Conduct therapy sessions that are set up like the reality of life. Create obstacles and challenges to see how they cope and help them make the adjustments they need to adapt. There are so many unfortunate incidences of secondary morbidity and additional falls due to premature discharge. Transitions of care, coordinated care information, and communication are absolutely essential for long-term success. We do a disservice to seniors and to ourselves when we work so hard to help someone recover from an illness or injury, only to send them home to suffer and fail (or worse).
Maybe we need to rename and reframe “rehab” to “reality-have” in order to ensure that the time, expense and effort that are spent will accomplish what is intended – to help the older adult regain the ability to function safely and with independence.