Testing the Effect of Function‐Focused Care in Assisted Living

Galik, Elizabeth; Gruber‐Baldini, Ann L.; Zimmerman, Sheryl

doi:10.1111/j.1532-5415.2011.03699.x

Cited by 92 publications

(115 citation statements)

References 43 publications

(57 reference statements)

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“…Although three sets of authors (Benjamin et al, 2011;Galik et al, 2011, Resnick et al, 2011b, used a socioecological model to frame their studies, only one made explicit reference to intersecting barriers at different system levels (Benjamin et al, 2011). For instance, when inadequate staffing (an organizational-level barrier) was coupled with a lack of sufficient elevators (an environmental-level barrier), transporting residents to planned physical activities was constrained.…”

Section: Resultsmentioning

confidence: 99%

Barriers to Physical Activity and Restorative Care for Residents in Long-Term Care: A Review of the Literature

Benjamin

Edwards²,

Ploeg³

et al. 2014

Journal of Aging and Physical Activity

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Despite the benefits of physical activity, residents living in long-term care (LTC) are relatively sedentary. Designing successful physical activity and restorative care programs requires a good understanding of implementation barriers. A database search (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013) yielded seven studies (nine articles) that met our inclusion criteria. We also reviewed 31 randomized controlled trials (RCTs) to determine if the authors explicitly discussed the barriers encountered while implementing their interventions. Eleven RCTs (13 articles) included a discussion of the barriers. Hence, a total of 18 studies (22 articles) were included in this review. Barriers occurred at resident (e.g., health status), environmental (e.g., lack of space for physical activity), and organizational (e.g., staffing and funding constraints) levels. These barriers intersect to adversely affect the physical activity of older people living in LTC. Future studies targeting physical activity interventions for residents living in LTC are needed to address these multiple levels of influence.

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Section: Resultsmentioning

confidence: 99%

Barriers to Physical Activity and Restorative Care for Residents in Long-Term Care: A Review of the Literature

Benjamin

Edwards²,

Ploeg³

et al. 2014

Journal of Aging and Physical Activity

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“…Consistently, across all settings, we have demonstrated that we can teach caregivers (nurses, nursing assistants, and family caregivers) how to provide Function Focused Care to older adults (Burkett et al, 2013;Galik et al, 2014;Pretzer-Aboff, Galik, & Resnick, 2011;Resnick, Galik, Enders, et al, 2011;Resnick, Galik, Gruber-Baldini, et al, 2011;). The outcomes following exposure to Function Focused Care approaches for older adults vary, based on the setting and participants involved.…”

Section: Significance Of Function Focused Care Across All Settingsmentioning

confidence: 66%

“…There was no change in quality of life or life satisfaction following exposure to Function Focused Care Resnick, Galik, Gruber-Baldini, et al, 2011). The work that has been done in acute care suggests that those who are exposed to Function Focused Care either by nurses or family caregivers have better functional outcomes (Boltz et al, 2012), suggesting that there is benefit to this approach when hospitalized.…”

Section: Moodmentioning

confidence: 96%

Incorporating Function and Physical Activity Across All Settings

Resnick¹,

Boltz

2016

annu rev gerontol geriatr

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The majority of older adults do not engage in regular physical activity. In surveys of community dwelling, among older adults age 75 and above, one in three men and one in two women engage in no physical activity. These rates are even lower among those who are hospitalized or institutionalized in nursing homes or assisted living settings. Moreover, those living in institutional settings demonstrate a decline in function that exceeds what would be expected based on disease states. Limited activity and functional decline place older adults at risk for pain associated with contractures, pressure sores, and decreased sense of wellbeing and overall quality of life. We propose a Function Focused Care approach that encourages caregivers to engage older adults in function and physical activity during all care interactions. This approach can be implemented using a fourstep approach and practical, cost-neutral approaches. This chapter delineates the ways in which to implement Function Focused Care across all settings, describes outcomes associated with this approach, and provides ways in which to overcome the setting-specific challenges.

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“…When an individual demonstrates decreased ability to complete functional tasks, a routine of sedentary behavior and task avoidance develops leading to a poorer quality of life [6]. This decline in function could be explained by the limited amount of physical activity offered to the elderly or their limited participation [7]. At least 30% of individuals who enter a residential care facility show a decline in muscle strength, muscle power, cardiovascular function, and neuromuscular response times [8].…”

Section: Introductionmentioning

confidence: 99%

Impairment and activity limitation changes in assisted living facility residents over the course of one year- A pilot study

Larsen¹,

Luedeker²,

Morgan³

et al. 2017

Geriatr Med Care

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Background and purpose: When the elderly begin planning for a safe future, they may choose to move to an assisted living facility. Assisted living facilities (ALF) are a popular choice for senior living, but whether residents maintain their independence and movement ability over time in assisted living facilities has not been studied. The purpose of this study is to examine the changes in impairments and activity limitations in residents of ALF over the course of one year.

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Testing the Effect of Function‐Focused Care in Assisted Living

Abstract: Using a function-focused approach in AL may help prevent some of the functional decline commonly noted in these settings.

Cited by 92 publications

References 43 publications

Barriers to Physical Activity and Restorative Care for Residents in Long-Term Care: A Review of the Literature

Barriers to Physical Activity and Restorative Care for Residents in Long-Term Care: A Review of the Literature

Incorporating Function and Physical Activity Across All Settings

Impairment and activity limitation changes in assisted living facility residents over the course of one year- A pilot study

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