Geriatric Rehabilitation

The geriatric rehabilitation department primarily serves elderly, frail individuals, those with multiple coexisting conditions, those on multiple medications, and those experiencing functional decline. Common scenarios include post-fall, post-fracture surgery, post-stroke, Parkinson's disease, dementia-related functional impairments, and post-hospitalization disability. Treatment emphasizes comprehensive geriatric assessment, encompassing dimensions such as motor function, cognition, mood, nutrition, swallowing, excretion, vision and hearing, medication use, and social support. Interventions focus on individualized exercise prescriptions, balance and gait training, occupational therapy, nutritional optimization, medication simplification, fall prevention, and caregiver education. For frailty and sarcopenia, resistance training combined with protein and vitamin D supplementation is often used as a foundational strategy, but adjustments must be made based on renal function, osteoporosis, and cardiovascular risk. In cases of progressive cognitive decline, recurrent falls, malnutrition, or excessive caregiving burden, management should be collaborative with neurology, nutrition, psychiatry, and social workers.