Role of institutional rehabilitation in geriatric population.pptx

This PowerPoint presentation comprises the major aspects of the role of institutional-based rehabilitation for the geriatric population and also the importance of the team's role in the geriatric population.

1. ROLE OF INSTITUTIONAL REHABILITATION IN GERIATRIC POPULATION Presented by:- Vanshika Uppal MPT ( ORTHOPEDICS)

2. INTRODUCTION Rehabilitation focuses on the functional outcomes of pathologic processes and uses a variety of therapeutic interventions to restore function. Geriatric rehabilitation differs from rehabilitation in younger persons in that many older patients suffer from multiple conditions that interact to produce disability.

3. AIMS OF GERIATRIC REHABILITATION EDUCATE THE PATIENT for good prognosis and healthy movement choices. Regain INDEPENDENCE in ADLs. Facilitate the patient’s ADAPTATION by modifying the environment. Aid in SECONDARY PREVENTION

4. INSTITUTIONAL BASED REHABILITATION All the rehabilitation process should start as early as possible and as such it becomes a parallel process to the treatment of severe illness producing the disabilities. The quality of service can be good only at institution-based services. Most of the severe illnesses in their terminal stages are treated at hospitals or institutions and where in the institution the rehabilitation has also started. Many of the major disabilities has to be handled by skilled persons and such IBR offers an opportunity not only to start early rehabilitation procedures but also skilled services at the institution.

5. CHARACTERISTICS OF IBR

6. ADVANTAGES OF IBR

7. REHABILITATION TEAM It is necessary that each member of the rehabilitation team should consider the psychological, biological, social, educational, and vocational needs of a disabled person. NURSES PHYSICAL TRAINER PHYSIOTHERAPIST OCCUPATIONAL THERAPIST SPEECH THERAPIST VOCATIONAL REHABILITATION COUNSELLOR MEDICAL SOCIAL WORKER

8. PSYCHOLOGIST DIETICIAN RECREATIONAL THERAPIST REHABILITATION ENGINEER AND OTHER AUXILIARY STAFFS

9. MEDICAL REHABILITATION:- The medical rehabilitation includes restoration of functions by prosthesis, artificial limbs, etc. SOCIAL REHABILITATION:- The social rehabilitation includes restorations of family and social relationships by replacement in the family. EDUCATIONAL REHABILITATION:- The educational rehabilitation includes specialized training and educational facilities Example: using sign language for the deaf and dumb.

10. PSYCHOLOGICAL REHABILITATION:- The psychological rehabilitation includes restoration of personal dignity and confidence during the period of growth and development and in adult life(OLD AGE). VOCATIONAL REHABILITATION:- The vocational rehabilitation includes restoration of the capacity to earn a livelihood. This can be achieved by community participation and social legislation for handicapped individuals.

11. ROLE OF REHABILITATION TEAM MEMBERS

12. TYPES OF EXERCISES There is a piece of substantial evidence that regular physical activity has several health benefits. Each type of exercise appears to have unique benefits. Exercise can be classified into five categories: RESISTANCE, AEROBIC, BALANCE, FLEXIBILITY and FUNCTIONAL BASED.

13. RESISTANCE TRAINING Resistance training has been generated because, not only are there age-related changes in muscle strength, but resistive exercise has been shown to improve number of physiologic parameters of great importance to the older person, including insulin sensitivity, bone mineral density, aerobic capacity, and muscle strength.

14. AEROBIC( ENDURANCE) EXERCISE Most studies show that aerobic exercise can improve aerobic capacity. Aerobic conditioning exercise in older adults showed improvements in aerobic capacity but the effect of aerobic exercise on body composition is less consistent. The physiologic benefit of aerobic exercise is the prevention of or reduction in the severity of diseases whose end-organ effects cause disability(e.g.; stroke in uncontrolled hypertension), so older people who already suffer disability may experience lass benefit.

15. BALANCE TRAINING Various types of exercise interventions, including Tai Chi, have been used to treat persons at risk for falls, with apparent benefit. ACCORDING TO RECENT STUDIES CONDUCTED……. They all concluded that the majority of exercise studies suggest a decrease in falling, with balance training appearing to be the most effective exercise intervention, and they concluded that the majority of home assessment studies showed benefit as well.

16. FLEXIBILITY EXERCISE Even though many disease processes common among elderly people can adversely affect flexibility(e.g.; stroke, arthritis) there are few studies in the older population of the effect on outcomes of loss of range of motion or of the efficacy of exercise interventions to restore flexibility. Most of the studies are done on a single type of exercise. More research is required to study and compare various forms of flexibility exercise .

17. FUNCTIONALLY BASED EXERCISE Task-specific resistive exercise has been used successfully to improve endurance during and rapidity of rising from sitting to standing by persons with mobility who live in congregate housing facilities. Massed activity( repetitive exercise activities for up to 8 hours per day), often used in conjunction with constraint therapy for stroke patients that may have substantial efficacy for both acute and chronic stroke. There is some evidence that this therapeutic approach may be effective for motor deficits.

18. PALLIATIVE CARE Palliative care is derived from the word PALLIUM, meaning cloak or cover. Defined as an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness through the prevention and relief of suffering by means of early identification and assessment and treatment of pain and other problems. ( physical, psychological, social)

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