Geriatric rehabilitation : from bedside to curbside


Section I Basics of AgingDemographics, Biology, and PhysiologyDEMOGRAPHICSBIOLOGY OF AGINGPHYSIOLOGYREFERENCESGeriatric Assessment and the Physical Examination of the Older AdultINTRODUCTIONSummarySYSTEMATIC APPROACH TO GERIATRIC CLINICAL ASSESSMENTSOURCES OF INFORMATIONGETTING STARTEDWhy Is Geriatric History Taking Different? Key Issues to Keep in MindSimplifying the Assessment Tools/PrescreeningPHYSICAL EXAMINATIONGeneral ObservationExamination of the FaceAssessing Hydration StatusHead, Eyes, Ear, Nose, and Throat (HEENT) ExaminationExamination of the Oral CavityNeckCarotid AuscultationJugular Vein PressureThyroid GlandLymph NodesHeadEarsEyesDermatologic ExaminationCommon Dermatologic Conditions Seen in the OfficeExamination of the ChestExamination of the HeartAortic StenosisFourth Heart SoundAnkle/Brachial IndexPeripheral EdemaExamination of the AbdomenRectal ExamNeurological ExaminationCranial NervesMotor ExamSensory ExamReflexesCoordinationDeliriumMusculoskeletal System ExaminationFunctional StatusNutritional StatusClinical Examination to Assess Nutritional StatusSGA Scoring GuidelinesVisionHearingREFERENCESPsychosocial AssessmentTHE BIOPSYCHOSOCIAL MODEL IN GERIATRIC REHABILITATIONTHEORIES OF ADJUSTMENT AND COPINGADJUSTMENT AND COPING RESPONSESSTRESSORS AND THEIR IMPACT ON COPING AND OUTCOME WITHIN THE OLDER ADULT POPULATIONSOCIAL/INTERPERSONAL FACTORS AND THE ROLE OF SOCIAL SUPPORTPSYCHOLOGICAL AND COGNITIVE FACTORS IMPACTING FUNCTIONINGPSYCHOSOCIAL FACTORS AND HEALTH BEHAVIORSTHE REHABILITATION CLINICIAN'S ROLE IN PSYCHOSOCIAL ASSESSMENTThe Clinician-Patient RelationshipPsychosocial Assessment through Interview, Record Review, and CollaborationScreening Measures for Emotional Functioning, Cognitive Functioning, and Rehabilitation EngagementROLE OF THE REHABILITATION CLINICIAN IN ADDRESSING PSYCHOSOCIAL FACTORSUniversal Psychosocial InterventionsPsychosocial Interventions in Acute and Subacute RehabilitationPsychosocial Interventions in the Community SettingCONCLUSIONADDITIONAL RESOURCES/ASSOCIATIONSREFERENCESFunctional Assessment and MeasuresINTRODUCTIONSECTION A: COMPREHENSIVE GERIATRIC ASSESSMENTComponents of the CGASECTION B: FUNCTIONAL ASSESSMENT AND MEASUREMENT TOOLSFunctional StatusInjury PreventionMedicationsOsteoporosisPolypharmacySensory PerceptionDizzinessHearingVisionMental Status (Cognition and Mood)NutritionContinencePressure SoresPainImmunizationsSexualityFrailty AssessmentSocial Issues (Elder Abuse and Advance Directives)SECTION C: PERFORMANCE MEASURES/METRICSREFERENCESPharmacology in Geriatric RehabilitationINTRODUCTIONPHARMACOKINETICSAbsorptionDistributionMetabolismExcretionPHARMACODYNAMICSCardiovascular SystemFluids and ElectrolytesCentral Nervous SystemADVERSE DRUG EVENTSAdverse Effects on Physical FunctionMyotoxicityMovement DisordersRespiratory DisordersHypotensionRenal ImpairmentHepatic ImpairmentHypertensionAdverse Effects on CognitionSeizuresAltered Mental StatusDepressionAnxiety and InsomniaAdverse Effects on AppetiteDRUG INTERACTIONSPRINCIPLES AND PRESCRIBING OPTIMIZATIONTools to