Use of a functional mobility measure to predict discharge destinations for patients admitted to an older adult rehabilitation ward: A feasibility study

Purpose: Older adults have an increased likelihood of requiring rehabilitative care due to cognitive and physical risk factors. Research has found a link between executive functioning performance and functional outcomes; however, there is a dearth of research on the assessment of judgement ability. In the current pilot study, we investigated the clinical utility of the Test of Practical Judgment (TOP-J) in an older adult rehabilitation sample.Methods: Inpatients of mixed diagnoses (n= 25, mean age = 72.60) completed the TOP-J and Functional Independence Measure (FIM). We assessed TOP-J performance in the entire sample and in those with intact vs. impaired global cognition (on the Mini-Mental State Examination; MMSE). Correlational analyses were conducted between the TOP-J, MMSE and relevant FIM items.Results: TOP-J performance fell between the means typically observed in individuals with mild cognitive impairment and mild Alzheimer's disease. Participants with intact global cognition obtained significantly higher TOP-J scores than those with impaired global cognition. Moderate to strong positive correlations emerged between TOP-J, MMSE and FIM items of problem solving, comprehension and memory.Conclusions: Results provide support for the clinical utility and validity of the TOP-J among older adults in the rehabilitation setting. Administering the TOP-J may help identify patients at risk for future injury and facilitate role transitions.

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Relationship Between Urinary (UI) Incontinence & Functional Mobility and Life Satisfaction in Older Adult Women

American Journal of Occupational Therapy ◽

10.5014/ajot.2020.74s1-po7407 ◽

2020 ◽

Vol 74 (4_Supplement_1) ◽

pp. 7411510313p1

Author(s):

Tatiana Sanses ◽

Jessica Alden ◽

Sharee Pearson ◽

Shannon Gopaul ◽

Alice Ukaegbu

Keyword(s):

Life Satisfaction ◽

Older Adult ◽

Functional Mobility ◽

Adult Women

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The Barthel Index: comparing inter-rater reliability between Nurses and Doctors in an older adult rehabilitation unit

Applied Nursing Research ◽

10.1016/j.apnr.2009.11.002 ◽

2011 ◽

Vol 24 (1) ◽

pp. e1-e7 ◽

Cited By ~ 15

Author(s):

Irene Hartigan ◽

Denis O'Mahony

Keyword(s):

Older Adult ◽

Barthel Index ◽

Rehabilitation Unit ◽

Rater Reliability ◽

Adult Rehabilitation

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Piloting Digital Memory Album Project for Older Adult with Mild to Moderate Dementia in Malaysia – A Feasibility Study

Jurnal Sains Kesihatan Malaysia ◽

10.17576/jskm-2018-44 ◽

2018 ◽

Vol 16 (si) ◽

pp. 243

Author(s):

Ching Kan Kwai ◽

Ponnusamy Subramaniam ◽

Rosdinom Razali ◽

Shazli Ezzat Ghazali

Keyword(s):

Older Adult ◽

Feasibility Study ◽

Digital Memory ◽

Moderate Dementia

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Demonstrating a Technology-Mediated Intervention to Support Medication Adherence in Community-Dwelling Older Adults in Primary Care: A Feasibility Study

Gerontology and Geriatric Medicine ◽

10.1177/2333721419845179 ◽

2019 ◽

Vol 5 ◽

pp. 233372141984517

Author(s):

Henry Yu-Hin Siu ◽

Bethany Delleman ◽

Jessica Langevin ◽

Dee Mangin ◽

Michelle Howard ◽

...

Keyword(s):

Older Adults ◽

Primary Care ◽

Medication Adherence ◽

Older Adult ◽

Feasibility Study ◽

Clinical Work ◽

Medication Administration ◽

Recruitment Rate ◽

Community Dwelling ◽

Adherence Rate

Background: Medication non-adherence can lead to significant morbidity and mortality. This 4-week feasibility study aims to demonstrate that the eDosette intervention can be implemented with older adults in primary care. Method: Fifty-six older adults from four primary care sites in Southwestern Ontario, Canada participated. The intervention involved generating, for pharmacist review, weekly medication administration records based on transmitted data captured by the eDosette. The primary outcome is implementation feasibility defined by recruitment, adherence rates, frequency of captured missed and late doses, descriptions of clinical work resulting from the intervention, and participant feedback. Results: The recruitment rate was 24% (57/240); one withdrew due to personal reasons. The mean observed adherence rate was 82% (range 49%-100%). Overall, participants missed 505 and took 2,105 doses late; 118 clinical decisions occurred with 72 unique medication changes in 31 participants. Participants found the eDosette easy to use and did not feel that they were viewed negatively because of their potential non-adherence. Conclusion: The eDosette intervention could be feasibly implemented in primary care with older adults. Providing information about when an older adult takes their medications could play a role in medication adherence by prompting more informed discussions between the older adult and primary care clinicians.

