Abstract
Objective: To determine if physical and occupational therapists can recognize 2 known predictors of rehabilitation outcome, cognition and mood, in their geriatric patients. Design: Survey. Setting: Urban academic medical center rehabilitation unit. Participants: One hundred two consecutive geriatric admissions rated by 20 physical and 8 occupational therapists for the presence of cognitive or affective disorders. Interventions: Not applicable. Main Outcome Measures: Mini-Mental State Examination, Geriatric Depression Scale, and therapists' ratings. Results: Both disciplines had low rates of accurate detection of both cognitive abnormalities and symptoms of depression. Patients scoring in the intact range of either domain were more likely to be correctly identified by the therapists than were patients whose results were possibly or probably impaired. Conclusion: Rehabilitation therapists had difficulty recognizing patients with cognitive and affective disorders. I recommend including a mental health professional on the treatment team, staff inservicing, and/or the use of standardized measures of mood and mental status to increase recognition of these syndromes in geriatric rehabilitation patients.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 609-612 |
| Number of pages | 4 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 83 |
| Issue number | 5 |
| DOIs | |
| State | Published - 2002 |
Fingerprint
Keywords
- Cognition disorders
- Depression
- Geriatrics
- Rehabilitation
ASJC Scopus subject areas
- Rehabilitation
Cite this
Rehabilitation therapists' recognition of cognitive and mood disorders in geriatric patients. / Ruchinskas, Robert.
In: Archives of Physical Medicine and Rehabilitation, Vol. 83, No. 5, 2002, p. 609-612.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Rehabilitation therapists' recognition of cognitive and mood disorders in geriatric patients
AU - Ruchinskas, Robert
PY - 2002
Y1 - 2002
N2 - Objective: To determine if physical and occupational therapists can recognize 2 known predictors of rehabilitation outcome, cognition and mood, in their geriatric patients. Design: Survey. Setting: Urban academic medical center rehabilitation unit. Participants: One hundred two consecutive geriatric admissions rated by 20 physical and 8 occupational therapists for the presence of cognitive or affective disorders. Interventions: Not applicable. Main Outcome Measures: Mini-Mental State Examination, Geriatric Depression Scale, and therapists' ratings. Results: Both disciplines had low rates of accurate detection of both cognitive abnormalities and symptoms of depression. Patients scoring in the intact range of either domain were more likely to be correctly identified by the therapists than were patients whose results were possibly or probably impaired. Conclusion: Rehabilitation therapists had difficulty recognizing patients with cognitive and affective disorders. I recommend including a mental health professional on the treatment team, staff inservicing, and/or the use of standardized measures of mood and mental status to increase recognition of these syndromes in geriatric rehabilitation patients.
AB - Objective: To determine if physical and occupational therapists can recognize 2 known predictors of rehabilitation outcome, cognition and mood, in their geriatric patients. Design: Survey. Setting: Urban academic medical center rehabilitation unit. Participants: One hundred two consecutive geriatric admissions rated by 20 physical and 8 occupational therapists for the presence of cognitive or affective disorders. Interventions: Not applicable. Main Outcome Measures: Mini-Mental State Examination, Geriatric Depression Scale, and therapists' ratings. Results: Both disciplines had low rates of accurate detection of both cognitive abnormalities and symptoms of depression. Patients scoring in the intact range of either domain were more likely to be correctly identified by the therapists than were patients whose results were possibly or probably impaired. Conclusion: Rehabilitation therapists had difficulty recognizing patients with cognitive and affective disorders. I recommend including a mental health professional on the treatment team, staff inservicing, and/or the use of standardized measures of mood and mental status to increase recognition of these syndromes in geriatric rehabilitation patients.
KW - Cognition disorders
KW - Depression
KW - Geriatrics
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=0036261194&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036261194&partnerID=8YFLogxK
U2 - 10.1053/apmr.2002.32496
DO - 10.1053/apmr.2002.32496
M3 - Article
C2 - 11994799
AN - SCOPUS:0036261194
VL - 83
SP - 609
EP - 612
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 5
ER -