The rehabilitation potential of patients in chronic disease institutions

Reynolds, Frank W.; Abramson, Maxwell; Young, Alan

doi:10.1016/0021-9681(59)90029-3

Cited by 9 publications

(15 citation statements)

References 2 publications

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“…With respect to diagnostic differences in rehabilitation potential, Reynolds et al (7) reported that the degree more than the type of disability was the limiting factor. However, Andersen et al (1) found that patients with left hemiplegia showed more ambulatory improvement than did patients with right hemiplegia.…”

Section: Resultsmentioning

confidence: 99%

“…Another approach to the problem is illustrated in studies by Masterman (6) and Reynolds et al (7). It involves an assessment, not of rehabilitation performance , but of rehabilitation potential .…”

mentioning

confidence: 99%

“…The study by Reynolds et al (7) involved 1,480 elderly patients (median age 77 years) who were “significantly disabled“ (2.4 major diagnoses per patient). After considering “as many factors as possible,” a group of rehabilitation specialists rated each patient's rehabilitation potential as “definite,” “slight,” or “none.” With this index, Reynolds et al reported: “age appears to be a very important factor in determining the extent to which patients can benefit from rehabilitation services.” The older patients had less rehabilitation potential than the younger ones.…”

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confidence: 99%

“…In view of Litman's (4) finding that the 20–40 age group was most successful, and Keeler's (3) report of maximal success for ages 20–50, it is noteworthy that Reynolds et al (7) rated only 2 of their 19 patients in the under‐40 age group (10.5 per cent) as having “definite” rehabilitation potential. In contrast, the 40–49 group had 36.3 per cent in this category—the most promising age group in the study.…”

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confidence: 99%

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Determining the Factors That Affect Rehabilitation*

Cain

1969

J American Geriatrics Society

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A study was made to determine whether progress in physical therapy and psychological status are related to the following factors: diagnosis, sex, age, average number of treatments per week, length of hospital stay, and aphasia. Two eight‐week cross sections of data on patients with hemiplegia, paraplegia, quadriplegia, bilateral leg amputation, and hip fracture were analyzed statistically. The first cross section involved 123 patients (age range, 17 to 89) and the second cross section, 88 patients (age range, 17 to 90). Factors related to progress in physical therapy were: the average number of treatments (improved patients received more), length of hospital stay (longer for the improved patients), psychological status (better in the improved patients), and possibly age (improved patients were younger). Younger patients also had a better psychological status, and patients having a better psychological status received more treatments and had been in the hospital longer. Aphasic patients had a poorer psychological status than did those without aphasia.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Determining the Factors That Affect Rehabilitation*

Cain

1969

J American Geriatrics Society

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“…Krauss (67) and Chope (68) attempted scales for estimating the patients' needs but felt that functional “profiles,” though useful in determining physical progress, were not adequate in assessing the emotional and social needs of the aged. Moskewitz et al (69) and Reynolds et al (70) concluded that, since most nursing‐home patients showed low rehabilitation potential (90 to 95 per cent in the groups tested), those with good potential had no place in the nursing home, and that therefore nursing homes do not need rehabilitation facilities nor rehabilitation training of personnel. Whitman (71) constructed a mental‐level scale for patients ready for hospital discharge, believing that the level of mental function was the most important factor in selecting post‐hospital placement.…”

Section: The Nursing Home In Relation To Rehabilitation Services: Resmentioning

confidence: 99%

Rehabilitation in Nursing‐home Situations: A Survey of the Literature

Hefferin¹

1968

J American Geriatrics Society

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The question of whether rehabilitation programs should be included in nursing‐home care has been answered affirmatively, both in the professional literature of the past decade and by recent legislative action which focuses on the healthcare problems of the elderly. The major issue at present is the breadth and intensity of such programs. As this brief review of the literature has indicated, the success of rehabilitation goals is conditioned by the following factors: the mental and physical status and the social situation of the patient; the experience, professional training and rehabilitation‐oriented outlook of the attending personnel; the rehabilitation resources available in the nearby community; and the ability of the nursing home to afford the costs of the rehabilitation program in terms of dollars, personnel, time, professional services, and equipment. However, even when the breadth of a nursing‐home rehabilitation program has to be restricted because of any of the foregoing factors, the program can at least focus on aiding patients to regain some personal, though minimal, independence. This accomplishment has benefits for both the patient and the nursing home: the patient benefits from the improvement in his psychological if not physical state, and the nursing home benefits because more of the personnel's time is available for other patient‐care services.

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Rehabilitative Care of Stroke Patients

Wylie¹

1966

JAMA

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The rehabilitation potential of patients in chronic disease institutions

Cited by 9 publications

References 2 publications

Determining the Factors That Affect Rehabilitation*

Determining the Factors That Affect Rehabilitation*

Rehabilitation in Nursing‐home Situations: A Survey of the Literature

Rehabilitative Care of Stroke Patients

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