Low dose mobility and functional status outcomes in hospitalized older general medicine patients
| Autor: | Damien Khaw, Mari Botti, Lenore Ley, Maxine Duke |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Aged
80 and over medicine.medical_specialty Functional autonomy business.industry Low dose Walking Patient Discharge Hospitalization Functional Status Naturalistic observation Older patients Functional change Activities of Daily Living Physical therapy medicine Humans Functional status Functional decline business Geriatric Assessment Gerontology Aged |
| Zdroj: | Geriatric Nursing. 43:7-14 |
| ISSN: | 0197-4572 |
| Popis: | Emerging evidence suggests hospitalized older adults should walk at least 20-minutes daily to minimize functional decline. A single-institution case study conducted in a tertiary-referral centre in Melbourne, Australia, aimed to examine functional change and describe characteristics of older patients' in-hospital mobility. From 526 older patients vulnerable to functional decline, a sample of 41 patients (Mean age = 83.6, SD = 6.1 years) participated in 6-hour naturalistic observations. Functional change was measured at 2-weeks preadmission, admission and discharge with the revised Measurement System of Functional Autonomy (SMAF). Nearly 25% (n = 10) of observed patients functionally declined between preadmission and discharge and five patients died (12.2%). Thirty-two patients (78%) mobilized in 133 episodes accounting for 3.1% of the 246-hours observed. A daily walking-exercise dose equivalent to 20-min was associated with less functional decline in older adults with moderate to high walking capability supporting the effectiveness of this daily walking-exercise dose in minimizing functional decline. |
| Databáze: | OpenAIRE |
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