Theultimate goal of management of all critical illnesses are to rehabilitate the
patient up to optimum functional level and achieving quality of life and
quality adjusted life years. Quality health care can be defined as providing
the best possible outcome, safety and service. Quality patient care should be
the first priority of every rehabilitation specialist. Physiatrist or specialty
of physical medicine and rehabilitation has been recognized as a method that
can restore the functional capabilities of patients with disabilities or
chronic diseases to become participants in their home and community. Successful
rehabilitation to the level at which the individual can participate in the
society provides is the basis for the restoration of hope and aspiration for
creativity. Medicine has been making highly significant progress in providing
better health services. Acute medical and surgical services have successfully
decreased mortality and extended life expectancy.
As the success of surgical
and medical care’s increases, the proportions of patients survive to aged population
group increases. Most of the aged people survive with chronic disease and
disability, which require more rehabilitation. With the growing of geriatric
population, the health care delivery system will be burdened with patients
suffering from chronic diseases of musculoskeletal and neurological system. At
the same time physiological reserves also declines in aged population. Due to
physiological constraints of kidney, liver and many other organs in aged
people, the role of pharmacological agents in ameliorating the symptoms has
also become limited. Different modalities of physical treatment including
exercise used in physical medicine helps the patients in alleviating pain and
disability as well as reduce the vulnerability to detrimental effects of drugs
in old age.
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