Anders als indikationsspezifische Rehabilitationsangebote stellt die geriatrische
Rehabilitation ein fachübergreifendes Rehabilitationsangebot für ältere Menschen mit
oft mehreren Beeinträchtigungen und ggf. schon bestehender Pflegebedürftigkeit dar.
Der Beitrag befasst sich mit den Besonderheiten der Zielgruppe, den verschiedenen
geriatrisch-rehabilitativen Angeboten und den Zugangsmöglichkeiten zu diesen Leistungen.
Abstract
Geriatric rehabilitation is an interdisciplinary offer of rehabilitation services
for elderly persons who often have several impairments and, in some cases, an already
existing need for nursing care. It aims at maintaining their self-determined participation
in everyday life to the greatest possible extent as well as at avoiding or reducing
their needs for nursing care. Characteristic features of geriatric patients are high
vulnerability due to an age-related reduction of reserves and often multiple chronic
diseases. This is why the geriatric assessment and the multi-professional geriatric
team present a correspondingly broad base.
As a result of the vulnerability of geriatric patients, early rehabilitation that
already starts during acute treatment in hospital is of great importance for their
rehabilitative care. Of total German geriatric-rehabilitative care 75 % is inpatient-
and 8 % day-care in hospital. These kinds of care are largely provided nationwide.
Unfortunately, they often cannot make use of the entire rehabilitation potential of
geriatric patients. Independent geriatric rehabilitation facilities, however, are
not available in all federal states yet and mainly focus on inpatients. They account
for 17 % of geriatric-rehabilitative care – for more than 95 % in connection with
a previous hospitalization. Up to now, there has not been an adequate focus on the
utilization of out-patient and mobile geriatric rehabilitation as well as on the use
of geriatric rehabilitation in case of a slowly progressing deterioration of activities
and participation without any acute event. Especially, mobile rehabilitation that
is directly performed at the patient’s home constitutes a particularly suitable rehabilitation
setting mainly for persons who will still need nursery care despite reaching their
rehabilitation targets. But this kind of rehabilitation care is still little known.
The article provides decision-making aids to physicians in hospitals and doctor’s
offices as well as information on how to gain access to geriatric-rehabilitative care
services, including new regulations to facilitate this access, which are planned for
01 July 2022.
Schlüsselwörter
geriatrische Rehabilitation - geriatrische Frührehabilitation - mobile geriatrische
Rehabilitation - geriatrischer Patient - geriatrietypische Multimorbidität - Rehabilitationsstrategien
- Rehabilitationssettings
Key words
geriatric rehabilitation - early geriatric rehabilitation - mobile geriatric rehabilitation
- geriatric patient - typical geriatric multimorbidity - rehabilitation strategies
- rehabilitation settings