Assist in Prescribing for the Older AdultsMedications Given via TubesEvidence-Based Medicine in Geriatric PatientsMedication DiscontinuationHelpful ResourcesREFERENCESExercise in the Older AdultINTRODUCTIONBENEFITS OF REGULAR PHYSICAL ACTIVITY IN OLDER ADULTSDEFINITIONSPHYSIOLOGY OF NORMAL AGINGSUCCESSFUL AGING AND THE ROLE OF PHYSICAL ACTIVITY AND EXERCISE IN CHRONIC DISEASE PREVENTION AND TREATMENTBENEFITS OF AEROBIC EXERCISEBENEFITS OF RESISTIVE EXERCISEBENEFITS OF BALANCE TRAININGBENEFITS OF STRETCHING AND FLEXIBILITY TRAININGBENEFITS OF EXERCISE ON SPECIFIC CONDITIONSImproved Bone Health with ExerciseImproved Psychological Well-Being and Quality of Life with ExerciseImproved Functioning and Daily Life Activities with ExerciseImproved Cognitive Function with ExerciseStroke Prevention with ExerciseCancer Prevention and Management with ExerciseSCREENING OLDER ADULTS FOR SAFE PARTICIPATION IN AN EXERCISE PROGRAMOVERCOMING BARRIERS TO EXERCISE IN THE OLDER ADULTWRITING THE EXERCISE PRESCRIPTIONSPECIAL CONSIDERATIONS FOR INITIATION OF PHYSICAL ACTIVITY IN OLDER ADULTS206EXERCISE RECOMMENDATIONS FOR SPECIFIC DISEASESOsteoarthritisDiabetesRespiratory/Pulmonary DiseaseOsteoporosisStrokeCardiovascular diseaseFalls, Poor Balance, and Mobility ProblemsSUMMARY OF PHYSICAL ACTIVITY RECOMMENDATIONS FOR OLDER ADULTS BASED ON THE ACSM/AHA POSITION STATEMENTRESOURCES FOR PATIENT EDUCATIONLIST OF PERTINENT GUIDELINES AND POSITION PAPERS (IN REVERSE CHRONOLOGIC ORDER)REFERENCESSection II Geriatric Syndromes FrailtyINTRODUCTIONDefining FrailtyTransitionsEpidemiologyETIOLOGYAPPROACHES TO FRAILTYOUTCOMESTREATMENTPREVENTIONCOMPREHENSIVE GERIATRIC ASSESSMENT, PACE, AND ACEPOSTACUTE CARE REHABILITATION AND FRAILTYFRAILTY AND ADVANCE DIRECTIVESREFLECTIONSREFERENCESDeliriumINTRODUCTIONDIAGNOSISCLINICAL CHARACTERISTICSAcute Onset/FluctuationsAttention DeficitConfusion/Disorganized ThinkingAltered Level of Consciousness and Psychomotor ActivityPerceptual and Emotional DisturbancesSleep/Wake Cycle DisturbancesMemory Impairment/DisorientationDELIRIUM SUBTYPESPREDISPOSING AND PRECIPITATING FACTORSPATHOPHYSIOLOGYPATIENT EVALUATIONMANAGEMENTPREVENTIONCLINICAL OUTCOMESDELIRIUM AND COGNITIVE IMPAIRMENTDELIRIUM AND POSTACUTE CARE/REHABILITATIONCONCLUSIONSREFERENCESUrinary Incontinence in Older AdultsINTRODUCTIONDEFINITIONSIMPACTPhysical HealthPsychological Well-BeingSocial BalanceFinancial ConditionQuality of LifeBASIC ANATOMY/PHYSIOLOGYInnervationMicturition ReflexAnatomical Changes with AgePATHOPHYSIOLOGYRISK FACTORSCOMORBIDITIESEVALUATIONHistoryPhysical ExamDiagnostic StudiesTREATMENTBehavioral TherapyLifestyle AdjustmentsPharmacologicInvasive Procedures and Surgical OptionsBulking AgentsBotulinum Toxin (Botox)Vaginal DevicesNeurosacral Modulation/Sacral Nerve Stimulation (SNM or SNS)Pudendal Nerve StimulationPercutaneous Tibial Nerve StimulationSurgeryManagement by Type of UIStress UIUrgency UIMixed UIOverflow UITransient UIMANAGEMENT OF URINARY INCONTINENCE IN THE OLDER ADULT ACROSS DIFFERENT SETTINGSIn-Hospital and Inpatient Rehabilitation UnitsSkilled Nursing Rehabilitation Units and Long-Term