Patient and Hospital Factors That Lead to Adverse Outcomes in Hospitalized Elders

Pierluissi, Edgar; Francis, Deborah; Covinsky, Kenneth E.

doi:10.1007/978-1-4939-1025-0_3

Cited by 9 publications

(7 citation statements)

References 69 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Yearly around 1,700,000 people are admitted to a hospital in the Netherlands (Central Bureau of Statistics, 2014). Although hospitalization is primarily aimed at improving a patient's health status, it is often associated with adverse outcomes due to functional decline (Brown et al, 2007;Cattanach, Sheedy, Gill, and Hughes, 2014;Pierluissi, Francis, and Covinsky, 2014). This functional decline may occur as a result of frequent and often preventable bed rest episodes which are associated with adverse effects on the cardiovascular, respiratory and musculoskeletal systems (Bernhardt, Dewwy, Thrift, and Donnan, 2004;Cattanach, Sheedy, Gill, and Hughes, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Functional decline due to hospitalization is called Hospitalization Associated Disability (HAD). HAD is an addition to the illness that caused the individual to be admitted to the hospital and it serves as an inhibiting factor for recovery for many patients (Pierluissi, Francis, and Covinsky, 2014). Patients are less able to individually perform basic activities of daily living like self-care and eating or walking small distances (Brown, Friedkin, and Inouye, 2004;Covinsky, Pierluissi, and Johnston, 2011).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perspectives of patients and health-care professionals on physical activity of hospitalized patients

Klein

Valkenet

Veenhof

2019

Physiotherapy Theory and Practice

View full text Add to dashboard Cite

Background: A lack of physical activity during hospitalization can lead to adverse outcomes like complications and loss of physical function. More insight into factors that influence physical activity during a hospital stay is needed to develop strategies to change the mobility culture in hospitals.Objective: To give an overview of factors that influence physical activity of patients by exploring the perspectives of both patients and health-care professionals regarding physical activity during hospital stay. Method: Semi-structured interviews with patients and health-care professionals were conducted at a university hospital in the Netherlands. Patients were interviewed about their daily activities during their hospital stay and the factors that were of influence. Health-care professionals were asked about their perceptions regarding their responsibilities in promoting physical activity during hospitalization. Results: In total eight patients and nine health-care professionals participated. Patients and health-care professionals stated that low physical activity levels were mostly caused by a poor physical status, patients' expectations to lie in bed during hospitalization, and the lack of knowledge on the importance of physical activity. Lack of time was the main barrier for health-care professionals to promote physical activity. Conclusion: Physical activity is not yet seen as a structural part of hospital care by both patients and health-care professionals, and does not have priority within current daily routines. To increase physical activity levels of hospitalized patients, more knowledge and tools should be available for both patients and health-care professionals.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perspectives of patients and health-care professionals on physical activity of hospitalized patients

Klein

Valkenet

Veenhof

2019

Physiotherapy Theory and Practice

View full text Add to dashboard Cite

show abstract

“…41 Previous studies including older inpatients have shown that not only typically disabling conditions, such as a stroke or hip fracture, but also exacerbations of cardiorespiratory chronic conditions can lead to functional deterioration. 42,43 Moreover, the severity of acute diseases is strongly associated with a functional decline. 25 Hence, including index diseases in morbidity measures could possibly improve the performance as prognostic tools for clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…The wide range of acute diseases resulting in hospitalisation has a huge impact on patients’ physiological reserve that even if patients suffer from the same comorbidities, their functional decline because of the impact of the index disease might be different 41 . Previous studies including older inpatients have shown that not only typically disabling conditions, such as a stroke or hip fracture, but also exacerbations of cardiorespiratory chronic conditions can lead to functional deterioration 42,43 . Moreover, the severity of acute diseases is strongly associated with a functional decline 25 .…”

Section: Discussionmentioning

confidence: 99%

Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review

et al. 2020

View full text Add to dashboard Cite

Objectives Older adults often suffer from multimorbidity, which results in hospitalisations. These are often associated with poor health outcomes such as functional dependence and mortality. The aim of this review was to summarise the current literature on the capacities of morbidity measures in predicting activities of daily living (ADL) and instrumental activities of daily living (IADL) amongst inpatients. Methods A systematic literature search was performed using four databases: Medline, Cochrane, Embase, and Cinahl Central from inception to 6th March 2019. Keywords included comorbidity, multimorbidity, ADL, and iADL, along with specific morbidity measures. Articles reporting on morbidity measures predicting ADL and IADL decline amongst inpatients aged 65 years or above were included. Results Out of 7334 unique articles, 12 articles were included reporting on 7826 inpatients (mean age 77.6 years, 52.7% females). Out of five morbidity measures, the Charlson Comorbidity Index was most often reported. Overall, morbidity measures were poorly associated with ADL and IADL decline amongst older inpatients. Conclusion Morbidity measures are poor predictors for ADL or IADL decline amongst older inpatients and follow‐up duration does not alter the performance of morbidity measures.

show abstract

“…Shorter lengths of stay in hospital have several benefits but this can result in a patient being discharged when they still feel quite unwell and may require family assistance. This means that the ability of the family to provide such assistance may also need to be assessed (some people may not have family or their family members may not be willing to assist) in order to ensure that the person will cope when they return home (Haley, 2014;Hoch & Hamlin, 2015;Pierluissi, Francis, & Covinsky, 2014).…”

Section: Assessment Of Needmentioning

confidence: 99%

Admitting and assessing medical and surgical clients

et al. 2018

View full text Add to dashboard Cite

Learning ObjectivesAt the completion of this chapter, you should be able to:• Define and discuss the process of admission and assessment of the acute client;• Explain the concept of risk management and the importance of patient safety, specifying strategies that exist to increase safety and reduce risk;• Discuss the use of critical thinking to inform clinical decision-making;• Identify and discuss the role of the nurse in providing patient-centred care, including interpretation of diagnostic tests and administration of medication;• Explore and discuss the discharge of an acute client, considering appropriate social, cultural, physical and psychological considerations.

show abstract

Patient and Hospital Factors That Lead to Adverse Outcomes in Hospitalized Elders

Cited by 9 publications

References 69 publications

Perspectives of patients and health-care professionals on physical activity of hospitalized patients

Perspectives of patients and health-care professionals on physical activity of hospitalized patients

Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review

Admitting and assessing medical and surgical clients

Contact Info

Product

Resources

About