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Geriatric Physical Therapy Considerations

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Parkinson's Disease

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Focus on exercises that improve flexibility and coordination. Educate on the importance of daily activity and techniques to manage tremors.

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Shoulder Pain

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Incorporate exercises to improve rotator cuff strength and flexibility. Educate on proper posture and ergonomic adjustments in daily activities.

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Alzheimer's Disease

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Incorporate routine and structured exercises that can be easily remembered. Educate on maintaining a safe environment and the importance of cognitive stimulation activities.

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Balance Disorders

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Therapy should focus on balance re-training and vestibular rehabilitation if necessary. Patient education on fall prevention strategies is crucial.

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Obesity

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Plan for low-impact aerobic exercises and resistance training. Educate on the importance of a healthy diet combined with physical activity.

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Stroke Recovery

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Incorporate exercises to improve muscle strength and coordination on the affected side. Patient should be educated on performing activities of daily living and stroke prevention strategies.

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Edema

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Implement exercises and limb elevation to promote fluid return. Educate on compression garments and limiting long periods of standing or sitting.

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Urinary Incontinence

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Include pelvic floor muscle exercises in therapy. Educate on bladder control strategies and the importance of regular toileting schedules.

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Insomnia

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Prescribe physical activity to improve sleep hygiene. Educate on sleep routines and the bedroom environment for better sleep quality.

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Osteoporosis

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Include weight-bearing exercises to improve bone density. Educate about fall prevention and the importance of adequate calcium and vitamin D intake.

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Diabetes

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Exercise plays a key role in managing diabetes. Educate patients on monitoring blood sugar levels before and after exercise and proper foot care.

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Fall Risk

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Balance and gait training are essential. Patients should be educated on home hazards and the use of assistive devices if necessary.

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Peripheral Neuropathy

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Include exercises that enhance proprioception. Educate on foot care and the importance of inspection for injury or infection.

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Frailty

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Include exercises focused on endurance and power training. Educate on nutritional support and fall prevention measures.

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Chronic Obstructive Pulmonary Disease (COPD)

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Therapy may include breathing exercises and pacing techniques. Educate on energy conservation and smoking cessation if applicable.

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Vision Impairment

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Focus on safe mobility training and exercises to improve balance. Educate on home modifications to prevent falls and improve accessibility.

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Low Back Pain

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Use a combinations of stretching, strengthening, and stabilization exercises. Education on proper body mechanics and core strengthening importance.

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Knee Replacement

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Implement a protocol of progressive strengthening and range of motion exercises. Education on wound care and the importance of continued home exercises post-rehabilitation.

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Postural Instability

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Focus on exercises that improve posture control and muscle strength. Educate on safe techniques to transition from sitting to standing and vice versa.

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Dementia

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Use simple, structured exercises and repetitions. Educate caregivers on safety modifications and providing a structured routine.

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Hip Fracture

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Focus on strength and mobility exercises post-surgery. Educate on the use of assistive devices and prevention of future fractures.

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Depression

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Encourage exercise as part of depression management. Education should focus on the benefits of physical activity for mental health.

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Deconditioning

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Include progressive aerobic and resistance training in the plan of care. Educate on gradual increase in activities and setting realistic goals.

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Hypertension

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Moderate-intensity aerobic exercise can be beneficial. Educate patients on regular monitoring and lifestyle modifications.

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Osteoarthritis

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Focus on low-impact activities and strength training. Educate on joint protection and the use of assistive devices during flare-ups.

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Heart Failure

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Tailor exercises to improve cardiovascular fitness without overexertion. Education should cover fluid balance awareness and signs of exercise intolerance.

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Amputation

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Prescribe exercises for residual limb care and prosthetic training. Educate on skin care and the importance of proper prosthetic fitting.

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Peripheral Arterial Disease (PAD)

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Walking program to increase tolerance and functional mobility. Educate on the importance of smoking cessation and foot care.

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Chronic Pain

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Utilize pain management techniques such as gentle stretching and pacing activities. Educate on the use of heat/cold therapy and relaxation techniques.

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Arthritis

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Therapy should include gentle range of motion exercises and strengthening workouts. Patient education should focus on joint protection techniques and the importance of staying active.

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