Deconditioning for Staff - With Subtitles скачать в хорошем качестве

Deconditioning for Staff - With Subtitles

Patients have been found to spend around 95% of their time in bed or chair, and this, together with reduced nutrition and poor sleep, has been linked to a loss of ability named “hospital-acquired deconditioning”(3,4). Hospital Acquired Deconditioning is a term associated with acute illness or prolonged time in bed/ chair, resulting in functional decline (7). Patients who have multiple co-morbidities, cognitive deficits, depression, delirium and use mobility aids are at increased risk of this happening. (8) Research suggests that hospital-acquired deconditioning affects functional ability on discharge and impacts negatively on cognition, muscle mass and muscle strength. This, in turn, has implications on issues including continence, swallowing, mobility and tissue viability (1,2). Functional decline caused by deconditioning during a hospital stay can lead to increased care and rehabilitation needs at the point of discharge and consequently impact flow and length of stay (5). Research suggests that only a third of patients returning home do so at their previous level of function. This leads to economic risks including increased rates of readmission to hospital (5). Conversely, mobility maintenance in hospitals has been found to improve physical function, reduce length of stay, and reduce incidences of pulmonary embolism (6). 1. Jasper, U.S., Yadav, L., Jadczak, A.D. et al. Sedentary behaviour in hospitalised older people: a scoping review protocol. Syst Rev 9, 36 (2020). https://doi.org/10.1186/s13643-020-01... 2. Meesters J, Conijn D, Vermeulen HM, Vliet Vlieland T. Physical activity during hospitalization: Activities and preferences of adults versus older adults. Physiother Theory Pract. 2019 Oct;35(10):975-985. doi: 10.1080/09593985.2018.1460429. Epub 2018 Apr 16. PMID: 29658797. 3. Brown CJ, Redden DT, Flood KL, Allman RM. The underrecognized epidemic of low mobility during hospitalization of older adults. J Am Geriatr Soc . 2009;57:1660–1665. 4. HM Krumholz. Post-hospital syndrome—an acquired, transient condition of generalized risk. New England Journal of Medicine, 2013 – Mass Medical Soc 5. Falvey JR, Mangione KK, Stevens-Lapsley JE. Rethinking Hospital-Associated Deconditioning: Proposed Paradigm Shift. Phys Ther. 2015; 95(9): 1307-1315. 6. Cortes OL, Delgado S, Esparza M. Systematic review and meta-analysis of experimental studies: in-hospital mobilization for patients admitted for medical treatment. J Adv Nurs. 2019; January 22. 7. Mudge AM, OʼRourke P, Denaro CP (2010). Timing and Risk Factors for Functional Changes Associated With Medical Hospitalization in Older Patients. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2010;65A(8):866 8. Hanson S, Jones A, Lane K and Penhale B (2019). Evidence Briefing: Hospital-Associated Deconditioning (HAD). Available at https://ueaeprints.uea.ac.uk/id/eprin... [Accessed 08/03/2024