Care FacilitiesHomeREFERENCESFalls and Gait ImpairmentBACKGROUNDRISK FACTORSCLINICAL EVALUATIONGAIT AND BALANCE DISORDERSINTERVENTION AND MANAGEMENTREFERENCESPressure Ulcers in Older AdultsDEFINITIONEPIDEMIOLOGYSKIN FACTS AND FUNCTIONSFunctions of SkinETIOLOGYRISK FACTORSExtrinsic FactorsShearingFrictionMoisturePressureIntrinsic FactorsCOMMON SITES OF PRESSURE ULCERSSTAGES OF PRESSURE ULCERSUnstageable Pressure UlcerSuspected Deep Tissue InjuryASSESSMENT OF PRESSURE ULCERSPUSH ToolMEASURE10TunnelingUnderminingMANAGEMENT OF PRESSURE ULCERSDebridement and CleaningEVALUATION AND MANAGEMENT OF MEDICAL CONDITIONSMoisture Reduction Techniques in Older AdultsNutrition in the ElderlyNutritional SupportMarkers for Identifying Protein-Calorie Malnutrition in Patients with Pressure UlcersLocal Wound Care for Pressure UlcersElectrical Stimulation for Wound HealingPRESSURE-RELIEVING STRATEGIESProtective DevicesSupport SurfacesTREATMENT OF PRESSURE ULCERS ACCORDING TO STAGESStage IStage IIStage IIIStage IVUnstageableSuspected Deep Tissue InjuryCOMPLICATIONSMANAGEMENT OF COMORBIDITIESCONCLUSIONREFERENCESPain and Its Management in Older AdultsINTRODUCTIONEPIDEMIOLOGY OF PAIN IN OLDER ADULTSPAIN ASSESSMENTPHARMACOKINETIC/PHARMACODYNAMIC CHANGESChanges in Volume of DistributionH epatic ChangesRenal ChangesCNS ChangesACUTE PAIN MANAGEMENT IN OLDER ADULTSOpioidsPatient-Controlled AnalgesiaAcetaminophenNonsteroidal Anti-Inflammatory DrugsGabapentinoidsINTERVENTIONAL MODALITIES IN ACUTE PAIN MANAGEMENT IN OLDER ADULTSPeripheral Nerve Blocks in Acute Pain ManagementMANAGEMENT OF PAIN IN ACUTE REHABILITATION IN OLDER ADULTSCHRONIC PAIN MANAGEMENT IN OLDER ADULTSPHARMACOTHERAPYAcetaminophenNonselective NSAIDs and COX 2 Selective InhibitorsOpioidsTramadol/TapentodolPure Opioid AgonistsTopical MedicationsTopical NSAIDsTopical CapsaicinAdjuvant MedicationsPHYSICAL REHABILITATIONINTERVENTIONAL MODALITIESCOMPLEMENTARY AND ALTERNATIVE MEDICINE MODALITIESPSYCHOSOCIAL INTERVENTIONSSUMMARYREFERENCESPolypharmacy and Rational PrescribingBACKGROUNDINTRODUCTIONPOLYPHARMACY AND REHABILITATIONAGING AND DRUG METABOLISMMEDICATIONS COMMONLY ADMINISTERED IN THE OLDER ADULT POPULATIONPAIN MEDICATIONSNeurostimulantsAntidepressantsSleep MedicationsSexual Dysfunction and BPH MedicationsAntihypertensive MedicationsHypoglycemic MedicationsAnticoagulant and Antiplatelet AgentsAnticholinergic PropertiesAppetite StimulantsPOLYPHARMACY IN CLINICAL SETTINGSCASE STUDY: A RATIONAL PRESCRIBING INITIATIVE WITH A COMPUTER-ASSISTED DECISION TOOLSILVER TSUNAMIS, GOLDEN MEANS, AND RATIONAL PRESCRIBINGCONCLUSIONREFERENCESSleep Disorders in Older AdultsGENERAL PRINCIPLES IN OLDER ADULTSDSM-5 DEFINITIONSLEEP ARCHITECTURE, SLEEP SCIENCE, AND PHYSIOLOGYSleep and Normal AgingSLEEP DISORDERS AND INSOMNIA IN THE ELDERLYSleep-Disordered BreathingRestless Legs Syndrome and Periodic Limb Movement in SleepRapid Eye Movement Sleep Behavior DisorderCircadian Rhythm Sleep DisorderInsomniaAgents That Can Cause InsomniaAssessment and Management of Sleep Disorders in Older PersonsMeasures to Improve Sleep HygieneCommon Prescription Sleep Medications