Motivation and Rehabilitation in Older Patients

Abstract

The chapter discusses the importance of an integrated approach in rehabilitating old patients. Geriatric patients undergoing post-acute rehabilitation are seldom characterized by one single somatic problem. Clinicians generally face various interrelated factors that can play a key role in the success of the rehabilitative process. Patients with a primary diagnosis (e.g., hip replacement) may be characterized by several other deficiencies, for example, a mild cognitive impairment, an inadequate nutritional status, and an unfavorable social living situation. With our concept of monitoring the physical and mental capacities and the social condition of the old and very old adults, we approach the very personal interests of each patient on different levels. After defining together with the patient and his family the personal aims, we compose the rehabilitation program based on different interventions from all the therapists (physician, social worker, occupational therapist, physiotherapist, speech therapist, and psychologist). We conclude the chapter by emphasizing the importance of tailored programs in rehabilitation by integrating a multidisciplinary approach.