Geriatric Rehabilitation Should Not Be an Oxymoron: A Path Forward

Arch Phys Med Rehabil. 2019 May;100(5):995-1000. doi: 10.1016/j.apmr.2018.12.038. Epub 2019 Feb 5.

Abstract

Older adults are the fastest growing segment of our population and contribute greatly to the high costs of health care. The primary concern among older adults seeking health care is maintaining or improving functional independence. This concern is the focus of both rehabilitative care and geriatric medicine; however, collaboration between these fields can be hampered by a lack of mutual understanding of the fundamental principles of the other field. We describe 3 steps that can be implemented at an organizational or individual level to bridge the fields of geriatric medicine and rehabilitation, allowing them to better serve older patients. These include (1) recognizing the interwoven concepts of multimorbidity, function, and frailty; (2) communicating with a common language; and (3) synthesizing our knowledge from both fields.

Keywords: Aged; Frailty; Geriatrics; Mobility limitation; Rehabilitation.

MeSH terms

  • Aged
  • Comorbidity
  • Frailty / physiopathology
  • Geriatrics*
  • Humans
  • Interdisciplinary Communication*
  • Knowledge Bases
  • Rehabilitation*
  • Terminology as Topic