Rehabilitation staff perceptions of characteristics of geriatric rehabilitation patients

Nicholas, John J.; Rybarczyk, Bruce; Meyer, Peter; Lacey, Robin F.; Haut, Allyson; Kemp, Peggy J.

doi:10.1016/s0003-9993(98)90275-1

Cited by 11 publications

(3 citation statements)

References 26 publications

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“…17 Additionally Cifu, Seel, Kreutzer and McKinley; 16 Subbarao, Nemchausky, Niekelski, Fruin and Gratzer; 15 and Kiwerski 4 have all been careful to note that a comprehensive approach to acute care and SCI rehabilitation enables signi®cant progress to be achieved with older adults. In a study investigating rehabilitation sta perceptions of the characteristics of geriatric rehabilitation patients, Nicholas, Rybarczyk, Meyer, Lacey, Haut, and Kemp, 18 report that the recognised di erences between younger and older adults were perceived by treating professionals as variables that require more skill and e ort. These results suggest that the training of rehabilitation professionals needs to better prepare individuals from all disciplines to adapt to age-speci®c di erences.…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury

et al. 2002

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Objective: To evaluate rehabilitation outcome in a representative sample of older and younger SCI patients. Design: Case series, consecutive sample, survey. Setting: Tertiary care, spinal cord injury unit (National Spinal Injuries Centre), Stoke Mandeville Hospital. Participants: One hundred and forty-seven male and 45 female newly injured in-patients (consisting of 152 younger adults, age range=16 to 54, and 40 older adults, age range=55 to 85) admitted between 1995 and 1999. Intervention: All patients were actively participating in a comprehensive, multidisciplinary Goal Planning and Needs Assessment rehabilitation programme. Main outcome measure: The Needs Assessment Checklist. Speci®cally designed and developed for the spinal cord injured population, this clinical assessment tool provides a way of assessing and ensuring that rehabilitation programmes are geared toward each patient's individual needs, providing the patient with the skills appropriate to their level of lesion. As part of ongoing psychometric analyses of the Needs Assessment Checklist, internal consistency reliability coe cients are reported for this measure. Results: The type and cause of injury for the older adult group in this study was comparable with previous research. Older adults' rehabilitation gains were comparable to those of the younger age group. Younger adults were more mobile initially after their injury. However, when the two groups were matched for injury characteristics etc. the only di erences in ®nal outcome between older and younger adults were in skin management ability. Both groups showed signi®cant improvements in all areas of need in the period between mobilisation and entering the pre-discharge ward. Conclusion: These results highlight important considerations for the rehabilitation of older adults and emphasise the need for active, individually tailored rehabilitation programmes. There are speci®c areas of need (i.e. skin management) where older adults do not achieve comparable levels of independence. Special attention needs to be paid to the problems presented by SCI older adults and e orts should be made to better prepare rehabilitation professionals to adapt to age speci®c di erences.

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Section: Introductionmentioning

confidence: 99%

Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury

et al. 2002

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“…T h e implications for developing a rehabilitative approach to nursing services for older people are considerable as services become increasingly multidisciplinary and partnershipbased in a variety of settings (Elwyn & Smail, 1999). Other research highlights the diff e r e n c e s in perceptions which different staff groups bring to rehabilitation (Pearson-Hoofman, 1995;Nicholas et al, 1998). The participative and self-informing approach encouraged within action research can help diverse disciplines i nvo l ved in multidisciplinary rehabilitation to fully develop their own roles and to understand those of others (Ku m a r, 2000).…”

Section: Co N C L U S I O Nmentioning

confidence: 99%

Intermediate care for older people: Using action research to develop reflective nursing practice in a rehabilitation setting

Walker

Poland

2000

Quality in Ageing and Older Adults

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The importance of developing intermediate care options for older people is gaining increasing prominence in the UK with the promotion of new health and social care partnerships. Consequent changes in practice and values are demanded from staff. An action research approach provides a process of generating information linked to dialogues which facilitate such changes. This article draws on a case study of nursing staff working with older people in a newly‐defined rehabilitation setting in a Welsh community hospital. The action research cycle reported, focused on a series of collaborative interventions aimed at bringing about such changes in thinking and practice from a ‘doing for’ to an ‘enabling’ rehabilitative style of nursing. Three questionnaires and a round of group interviews were successively undertaken with a group of 49 staff, with planning and discussion sessions taking place between each data collection round. The process highlighted differing assumptions between different grades of nursing staff and between nurses and therapists about the nature of the rehabilitative process and how far it could be integrated with nursing care. The article discusses how the action research process supported a shared change in perspective that progress needed to be made to work in an integrated rehabilitative way. Participative approaches, such as action research, should be drawn on if the positive and cost‐effective benefits of rehabilitation for older people are to be more actively realised

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“…Sleep should be considered an essential domain of rehabilitation psychology, given the recent emphasis on addressing the full range of quality of life. This is particularly true given the ongoing shift in the provision of rehabilitation services toward an older population with age-related chronic diseases and disabilities (Nicholas et al, 1998).…”

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confidence: 99%

Assessment and treatment of sleep disorders in older adults: A review for rehabilitation psychologists.

Stepanski¹,

Rybarczyk²,

Lopez³

et al. 2003

Rehabilitation Psychology

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Rush-Presbyterian-St. Luke's Medical CenterRecent research has led to significant progress in the assessment and treatment of sleep disturbance in older adults. Similar advances have been made with sleep disorders secondary to age-related chronic illness. The assessment and treatment of sleep disorders encompasses numerous behavioral aspects. Thus, rehabilitation psychologists are ideally positioned to help apply these new advances to the growing number of older adult patients in the rehabilitation setting. The authors provide an overview of age and disease-related sleep disorders. They provide details for implementation of behavioral treatments for geriatric insomnia that is comorbid with chronic illness.

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Rehabilitation staff perceptions of characteristics of geriatric rehabilitation patients

Cited by 11 publications

References 26 publications

Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury

Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury

Intermediate care for older people: Using action research to develop reflective nursing practice in a rehabilitation setting

Assessment and treatment of sleep disorders in older adults: A review for rehabilitation psychologists.

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