in Elderly PeopleSLEEP APNEASLEEP PROBLEMS IN SPECIAL POPULATIONSleep Patterns in DementiaSleep Disturbance in Long-Term Care Facility ResidentsSleep Problems in Elderly with Musculoskeletal Disorders and Chronic PainSleep Problems in Elderly with Neurological DisordersSUMMARYREFERENCESSection III Systemic Disorders in Geriatric RehabilitationDysphagia in Older Adults and Its ManagementINTRODUCTIONEPIDEMIOLOGYNORMAL SWALLOWING, DYSPHAGIA, AND PRESBYPHAGIANormal SwallowingDysphagiaPresbyphagiaDYSPHAGIA AND AGINGTYPES OF DYSPHAGIA ASSESSMENT METHODS AND TOOLSTypes of AssessmentBEDSIDE SWALLOW EVALUATIONInstrumental AssessmentsModified Barium Swallow StudyFiberoptic Endoscopic Evaluation of SwallowingStandardized ScalesMann Assessment of Swallowing AbilityVolume-Viscosity Swallow TestModified Barium Swallow Impairment ProfilePenetration-Aspiration ScaleMANAGEMENT AND TREATMENT OF DYSPHAGIACompensatory StrategiesTexture-Modified DietsOral Care and Free Water ProtocolRate of Intake and Adaptive UtensilsPostures and ManeuversFacilitation TechniquesDYSPHAGIA REHABILITATIONCONCLUSIONREFERENCESVision Impairment and Its Management in Older AdultsINTRODUCTIONVISUAL SYSTEMAGING AND THE EYEVISUAL FUNCTION AND AGINGCAUSES OF DIFFUSE IMAGE BLURCataract and Refractive ErrorDry Eye SyndromeCAUSES OF CENTRAL OR PARACENTRAL FIELD DEFECTSAge-Related Macular DegenerationDiabetic RetinopathyCAUSES OF ALTITUDINAL AND PERIPHERAL FIELD DEFECTSRetinal Vascular OcclusionsOptic Neuropathy and Cerebral LesionsRetinal Holes, Retinal Tear, and Rhegmatogenous Retinal DetachmentGlaucomaEFFECTS OF VISION LOSS IN OLDER ADULTSVISION REHABILITATIONEYE CARE IN SPECIFIC OLDER ADULT COMMUNITIESSUMMARYREFERENCESArthritis and Common Musculoskeletal ConditionsOSTEOARTHRITISEpidemiology, Background, and Risk FactorsDiagnosisHistoryPhysical ExaminationLaboratory StudiesImagingTreatmentActivityModalities and DevicesSupplements and MedicationsComplementary and Alternative MedicinePsychologyCorticosteroid InjectionsViscosupplementationPlatelet-Rich PlasmaSurgical InterventionUpcoming ResearchRHEUMATOID ARTHRITISEpidemiology, Background, and Risk FactorsDiagnosisExtra-Articular ManifestationsDifferential DiagnosisLaboratory StudiesImagingTreatmentROTATOR CUFF TENDINOPATHYEpidemiology, Background, and Risk FactorsDiagnosisAssessmentHistoryPhysical ExaminationLaboratory StudiesImagingTreatmentAcute ManagementPhysical TherapySubacute ManagementChronic TreatmentUpcoming ResearchHIP FRACTURESEpidemiology, Background, and Risk FactorsDiagnosisHistoryPhysical ExaminationLaboratory StudiesImagingPlain RadiographComputed TomographyMagnetic Resonance ImagingTreatmentNonsurgical TreatmentSurgical TreatmentRehabilitationPrevention/Patient EducationUpcoming ResearchSPINAL STENOSISEpidemiology, Background, and Risk FactorsDiagnosisHistoryPhysical ExaminationLaboratory StudiesImagingPlain RadiographsComputed TomographyMagnetic Resonance ImagingTreatmentPatient EducationMedicationsRehabilitationInjectionsSurgical TreatmentUpcoming ResearchGREATER TROCHANTERIC PAIN SYNDROMEEpidemiology, Background, and Risk FactorsDiagnosisHistoryPhysical