Barbara Resnick1, Elizabeth Galik2, Chris L Wells3, Marie Boltz4, Lauren Holtzman2. 1. University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA. Electronic address: Resnick@son.umaryland.edu. 2. University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA. 3. Physical Therapy and Rehabilitation Science, 655 W. Baltimore Street, Baltimore MD 21201, USA. 4. William F. Connell School of Nursing, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA 02467, USA.
Abstract
BACKGROUND: By 2050 it is anticipated that close to half (40%) of all trauma patients will be over the age of 65. Recovery for these individuals is more complicated than among younger individuals. Early mobilization has been shown to improve outcomes. Unfortunately, there are many challenges to early mobilization. The Function Focused Care Intervention was developed to overcome these challenges. PURPOSE: The purpose of this paper was to describe the initial recruitment of the first 25 participants and delineate the challenges and successes associated with implementation of this intervention. RESULTS:Overall recruitment rates were consistent with other studies and the intervention was implemented as intended. Most patients were female, white and on average 79 years of age. Optimizing physical activity of patients was a low priority for the nurses with patient safety taking precedence. Patients spent most of the time in bed. Age, depression and tethering were the only factors that were associated with physical activity and functional outcomes of patients. CONCLUSION: Ongoing work is needed to keep patients physically active in the immediate post trauma recovery period.
RCT Entities:
BACKGROUND: By 2050 it is anticipated that close to half (40%) of all traumapatients will be over the age of 65. Recovery for these individuals is more complicated than among younger individuals. Early mobilization has been shown to improve outcomes. Unfortunately, there are many challenges to early mobilization. The Function Focused Care Intervention was developed to overcome these challenges. PURPOSE: The purpose of this paper was to describe the initial recruitment of the first 25 participants and delineate the challenges and successes associated with implementation of this intervention. RESULTS: Overall recruitment rates were consistent with other studies and the intervention was implemented as intended. Most patients were female, white and on average 79 years of age. Optimizing physical activity of patients was a low priority for the nurses with patient safety taking precedence. Patients spent most of the time in bed. Age, depression and tethering were the only factors that were associated with physical activity and functional outcomes of patients. CONCLUSION: Ongoing work is needed to keep patients physically active in the immediate post trauma recovery period.
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