Basic Physical Capability Scale

Galik, Elizabeth; Boltz, Marie

doi:10.1177/1533317513517039

Cited by 9 publications

(4 citation statements)

References 16 publications

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“…Patients’ cognitive ability to respond to questions will be determined with the MMSE score documented in their medical record; the MMSE has established reliability and validity 34. Inability to stand or weight-bear will be measured by self-report using the corresponding item of the Basic Physical Capability Scale35; the scale demonstrated construct validity (all items fit the Rasch model testing) and internal consistency reliability (Cronbach’s α=0.79) in acute and long-term care samples 35. Data on patients’ palliation and transfer status will be extracted from the patients’ medical record using a standard form.…”

Section: Methodsmentioning

confidence: 99%

Protocol of a multimethod descriptive study: adapting hospital-to-home transitional care interventions to the rural healthcare context in Ontario, Canada

et al. 2019

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IntroductionFaced with costly hospital readmissions of increasingly complex patient populations, transitional care is a priority throughout Ontario, Canada; yet, rural patients have significantly more hospital readmissions and emergency department visits during the first 30 days following hospitalisation than urban patients. Because transitional care (TC) was designed and evaluated with urban patients, addressing urban-rural disparities in TC effectiveness requires increasing the alignment of TC with the needs of patients and families in rural communities and the rural nursing practice context. The study objectives are to (1) determine the perceived acceptability of evidence-based TC interventions targeting postdischarge care management to patients, families and nurses and (2) adapt the interventions to patients’ and families’ needs and the rural nursing practice context.Methods and analysisThis multimethod study has two phases. In phase I, 32–48 patients and families will rate their level of preparedness for discharge and the acceptability of evidence-based TC interventions. Participants will be engaged in semi-structured interviews about their care management needs, their perspectives on the interventions in fitting those needs and in providing suggestions for adapting the interventions to fit their needs. TC interventions perceived as acceptable to patients and families will be examined in phase II. In phase II, 32–48 hospital and home care nurses will rate the acceptability of the interventions identified by patients and families and attend focus group discussions on the feasibility of providing the interventions. Phase I and II data will be analysed using descriptive statistics and qualitative content analysis.Ethics and disseminationEthics approval was obtained from the Research Ethics Board at York University and participating hospital sites. Findings will be communicated through plain language fact sheets, policy briefs, press-releases and peer-reviewed conference presentations and manuscripts.

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Section: Methodsmentioning

confidence: 99%

Protocol of a multimethod descriptive study: adapting hospital-to-home transitional care interventions to the rural healthcare context in Ontario, Canada

et al. 2019

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“…Post-acute follow-up to provide ongoing education and modification of the function-focused goals and care plan continues through weekly telephone contact starting within 48 h of discharge, and continuing for a total of 8 weeks, then monthly for 4 months. In Component IV, the Fam-FFC nurse works with the champions to mentor nursing staff (RN, LPN, nursing assistants) to provide Fam-FFC by role-modeling Fam-FFC, co-assessing the patient’s capability [ 70 ], reinforcing performance of and benefits of Fam-FFC at staff meetings and huddles, brainstorming about ways to overcome challenges, representing study activity to management, and observing for follow-through of the care plan [ 71 ]. The four components of Fam-FFC are described in more detail in Table 1 .…”

Section: Description Of the Fam-ffc Interventionmentioning

confidence: 99%

“…FamPath Care Pathway During the 12 months of implementation Fam-FFC research nurse Components of FamPath include: • information on the admitting condition, diagnostics, and treatment • family/patient education: provided in lay terms (cueing and motivating techniques, support of physical activity, meals, cognitive stimulation, behavioral support, and safety) linked to joint FCG/ nurse assessment (baseline cognition, physical function and social profile) • jointly developed bedside goals [ 69 ] and treatment plans (updated daily) and discharge checklist • coaching of primary nurse to communicate and provide a copy of the FamPath plan to post-acute providers • post-acute follow-up to provide ongoing education and modification of the function-focused care plan (within 48 h of discharge, weekly telephone calls for a total of 7 additional weeks, then monthly for 4 months) IV. Ongoing Training and Motivation of Nursing Staff Following initial education of the staff; during 12 months of implementation Fam-FFC research nurse mentors the unit champions and nursing staff Components include: • assistance to champions and nurses is provided on consented patients to: (a) complete the physical capability assessments [ 70 ], (b) establish and update FFC goals with input from FCGs/patients (Goal Attainment Scale) [ 69 ] and (c) develop a care plan with FCG/ patient addressing factors that impede FFC (e.g., acute illness, sedation, pain, fear/anxiety, pain, apathy, NPS, depression) • support of the unit champions to mentor nursing staff (RN, LPN, nursing assistants) includes: (a) role-modeling; (b) highlighting staff role models and positive opinion leaders; (c) garnering support by sharing success stories with nursing council and administration; (d) maintaining Fam-FFC bulletin board with updates /educational reinforcement; and (e) observing nursing staff during care interactions using the Function Focused Care Behavior Checklist [ 71 ], providing feedback to staff Legend: Fam-FCC Family centered Function-focused Care, FCG family caregiver, LPN licensed practical nurse, NPS neuropsychiatric symptoms, RN research nurse …”