ExaminationLaboratory StudiesImagingPlain RadiographsUltrasoundMagnetic Resonance ImagingTreatmentRehabilitationActivityModalities and DevicesSupplements and MedicationsComplementary and Alternative MedicinePsychologyCortisone InjectionsSurgical InterventionUpcoming ResearchREFERENCESOsteoporosis and Exercise in the Older AdultINTRODUCTIONEPIDEMIOLOGYETIOLOGY AND PATHOPHYSIOLOGYOsteoporosis-Related FracturesCLINICAL CONSIDERATIONS IN OSTEOPOROSISClassification of OsteoporosisPrimary OsteoporosisOsteogenesis ImperfectaIdiopathic Juvenile OsteoporosisSecondary OsteoporosisRISK ASSESSMENT OF OSTEOPOROSISNonmodifiable Risk FactorsModifiable Risk FactorsDIAGNOSIS OF OSTEOPOROSISRadiographyLaboratory StudiesDual-Energy X-Ray AbsorptiometryQuantitative Computed TomographyOther Diagnostic TestsFracture Risk Assessment ToolPREVENTION AND TREATMENT OF OSTEOPOROSISNutritionPHARMACOLOGICAL TREATMENTBisphosphonatesSelective Estrogen-Receptor ModulatorsParathyroid HormoneCalcitoninDenosumabROLE OF EXERCISE IN OSTEOPOROSISExercise Effects on the Biology of Bone and MuscleBone Health and Exercise throughout the LifespanExercise Prescription for OsteoporosisCOMPONENTS OF HISTORY AND PHYSICAL EXAMINATIONTypes of Exercise for PrescriptionImportant Considerations for Exercise with OsteoporosisSPECIFIC CONSIDERATIONS FOR INDIVIDUALS WITH VERTEBRAL COMPRESSION FRACTURENONINTERVENTIONAL APPROACH TO TREATMENT FOR INDIVIDUALS WITH VERTEBRAL COMPRESSION FRACTURE: SPECIAL THERAPEUTIC TECHNIQUESAquatic ExerciseKinesiotapingNeuromuscular Electrical StimulationLow-Intensity Pulse UltrasoundWhole Body VibrationNONINTERVENTIONAL APPROACH TO TREATMENT FOR INDIVIDUALS WITH VERTEBRAL COMPRESSION FRACTURE: SPINAL ORTHOSESINTERVENTIONAL APPROACH TO TREATMENT FOR INDIVIDUALS WITH VERTEBRAL COMPRESSION FRACTURE: VERTEBROPLASTY AND KYPHOPLASTYFALL PREVENTIONPSYCHOSOCIAL AND EMOTIONAL IMPACT OF OSTEOPOROSISCONCLUSIONREFERENCESDiabetes in Older Adults and Its ManagementINTRODUCTIONCLASSIFICATIONPATHOPHYSIOLOGY OF DIABETES IN THE ELDERLYSPECIFIC DIABETES ISSUES TO BE CONSIDERED IN THE ELDERLYHypertensionCardiovascular Disease and DyslipidemiaFalls and FracturesNutrition and ExerciseMANAGEMENT OF TYPE 2 DIABETES IN THE ELDERLY 19.5.1 Goals of TherapyNoninsulin Medications for Type 2 DiabetesMetformin (Biguanides)Sulfonylureas and MeglitinidesThiazolidinedionesGLP-1 AnaloguesDPP-4 InhibitorsSGLT-2 InhibitorsAlpha-Glucosidase InhibitorsBile Acid SequestrantsDopamine AgonistsInsulin for Type 2 DiabetesSelecting an Agent in the Older Patient with Type 2 DiabetesMANAGEMENT OF TYPE 1 DIABETES IN THE ELDERLYIntensive Diabetes ManagementBasal InsulinsFast and Rapid-Acting InsulinsInsulin PumpsBuilding a RegimenHypoglycemia in the Older Patient with DiabetesMANAGEMENT OF DIABETES IN THE SKILLED NURSING FACILITYSUMMARYREFERENCESCardiovascular DiseaseCARDIAC REHABILITATION AND SECONDARY PREVENTIONIntroductionDEMOGRAPHICSRISK FACTOR MODIFICATION: PRIMARY AND SECONDARY PREVENTIONREHABILITATION MANAGEMENT AND TREATMENTPHASE I (INPATIENT PHASE)History and IntroductionPHASE II (TRAINING PHASE)Exercise