This book will help all health professionals involved in the rehabilitation of older people to provide their patients with the highest possible quality of life and autonomy. Expanded and rewritten by a diverse team of authors, the text is suitable for doctors in all specialties that see older patients, as well as nurses, physiotherapists, occupational therapists, psychologists, dietitians, speech and language therapists/pathologists, physician associates/assistants, healthcare assistants, and many others including patients, family members and students. The book is written in an accessible, no-jargon style and provides a patient-centred perspective on recent advances in the field of rehabilitation – an increasingly important aspect of care for older people.
1. Introduction - p. xiii 2. Unit 1: Introduction to Rehabilitation for Older People - p. xvii 3. 1: Person-Centred Care - p. xvii 4. 2: Comprehensive Assessment of Older People - p. 6 5. 3: Effects of Ageing - p. 12 6. 4: Frailty - p. 18 7. 5: Rehabilitation for Older People - p. 24 8. 6: The Rehabilitation Team - p. 29 9. 7: What Can Patients and Families Do to Help with Rehabilitation? - p. 34 10. 8: What Can We Do to Help Patients and Families? - p. 38 11. Unit 2: Rehabilitation: How it Works - p. 42 12. 9: Rehabilitation Potential and Selection for Rehabilitation - p. 42 13. 10: Setting Rehabilitation Goals - p. 47 14. 11: Rehabilitation Equipment - p. 52 15. 12: Physiotherapy: How It Works - p. 58 16. 13: Occupational Therapy: Function and Cognition - p. 63 17. 14: Nursing Patients Through Rehabilitation - p. 68 18. 15: Speech Therapy: Communication and Swallowing - p. 72 19. 16: Psychological Input - p. 80 20. Unit 3: Supporting Rehabilitation - p. 84 21. 17: Nutrition and Hydration - p. 84 22. 18: Social Work - p. 90 23. 19: The Patient Story - p. 94 24. 20: Brain Health and Mental Capacity - p. 97 25. 21: Avoiding Deconditioning - p. 104 26. 22: Measuring Progress with Rehabilitation - p. 110 27. 23: Keeping People Engaged in Rehabilitation - p. 115 28. 24: The Rehabilitation Environment & Culture - p. 120 29. Unit 4: Common Issues During Rehabilitation - p. 124 30. 25: Pain - p. 124 31. 26: Muscle and Joint Problems - p. 131 32. 27: Posture - p. 138 33. 28: Falls, Dizziness and Funny Turns - p. 146 34. 29: Anxiety and Depression - p. 155 35. 30: Cognitive Problems - p. 161 36. 31: Exercise Tolerance - p. 168 37. 32: Sleep and Fatigue - p. 175 38. 33: Oral Health - p. 182 39. 34: Weight Loss and Overweight - p. 188 40. 35: Continence and Elimination - p. 194 41. 36: Sexuality - p. 202 42. 37: Optimising Pharmacotherapy - p. 207 43. 38: Osteoporosis and Bone Health - p. 216 44. 39: Vision and Hearing - p. 223 45. 40: Skin Care and Podiatry - p. 230 46. Unit 5: Specialised Rehabilitation - p. 236 47. 41: Rehabilitation in the Acute Setting - p. 236 48. 42: Stroke Rehabilitation - p. 245 49. 43: Speech and Swallow Rehabilitation After Stroke - p. 253 50. 44: Swallow Rehabilitation in Frailty - p. 260 51. 45: Spasticity - p. 264 52. 46: Vertebral and Lower Limb Fractures and Surgery - p. 270 53. 47: Upper Limb Fractures - p. 278 54. 48: Rehabilitation After Surgery - p. 282 55. 49: Rehabilitation in and After the Intensive Care Unit - p. 288 56. 50: Rehabilitation in Cancer - p. 293 57. 51: Rehabilitation in Movement Disorders - p. 302 58. 52: Vestibular Rehabilitation - p. 308 59. 53: Rehabilitation in Dementia - p. 315 60. 54: Rehabilitation in Peripheral Vascular Disease - p. 322 61. 55: Amputee Rehabilitation - p. 327 62. 56: Lymphoedema Rehabilitation - p. 333 63. 57: Cardiac Rehabilitation - p. 338 64. 58: Pulmonary Rehabilitation - p. 343 65. 59: Trauma in Older People - p. 350 66. 60: Traumatic Brain Injury - p. 355 67. 61: Spinal Injury - p. 362 68. 62: Rehabilitation for People with Progressive Neurological Conditions - p. 367 69. 63: Rehabilitation in the Community - p. 373 70. 64: Palliative Rehabilitation - p. 378 71. 65: The Ageing Athlete - p. 382 72. Unit 6: Planning for Discharge - p. 385 73. 66: Discharge Planning: When, How and Who? - p. 385 74. 67: Care Planning Meetings - p. 394 75. 68: The Home Environment Assessment - p. 398 76. 69: Home Supports - p. 403 77. 70: Informal Care - p. 408 78. 71: Loneliness - p. 412 79. 72: Continuing Rehabilitation at Home - p. 416 80. 73: Driving Assessment and Rehabilitation - p. 421 81. 74: Advance Care Planning - p. 429 82. 75: Health Promotion - p. 436 83. Appendix 1: Resources for Patients and Families - p. 442 84. MCQ Answers - p. 460 85. Index - p. 464
This book will help all health professionals involved in the rehabilitation of older people to provide their patients with the highest possible quality of life and autonomy. Expanded and rewritten by a diverse team of authors, the text is suitable for doctors in all specialties that see older patients, as well as nurses, physiotherapists, occupational therapists, psychologists, dietitians, speech and language therapists/pathologists, physician associates/assistants, healthcare assistants, and many others including patients, family members and students. The book is written in an accessible, no-jargon style and provides a patient-centred perspective on recent advances in the field of rehabilitation – an increasingly important aspect of care for older people.
