Rehabilitation is provided in an increasing number of environments, depending on patient need and local methods of service delivery. As part of an acute admission, an older person should have access to a multidisciplinary team and receive regular input according to their goals and needs. This may take place on an acute ward in parallel with medical management, or in another more specialised setting.
Rehabilitation wards exist in both acute and community hospitals. Patients whose medical issues have been resolved, but who still have impaired mobility or function can benefit from a period of focused rehabilitation, with the aim of restoring independence as far as possible. There may be a need for higher numbers of physiotherapists and occupational therapists, and relatively fewer medical staff. Assuming an average ward size of around 28 patients, a consultant would need to allow 1 PA per week for a clinical round, and 1 PA per week for multidisciplinary meetings and case conferences.
Increasing amounts of rehabilitation take place within intermediate care or in an alternative community setting where consultant geriatrician involvement can take a variety of forms. Orthogeriatric rehabilitation and stroke rehabilitation are also specialist areas usually led by consultants in geriatric medicine.