PrescriptionALTERNATIVE OUTPATIENT PROGRAMSCARDIAC REHABILITATION IN SELECT POPULATIONSAngina PectorisCardiac ArrhythmiasMyocardial InfarctionPostcoronary Artery Bypass SurgeryValvular Heart ReplacementCardiac TransplantationLeft Ventricular Assist DeviceCardiac Rehabilitation in Older AdultsEXERCISE TRAININGCirculatory SystemASSESSMENT OF EXERCISE CAPACITYCONTRAINDICATIONS TO EXERCISEPHASE III OR MAINTENANCE PHASECONCLUSIONREFERENCESPulmonary Disease in the Geriatric PopulationINTRODUCTIONTHE AGING LUNGNormal AgingRespiratory Mechanics in the ElderlyStructural Changes in the Lung and Chest Wall with AgeChanges in Pulmonary Function with AgeChanges in Control of Ventilation with AgeChanges in Respiratory Physiology in Response to Exercise with AgingAssessment of Pulmonary Function in the Older AdultPULMONARY DISEASES AFFECTING THE OLDER PATIENT IN REHABILITATIONChronic Obstructive Pulmonary DiseaseClinical Presentation and EvaluationManagement of COPDSmoking CessationSupplemental OxygenNutrition, Airway Clearance, and ImmunizationsRehabilitation of the Older Patient with COPDPulmonary Rehabilitation for COPD: A Model for Chronic Lung DiseaseRemaining QuestionsAsthmaClinical Presentation and EvaluationManagement of Asthma in the Older AdultImportant Points Regarding Rehabilitation in the Older AsthmaticBronchiectasisClinical Presentation and EvaluationManagement of Bronchiectasis in the Older AdultImportant Points about Rehabilitation in BronchiectasisInterstitial Lung DiseaseClinical Presentation and EvaluationManagement of IPFImportant Points Regarding Rehabilitation of Patients with IPFREHABILITATION IN THE OLDER PATIENT WITH PULMONARY DISEASEREFERENCESGeriatric Strokes and Brain InjuriesGERIATRIC STROKEEpidemiologyRisk FactorsNonmodifiableModifiableAcute Hospital Course and Role of RehabilitationStroke-Related ImpairmentsStroke RehabilitationStroke and Rehabilitation OutcomesChallenges to Rehabilitation of Stroke in the ElderlyChallenges to Community ReentryGERIATRIC BRAIN INJURYEpidemiologyTraumatic Brain InjuryNontraumatic Brain InjuryCauses of Brain InjuryTraumatic Brain InjuryNontraumatic Brain InjuryImagingAcute CareAcute Care OutcomesIn-Hospital Mortality and Complication RatesRehabilitation OptionsRehabilitation OutcomesReadmission Rates and CausesCommunity Reintegration and Long-Term OutcomesPostrehabilitation Follow-Up ConsiderationsAging with TBIREFERENCESCancer RehabilitationINTRODUCTIONEPIDEMIOLOGY AND REHABILITATION THROUGH THE CONTINUUMFUNCTIONAL ASSESSMENT TOOLS IN THE REHABILITATION OF CANCER PATIENTSCANCER-RELATED SYNDROMESRadiation FibrosisLymphedemaNeurological ComplicationsSpinal Cord InjuryPARANEOPLASTIC SYNDROMESCHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHYPAIN SYNDROMESPostmastectomy Pain SyndromePost-Thorocotomy Pain SyndromeUpper Extremity Pain DisordersCervical RadiculopathyBRACHIAL PLEXOPATHYSHOULDER PAINBONE METASTASESEXERCISE IN ELDERLY CANCER PATIENTSIndications and Contraindications for ExerciseFATIGUEMODALITIES IN CANCER REHABILITATIONPRECAUTIONS IN CANCER REHABILITATIONREFERENCESSpinal Cord Injury in Older AdultsINTRODUCTIONChanging