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The tendency of older patients to present with non-specific and functional problems, to have multiple pathologies, to be prone to complications, lose abilities quickly when ill, and need explicit rehabilitation is well established [ 42].
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Therefore, self-efficacy should be an explicit goal of rehabilitation aimed to increase person's self-management skills [ 27, 28] and in increasing individual's physical activity level [ 29].
It may also be due to the differences between the two variables used – an observed loss of cognitive capacity (the cognitive skills for daily decision-making variable used in the RA) may not influence a decision to provide or limit rehabilitation, while an explicit diagnosis of dementia might be more influential.
The content of the items showing a lower mean score are consistent with traditional audiological practices focusing on application of diagnostic testing, diagnosis and treatment, whereas the other items with higher mean scores are more explicit on their focus towards rehabilitation (using terms such as 'management plans' and words such as 'relate'relate
Their rehabilitation is not an explicit intention of the proceedings, as it would have been in juvenile court; nor does the judge have any obligation to make the proceedings more comprehensible to a child, as a judge in juvenile court would.
At the rehabilitation ward, it was an explicit working task to judge the patients' risk of falling and to be active to prevent falls.
Motor explicit and implicit learning strategies could improve rehabilitation outcomes in PD [ 13], and the use of feedback and cues improve the repetition of correct movements using a voluntary control which goes beyond the degenerated automatic motor mechanisms [ 14].
With elderly people, considering their reduced ability to mentally simulate actions, such rehabilitation programs (either using implicit or explicit motor imagery) should mainly involve simple movements.
In fact, there have been some reports within the literature suggesting overt, explicit tasks may be less effective in fostering rehabilitation of motor skills than those that rely on implicit cues, lending credence to such hypotheses [40], [41].
Currently, however, we need to better understand the clinical criteria and decision making surrounding stratification for inpatient versus outpatient rehabilitation, work on making those criteria explicit, understand different tiers of function, and evaluate these in the context of early rehabilitation programs.
Explicit, measurable process criteria indicating the assessment of patients' rehabilitation needs across the cancer treatment trajectory will be developed.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com