Exercising body and mind: an integrated approach to functional independence in hospitalized older people

Journal of the American Geriatrics Society
Alison M MudgeAlison J Cutler

Abstract

To evaluate the effect of a structured, multi-component, early rehabilitation program on functional status, delirium, and discharge outcomes of older acute medical inpatients. Prospective controlled trial with blinded outcome evaluation. Internal medicine service of a metropolitan tertiary teaching hospital in Brisbane, Australia. One hundred twenty-four consecutive inpatients aged 65 and older admitted from the emergency department to control or intervention medical ward. Exclusions included patients completely dependent before admission or admitted from a nursing home, patients too ill to participate or terminally ill, and patients with length of stay less than 72 hours. Early physiotherapy review with provision of an individualized graduated exercise program and activity diary, progressive encouragement of functional independence by nursing staff and other members of the multidisciplinary team, and cognitive stimulation sessions. Modified Barthel Index (MBI) at admission and discharge, timed up-and-go at admission and discharge, incidence of delirium and falls, measured activity, length of hospital stay, discharge destination, 30-day readmission rate. Intervention and control participants were well matched in terms of age, s...Continue Reading

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Citations

May 25, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Alison M MudgeCharles P Denaro
Aug 6, 2010·Journal of Nursing Care Quality·Barbara ResnickStacy Trotman
Feb 6, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Erik H HoyerDale M Needham
Jan 23, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Alison M MudgeSuzanne Kuys
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May 19, 2009·Micron : the International Research and Review Journal for Microscopy·Ki Woo KimJoo-Hoon Lim
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