Face of Mortality and Life Expectancy in Spinal Cord InjuryAGING AND SPINAL CORD INJURYRespiratory SystemCardiovascular SystemGenitourinary SystemGastrointestinal SystemNervous SystemIntegumentImmune SystemMusculoskeletal SystemShoulder PainOsteoporosis and Pathologic FracturesFUNCTIONAL AND PSYCHOSOCIAL ASPECTS OF AGING WITH SCIREHABILITATIONEXERCISE IN SCICONCLUSIONREFERENCESParkinson's Disease and RehabilitationINTRODUCTIONPATHOPHYSIOLOGY AND EPIDEMIOLOGY: BASICSTHE "CLASSIC" MOTOR FEATURES OF PDResting TremorRigidityBradykinesiaPostural Instability and Gait ImpairmentDISORDERS OF SPEECH AND SWALLOWINGNONMOTOR FEATURESAutonomic SymptomsOlfactory DysfunctionREM Sleep Behavior DisorderDepressionOther Psychiatric SymptomsCognitive ImpairmentDIFFERENTIAL DIAGNOSISEssential TremorMedication-Induced ParkinsonismParkinson's Plus SyndromesTREATMENTSCarbidopa-LevodopaDopamine AgonistsMAO-B InhibitorsAmantadineCatechol-O-Methyl Transferase InhibitorsAnticholinergicsMotor Complications of Dopaminergic TherapyTreatment of DepressionTreatment of Medication-Induced PsychosisDeep Brain StimulationTreatment of Gait and Balance ImpairmentTreatment of Speech and Swallowing DysfunctionExerciseCONCLUSIONREFERENCESAging and Intellectual/ Developmental DisabilitiesINTRODUCTIONBACKGROUNDHISTORY OF SERVICES AND TRENDSLIFESTYLE AND LIVING ARRANGEMENTSSPECIFIC IDDSDown SyndromeCerebral PalsyDual or Multiple DiagnosisHEALTH DISPARITIES AND CHALLENGESPolypharmacy and Adverse Effects of MedicationsHABILITATION VERSUS REHABILITATION FOR ADULTS WITH IDDDementia and IDDRECOMMENDED HEALTHCARE INTERVENTION/PROVISIONHEALTHCARE ADVOCACY AND STRATEGIES FOR CAREWHERE TO GO FROM HERESUMMARY AND RECOMMENDATIONSREFERENCESSection IV Health Maintenance, Caregiving, and Postacute Rehabilitation Bedside to Curbside npatient RehabilitationBACKGROUNDSPEAKING THE COMMON LANGUAGE OF FUNCTIONREHABILITATION SETTINGSInpatient Rehabilitation Facility or Acute Inpatient RehabilitationIRF Rules and RegulationsRehabilitation Physician and Interdisciplinary Team ApproachIndividualized TherapyBrief Exceptions PolicyDefinition of Measurable Improvement (FIM)Function Independence MeasureIRF Quality Reporting ProgramSubacute RehabilitationResource Utilization GroupsLength of StayMinimum DatasetFrequencies of PPS Scheduled Assessments for a Medicare Part A StayStart of Therapy OMRAEnd of Therapy OMRAChange of Therapy OMRARAI: SectionsBasic Rules Governing Subacute Rehabilitation FacilitiesReimbursementOutpatient Rehabilitation ServicesHome HealthClinic, Hospital-Based, or Independent Outpatient RehabilitationOUTCOMES BASED ON A SITE OF CAREREFERENCESComplementary and Alternative Medicine in Older AdultsBACKGROUNDWELLNESS AND QUALITY OF LIFENatural ProductsDietary Supplements and Nutritional TherapiesHerbal PreparationsMind-Body MedicineMeditationYogaTai ChiManipulative and Body-Based PracticesMovement TherapiesEnergy MedicineReikiWhole Medical SystemsKneipp TherapyOsteopathic Manipulative MedicineNEUROCOGNITIVE ABNORMALITIESNatural ProductsDietDietary Supplements and Nutritional TherapiesHerbal PreparationsJapanese