Abstract
Rehabilitation is an integral part of geriatric medicine. Geriatric emergency medicine is where rehabilitation begins. It is not a separate part of the care process that takes place later on. This chapter will explain why rehabilitation is so important for older patients and the knowledge and skills clinicians working in geriatric emergency medicine must develop in order to achieve the best outcomes for their patients.
In this chapter we will:
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Learn how the inclusion of rehabilitation by the early pioneers of geriatric medicine allowed it to develop into the unique speciality it is today.
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Introduce an internationally recognised framework for rehabilitation, the International Classification of Functioning, Disability and Health (ICF) and the related World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0).
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Review the factors that make older people admitted to emergency care vulnerable to poor outcomes in terms of function and well-being.
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Discuss how a collaborative, interdisciplinary rehabilitation approach from the beginning of an episode of care is significant for individuals to achieve the best possible outcome.
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Identify the skills and attributes clinicians in geriatric emergency medicine must develop in order to ensure the best rehabilitation outcomes for patients.
References
Barton A, Mulley G (2003) History of the development of geriatric medicine in the UK. Postgrad Med J 79:229–234
Grimley Evans J (1997) Geriatric medicine: a brief history. BMJ 315:1075–1077
World Health Organisation (1948) Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. http://www.who.int/about/definition/en/print.html. Accessed 14 Feb 2015
World Health Organisation (2001) International classification of functioning, disability and health (ICF). http://www.who.int/classifications/icf/en/. Accessed 14 Feb 2015
Banerjee J et al. (2012) Quality care for older people with urgent & emergency care needs “silver book”. http://www.bgs.org.uk/campaigns/silverb/silver_book_complete.pdf. Accessed 15 Feb 2015
College of Emergency Medicine, British Geriatrics Society, Royal College of General Practitioners, Royal College of Physicians & Royal College of Nursing (2011) Joint statement on the emergency care of older people. www.collemergencymed.ac.uk/code/document.asp?ID=5925. Accessed 15 Feb 2015
Healthcare Improvement Scotland (2014) Think frailty. Improving the identification and management of frailty. http://www.healthcareimprovementscotland.org/our_work/person-centred_care/opac_improvement_programme/frailty_report.aspx. Accessed 28 Feb 2015
British Geriatric Society (2014) Fit for frailty: consensus best practice guidance for the care of older people living with frailty in community and out-patient settings. http://www.bgs.org.uk/index.php/fit-for-frailty. Accessed 15 Feb 2015
Ellis G, Langhorne P (2005) Comprehensive geriatric assessment for older hospital patients. Br Med Bull 71:45–59
Duursma S et al (2004) European union geriatric medicine society position statement on geriatric medicine and the provision of health care services to older people. J Nutr Health Ageing 8(3):190–195
WRVS (2011) Gold age pensioners. Valuing the socio-economic contribution of older people in the UK. http://www.royalvoluntaryservice.org.uk/Uploads/Documents/gold_age_report_2011.pdf. Accessed 28Feb 2015
Stuck AE et al (1993) Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet 342:1032–1036
Baztan J et al (2009) Effectiveness of acute geriatric units on functional decline, living at home and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis. BMJ 338:b50
Royal College of Physicians (2011) Acute care toolkit 2. High quality acute care. https://www.rcplondon.ac.uk/sites/default/files/acute-care-toolkit-2-high-quality-acute-care.pdf. Accessed 28 Feb 2015
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Sigmund, E. (2018). Principles of Rehabilitation in Geriatric Emergency Medicine. In: Nickel, C., Bellou, A., Conroy, S. (eds) Geriatric Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19318-2_24
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DOI: https://doi.org/10.1007/978-3-319-19318-2_24
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