Principios de La Rehabilitación Geriatrica.

 

XVNEGNXNCW MK IA VKDAFNIN]AG VKDAFNIN]AGN×E N×E JKVNA]VNGA Ics prnegnpncs jkekraiks mk ia rkdafnintagn÷e ke ki aegnaec, guaiqunkra quk ska ki prcgksc mki quk sk tratk, mkfk apingarsk gc`c `kmnma jkekrai para iukjc apingar ias tîgengas kspkgàlngas gcrrkspcemnketks ai prcgksc. 1. @ae @aetke tkekr kr ia `áx `áxn`a n`a `cv `cvnin ninmam mam   [ecaegnaec mk ics prnegnpaiks prnegnpncs mk iaksrkdafnintagn÷e mki ks quk ic quk sk fusga `aetkekr ialuegnceai `áxn`a `cvninmam. ]ras uea iksn÷e mk gamkra c uea gaàma, ks pcsnfik quk uea pkrscea `aycr snketa quk gnkrtcs `cvn`nketcs ya ec sce tae liunmcs. Xara kvntar quk kstc k`pkcrk c ec `kbcrk, ks gcevke gce vkenke nketk tk pce pcekr kr ke prág prágtng tnga a mkt mktkr` kr`nea neamcs mcs `ît `îtcmc cmcss mk lnsnctkrapna.   Mketrc mk kstk ga`pc day varncs kbkrgngncs quk ayuma e a `aetkekr ia `áxn`a `cvninmam. Asà, sn uea pkrscea `aycr ec aema tae fnke gc`c aetks, ic quk kvntará ia rkdafnintagn÷e luegnceai mki aegnaec ks quk tkr`nek ke uea sniia mk rukmas pcr laita mk kbkrgntar ics `òsguics mk ias pnkreas. 6. @aet @aetkekr kekr c rks rkstaurar taurar iia a  nemkpk nemkpkemkegn emkegna a fásng fásnga a ke agtn agtnvnmam vnmamks ks mk ia vn vnma ma mnarn mnarna a Ctrc mk ics prnegnpncs fásngcs mk ia rkdafnintagn÷e luegnceai mki aegnaec ks ya ec scic `aetkekr ia nemkpkemkegna, snec jaearia. [ea pkrscea `aycr gce rctura mk gamkra pukmk quk ekgksntk quk ia iikvke ai fañc. Wne k`farjc, ic quk fusga ia rkdafnintagn÷e luegnceai ks pkr`ntnr, quk ia pkrscea pukma puk ma skj skjunr unr vai vainîe nîemcs mcsk k pcr sà `ns`a, `ns`a, `ae `aetke tkenke nkemc mc ia `áxn`a `cvninmam.   Kstc ks `uy vaincsc para ics aegnaecs, ya quk a vkgks pukmke sketnrsk `ai pcr ec pcmkr dagkr ias `ns`as gcsas qu quk k dagà dagàae ae ae aetk tks. s. Xc Xcrr ks ksta ta ra raz÷ z÷e, e, ks ta tae e n` n`pc pcrt rtae aetk tk ia lnsnctkrapna ke ia rkdafnintagn÷e luegnceai mki aegnaec. 7. Grkar uea at` at`÷slkra ÷slkra razcea razceafik`k fik`ketk etk ksp kspkraez kraezamcra amcra y cptn`n cptn`nsta. sta. Ki tkrgkrc mk ics prnegnpncs fásngcs para ia rkdafnintagn÷e luegnceai mki aegnaec ks, sne muma, jkekrar kspkraeza. Guaemc uea pkrscea `aycr sk ma guketa mk quk pukmk `cvkr ue pcgc `ás ki frazc y gc`kr pcr sà scia (auequk sk ik ganja partk mk ia gc`nma) sk snketk `kbcr, quk kstá prcjrksaemc.  Asn`ns`c, ia rkdafnintagn÷e luegnceai mki aegnaec ayuma a quk ias pkrsceas `aycrks sk snketae òtniks. Guaemc k`pnkzae a jaear nemkpkemkegna c guaemc sce gcesgnketks mk quk jragnas a ics kbkrgngncs y rkgurscs quk sk pceke a su mnspcsngn÷e ec ia pnkrmke, sk snketke `kbcr gcesnjc `ns`cs y gce uea jrae kspkraeza mk `kbcra. Ksta agtntum iks prkmnspcek a `kbcrar mk uea lcr`a `ugdc `ás rápnma.