MedicineExerciseMusic TherapyManipulative and Body-Based PracticesMovement Therapies: ExerciseEnergy MedicineReikiMagnetic TherapyPSYCHIATRIC ABNORMALITIESDietary Supplements and Nutritional TherapiesMagnesiumMelatoninHerbal PreparationsMeditationTai ChiYogaAcupressureManipulative and Body-Based PracticesMassage TherapyLight TherapyMagnet TherapyCARDIOVASCULAR DISEASESNatural ProductsDietDietary Supplements and Nutritional TherapiesHerbal PreparationsMusic TherapyCardiac Rehabilitation ExerciseIsometric ExercisePULMONARY DISEASENatural ProductsDietary Supplements and Nutritional TherapiesMind-Body MedicineMeditationAcupunctureYogaManipulative and Body-Based PracticesMassage TherapyMovement TherapiesExerciseWhole Medical SystemsOsteopathic Manipulative MedicineGENITOURINARY SYSTEM ABNORMALITIESNatural ProductsHerbal PreparationsGASTROINTESTINAL DISORDERSNatural ProductsDietary Supplements and Nutritional TherapiesHerbal PreparationsMind-Body MedicineElectroacupunctureManual AcupuncturePsychotherapyHypnotherapyOsteopathic Manipulative MedicineDISEASES OF MUSCULOSKELETAL SYSTEMNatural ProductsDietary Supplements and Nutritional TherapiesMind-Body MedicineAcupunctureTai ChiManipulative and Body-Based PracticesMassage TherapyEnergy MedicineMagnetic TherapyWhole Medical SystemsOsteopathic Manipulative MedicineNEOPLASTIC DISEASESNatural ProductsDietLow SugarDietary Supplements and Nutritional TherapiesHerbal PreparationsMind-Body MedicineMeditationAcupunctureManipulative and Body-Based PracticesMassage TherapyExerciseCENTRAL AND PERIPHERAL NERVOUS SYSTEM DISEASESNatural ProductsDietary Supplements and Nutritional TherapiesMind-Body MedicineDance TherapyMusic TherapyTai ChiEnergy MedicineWhole-Body VibrationLight TherapyWhole Medical SystemsOsteopathic Manipulative MedicineChiropractic TherapyCONCLUSIONREFERENCESAssistive Technology for Older AdultsINTRODUCTIONLEGAL DEFINITION OF ASSISTIVE TECHNOLOGY DEVICES AND SERVICESFINDING ASSISTIVE TECHNOLOGY DEVICESASSISTIVE TECHNOLOGY USE AMONG OLDER ADULTSENHANCING AT USEENVIRONMENT EVALUATIONSUPPORT FROM CAREGIVERSCONCLUDING COMMENTSREFERENCESEthical Issues in Older AdultsINTRODUCTIONPRINCIPLES OF BIOETHICS AND BIOETHICAL DECISION-MAKINGADVANCE DIRECTIVESSubstantive Advance DirectivesProcedural Advance Directives: HCAsINFORMED CONSENTCAPACITY DETERMINATIONSSURROGATE DECISION-MAKINGREFERENCESPalliative Care and End-of-Life IssuesINTRODUCTIONWHAT ARE HOSPICE AND PALLIATIVE CARE?HospicePalliative CareWHO SHOULD GET AND WHO SHOULD PROVIDE PALLIATIVE CARE?HOW DOES PALLIATIVE CARE DIFFER IN THE ELDERLY?PrognosticationGoal Setting and Medical Decision-MakingThe Role of Families and CaregiversSpecial Medical Management ConsiderationsREHABILITATION AND PALLIATIVE CARE IN GERIATRIC PATIENTSTHE INTERPLAY OF PALLIATIVE CARE AND REHABILITATION IN SELECTED GERIATRIC CONDITIONSDementiaFailure to ThriveCancerChronic Obstructive Pulmonary DiseaseCONCLUSIONREFERENCESEconomics of Geriatric RehabilitationAging GracefullyINTRODUCTIONPHYSICAL AND MENTAL HEALTH OF THE OLDER ADULTSAGING GRACEFULLYREFERENCES
 
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