Rehabilitation Medicine Assessment of Nursing Home Residents

2016-04-29T14-16-53Z
Source: International Journal of Therapies and Rehabilitation Research
Fahim Anwar, Ahmad Alkhayer.
Abstract: Aims: To assess the disability level, the rehabilitation potential and the service received by young adults (16-65) with neurological disabilities Subjects & Settings: Pilot cross sectional study of 12 Adults with neurological disabilities (mean age 50); originally residents in one nursing home, now living in 1 of 8 nursing homes in Glasgow. Method: Structured medical interview, Barthel Index, Office of Population Census Survey (OPCS) Disability Form, review of drug charts. Results: There were 7 patients with acquired brain injury, 2 multiple sclerosis, 2 peripheral neuropathies, and one dementia. Prior to admission to nursing homes two patients received inpatient rehabilitation; no others had rehabilitation medicine assessment. 5 patients received community rehabilitation input. Planned medical reviews were rare. 6 patients had significant spasticity and 4 had significant pain. OPCS scores ranged from 1 to 10 with 4 patients scoring ≤ 6; Barthel index, 0 to 100, with 4 patients ≥ 90. Conclusion: Larger studies, cognitive assessment and nursing needs measurement are justified. All of these may help some residents to return to community living.


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