Journal article
Improving Functional Assessment in Older Adults Transitioning From Hospital to Home
Professional case management, Vol.23(6), pp.318-326
11/2018
DOI: 10.1097/NCM.0000000000000293
PMCID: PMC6176726
PMID: 30289859
Abstract
Purpose/Objectives: The purpose of this article is to highlight how scientists have assessed all components of functional status in older adults transitioning from hospital to home to date, discuss ways of improving assessment of functional status, and discuss implications for case management research and practice.
Primary Practice Setting(s): This article focuses on case management of older adults transitioning from hospital to home.
Findings/Conclusions: There any many ways to assess functional status, including basic activities of daily living (BADL), instrumental activities of daily living (IADL), and other nonphysical domains of function such as leisure, social, and productive activities. However, assessment of function in older adults transitioning from hospital to home is primarily limited to BADL. Nonphysical domains of functional status have been linked to important outcomes in community-dwelling older adults and could give clinicians and researchers a better understanding of how older adults are functioning, as well as allow for earlier recognition of those who are beginning to experience functional decline.
Implications for Case Management Practice: In case management, it is important to ask older adults about goals regarding their functional status and how they think about their functioning in the hospital and at home. Early identification of older adults' functional goals while in the hospital is the first step toward regaining their ideal or premorbid function after discharge to home. To best determine baseline functional status, we may need to consider assessments that can measure multiple domains of functioning in older adults, such as the Sickness Impact Profile. Gaining a more comprehensive understanding and assessment of functional status for hospitalized older adults would help inform discharge destinations and improve transitions in care.
Details
- Title: Subtitle
- Improving Functional Assessment in Older Adults Transitioning From Hospital to Home
- Creators
- Daniel Liebzeit - University of Wisconsin–MadisonBarbara King - University of Wisconsin–MadisonLisa Bratzke - University of Wisconsin–MadisonMarie Boltz - Okinawa Prefectural College of Nursing
- Resource Type
- Journal article
- Publication Details
- Professional case management, Vol.23(6), pp.318-326
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/NCM.0000000000000293
- PMID
- 30289859
- PMCID
- PMC6176726
- ISSN
- 1932-8087
- eISSN
- 1932-8095
- Number of pages
- 9
- Grant note
- F31NR017104 / National Institute of Nursing Research of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) F31NR017104 / NATIONAL INSTITUTE OF NURSING RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR)
- Language
- English
- Date published
- 11/2018
- Academic Unit
- Nursing
- Record Identifier
- 9984370659402771
Metrics
3 Record Views