 

=. Aping Apingar ar ttrata` rata`nketc nketcss ssn`pik n`pikss k nemnv nemnvnmuain nmuainzamcs zamcs   Ki òitn`c mk ics prnegnpncs mk ia rkdafnintagn÷e luegnceai mki aegnaec ks quk ks `uy n`pc n`pcrt rtae aetk tk gket gketra rars rsk k ke ics ics tr trat ata` a`nk nket etcs cs sn`p sn`pik iks. s. Mk ea eama ma snrv snrvke ke ia iass sk sksn snce ceks ks tkrapî tkr apîutn utngas gas iarjas iarjas y gce jra jrae e var varnkm nkmam am mk kik kik`ke `ketcs tcs.. Gce ias pkr pkrsce sceas as `ay `aycrk crkss luegncea `ugdc `kbcr ic skegniic. Xcr kiic, ks rkgc`kemafik agcrtar ias sksnceks y rkainzar kbkrgngncs quk pukmae pcekr kiias ke prágtnga ke sus dcjarks sne prcfik`as.    Asn`ns`c, ec pcmk`cs civnmarecs mk ia n`pcrtaegna mk ics trata`nketcs nemnvnmuainzamcs ke ia rkdafnintagn÷e luegnceai mki aegnaec. Ec tcmas ias pkrsceas sce njuaiks, en tnkeke ki `ns`c rnt`c mk rkgup rkgupkragn÷ kragn÷e, e, en ki `ns`c gukrpc. Xcr kiic, snk`prk day quk amaptar ics trata`nketcs a su gcemngn÷e làsnga para quk, asà, kstcs skae klkgtnvcs y ics pagnketks pukmae vkr `kbcras gce ki traesgurrnr mk ias sk`aeas.   Kstcs guatrc prnegnpncs fásngcs para ia rkdafnintagn÷e luegnceai mki aegnaec snk`prk sk keskñae ke guaiqunkr lcr`agn÷e, ya quk sce `uy n`pcrtaetks. ]rafabar gce ias pkrsceas `aycrks ks `uy jratnlngaetk y pcmkr ayumariks a `aetkekr su nemkpkemkegn nemkpk emkegna, a, `cvninmam y frnema frnemariks riks kspkraez kspkraeza a ks uea iafcr quk ec tnkek prkgn prkgnc. c. Xkrc, para quk tcmc kstc mî rksuitamcs, day quk skjunr kstcs guatrc prnegnpncs.   Ctrcs prnegnpncs quk day quk tc`ar ke guketa sce ics snjunketks ;. @kbcr @kbcrar ar pat patrceks rceks m mk k rksp rkspnragn nragn÷e, ÷e, `a `argda, rgda, pcstu pcstura ra y kq kquninf uninfrnc. rnc. [ea gaàma sn`pik pukmk gausar uea lragtura jravk ke ics frazcs, ias `aecs, ics tcfniics c ias gamkras. Ics kbkrgngncs mk kquninfrnc pukmke ayumar a prkvkenr ias gaàmas y kvntar ia mnsgapagnmam quk pukmk rksuitar mkspuîs mk uea gaàma. Ki prcjra`a mk rkdafnintagn÷e mkfk negiunr crnketagn÷e agkrga mk ics lagtcrks mk rnksjc mk gaàma gaà ma y ue prcj prcjra` ra`a a mk agc agcemn emngnc gncea` ea`nke nketc tc kel kelcga cgamc mc a ia `ar `argda gda,, ki kqunin kquninfrn frnc, c, ia gccrmneagn÷e y ias dafninmamks cguicvkstnfuiarks, luegnceks quk sk `cmnlngae muraetk ki kevkbkgn`nketc.

 

Kbk`pics mk kbkrgngnc mk kquninfrnc2

Xararsk scfrk ue pnk

. Agtn Agtnvn vnma mamk mkss rkgr rkgrka katntnva vas. s. Ks Kstk tk prne prnegn gnpnc pnc sk rkln rklnkr krk k a netk netkjr jrar ar ai am amui uitc tc `a `ayc ycrr ai aiju juea ea agtnvn agt nvnmam mam làs làsnga nga gc` gc`c c eat eatagn agn÷e, ÷e, `òs `òsnga nga,, ycj ycja, a, y tcm tcmc c tnp tnpc c mk rkgrkagn÷e rkgrk agn÷e bukjc bukjcs, s, fanik faniks, s, maeza maezas, s, ga`n ga`neatas eatas,, tkatr tkatrc, c, pnetura, pnetura, ikgtura, asnstnr a gdarias gce jrupcs, rc`pkgafkzas, bukjcs mk `ksa, artksaeàas ketrk ctras

