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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Other physical consequences of disability.

John Macfarlane¹

¹Walkergate Park Centre for Neurorehabilitation & Neuropsychiatry, Newcastle upon Tyne, UK. john.macfarlane@ntw.nhs.uk

Handbook of Clinical Neurology

|January 15, 2013

Summary

Preventing secondary complications like osteoporosis and pressure ulcers is crucial for improving long-term outcomes in neurological disease rehabilitation. Evidence-based strategies enhance patient activity and participation.

Area of Science:

Neurology
Rehabilitation Medicine
Internal Medicine

Background:

Secondary complications significantly impact functional recovery and long-term participation in individuals with neurological diseases.
Immobility itself poses various adverse effects on bodily functions.
Effective management of these complications is vital for successful rehabilitation.

Purpose of the Study:

To outline and discuss common secondary complications encountered during neurological disease rehabilitation.
To provide evidence-based information on the diagnosis, prevention, and management of these complications.
To highlight the role of nutrition, tremor, and ataxia in functional outcomes.

Main Methods:

Review of literature focusing on secondary complications in neurological rehabilitation.

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Detailed discussion of osteoporosis, pressure ulcers, venous thromboembolism, and heterotopic ossification.

Emphasis on evidence-based practices and up-to-date references.

Main Results:

Identified key secondary complications including osteoporosis, pressure ulcers, venous thromboembolism, and heterotopic ossification.
Detailed definitions, classifications, prevalence, diagnosis, prevention, and management strategies for each complication.
Highlighted the impact of nutrition, tremor, and ataxia on functional outcomes.

Conclusions:

Proactive prevention and management of secondary complications are essential for optimizing rehabilitation outcomes in neurological conditions.
Evidence-based strategies are critical for minimizing impairment and maximizing patient activity and participation.
Addressing factors like nutrition and motor impairments (tremor, ataxia) further enhances functional recovery.