Geriatrisch-rehabilitative Versorgung dient dem Erhalt selbstbestimmter
Teilhabe alter Menschen. Sie trägt zur Minderung von
Pflegebedürftigkeit bei – eine der großen
gesellschaftlichen Herausforderungen der nächsten Jahrzehnte. Der
Beitrag stellt Zielgruppe, Strukturen, konzeptionelle Besonderheiten sowie
Potenziale und Grenzen der derzeitigen geriatrisch-rehabilitativen
Versorgung dar. Hieraus ergeben sich Perspektiven für die
Weiterentwicklung.
Abstract
Geriatric rehabilitation care serves to maintain the self-determined
participation of elderly people. It contributes to reduce dependency on
care, which is one of society’s major challenges. The focus of its
work lies on elderly patients, mostly with multiple impairments and limited
reserves. These people consequently face a high risk of developing further
activity limitations and participation restrictions in the context of any
acute illness. This justifies the large proportion of early rehabilitation
already in hospital, which forms an essential part of geriatric
rehabilitation care in Germany. Its goal is to reduce or prevent any
associated setbacks regarding independent living as soon and as far as
possible. However, early rehabilitation cannot replace a potentially
necessary further medical rehabilitation – particularly under the
conditions of lump-sum compensation in the context of the DRG system. But
institutions for further medical rehabilitation exist only in some of the
federal states in Germany.
In addition, geriatric rehabilitation services are largely provided in
inpatient settings in Germany. This system to date only rarely takes
advantage of the benefits of other forms of rehabilitation. For instance,
outpatient geriatric rehabilitation could already be used more frequently to
prevent dependency on care in cases of slowly increasing deterioration of
functional health. Mobile rehabilitation, where rehabilitation patients are
visited in their residential environment, could be more efficient and more
sustainable for patients whose rehabilitation and participation goals can be
achieved less by means of restitution of lost functions rather than by the
adaptation of contextual factors and the improvement of support
arrangements.
Key words
geriatric rehabilitation - early geriatric rehabilitation - mobile geriatric rehabilitation - geriatric patient - multimorbidity typical of geriatric medicine
Schlüsselwörter
geriatrische Rehabilitation - geriatrische Frührehabilitation - Mobile geriatrische Rehabilitation - geriatrischer Patient - geriatrietypische Multimorbidität
