2.50
Hdl Handle:
http://hdl.handle.net/10755/158824
Type:
Presentation
Title:
Post-Hospitalized Nh Residents' Adl Functioning
Abstract:
Post-Hospitalized Nh Residents' Adl Functioning
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Grando, Victoria, PhD
P.I. Institution Name:University of Missouri-Columbia
Title:Assistant Professor
Contact Address:Sinclair School of Nursing, S405 Nursing Building, Columbia, MO, 65211, USA
Contact Telephone:573.882.0264
In just two days, hospitalized elders actively undergo rapid deconditioning that results in reduced physical functioning and their inability to perform activities of daily living (ADL). Not surprisingly, an acute-care hospital stay often ends in unexpected and extended nursing home (NH) placement. Providing nursing rehabilitation in NHs to residents recently admitted from a hospital can break this cycle of decline. This is especially important for post-hospitalized NH residents who do not qualify for PT or OT. They are unlikely to receive the rehabilitation services needed to treat the hospital induced weakness and loss of muscle strength. This exploratory study was a preliminary step in addressing this important issue by identifying the prevalence of post-hospitalized NH residents not receiving PT or OT, their ADL functioning at admission to the NH, and their ADL functioning trajectory from admission to one-year post-admission. A secondary aim of this study was to compare the ADL functioning of NH residents admitted from home, another NH, and from an acute-care hospital. Data on Missouri NH residents were collected at admission to a NH and quarterly for one year from electronically submitted Missouri statewide Minimum Data Set resident assessment data. The MDS-ADL Long Form Scale was used to calculation of resident's ADL functioning. It tests NH residents' personal hygiene, dressing, toilet use, locomotion, transfer, bed mobility, and eating. Findings indicate that many post-hospitalized elders do not receive PT or OT when they enter Missouri NHs. These residents have significantly more problems with ADL functioning than elders admitted from home or another NH. Compared to other newly admitted NH residents who declined from admission, post-hospital residents showed a modest improvement in their ADL functioning during the first six month post-admission. They declined at a similar rate as the other newly admitted residents from six months to one year.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePost-Hospitalized Nh Residents' Adl Functioningen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158824-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Post-Hospitalized Nh Residents' Adl Functioning</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Grando, Victoria, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Missouri-Columbia</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Sinclair School of Nursing, S405 Nursing Building, Columbia, MO, 65211, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">573.882.0264</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">GrandoV@missouri.edu</td></tr><tr><td colspan="2" class="item-abstract">In just two days, hospitalized elders actively undergo rapid deconditioning that results in reduced physical functioning and their inability to perform activities of daily living (ADL). Not surprisingly, an acute-care hospital stay often ends in unexpected and extended nursing home (NH) placement. Providing nursing rehabilitation in NHs to residents recently admitted from a hospital can break this cycle of decline. This is especially important for post-hospitalized NH residents who do not qualify for PT or OT. They are unlikely to receive the rehabilitation services needed to treat the hospital induced weakness and loss of muscle strength. This exploratory study was a preliminary step in addressing this important issue by identifying the prevalence of post-hospitalized NH residents not receiving PT or OT, their ADL functioning at admission to the NH, and their ADL functioning trajectory from admission to one-year post-admission. A secondary aim of this study was to compare the ADL functioning of NH residents admitted from home, another NH, and from an acute-care hospital. Data on Missouri NH residents were collected at admission to a NH and quarterly for one year from electronically submitted Missouri statewide Minimum Data Set resident assessment data. The MDS-ADL Long Form Scale was used to calculation of resident's ADL functioning. It tests NH residents' personal hygiene, dressing, toilet use, locomotion, transfer, bed mobility, and eating. Findings indicate that many post-hospitalized elders do not receive PT or OT when they enter Missouri NHs. These residents have significantly more problems with ADL functioning than elders admitted from home or another NH. Compared to other newly admitted NH residents who declined from admission, post-hospital residents showed a modest improvement in their ADL functioning during the first six month post-admission. They declined at a similar rate as the other newly admitted residents from six months to one year.</td></tr></table>en_GB
dc.date.available2011-10-26T21:25:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:25:56Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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