Impact of a Nurse-Driven Mobility Protocol on Functional Decline in Hospitalized Older Adults

Abstract

The purpose of the study was to determine the impact of a nurse-driven mobility protocol on functional decline. A nonequivalent control group design was used; the independent variable was mobility protocol and dependent variables were functional status and length of stay. Older adults who participated in a mobility protocol maintained or improved functional status and had a reduced length of stay. Practice implications include an emphasis on ambulation in hospitalized older adults.

A Population-Based Study of Risk Factors for Stroke After Carotid Endarterectomy Using the ACS NSQIP Database

“…Given this increased risk for postoperative stroke or death, it is recommended that operative intervention be approached cautiously in this subpopulation. Strategies to address functional status in the future include preoperative reconditioning prior to elective surgery, establishment of early and aggressive postoperative mobility protocols, and extensive risk benefit analysis for patients with severe functional declines [41].…”

Outcomes after laparoscopic adrenalectomy

“…Dependent functional status also carried a more than a 10-fold higher risk for postoperative morbidity. Strategies to consider in addressing functional status in the future include preoperative reconditioning before elective surgery, establishment of early and aggressive postoperative mobility protocols, and extensive risk-benefit analysis for patients with severe functional declines [23].…”

Determinants of outcomes in pancreatic surgery and use of hospital resources

“…Also declining functional status was associated with intraoperative RBC transfusion and return to OR. Strategies to address this in the future include preoperative re-conditioning prior to elective surgery, establishment of early and aggressive postoperative mobility protocols, and extensive risk benefit analysis for patients with severe functional declines [35]. A major finding in this analysis was that COPD was found to correlate with several resource consumption metrics including LOS, return to OR, RBC transfusion, and postoperative complications.…”