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Athlete older women and sedentary controls: compairing the incidence of frailty, physical aspects and falls

ABCS Health Sciences ◽

10.7322/abcshs.45.2020.1483 ◽

2020 ◽

Vol 45 ◽

pp. e020021

Author(s):

Letícia Pophal da Silva ◽

Ariadne Leal Santana ◽

Carolina Sayuri Santos Suzuki ◽

Natália Boneti Moreira

Keyword(s):

Older Women ◽

Older Adult ◽

Muscle Power ◽

Fear Of Falling ◽

Functional Dependence ◽

Community Dwelling ◽

Functional Mobility ◽

Adult Women ◽

Adult Health ◽

Frailty Phenotype

Introduction: The aging process results in falls, frailty, and functional dependence. However, the practice of physical exercises can prevent negative impacts on the older adult health. Objective: To compare the incidence of frailty, physical aspects, and number of falls among older adult women and sedentary controls. Methods: The study has a cross-sectional design and included 70 community-dwelling older adult women (73.96±7.52 years). The frailty phenotype (Fried Criteria) and the history of falls in the last 12 months were analyzed, followed by the evaluation of muscle power (Five times Sit-to-Stand Test), functional mobility (Time Up and Go), balance (Mini BESTest) and fear of falling (Falls Efficacy Scale). The Mann Whitney and Chi-Square tests were used for statistical analysis. Results: The frailty rate among sedentary women (Pre-frail: 42.9%; Frail: 57.1%) was different from athlete women (Non frail: 100%). The rate of falls was the same in both groups (25.7%), however, sedentary controls fell at home (100%), while older adult athlete women fell in sports activities (88.9%). The athletes showed better scores (p<0.001) in all physical aspects when compared to the sedentary controls in muscle power (11.25 vs 24.10 seconds), functional mobility (10.01 vs. 16.04 seconds), balance (27 vs 19 points) and fear of falling (16 vs 27 points). Conclusion: Ahlete older women had lower frailty rates and fear of falling, as well as better physical aspects. The characteristics of falls were different, indicating the need and the importance of contemplating the lifestyle in prevention programs promoting healthy life for older adults.

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Predicting the Probability of Falls in Community-Residing Older Adults Using the 8-Foot Up-and-Go: A New Measure of Functional Mobility

Journal of Aging and Physical Activity ◽

10.1123/japa.10.4.466 ◽

2002 ◽

Vol 10 (4) ◽

pp. 466-475 ◽

Cited By ~ 74

Author(s):

Debra J. Rose ◽

C. Jessie Jones ◽

Nicole Lucchese

Keyword(s):

Older Adults ◽

Older Adult ◽

Functional Mobility ◽

Timed Up And Go ◽

Prediction Rate

The purpose of this study was to determine whether performance on the 8-ft up-and-go test (UG) could discriminate between older adult fallers (n= 71) and nonfallers (n= 63) and whether it would be as sensitive and specific a predictor of falls as the timed up-and-go test (TUG). Performance on the UG was significantly different between the recurrent faller and nonfaller groups (p< .01), as was performance on the TUG (p< .001). Older adults who required 8.5 s or longer to complete the UG were classified as fallers, with an overall prediction rate of 82%. The specificity of the test was 86% and the sensitivity was 78%. Conversely, the overall prediction rate for older adults who completed the TUG in 10 s or longer was 80%. The specificity of the TUG was 86% and the sensitivity was 71%.

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Predictive factors associated with poor outcomes for older adult inpatients in the convalescent rehabilitation ward

The Journal of Medical Investigation ◽

10.2152/jmi.67.304 ◽

2020 ◽

Vol 67 (3.4) ◽

pp. 304-310

Author(s):

Tomoya Omura ◽

Miwa Matsuyama ◽

Atsushi Shiba ◽

Shota Nishioka ◽

Mitsugu Naoe

Keyword(s):

Older Adult ◽

Predictive Factors ◽

Factors Associated ◽

Rehabilitation Ward ◽

Poor Outcomes

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Patient-Centered Digital Screener for Elder Abuse in the Emergency Department

Innovation in Aging ◽

10.1093/geroni/igab046.580 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 152-152

Author(s):

Fuad Abujarad ◽

Esther Choo ◽

James Dziura ◽

Chelsea Edwards ◽

Michael Pantalon ◽

...

Keyword(s):

Older Adults ◽

Emergency Department ◽

Older Adult ◽

Feasibility Study ◽

Screening Tool ◽

Elder Abuse ◽

Point Of Care ◽

Current Data ◽

Patient Centered ◽

Screening Process

Abstract Elder abuse is a growing problem where many cases are left unidentified by professionals. For some older adults, the emergency department may be the sole point of care where they have an opportunity to be identified as victims of abuse. However, current methods of screening tend to miss less obvious forms of abuse and may deter older adults from self-reporting due to either a lack of understanding of abuse or fear of potential consequences. VOICES is an innovative, self-administrated, and automated tablet-based tool that combines screening, educational content, and brief motivational interviewing to enhance and improve identification of elder abuse cases. Combining an elder abuse screener and digital coach designed to guide the older adult through a customized pathway to encourage self-identification and self-reporting of abuse, VOICES is a robust tool engineered to place the screening process in the hands of the older adults, rather than the providers. We will discuss preliminary results of the ongoing feasibility study currently being conducted in the ED, which has successfully enrolled over 500 older adults. Current data indicate that 93% of patients find the tool to be satisfying, engaging, and easy to use. Preliminary findings also suggest that older adults who come in with “Little to none” knowledge of elder abuse increase knowledge of abuse after using the tool. In summary, VOICES appears to be a feasible tablet-based screening tool in the emergency department.

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