綜合醫(yī)院老患者的康復(fù)護(hù)理 課件

1、理論基礎(chǔ)理論基礎(chǔ)功能評(píng)定方法功能評(píng)定方法治療技能治療技能規(guī)范醫(yī)學(xué)應(yīng)用規(guī)范醫(yī)學(xué)應(yīng)用功能障礙恢復(fù)康復(fù)醫(yī)學(xué)臨床醫(yī)學(xué)預(yù)防醫(yī)學(xué)保健醫(yī)學(xué)三級(jí)預(yù)防二級(jí)預(yù)防一級(jí)預(yù)防 疾病或損傷后，采取積極的措施防止功能障礙或繼發(fā)殘疾康復(fù)評(píng)定傳統(tǒng)醫(yī)學(xué)物理治療作業(yè)治療語(yǔ)言治療康復(fù)工程心理治療康復(fù)護(hù)理2001 年Dr. Fried首先提出步速減慢3項(xiàng) pre-frailty 1- 2項(xiàng)握力下降 男30kg 女18kg易感疲勞活動(dòng)減少ADL 床上移動(dòng) 轉(zhuǎn)移 室內(nèi)/庭院行走 穿衣褲 進(jìn)食 如廁 梳洗 洗浴IADL 烹調(diào)食物 家務(wù)衛(wèi)生 管理財(cái)務(wù) 服用藥物 使用電話 上街購(gòu)物 交通工具功能肌力低下正常弱強(qiáng)健康成人衰弱老人脆弱閾值Estab

2、lished Populations for Epidemiologic Studies of the Elderly (EPESE) . J Gerontology, 1994;49(3):M109-15 1994;49(3):M109-15FunctionTime急性病的患者獨(dú)立生活閾值A(chǔ)m J Phys Med Rehab, 2009, 88(1):66-77FunctionTime未康復(fù)恢復(fù)老年病人急性病的患者獨(dú)立生活閾值A(chǔ)m J Phys Med Rehab, 2009, 88Department of Occupational Science and Occupational Th

3、erapyAcute CareHomeAcute/RehabDepartment of Occupational Science and Occupational TherapyDepartment of Occupational Science and Occupational Therapy Department of Occupational Science and Occupational TherapyDepartment of Occupational Science and Occupational TherapyDepartment of Occupational Scienc

4、e and Occupational Therapy自我料理轉(zhuǎn)移能力交流能力n書(shū)寫(xiě)n電話n通訊工具注意事項(xiàng)：禁忌仰著起臥，控制異常的運(yùn)動(dòng)模式20-3020-30注意事項(xiàng)：防滑鞋、慢速、步幅小自我料理平衡功能、耐力訓(xùn)練Tinetti ME, Baker DI, Garrett PA et al. Yale FICSIT: Risk factor abatement strategy for fall prevention. J Am Geriatr Soc 1993;41:315-20平衡協(xié)調(diào)性訓(xùn)練Kressig RW, Wolf SL. Exploring guidelines for the application of Tai Chi to patients wi