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Integratieve reactivering en rehabilitatie (IRR)

Een revalidatieprogramma voor kwetsbare ouderen, lijdend aan multipele psychiatrische functiestoornissen, en hun mantelzorgers

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Tijdschrift voor VerpleeghuisGeneeskunde

Samenvatting

Psychiatrische functiestoornissen (PFS’en) hebben een hoge prevalentie bij kwetsbare ouderen en komen vaak in combinatie voor. PFS’en hebben een grote negatieve impact op zowel patiënt als mantel-zorger. Een multidisciplinair revalidatieprogramma voor kwetsbare ouderen gericht op multipele PFS’en is gewenst. Integratieve reactivering en rehabilitatie (IRR), oorspronkelijk ontwikkeld voor de psychogeria-trie, is een dergelijk persoonsgericht programma. IRR omvat een drie maanden durende klinisch programma, gebaseerd op integratieve psychotherapeutische interventies, die multidisciplinair worden toegepast, gericht op zowel de patiënt als de mantelzorger. Een casus illustreert de werkwijze van IRR. Implementatie wordt aanbevolen evenals het meer bekwamen van professionals op het gebied van psychiatrie, psychotherapie en psychofarmaca.

Summary

Multiple psychiatric function disorders (PFDs) have a high prevalence among frail elderly. Moreover, PFDs have a large negative impact on patients as well as the caregivers.

A multidisciplinairy rehabilitation programme for frail elderly focused on multiple PFDs is needed. Integrative reactivation and rehabilitation (IRR), developed in psychogeriatrics, is such a person-oriented programme. A description is given about the IRR methodology. IRR is a clinical programme applying an integrative psychiatric/psychotherapeutic perspective to both patient and caregiver, executed by a multidisciplinary team. A case history illustrates the presented methodology. Implementation is recommended as well as the incorporation of psychiatric, psycho-therapeutic and pharmaco-therapeutic know-how into the education programmes of involved professionals.

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Correspondence to Ton J. E. M. Bakker.

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verpleeghuisarts, bestuurder en onderzoeker

Argos Zorggroep, Schiedam

Faculteit Verpleeghuisgeneeskunde/Instituut voor Extramuraal Geneeskundig Onderzoek (EMGO), VU medisch centrum, Vrije Universiteit, Amsterdam

psycholoog-onderzoeker

Argos Zorggroep, Schiedam

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Bakker, T.J.E.M., van der Lee, J. Integratieve reactivering en rehabilitatie (IRR). TVVG 34, 24–28 (2009). https://doi.org/10.1007/BF03081349

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