WÀEMVC@KW NE\AINMAE]KW

 

Ics Wàemrc`ks Jkrnátrngcs Jkrnátrngcs rklnkrke a `òitnpiks `òitnpiks gcemngn gcemngnceks ceks c prcfik`as prcfik`as mk saium quk cgurrke guaemc ia agu`uiagn÷e mk klkgtcs mki mktkrncrc mk `òitnpiks snstk`as, iikvae a uea pkrscea aegnaea vuiekrafik a mksalàcs `argamcs, a ics guaiks ec pukmk rkspcemkr jkekrai`ketk gce uea amkguama rkspuksta lnsnci÷jnga. Mklnengn÷e mk sàemrc`k jkrnátrngc2 `aenlkstagnceks mk garagtkràstngas lkectàpngas mk ue nemnvnmuc a envki làsngc, `crlci÷jngc y fncquà`ngc, mktkr`neamas pcr ki jkectnpc y ki `kmnc a`fnketk. (]nekttn, Necuyk kt ai.) [ea `ns`a kelkr`kmam pukmk prksketarsk gc`c mnlkrketks sàemrc`ks ke ki amuitc `aycr.  A gce gcetne tneua uagn÷ gn÷e, e, sk mksgr mk sgrnfk nfke e guáik gu áikss ssce ce ics sàe sàemr mrc` c`ks2 ks2        

Gaàmas Xcinlar`agna Negcetnekegna urnearna y lkgai Wàemrc`k mk ne`cvninzagn÷e Wàemrc`ks vasguiarks Òigkras Wàemrc`ks rkspnratcrncs Mkrnvagnceks skescrnaiks

1. WÀ WÀEM EMVC VC@K @K M MK KG GAÀ AÀMA MAW2 W2  @ugdas vkgks ias pkrsceas `aycrks quk sk gake, sn ec dae prksketamc enejuea gc`pingagn÷e, snikegnae ki dkgdc, c ec ic rkgukrmae, c sce ics prcpncs la`ninarks qunkeks ec ic gc` gc`ue ueng ngae ae ai `î `îmn mnggc, at atrn rnf fuy uyk kem emc c ki dk dkggdc ai ke kevk vkbk bkgn gn`n `nke ketc tc ec ecr` r`ai ai.. Ke ias ias pkrs pkrsce ceas as `a `ayc ycrk rkss ia iass gaàm gaàmas as rkpr rkprks kske keta tae e ki 4< % mk ias ias dc dcsp spnt ntai ainz nzag agnc ncek ekss rkiatnvas a ics aggnmketks mc`îstngcs. Gausas Ia `ay `aycrà cràa a mk ias gaà gaàmas mas sk crn crnjne jneae ae pcr mnl mnlkrk krketk etkss gau gausas sas22 net netràe ràeskg skgas as y/ y/c c kxtràeskgas. Gausas netràeskgas (sce gausas netkreas a ia pkrscea mkpkemnketk)2 Wk pukmke ajrupar ke trks gatkjcràas2   

In`ntagnceks crjáengas, ks mkgnr eaturaiks, mkrnvamas mki prcgksc mk kevkbkgkr  Nengnc mk pîrmnma ekurceai, atrclna gkiuiar, ktg. Kelkr` Kel kr`kma kmamks mks aju ajumas mas y gr÷ gr÷eng engas as quk crn crnjne jneae ae uea in` in`nta ntagn÷ gn÷e e luegnc luegnceai eai.. Ia ksgikrcsns `òitnpik c ia cstkcpcrcsns. Ki gcesu`c mk lár`agcs2 Wn sk tc`ae varncs `kmnga`ketcs pcmràa marsk ki gasc quk ketrk kiics dufnkra gcetranemngagnceks. Gausas Gaus as kx kxtr tràe àesk skga gass (s (sce ce gaus gausas as kx kxtk tkre reas as ai pa pagn gnke ketk tk mk mkpk pkem emnk nket etk, k, mkrnvamas mk ia agtnvnmam y su ketcrec)2

Kxnstke uecs lagtcrks mk rnksjc ke ia vnvnkema quk lagnintae ias gaàmas. Ics sukics nrrkjuiarks c mksinzaetks, ia niu`neagn÷e nesulngnketk c mklkgtucsa, ue `cfninarnc neamkguamc, ue fañc sne amaptagnceks pukmke skr `ctnvc mk gaàma. Ki kxtkrncr mk ics mc`ngnincs? ias gaiiks, ics kmnlngncs pòfingcs, ics barmneks, ics traespcrtks, ktg.

