Using Systematic Functional Measurements in the Acute Hospital Setting to Combat the Immobility Harm

Young, Daniel L.; Kudchadkar, Sapna R.; Friedman, Michael; Lavezza, Annette; Kumble, Sowmya; Daley, Kelly; Flanagan, Eleni; Hoyer, Erik H.

doi:10.1016/j.apmr.2020.10.142

Cited by 11 publications

(7 citation statements)

References 67 publications

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“…The Johns Hopkins Activity and Mobility Promotion program, for example, offers reliable and valid assessment tools, including the Activity Measure for Post-Acute Care, which assesses any functional limitations to the individual's capacity for mobility, and the Johns Hopkins Highest Level of Mobility scale, which assesses the individual's current level of mobility. 29,30 The Johns Hopkins Mobility Goal Calculator combines the results of these two assessments to generate an individualized daily mobility goal for maintaining or increasing function. 30,31 Other mobility assessment tools commonly used in the acute care setting include the Timed Up and Go test and the Bedside Mobility Assessment Tool 2.0 (BMAT 2.0), both of which provide a baseline mobility assessment nurses can use to determine the older adult's mobility goal.…”

Section: Assess Mobilitymentioning

confidence: 99%

“…29,30 The Johns Hopkins Mobility Goal Calculator combines the results of these two assessments to generate an individualized daily mobility goal for maintaining or increasing function. 30,31 Other mobility assessment tools commonly used in the acute care setting include the Timed Up and Go test and the Bedside Mobility Assessment Tool 2.0 (BMAT 2.0), both of which provide a baseline mobility assessment nurses can use to determine the older adult's mobility goal. 32,33 Additionally, the BMAT 2.0 guides the identification of appropriate equipment to use to promote safe mobility.…”

Section: Assess Mobilitymentioning

confidence: 99%

“…The nurse is central to promoting mobility and can implement tailored interventions to meet the older adult's daily mobility goal. 30 Discussing the goal and mobility interventions with the older adult and caregiver fosters partnership. Using the whiteboard or activity board in the hospital room to document the daily goal is one effective strategy to keep everyone informed and promote progressive mobility.…”

Section: Act On Mobilitymentioning

confidence: 99%

“…Mobility assessment tools can help the health care team set a daily mobility goal for the older adult. The Johns Hopkins Activity and Mobility Promotion program, for example, offers reliable and valid assessment tools, including the Activity Measure for Post-Acute Care, which assesses any functional limitations to the individual's capacity for mobility, and the Johns Hopkins Highest Level of Mobility scale, which assesses the individual's current level of mobility 29, 30. The Johns Hopkins Mobility Goal Calculator combines the results of these two assessments to generate an individualized daily mobility goal for maintaining or increasing function 30, 31…”

Section: Assess Mobilitymentioning

confidence: 99%

“…Mobilizing older adults requires an interdisciplinary team effort including the nurse, nursing assistant, family caregiver, and physical therapist. The nurse is central to promoting mobility and can implement tailored interventions to meet the older adult's daily mobility goal 30. Discussing the goal and mobility interventions with the older adult and caregiver fosters partnership.…”

Section: Act On Mobilitymentioning

confidence: 99%

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Promoting Safe Mobility

Olson

Zonsius

Rodriguez-Morales

et al. 2022

AJN, American Journal of Nursing

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This article is the fifth in a series, Supporting Family Caregivers in the 4Ms of an Age-Friendly Health System, published in collaboration with the AARP Public Policy Institute as part of the ongoing Supporting Family Caregivers: No Longer Home Alone series. The 4Ms of an Age-Friendly Health System (What Matters, Medication, Mentation, and Mobility) is an evidence-based framework for assessing and acting on critical issues in the care of older adults across settings and transitions of care. Engaging the health care team, including older adults and their family caregivers, with the 4Ms framework can help to ensure that every older adult gets the best care possible, is not harmed by health care, and is satisfied with the care they receive.The articles in this series present considerations for implementing the 4Ms framework in the inpatient hospital setting and incorporating family caregivers in doing so. Resources for both nurses and family caregivers, including a series of accompanying videos developed by AARP and the Rush Center for Excellence in Aging and funded by The John A. Hartford Foundation, are also provided. Nurses should read the articles first, so they understand how best to help family caregivers. Then they can refer caregivers to the informational tear sheet—Information for Family Caregivers—and instructional videos, encouraging them to ask questions. For additional information, see Resources for Nurses.

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Section: Assess Mobilitymentioning

confidence: 99%

Section: Assess Mobilitymentioning

confidence: 99%

Section: Act On Mobilitymentioning

confidence: 99%

Section: Assess Mobilitymentioning

confidence: 99%

Section: Act On Mobilitymentioning

confidence: 99%

See 3 more Smart Citations

Promoting Safe Mobility

Olson

Zonsius

Rodriguez-Morales

et al. 2022

AJN, American Journal of Nursing

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Disparities in the allocation of inpatient physical and occupational therapy services for patients with COVID‐19

Jolley¹,

Nordon‐Craft

Wilson³

et al. 2022

Journal of Hospital Medicine

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Background: Survivors of the novel coronavirus (COVID-19) experience significant morbidity with reduced physical function and impairments in activities of daily living. The use of in-hospital rehabilitation therapy may reduce long-term impairments. Objective: To determine the frequency of therapy referral and treatment amongst hospitalized COVID-19 patients, assess for disparities in referral and receipt of therapy, and identify potentially modifiable factors contributing to disparities in therapy allocation. Design, Setting and Participants: Retrospective cohort study using data collected from the University of Colorado Health Data Compass data warehouse assessing therapy referral rates and estimated delivery based on available administrative billing.Measurements: Multivariable logistic regression was used to determine the association between sex and/or underrepresented minority race with therapy referral or delivery.Results: Amongst 6239 COVID-19-related hospitalization, a therapy referral was present in 3952 patients (51.9%). Hispanic ethnicity was independently associated with lower odds of receipt of therapy referral (adjusted OR [aOR]: 0.78, 95% confidence interval [

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