Chapter 1: Rehabilitation in the Nursing Facility Next Chapter

Catherine Gill M.S., M.H.A., P.T., Janet A. Howells M.S., P.T. & Elizabeth H. Hoffman O.T.R.

In: Improving Care in the Nursing Home: Comprehensive Reviews of Clinical Research

Chapter 1: Rehabilitation in the Nursing Facility

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Rehabilitation in the Nursing Facility
Rehabilitation in the nursing facility
CatherineGillM.S., M.H.A., P.T.
JanetA.HowellsM.S., P.T.

The need for rehabilitation in nursing homes (NHs) appears to be tremendous, judging from the high prevalence of functional dependency and disability. Of persons admitted to NHs from short-stay hospitals, 95% require assistance or are dependent in bathing, 84% in dressing, 74% in transfers, 74% in toileting, and 46% in eating; of all NH residents, 71% require assistance or are unable to ambulate, and 85% require assistance with instrumental activities of daily living (IADLs) (84). Yet, according to data collected in 1985, physical therapy, occupational therapy, and speech/language pathology services were available in only 56%, 54%, and 44% of Medicare- and/or Medicaid-certified facilities (84). Availability of rehabilitation services in NHs should increase, as ...

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