Strategies Used by Older Patients to Prevent Functional Decline During Hospitalization

Clinical Nursing Research
Sylvie LafrenièreFrancine Ducharme

Abstract

Almost one third of older patients hospitalized for acute care suffer functional decline. Few studies have investigated the point of view of older patients on prevention of this decline. Within the framework of a descriptive qualitative study, the perceptions of 30 hospitalized older adults were collected regarding their personal prevention strategies, the barriers to implementing these, and nursing staff interventions deemed useful. Results show that participants are sensitive to the risk of functional decline and utilize various preventive strategies particularly to maintain their physical abilities, maintain good spirits, keep a clear mind, and foster nutrition and sleep. Their strategies are difficult to implement on account of internal and external barriers. Nursing interventions deemed useful are good relational approach, strong basic care, appropriate assessment, and respect for level of autonomy. The study underscores that older hospitalized patients are applying strategies to prevent functional decline, but some nursing interventions may thwart their efforts.

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Citations

Jun 18, 2019·Physiotherapy Theory and Practice·Kirsten De KleinCindy Veenhof
Jul 3, 2019·Journal of Clinical Nursing·Audrey M Johnson, Dana M Howell
Oct 30, 2019·Journal of Clinical Nursing·Claire PentecostDavid A Richards
Oct 22, 2019·Scandinavian Journal of Caring Sciences·Maria Dos Anjos Coelho Rodrigues DixeAna Isabel Fernandes Querido
Jan 14, 2021·Revista latino-americana de enfermagem·João Paulo de Almeida TavaresJoana Catarina Gonçalves Grácio
Jul 10, 2021·Journal of Advanced Nursing·Marguerite de FoubertCorina Naughton
Nov 6, 2021·Systematic Reviews·Sven Jacobus Gertruda GeelenAntoine François Lenssen

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