Achieving Functional Independence

Guess, Ellen; Paul, Debra; Lane, Alison E.

doi:10.1016/b978-1-4377-0884-4.10026-6

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…In addition, we performed sensitivity analyses in which we examined patients with stroke and fracture separately. Measures FIM was completed by the nursing personnel who rated the patients' functioning level at admission and at discharge using the FIM test [27,28]. FIM is an 18-item measurement tool by which nurses evaluate the physical, psychological, and social functions of patients with functional mobility impairments (e.g., eating, bladder management, transfer from bed/chair/wheelchair).…”

Section: Participants and Proceduresmentioning

confidence: 99%

“…Fractures and stroke are frequent health events that affect functioning [23, 24] and frequently result in the loss of one’s functional independence, which is considered as the greatest fear of older adults [25, 26]. The main health outcome in this study refers to functional independence or the ability to perform daily living tasks safely and without help [27]. It is mostly assessed by the Functional Independence Measure (FIM) test [28, 29].…”

Section: Introductionmentioning

confidence: 99%

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Feeling Younger, Rehabilitating Better: Reciprocal and Mediating Effects between Subjective Age and Functional Independence in Osteoporotic Fracture and Stroke Patients

et al. 2022

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Introduction: The current study aimed to find reciprocal effects between subjective age and functional independence during rehabilitation from osteoporotic fractures and stroke and whether these effects can be mediated by indicators of well-being. Methods: Participants were 194 older adults (mean age = 78.32 years, SD = 7.37; 64.8% women) who were hospitalized following an osteoporotic fracture or stroke. Participants completed measures of subjective age and well-being (i.e., optimism, self-esteem, and life satisfaction) several times during rehabilitation. Functional Independence Measure (FIM) was completed by nursing personnel at admission and at discharge. Results: Younger subjective age at admission predicted higher FIM scores at discharge. The reverse effect, that is, of FIM scores at admission on subjective age at discharge, was nonsignificant. Optimism during hospitalization mediated the effect of subjective age on subsequent FIM scores while self-esteem and life satisfaction did not. Sensitivity analyses further showed that the effect of subjective age on FIM was significant for both fracture and stroke patients. Discussion: The findings highlight the effect of subjective age on rehabilitation outcomes among osteoporotic fractures and stroke patients and suggest several potential mechanisms behind this effect. Rehabilitation outcomes following osteoporotic fractures or strokes could improve if subjective age and an optimistic outlook are taken into consideration.

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Section: Participants and Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Feeling Younger, Rehabilitating Better: Reciprocal and Mediating Effects between Subjective Age and Functional Independence in Osteoporotic Fracture and Stroke Patients

et al. 2022

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Study of the Relationship between Vitamin D Status and Basic Functional Mobility in Ambulatory Elderly

Mortagy¹,

Mahmoud²

2015

MEJAA

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Background : Associations between physical performance and vitamin D status have been contradicted among studies. Vitamin D deficiency is very common among geriatric patients and is an established risk factor for osteoporosis, falls and fractures. Aim: to analyse the relation between Vitamin D and basic functional mobility in a sample of ambulatory Egyptian elderly. Methods: A cross sectional study was conducted on 100 elderly patients aged ≥ 60 years. Participants were recruited from Geriatric primary health care clinic at Ain Shams University hospital, Cairo, Egypt. All participants underwent comprehensive geriatric assessment, physical performance assessment using timed up and go (TUG) test and Gait speed test at four meters; they also had Serum levels of vitamin D (25OHD) measured by Enzyme-Linked Immunosorbent Assay method. Results: Of 100 subjects, 52% showed vitamin D insufficiency, 16% were vitamin D deficient and 32% had normal vitamin D levels. Regarding physical performance 64% of subjects had elevated TUG test (as defined by the cut off value 14 seconds), 56% of subjects scored a gait speed < 0.6 m/s. Physical performance was significantly related to vitamin D deficiency when measured by gait speed test but not TUG test. Conclusion: Vitamin D insufficiency is prevalent among ambulatory elderly and vitamin D status is strongly associated with basic functional mobility when measured by gait speed test.

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Achieving Functional Independence

Cited by 2 publications

References 4 publications

Feeling Younger, Rehabilitating Better: Reciprocal and Mediating Effects between Subjective Age and Functional Independence in Osteoporotic Fracture and Stroke Patients

Feeling Younger, Rehabilitating Better: Reciprocal and Mediating Effects between Subjective Age and Functional Independence in Osteoporotic Fracture and Stroke Patients

Study of the Relationship between Vitamin D Status and Basic Functional Mobility in Ambulatory Elderly

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