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Journal of Aging and Health, Vol. 1, No. 4, 485-506 (1989)
DOI: 10.1177/089826438900100405

Outcomes of a Geriatric Rehabilitation Program in a Long-Term Care Facility

Jane McCusker, MD, DrPH

University of Massachusetts, Amherst

Diane J. Mundt, MS

University of Massachusetts, Amherst

Anne M. Stoddard, ScD

University of Massachusetts, Amherst

Ellan Cole, PhD

University of Massachusetts, Amherst

Susan K. Whitbourne, PhD

University of Massachusetts, Amherst

Joan E. Simmons, MS, OTR

Rehabilitation Outpatient Clinic Geriatric Authority of Holyoke

This study investigated outcomes of geriatric rehabilitation and predictors of success among 81 consecutive admissions to a 40-bed rehabilitation unit in a long-term care facility. Predictors measured at admission included sociodemographic variables, functional status (both current and prior to illness), social contact, and self-motivation. In all, 62 patients (77%) successfully completed the rehabilitation program; 76% of the successes were discharged home. Failure to discharge successfully rehabilitated subjects was mainly due to placement problems and patient and family preference. Both of the success groups showed significant improvement in functional status (Barthel Index), while failures had poorer initial functional status, and showed no improvement on average. At six-month follow-up, functional status (measured by the Sickness Impact Profile) was similar in the two success groups. No predictors other than functional status were associated with rehabilitation success. Among the successes, better functional status at six months was predicted by aspects of self-motivation.


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