Liang M H, Partridge A, Eaton H, Iversen M D
Harvard Medical School, Boston, Massachusetts.
Clin Geriatr Med. 1988 May;4(2):431-9.
Functional disabilities, the final common pathway of all medical and surgical conditions, are frequently preventable and treatable. Etiologic diagnosis of functional problems is important so that one does not miss the opportunity to improve and increase independence. Rehabilitation of the elderly can be a special problem. Their habits are longstanding and difficult to change. It is important to establish realistic and attainable goals with the patient. Not every habit needs to be altered. What is more important is that the patient safely achieve maximum independence. An environmental assessment is "key" to a full understanding the limitations of function, and how well management strategies can be integrated.
功能障碍是所有内科和外科疾病的最终共同通路，常常是可预防和可治疗的。对功能问题进行病因诊断很重要，这样就不会错过改善和提高独立性的机会。老年人的康复可能是个特殊问题。他们的习惯由来已久，难以改变。与患者确立现实且可实现的目标很重要。并非每个习惯都需要改变。更重要的是患者安全地实现最大程度的独立。环境评估是全面了解功能限制以及管理策略整合程度的“关键”。
