Global aging and the rising global prevalence of multimorbidity contribute to increasingly complex and substantial long-term healthcare needs. Person-centred psychosocial and rehabilitation interventions targeting older adults are essential in addressing these challenges effectively. To identify person-centred psychosocial and rehabilitation interventions targeting older adults in long-term care and the health gains associated with these interventions. Systematic literature review of randomized controlled trials with narrative synthesis. Included studies were: (1) those with older adults (65+) in long term care with multimorbidity; (2) studies comparing person-centred rehabilitation and/or psychosocial interventions with usual care; and (3) those reporting outcomes indicating a positive change or stabilization of health trajectories, including improved mental health, maintained or slowed decline in functioning, and enhanced well-being. The risk of bias was assessed using the Cochrane RoB 2 tool. Database searches (Pubmed, CINAHL ultimate, MedicLatina, SPORTDiscus, MedLine Ultimate, Psychology and Behavioral Sciences Collection, CENTRAL, LILACS, ClinicalTrials.gov and Google Scholar) and manual searches were conducted, with the final search performed in June 2025. Eighteen studies involving 9132 participants were included, identifying and normalizing 51 person-centred interventions using the International Classification for Nursing Practice taxonomy, categorized as psychosocial (15), rehabilitation (15), and complementary (21). Psychosocial interventions demonstrated consistent effectiveness across diverse long term care contexts, notably in improving symptom management in palliative care and health-related quality of life. Rehabilitation interventions, particularly when integrated with psychosocial components, showed robust improvements in health-related quality of life among participants with clear potential for functional stabilization or improvement. Significant heterogeneity was observed among the included interventions, populations, and care settings, limiting direct comparisons and quantitative synthesis. The strongest and most methodologically robust evidence was specifically observed in interventions implemented among frail and complex multimorbid older adults. The identified person-centred interventions effectively address complex health needs in older adults with multimorbidity. Psychosocial approaches demonstrated broad effectiveness, while rehabilitation interventions were most beneficial for participants with clear potential for functional improvement. These findings highlight the importance of integrating these approaches within multidisciplinary long term care models. Key limitations include the inability to conduct a quantitative synthesis due to heterogeneity and a focus on high-income countries. Future research should assess the cost-effectiveness, sustainability, and applicability of these interventions across diverse settings to inform clinical practice and policy development in long term care. PROSPERO, CRD42022363860, registered in October 2022. For older adults (65+) with multimorbidity in long-term care, person-centred psychosocial and rehabilitation interventions lead to significant health gains across multiple domains.

Introduction: Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of mortality worldwide, with a significant impact on quality of life. Self-management is crucial for controlling the disease, reducing exacerbations, and decreasing hospital admissions. The aim of this study is to identify the gains attributable to Rehabilitation Nursing care in empowering self-management in elderly individuals with COPD. Methodology: A Rapid Literature Review (RLR) was conducted, including four randomized clinical trials (RCTs) and two quasi-experimental studies, obtained from EBSCOhost between 2018 and 2023. Results: This study analyzed self-management interventions in 505 elderly individuals with COPD (mean age 70.6 years, 66.9% male). Most studies presented a low risk of bias. The interventions, including physical and cognitive rehabilitation, educational programs, and technology-based interventions, resulted in improvements in quality of life, well-being, functionality, self-management, self-efficacy, and self-care, with sustained gains in patient knowledge and activation. Additionally, significant improvements were observed in physical symptoms, such as dyspnea, and emotional symptoms, such as anxiety. Conclusion: Our review highlights the central role of Rehabilitation Nursing in empowering the elderly for effective COPD self-management. The implementation of these interventions improves disease management, autonomy, and quality of life for patients. These interventions show great potential for reducing costs associated with exacerbations and hospitalizations, promoting a patient-centered, integrated, holistic, and personalized approach, essential for economic sustainability and better health outcomes.

Introdução: A mortalidade por acidente vascular cerebral tem diminuído, mas a morbilidade continua a ser um desafio, tornando abordagens integradas essenciais para a readaptação e reintegração dos indivíduos. Os enfermeiros de reabilitação desempenham um papel central ao capacitar a pessoa e a família, visando maximizar a funcionalidade. Objetivo: Identificar as intervenções de Enfermagem de Reabilitação que resultam em ganhos em funcionalidade no autocuidado da pessoa com alterações neurológicas decorrentes de acidente vascular cerebral. Metodologia: Foi realizada uma revisão sistemática da literatura, nomeadamente uma rapid review, seguindo as diretrizes Instituto Joanna Briggs e a mnemónica PICO, com pesquisa na EBSCO nas bases de dados CINAHL, MEDLINE, MedicLatina e Psychology and Behavioral Sciences Collection, abrangendo artigos publicados entre janeiro de 2019 e agosto de 2024, uma vez que o ano de 2019 marcou mudanças significativas no domínio da reabilitação devido à pandemia de COVID-19. Resultados: Foram incluídos 5 estudos de caráter quantitativo: 2 estudos observacionais prospetivos e 3 experimentais, realizados em países europeus e sul americanos. Todos apresentam qualidade metodológica conforme as diretrizes do Instituto Joanna Briggs. Foram identificadas intervenções de Enfermagem de Reabilitação eficazes em três domínios principais: reabilitação motora, respiratória e cognitiva. Estas intervenções demonstraram melhorias significativas na saúde de utentes com alterações neurológicas decorrentes de AVC. Na reabilitação motora, registaram-se avanços em mobilidade, força muscular, amplitude articular, postura e equilíbrio. Já na reabilitação cognitiva, os ganhos foram evidentes na funcionalidade e na qualidade dos movimentos das extremidades superiores. Discussão: A reabilitação é essencial no acidente vascular cerebral, com a maior parte da recuperação a ocorrer nas primeiras 12 semanas após o evento. Intervenções neurológicas aumentam a independência funcional e a qualidade de vida física. Treinos diários podem fortalecer os membros inferiores, enquanto abordagens restaurativas e compensatórias melhoram a função neuropsicológica para apraxia dos membros superiores. Conclusões: Verificaram-se em funcionalidade no autocuidado da pessoa com alterações neurológicas decorrentes de acidente vascular cerebral resultantes de intervenções de enfermagem de reabilitação física e cognitiva, alinhadas com diretrizes profissionais.