Case of a nonagenarian patient who was able to improve activities of daily living and achieve independent goals during home rehabilitation

Abstract

To the best of our knowledge, it remains unclear whether the activities of daily living (ADL) for very old individuals who receive home-visit rehabilitation can be improved by personalizing the housing environment. Our center experienced a case in which a woman in her 90s developed right hemiplegia after a left corona radiata infarction. We conducted a home survey while she was hospitalized in our center's convalescent rehabilitation ward. She was subsequently discharged for in-home care by her family members once home renovations were complete. However, she required more assistance at home than at the hospital because of a slight difference in the positioning of handrails. Consequently, from the start of home-visit rehabilitation, adjustments involving repeated personalized instructions for movement and practice were tailored to the environment and given to the patient. Here, we report a case of a woman in her 90s who achieved her goals because she could improve her ADL and increase the number of independent activities.