Predictors of Changes of Physical Function in Older Rehabilitation Patients Using the Minimum Data Set

2.50
Hdl Handle:
http://hdl.handle.net/10755/159535
Type:
Presentation
Title:
Predictors of Changes of Physical Function in Older Rehabilitation Patients Using the Minimum Data Set
Abstract:
Predictors of Changes of Physical Function in Older Rehabilitation Patients Using the Minimum Data Set
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Lee, Jia
P.I. Institution Name:Case Western Reserve University
Contact Address:Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Among geriatric patients, physical functional decline is one of the most common clinical conditions. In addition to the increased risk of mortality, physical functional decline reduces quality of life and increases health care expenses because of increased length of hospital stay and hospital readmission (Incalzi et al., 1992). The purpose of this longitudinal retrospective study is 1) to analyze the predictive factors associated with changes of physical function; and, 2) to identify the structure of the relationships among variables in a rehabilitation cohort of people aged 65 years and over using patients' records and the Minimum Data Set. The conceptual framework for the proposed study is addressed from the Hebert's Functional Autonomy (1997). Hebert (1997) proposed that early detection of elderly people at risk of losing their function and the implementation of an assessment could delay the process of functional decline. Medical records of 370 older rehabilitation patients will be drawn from skilled nursing facilities. Measurement includes physical functional status by the MDS items (abilities of ADL, range of motion, and balance) and medical documents of physical or occupational therapy, nutritional status by Body Muscle Index, skin condition, daily food consumption, serum albumin and hemoglobin, cognitive status by the MDS cognition scale and the Mini Mental Status Examination, psychological status by the MDS mood items and the Geriatric Depression Scale, social isolation by MDS social isolation items and other factors such as age, pain, incontinence, pressure ulcer, history of falls, acute confusional states, and chronic conditions. Data will be analyzed by structural equation modeling. Appropriate intervention for the rehabilitation from functional decline based on the evidence of the proposed study will help reduce the period of dependence near the end of life.
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.titlePredictors of Changes of Physical Function in Older Rehabilitation Patients Using the Minimum Data Seten_GB
dc.identifier.urihttp://hdl.handle.net/10755/159535-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predictors of Changes of Physical Function in Older Rehabilitation Patients Using the Minimum Data Set</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">Lee, Jia</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jhl6@po.cwru.edu</td></tr><tr><td colspan="2" class="item-abstract">Among geriatric patients, physical functional decline is one of the most common clinical conditions. In addition to the increased risk of mortality, physical functional decline reduces quality of life and increases health care expenses because of increased length of hospital stay and hospital readmission (Incalzi et al., 1992). The purpose of this longitudinal retrospective study is 1) to analyze the predictive factors associated with changes of physical function; and, 2) to identify the structure of the relationships among variables in a rehabilitation cohort of people aged 65 years and over using patients' records and the Minimum Data Set. The conceptual framework for the proposed study is addressed from the Hebert's Functional Autonomy (1997). Hebert (1997) proposed that early detection of elderly people at risk of losing their function and the implementation of an assessment could delay the process of functional decline. Medical records of 370 older rehabilitation patients will be drawn from skilled nursing facilities. Measurement includes physical functional status by the MDS items (abilities of ADL, range of motion, and balance) and medical documents of physical or occupational therapy, nutritional status by Body Muscle Index, skin condition, daily food consumption, serum albumin and hemoglobin, cognitive status by the MDS cognition scale and the Mini Mental Status Examination, psychological status by the MDS mood items and the Geriatric Depression Scale, social isolation by MDS social isolation items and other factors such as age, pain, incontinence, pressure ulcer, history of falls, acute confusional states, and chronic conditions. Data will be analyzed by structural equation modeling. Appropriate intervention for the rehabilitation from functional decline based on the evidence of the proposed study will help reduce the period of dependence near the end of life.</td></tr></table>en_GB
dc.date.available2011-10-26T22:06:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:06:16Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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