 

pukmke skr iujarks lrkguke pukmke lrkguketks tks mk gaàma gaàmas. s. Aijuecs ec rkòeke gcemng gcemngnceks nceks quk iks daja dajae e skju skjurc rcss y kin` kin`ne neke ke cf cfst stág águi uics cs.. Ki ga gaiz izam amc c ks ta ta`f `fnî nîe e ue aspk aspkgt gtc c luema`ketai ke ia skjurnmam para ki pagnketk mkpkemnketk. Gceskgukegnas Ias gceskgukegnas mk ias gaàmas sk pukmke ajrupar ke 6 jrupcs2 Ne`kmnatas2 sk rklnkrk a ia lragtura ne`kmnata quk jkekra ksta gaàma. Kstk jrupc rkprksketa ki ;% y crnjneae aijòe tnpc mk lragtura. ^ mketrc mk kstk ;%, ki 1 % sk gcrrkspcemk a uea lragtura mk gamkra, amk`ás mk gcetusnceks, dkrnmas, iuxagnceks, iksnceks mki snstk`a ekrvncsc pkrnlîrngc (kegîlaic y `îmuia kspneai), trau`atns`cs grae graekc kcke kegk gklá láiningc gcs, s, kt ktg. g. Ctrc Ctrc n`pc n`pcrt rtae aetk tk as aspk pkgt gtc c sce sce ia iass gc gces eskg kguk ukeg egna nass mk pkr`aekgkr gaàmc, sne pcmkr ikvaetarsk mki sukic y sne rkgnfnr atkegn÷e `îmnga muraetk dcras k negiusc màas, scfrk tcmc ke pkrsceas `aycrks quk vnvke scics. Ias `ás jravks sce ia dnpct dnpctkr`na kr`na,, ia mksdn mksdnmrata mratagn÷e, gn÷e, ias nelkg nelkggncek gnceks, s, ia rafmc`n÷in rafmc`n÷insns sns (ksluk (ks lukrzc rzc kxt kxtrk` rk`c c mkr mkrnva nvamc mc mk ia gaà gaàma) ma) y ia nes nesuln ulngnk gnkegn egna a rke rkeai ai ajuma ajuma (ks ki gcecgnmc gc`c sàemrc`k icej ink). Iarjc piazc2 sk rklnkrk a ia ne`cvninmam quk sk crnjnea gc`c gceskgukegna mk ia gaàma ne`kmnata. Ksta gcetrnfuyk ta`fnîe ai mksarrciic mk gcetragturas, òigkras pcr  prksn÷e, trc`fcsns vkecsas, atrclnas `usguiarks, negcetnekegna, eku`ceàas, ktg. Ke uea jrae Ki prcpcrgn÷e mk pkrsceas kxnstk uea n`pcrtaetk alkgtagn÷e psngci÷jnga. `nkmc a gakr mk eukvc`aycrks, crnjnea `cmnlngagnceks ke ics dáfntcs mk vnma, tk`cr kxajkramc a sainr y a ga`near mk eukvc, pîrmnma mk gcelnaeza ke sus prcpna prc pnass gap gapagn agnmam mamks, ks, ans ansia` ia`nke nketc tc scg scgnai nai,, mkp mkprks rksn÷e n÷e y aes aesnkm nkmam. am. ]cmas ]cmas kst kstas as gceskgukegnas sk gcecgke gc`c ’sàemrc`k pcst gaàmc‐, quk `ugdas vkgks sk vk lavcrkgnmc, sne qukrkr, pcr ia agtntum mk ics la`ninarks y prclksnceaiks mk ia saium. 6. WÀE WÀEMV MVC@K C@K MK XCI XCINLA NLAV@A V@AGNA GNA Wk ketnkemk pcr ia tc`a pcr partk mk uea pkrscea mk `ás mk gnegc-skns `kmnga`ketcs, mnarna`ketk y mk lcr`a gcetneuama, muraetk ue pkràcmc njuai c supkrncr a skns `ksks. Gausas Ia pcin pcinla lar` r`ag agna na sk ma lr lrkg kguk uket etk` k`ke ketk tk ke pkrs pkrsce ceas as mkpk mkpkem emnk nket etks ks y mk kmam kmam avaezama, y gcestntuyk ue prcfik`a mk jrae rkpkrgusn÷e ke kstk gcikgtnvc. [e gcesu`c kikvamc mk lár`agcs lavcrkgk2   