Section: Description Of the Fam-ffc Interventionmentioning

confidence: 99%

Reducing disability via a family centered intervention for acutely ill persons with Alzheimer’s disease and related dementias: protocol of a cluster-randomized controlled trial (Fam-FFC study)

Boltz

Kuzmik

Resnick

et al. 2018

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BackgroundHospitalized older persons with Alzheimer’s disease and related dementias are at greater risk for functional decline and increased care dependency after discharge due to a combination of intrinsic factors, environmental, policy, and care practices that restrict physical and cognitive activity, lack of family involvement and limited staff knowledge of dementia care. We have developed a theory-based intervention, Family centered Function-focused Care, that incorporates an educational empowerment model for family caregivers (FCGs) provided within a social-ecological framework to promote specialized care to patients with dementia during hospitalization and the 60-day post-acute period. Primary aims are to test the efficacy of the intervention in improving physical and cognitive recovery in hospitalized persons living with Alzheimer’s disease and related dementias (ADRD) and improving FCG preparedness and experiences.MethodWe will implement Family centered Function-focused Care in a cluster-randomized trial of 438 patient/FCG dyads in six hospital units randomized within three hospitals. We hypothesize that patients who receive the intervention will demonstrate better physical function, less delirium occurrence and severity, neuropsychiatric symptoms, and depression compared to those in the control condition (Education-only). We also hypothesize that FCGs enrolled in Family centered Function-focused Care will experience increased preparedness for caregiving, and less strain, burden, and desire to institutionalize, as compared to FCGs the control group. We will also examine the costs and relative cost savings associated with the intervention and will evaluate the cultural appropriateness of Family centered Function-focused Care for families from diverse backgrounds.DiscussionOur theory-based intervention makes use of real-world applicable approaches in a novel and innovative way to change the paradigm of how we currently look at acute care and post-acute transitions in persons with ADRD.Trial registrationClinicalTrials.gov, ID: NCT03046121. Registered on 8 February 2017.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2875-1) contains supplementary material, which is available to authorized users.

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“…Prevention of functional decline begins with recognising patients who are vulnerable to its development [ 7 ]. Moreover, clear understanding of the older person’s underlying physical capability is essential to recognise the potential for functional restoration [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

A profile of four patterns of vulnerability to functional decline in older general medicine patients in Victoria, Australia: a cross sectional survey

et al. 2016

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BackgroundThere are limited published data reporting Australian hospitalized elders’ vulnerability to functional decline to guide best practice interventions. The objectives of this study were to describe the prevalence of vulnerability to functional decline and explore profiles of vulnerability related to the performance of physical activity in a representative group of elders in a single centre in Victoria, Australia.MethodsA cross-sectional survey of patients aged ≥ 70 years (Mean age 82.4, SD 7 years) admitted to a general medical ward of an Australian tertiary-referral metropolitan public hospital from March 2010 to March 2011 (n = 526). Patients were screened using the Vulnerable Elders Survey (VES-13). Distinct typologies of physical difficulties were identified using latent class analysis.ResultsMost elders scored ≥3/10 on the VES-13 and were rated vulnerable to functional decline (n = 480, 89.5 %). Four distinct classes of physical difficulty were identified: 1) Elders with higher physical functioning (n = 114, 21.7 %); 2) Ambulant elders with diminished strength (n = 24, 4.6 %); 3) Elders with impaired mobility, strength and ability to stoop (n = 267, 50.8 %) and 4) Elders with extensive physical impairment (n = 121, 23 %) Vulnerable elders were distributed through all classes.ConclusionsOlder general medicine patients in Victoria, Australia, are highly vulnerable to functional decline. We identified four distinct patterns of physical difficulties associated with vulnerability to functional decline that can inform health service planning, delivery and education.

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Basic Physical Capability Scale

Cited by 9 publications

References 16 publications

Protocol of a multimethod descriptive study: adapting hospital-to-home transitional care interventions to the rural healthcare context in Ontario, Canada

Protocol of a multimethod descriptive study: adapting hospital-to-home transitional care interventions to the rural healthcare context in Ontario, Canada

Reducing disability via a family centered intervention for acutely ill persons with Alzheimer’s disease and related dementias: protocol of a cluster-randomized controlled trial (Fam-FFC study)

A profile of four patterns of vulnerability to functional decline in older general medicine patients in Victoria, Australia: a cross sectional survey

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