Evaluation of patient-centered rehabilitation model targeting older persons with a hip fracture, including those with cognitive impairment

BMC Geriatrics
Katherine S McGiltonSteven Stewart

Abstract

The purpose of this study was to evaluate outcomes for older persons post-hip fracture repair, including those with cognitive impairment (CI), following implementation of a novel model of care - the Patient-Centered Rehabilitation Model including persons with CI (PCRM-CI). The PCRM-CI is an interdisciplinary rehabilitation program that incorporates education for healthcare professionals (HCPs), including nurses, which is focused on geriatric care including management of dementia and delirium, support for HCPs from an Advanced Practice Nurse, and family support and education. Primary outcome measures were mobility gain from admission to discharge and whether or not patients returned home post-discharge. The PCRM-CI intervention was evaluated using a quasi-experimental design, following implementation in two community hospital inpatient rehabilitation units. One hundred forty-nine patients aged 65 and older participated as patients in the usual care (76) or PCRM-CI intervention (73) groups. Patient mobility was assessed at admission and discharge by the Functional Independence Measure Motor Subscale (FIMM); the difference in mobility scores was defined as mobility gain. Patient discharge location was also captured to determine wh...Continue Reading

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Citations

Jan 20, 2016·Journal of the American Geriatrics Society·Dallas P SeitzPaula A Rochon
Nov 28, 2015·Journal of the American Medical Directors Association·Barbara ResnickJay Magaziner
Mar 22, 2016·The Journal of Nutrition, Health & Aging·S W Muir-HunterM Montero-Odasso
Jun 29, 2016·Journal of the American Geriatrics Society·Katherine S McGiltonAileen M Davis
Aug 8, 2015·Western Journal of Nursing Research·Christine R KovachMohammad Rababa
Nov 16, 2019·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Katherine S McGiltonAileen M Davis
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Nov 24, 2020·Dementia·Katherine S McGiltonAstrid Escrig-Pinol
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Jul 10, 2021·Archives of Physical Medicine and Rehabilitation·Katherine S McGiltonSusan E Bronskill
Nov 30, 2021·Physiotherapy Theory and Practice·Heidi Borgund HordvikGraziella Van den Bergh

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Clinical Trials Mentioned

NCT01566136

Software Mentioned

PCRMI

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