Orthogeriatrics (just like acute geriatrics) provides older people with the opportunity to receive therapy and professional advice from a single source. In accordance with a holistic concept, the multidisciplinary team working with elderly patients consists of specialists (in geriatrics, orthopaedics and trauma surgery), nurses responsible for patient mobilization and rehabilitation, psychologists, physiotherapists, occupational therapists and speech therapists as well as nutritionists.
Our comprehensive range of services includes age-appropriate drug therapy (gerontopharmacology), nutritional counselling, speech therapy, occupational therapy, psychotherapy and physiotherapy, including the use of exercise equipment for the elderly, as well as social counselling.
During the admission stage, a geriatrician and the multidisciplinary team conduct a comprehensive survey assessing the patient’s mobility, risks of falling, emotional state, cognition, nutritional status and social environment. This is done through interviews, physical examination and numerous functional tests. This allows for an accurate evaluation of the patient's individual resources, deficits and needs. The geriatrician reviews the medication schedule and optimises it as necessary, especially to prevent post-operative confusion (delirium). The patient receives several therapy sessions daily as well as additional counselling. These are aimed at restoring mobility and enable social reintegration. The therapy also includes strength and balance exercises, as they can significantly strengthen the patient’s muscles as well as improve their stance and gait, thus reducing the risk of falls. Thanks to our robotics center, all the patients – especially those senescent – take the opportunity to have their first gait training session as early as possible. It is often combined with cognitive rehabilitation therapy.
While enhancing physical mobility, cognitive therapy also promotes mental fitness in case it is needed. Another relevant factor for older patients is nutrition: training sessions prove most effective if the person’s diet is well-balanced and rich in protein. Therapy sessions are led jointly by surgeons and geriatricians.
The multidisciplinary team have regular meetings to discuss the results of therapy and determine the steps which should be taken next. If necessary, experts from other departments can be called in.
Nutritional and Medication Management: A balanced diet and appropriate medication management are important to support the patient's recovery and promote bone and overall health.
Psychosocial support: injuries can impact the patient's emotional wellbeing. Psychosocial support, including psychotherapy and social counselling, is important to promote patients' emotional health.
Health promotion and prevention: gerontotraumatology also highlights the importance of health promotion and prevention of disease. These include regular exercise, healthy eating, and avoiding risks.
Preventive measures: In addition to treating injuries, gerontotraumatology also places great emphasis on preventive measures to make sure patients avoid injuries in the future. This can be achieved through education, counselling, and lifestyle adjustments.
Rehabilitation and Physiotherapy: Restoring mobility, strength and function after an injury is an important focus of any rehabilitation plan. Special exercises and physiotherapy treatments are able to enhance recovery and help patients regain independence.
Physiotherapy/gait analysis: Physiotherapy includes strength and movement exercises, balance tests as well as gait analysis.