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

Use of a functional mobility measure to predict discharge destinations for patients admitted to... Policy ImpactThis feasibility study provides promising results to suggest that using a simple single outcome measure (the Modified Elderly Mobility Scale) is able to provide patients, their families and clinicians early and realistic information to plan discharge destination.Practice ImpactThe findings from this feasibility study have potential to allow the appropriate level of rehabilitation to be targeted towards those older adults who will benefit the most. This also has potential cost‐saving benefit.IntroductionHospitalisation rates increase as we age, and in particular, it has been found that hospitalisation rates increase shortly before older people are admitted to long‐term care . Functional changes often occur before hospital admission due to acute illness, and a subsequent functional decline in hospital has been identified . Kosse et al's systematic review found that early physical rehabilitation for hospitalised older adults resulted in functional benefits and reduced likelihood of discharge to residential care. In addition, studies have found that dedicated older adult wards lead to less functional deterioration on discharge .The ability to predict discharge destination following rehabilitation enables the initiation of discharge planning. Early discharge planning for the older adult has been shown to reduce hospital readmissions, duration of hospital readmissions and all‐cause mortality, and to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Australasian Journal on Ageing Wiley

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

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 AJA Inc.
ISSN
1440-6381
eISSN
1741-6612
D.O.I.
10.1111/ajag.12491
Publisher site
See Article on Publisher Site

Abstract

Policy ImpactThis feasibility study provides promising results to suggest that using a simple single outcome measure (the Modified Elderly Mobility Scale) is able to provide patients, their families and clinicians early and realistic information to plan discharge destination.Practice ImpactThe findings from this feasibility study have potential to allow the appropriate level of rehabilitation to be targeted towards those older adults who will benefit the most. This also has potential cost‐saving benefit.IntroductionHospitalisation rates increase as we age, and in particular, it has been found that hospitalisation rates increase shortly before older people are admitted to long‐term care . Functional changes often occur before hospital admission due to acute illness, and a subsequent functional decline in hospital has been identified . Kosse et al's systematic review found that early physical rehabilitation for hospitalised older adults resulted in functional benefits and reduced likelihood of discharge to residential care. In addition, studies have found that dedicated older adult wards lead to less functional deterioration on discharge .The ability to predict discharge destination following rehabilitation enables the initiation of discharge planning. Early discharge planning for the older adult has been shown to reduce hospital readmissions, duration of hospital readmissions and all‐cause mortality, and to

Journal

Australasian Journal on AgeingWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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