1. Introduction - p. xiii 2. Unit 1: Introduction to Rehabilitation for Older People - p. xvii 3. 1: Person-Centred Care - p. xvii 4. 2: Comprehensive Assessment of Older People - p. 6 5. 3: Effects of Ageing - p. 12 6. 4: Frailty - p. 18 7. 5: Rehabilitation for Older People - p. 24 8. 6: The Rehabilitation Team - p. 29 9. 7: What Can Patients and Families Do to Help with Rehabilitation? - p. 34 10. 8: What Can We Do to Help Patients and Families? - p. 38 11. Unit 2: Rehabilitation: How it Works - p. 42 12. 9: Rehabilitation Potential and Selection for Rehabilitation - p. 42 13. 10: Setting Rehabilitation Goals - p. 47 14. 11: Rehabilitation Equipment - p. 52 15. 12: Physiotherapy: How It Works - p. 58 16. 13: Occupational Therapy: Function and Cognition - p. 63 17. 14: Nursing Patients Through Rehabilitation - p. 68 18. 15: Speech Therapy: Communication and Swallowing - p. 72 19. 16: Psychological Input - p. 80 20. Unit 3: Supporting Rehabilitation - p. 84 21. 17: Nutrition and Hydration - p. 84 22. 18: Social Work - p. 90 23. 19: The Patient Story - p. 94 24. 20: Brain Health and Mental Capacity - p. 97 25. 21: Avoiding Deconditioning - p. 104 26. 22: Measuring Progress with Rehabilitation - p. 110 27. 23: Keeping People Engaged in Rehabilitation - p. 115 28. 24: The Rehabilitation Environment & Culture - p. 120 29. Unit 4: Common Issues During Rehabilitation - p. 124 30. 25: Pain - p. 124 31. 26: Muscle and Joint Problems - p. 131 32. 27: Posture - p. 138 33. 28: Falls, Dizziness and Funny Turns - p. 146 34. 29: Anxiety and Depression - p. 155 35. 30: Cognitive Problems - p. 161 36. 31: Exercise Tolerance - p. 168 37. 32: Sleep and Fatigue - p. 175 38. 33: Oral Health - p. 182 39. 34: Weight Loss and Overweight - p. 188 40. 35: Continence and Elimination - p. 194 41. 36: Sexuality - p. 202 42. 37: Optimising Pharmacotherapy - p. 207 43. 38: Osteoporosis and Bone Health - p. 216 44. 39: Vision and Hearing - p. 223 45. 40: Skin Care and Podiatry - p. 230 46. Unit 5: Specialised Rehabilitation - p. 236 47. 41: Rehabilitation in the Acute Setting - p. 236 48. 42: Stroke Rehabilitation - p. 245 49. 43: Speech and Swallow Rehabilitation After Stroke - p. 253 50. 44: Swallow Rehabilitation in Frailty - p. 260 51. 45: Spasticity - p. 264 52. 46: Vertebral and Lower Limb Fractures and Surgery - p. 270 53. 47: Upper Limb Fractures - p. 278 54. 48: Rehabilitation After Surgery - p. 282 55. 49: Rehabilitation in and After the Intensive Care Unit - p. 288 56. 50: Rehabilitation in Cancer - p. 293 57. 51: Rehabilitation in Movement Disorders - p. 302 58. 52: Vestibular Rehabilitation - p. 308 59. 53: Rehabilitation in Dementia - p. 315 60. 54: Rehabilitation in Peripheral Vascular Disease - p. 322 61. 55: Amputee Rehabilitation - p. 327 62. 56: Lymphoedema Rehabilitation - p. 333 63. 57: Cardiac Rehabilitation - p. 338 64. 58: Pulmonary Rehabilitation - p. 343 65. 59: Trauma in Older People - p. 350 66. 60: Traumatic Brain Injury - p. 355 67. 61: Spinal Injury - p. 362 68. 62: Rehabilitation for People with Progressive Neurological Conditions - p. 367 69. 63: Rehabilitation in the Community - p. 373 70. 64: Palliative Rehabilitation - p. 378 71. 65: The Ageing Athlete - p. 382 72. Unit 6: Planning for Discharge - p. 385 73. 66: Discharge Planning: When, How and Who? - p. 385 74. 67: Care Planning Meetings - p. 394 75. 68: The Home Environment Assessment - p. 398 76. 69: Home Supports - p. 403 77. 70: Informal Care - p. 408 78. 71: Loneliness - p. 412 79. 72: Continuing Rehabilitation at Home - p. 416 80. 73: Driving Assessment and Rehabilitation - p. 421 81. 74: Advance Care Planning - p. 429 82. 75: Health Promotion - p. 436 83. Appendix 1: Resources for Patients and Families - p. 442 84. MCQ Answers - p. 460 85. Index - p. 464
