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General principles of recovery and rehabilitation 

General principles of recovery and rehabilitation
General principles of recovery and rehabilitation
Oxford Textbook of Geriatric Medicine (3 edn)

Torgeir Bruun Wyller

and Erik Bautz-Holter


Illness tends to affect function in frail elderly patients, and these patients have limited capacity to spontaneous physical recovery. This chapter argues that rehabilitation should be firmly integrated into health services for elderly people and not separated from conventional medical treatment. Further, we argue that these two aspects should be handled simultaneously. Rehabilitation is goal-based, and setting goals in cooperation with patients is a crucial condition for successful rehabilitation, and for its evaluation, clinically as well as scientifically. The World Health Organization International Classification of Functioning, Disability, and Health (ICF) is recommended as a conceptual framework for assessment, goal setting, and evaluation in rehabilitation. Rehabilitation can be considered an iterative rather than a linear process, with regular evaluations and renegotiation of goals playing a crucial role in the efficacy of such a process.

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