[Clinical and functional model of long-term care for older aged persons.]

A feature of the older age groups is not only an increase in the frequency of chronic non-communicable diseases (cardiovascular, cerebrovascular, neurodegenerative, musculoskeletal), but also the development of senile asthenia syndrome, leading to the loss of autonomy and the need for comprehensive medical and social support. The purpose of the study was to test the clinical and functional model of long-term care for older age groups, based on the stratification of patients by the degree of loss of autonomy and preservation of rehabilitation potential. The study included elderly individuals who were in a social hospital and underwent a comprehensive clinical and functional assessment using standardized scales for cognitive, emotional, and motor status. The study used methods of variance and correlation analysis to identify the relationships between cognitive and motor impairments, which reflect the phenomenon of cognitive-motor interference. The results showed that the proposed model allows for a quantitative assessment of the level of autonomy, the determination of rehabilitation potential, and the identification of cognitive, motor, and mixed recovery profiles. The use of a stratification approach ensures the objectification of long-term care processes, increases the effectiveness of preventive and rehabilitation measures, and facilitates the implementation of personalized care and rehabilitation programs.