceptions about tolerance or addiction to opioids. However, physicians are able to provide geriatric patients with appropriate analgesia by using comprehensive assessment involving a multidisciplinary approach, and the appropriate use of various treatment modalities

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Rehabilitation

Cited by 5 publications

References 29 publications

Characteristics of geriatric rehabilitation programs: A survey of practitioners.

Characteristics of geriatric rehabilitation programs: A survey of practitioners.

Clinical Problem‐Solving in Geriatric Medicine: Obstacles to Rehabilitation

Geriatric pain management, pharmacological and nonpharmacological considerations.

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