From: Physiotherapy in nursing homes. A qualitative study of physiotherapists’ views and experiences
Case | Diagnoses | Physical and cognitive functioning |
---|---|---|
1 | Chronic Obstructive Pulmonary Disease (COPD)/ heart failure/cox- and gonarthrosis. | - increased need for care - walks independently with a walker - balance problems and an increased risk of falling |
2 | Dementia | - moderate to severe cognitive decline - needs stimulation, instructions and help with the activities of daily living (ADL) - goes to the toilet independently - walks independently with a walker, occasionally forgets it or uses it incorrectly |
3 | Dementia | - very serious cognitive decline - restlessness and wandering behaviour - frequent faller |
4 | Cerebrovascular accident | - can walk with support of the nursing staff - regularly makes a wrong assessment when moving, for example, threatens to sit down next to the chair |
5 | Dementia/ readmission from the hospital after fall resulting in hip fracture | - moderate to severe cognitive decline - Before the fall needed stimulation, instructions and help during the ADL, walked independently with a walker, occasionally forgot it or used it incorrectly. Went to the toilet without any assistance - Since readmission sitting in a wheelchair and can start rehabilitation. |
6 | Lower leg amputation/ diabetes/ vascular disease | - continent - needs help with an active transfer aid to go to the toilet - the transfer with active transfer aid is becoming more and more difficult |
7 | Dementia | - severe cognitive decline - agitation, i.e., inner restlessness leading to purposeless and highly repetitive motor activity - needs help to go to the toilet with an active transfer aid - moves his feet during the transfer, which is dangerous, he could fall |
8 | Cerebrovascular accident | - permanently sitting in a wheelchair. |
9 | Parkinson’s disease/ dementia | - very severe cognitive decline - permanently sitting in a wheelchair - high tonus. |