Ias rkaggnceks ec mkskamas ketrk `ás mk ue `kmnga`ketc. Ics klkgtcs skguemarncs quk dagke `ás prcfafik ias rkaggnceks amvkrsas ke ki pagnketk mkpkemnketk. Ics negu`pin`nketcs rkiagnceamcs gce ias prksgrnpgnceks `îmngas.

Dafntuai` Dafntu ai`ket ketk, k, gce gceliu liuyke yke uea skr skrnk nk mk gnr gnrgue guesta staegn egnas as quk gcemug gcemugke ke a quk sk jkekrk kstk sàemrc`k, gc`c, pcr kbk`pic2   

Kstar alkgtamc pcr ue kikvamc eò`krc mk kelkr`kmamks gr÷engas ai `ns`c tnk`pc. Ia tkemkegna a ics trata`nketcs lar`agci÷jngcs lar`agci÷jngcs.. Ia gcstu`frk mki autcgcesu`c.

 



Ia tkemkegna a ec asnstnr mk `aekra pkrn÷mnga a rkvnsnceks quk vnjnike su usc.

 Am k`ás,  Amk`á s, ics ga` ga`fn fncs cs mk ia lns lnsnci ncicjà cjàa a quk qu k vae ap apar arkgn kgnkem kemc c gce ia km kmam am (m (mns` ns`neu neugn÷ gn÷e e mki ajua gcrpcrai, ia mns`neugn÷e mk ia `asa y liubc saejuàekc, ia prcjrksnva mns`neugn÷e mki fuke luegncea`nketc mk ics rnñceks, mki snstk`a ekrvncsc y ki icgc`ctcr) crnjneae aitkragnceks mk ics klkgtcs mk ics `kmnga`ketcs ke ki gukrpc mk ics pagnketks mkpkemnketks.  Aijue  Ai juecs cs mk ics sàe sàemr mrc` c`ks ks jkrná jk rnátr trngc ngcss `ás `á s lr lrkgu kguke ketks tks,, kspkgn ksp kgnai ai`ke `ketk tk ic icss qu quk k da dagke gke rklkrkegna ai mktkrncrc gcjentnvc y ias gaàmas, tnkeke gc`c gausa ia pcin`kmngagn÷e. Gceskgukegnas Mk kst kstk k `cm `cmc, c, ias gcesk gceskguk gukegn egnas as mnr mnrkgt kgtas as c ki klk klkgt gtc c ekj ekjatn atnvc vc mk uea `aia `aia am`nenstragn÷e c kxgksc mk `kmnga`ketcs pukmke iikjar a skr `arkcs, gaàmas, mktkrncrc gcjentnvc, pîrmnma mk `k`crna quk cfinja a ia mkpkemkegna mk tkrgkras pk pkrs rsce ceas as pa para ra am am`n `nen enst stra rarr ia `k `kmn mnga gagn gn÷e ÷e,, amk` amk`ás ás mk tk tk`f `fic icrr y pî pîrm rmnm nma a mk dafninmamks `aeuaiks, quk ketcrpkgke ia `aenpuiagn÷e mk cfbktcs y kevasks. Ki pkrsceai saentarnc mkfk vaicrar ia rkiagn÷e rnksjc-fkeklngnc mki usc mk lár`agcs ke pkr pkrsce sceas as mkp mkpkem kemnke nketks tks,, prk prksgr sgrnfn nfnrr ki `ke `kecr cr eò` eò`krc krc tctai, tctai, ia `ke `kecr cr mcs mcsns ns klkgtnva y ki `kecr tnk`pc pcsnfik. 7. WÀE WÀEMV MVC@K C@K M MK K NE NEGCE GCE]NE ]NEKEG KEGNA NA Negcetnekegna urnearna Wk trata mk ia pîrmnma nevciuetarna mk crnea quk gcemngncea ue prcfik`a dnjnîengc y/c scgnai. Kstk sàetc`a alkgta dasta ki 1;% mk ics `aycrks mk