Functional exercises and counselling help an out-of-shape elderly patient achieve her functional goals: a case study
1. Dr. Nikhil Khatri, Madras Medical College, Professor, India
The
process of ageing is usually coupled with comorbid conditions and unique
requirements. Because of the growing number of elderly people in the society, a
more individualised healthcare system is required. As a result of the
contemporary lifestyle, in which every person is engaged with their own
responsibilities, retired geriatrics sometimes felt lonely, sometimes griping
about the situation and other times learning to accept it as inevitable. In
addition to contributing to one's overall health and well-being, regular
physical activity lowers one's chance of developing a number of different
illnesses. A session of physiotherapy typically lasts between 25 and 35 minutes
on average. A patient might be motivated to understand their specific
age-related demands by a physiotherapist who has received adequate training.
The current way of life necessitates the provision of geriatrics physiotherapy
in the comfort of one's own home. This case study makes an effort, via the
presentation of an example, to demonstrate how geriatric physiotherapy with
counselling is assisting in the achievement of functional objectives in the
home without the use of cultured equipment. A 87-year-old woman's family has
recommended that she begin exercising under the supervision of a trained expert
in order to regain her ADLs. Functional workouts, range-of-motion drills, and liberal
resistance training were all part of her therapy regimen. These were followed
by a brief (10 minute) counselling session at the conclusion of her treatment
plan. Before and after the Intervention, data were analysed using the Barthel
Index and the Berg Balance Scale. By the end of therapy, the patient had
accomplished her objectives for ADL recovery, and she had also had improvements
in her balance; after three follow-up sessions, she was still functioning at
the same level as before. The consequences of this case study propose that a
combination of functional training and professional counselling is optimal for
achieving positive outcomes.
Counseling for the elderly the Barthel Index Functional Exercise the Berg Balance Scale
Building a reliable rapport with the patient is crucial for
successful treatment. It is especially crucial for the physical therapist to
think about this when they have to visit the patient at least four times a week
for thirty minute sessions. To ensure the success of the physiotherapy process,
it is crucial to cultivate a positive bond with the patient. This is because
the treatment relies on the patient's active participation in both the physical
and mental aspects of the treatment. Within a year of her husband's death, this
elderly patient's health began a steady decline that has continued to this day
despite ongoing treatment. Therefore, there is a strong link between her health
and her husband's death. The patient has more faith than ever before that
physiotherapy will help her live a long, healthy, and happy life. The patient's
functional training regimen resulted in a dramatic increase in their ADL and
balance performance.
1. KlausHauerPhD, BrendaRost, Kirstin Rütschle et.al. Exercise Training for Rehabilitation and Secondary Prevention of Falls in Geriatric Patients with a History of Injurious Falls. 2001
The author confirms sole responsibility for the following: study conception and design, data collection, analysis and interpretation of results, and manuscript preparation.
The authors did not receive any specific grants from funding agencies in the public, commercial, or non-profit sectors for the research, authorship, and/or publication of this article.
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All authors declare that they have no conflicts of interest.
I thank the following individuals for their expertise and assistance in all aspects of our study and for their help in writing the manuscript. I am also grateful for the insightful comments given by anonymous peer reviewers. Everyone's generosity and expertise have improved this study in myriad ways and saved me from many errors.
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