Nursing and Physical Therapy Interventions for the Prevention of Functional Decline in Hospitalized Patients

Authors

  • Mohammad Maflah R Alenezi
  • Abrar Abdallh Ali Omar
  • Wesam Abdullah F Alruwaili
  • Alanazi, Albardari Mohammd A
  • Anoud Radhi Aziz Alhazmi
  • Abdullah Khalaf M Alanazi
  • Azizah Radhi Munawir Alrasheedi
  • Reem Shannan Alanazi
  • Fadiah Fahad Noorsaeed
  • Aalanazi, Amal Wannad A
  • Gamrah Sultan Onezan Alsolabi

DOI:

https://doi.org/10.22399/ijcesen.4449

Keywords:

Nursing interventions, physical therapy, functional decline, hospitalized patients, mobility programs

Abstract

Nursing and physical therapy interventions play a crucial role in addressing the functional decline often observed in hospitalized patients. Effective communication and collaboration between nurses and physical therapists are essential to create individualized care plans that prioritize mobility and functional independence. Early mobility programs, guided by skilled professionals, significantly reduce the risk of deconditioning and promote overall patient well-being. Nurses can incorporate mobility assessments into their daily routines, encouraging simple activities like sitting up, standing, or walking, while physical therapists design specific exercise regimens tailored to each patient's capabilities. These interventions not only enhance physical function but also contribute to faster recovery times, shorter hospital stays, and improved patient satisfaction. The prevention of functional decline in hospitalized patients requires a multidisciplinary approach, emphasizing education and engagement of both patients and their families. Nurses play a pivotal role in educating patients about the importance of maintaining mobility and encouraging them to participate actively in their recovery plans. In tandem, physical therapists provide hands-on support and expertise, refining rehabilitation techniques that foster strength and endurance. By utilizing evidence-based practices and ongoing assessments, healthcare teams can identify patients at risk of functional decline early and implement targeted interventions. Together, nursing and physical therapy initiatives ensure a more holistic approach to patient care, ultimately enhancing recovery outcomes and reducing the burden of hospital-related deconditioning.

References

1. Covinsky KE, Justice AC, Rosenthal GE, et al.: Measuring prognosis and case mix in hospitalized elders. The importance of functional status. J. Gen. Intern. Med. 1997; 12(4):203–208.

2. Fortinsky RH, Covinsky KE, Palmer RM, et al.: Effects of functional status changes before and during hospitalization on nursing home admission of older adults. J. Gerontol. A Biol. Sci. Med. Sci. 1999; 54(10):M521–M526.

3. Brown CJ, Foley KT, Lowman JD, Jr, et al.: Comparison of Posthospitalization Function and Community Mobility in Hospital Mobility Program and Usual Care Patients: A Randomized Clinical Trial. JAMA Intern. Med. 2016; 176(7):921–927.

4. Chaimani A, Salanti G: Using network meta-analysis to evaluate the existence of small-study effects in a network of interventions. Res. Synth. Methods. 2012; 3(2):161–176.

5. Covinsky KE, Palmer RM, Fortinsky RH, Counsell SR, Stewart AL, Kresevic D, et al.: Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: increased vulnerability with age. J Am Geriatr Soc 2003; 51:451–458.

6. Landefeld CS, Palmer RM, Kresevic DM, Fortinsky RH, Kowal J. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 1995; 332:1338–1344.

7. de Morton NA, Keating JL, Jeffs K. Exercise for acutely hospitalised older medical patients. Cochrane Database Syst Rev 2007; CD005955.

8. Chaimani A, Caldwell DM, Li T, et al.: Undertaking network meta-analyses. Cochrane handbook for systematic reviews of interventions. 2019;285–320.

9. Carrasco Paniagua C, Mayordomo Cava J, Zarralanga Lasobras T, et al.: Functional recovery at discharge and at three months after a multicomponent physical exercise intervention in elderly subjects hospitalized in an Acute Geriatric Unit. Rev. Esp. Geriatr. Gerontol. 2022; 57(3):156–160.

10. Porritt K, McArthur A, Lockwood C, Munn Z. JBI's approach to evidence implementation: a 7-phase process model to support and guide getting evidence into practice. JBI Evid Implement 2023; 21:3–13.

11. Boissy P, Brière S, Tousignant M, et al.: The eSMAF: a software for the assessment and follow-up of functional autonomy in geriatrics. BMC Geriatr. 2007; 7:2.

12. Mudge AM, O’Rourke P, Denaro CP. Timing and risk factors for functional changes associated with medical hospitalization in older patients. J Gerontol A Biol Sci Med Sci 2010; 65:866–872.

13. Cabanas-Sánchez V, Higueras-Fresnillo S, Cámara MÁ, et al.: 24-h Movement and Nonmovement Behaviors in Older Adults. The IMPACT65+ Study. Med. Sci. Sports Exerc. 2019; 51(4):671–680.

14. Hoogerduijn JG, Schuurmans MJ, Duijnstee MS, de Rooij SE, Grypdonck MF. A systematic review of predictors and screening instruments to identify older hospitalized patients at risk for functional decline. J Clin Nurs 2007; 16:46–57.

15. Pacheco B, Venegas-Sanabria LC, Chavarro-Carvajal DA. Hospital-associated functional decline and possible interventions based on physical activity, a review of the literature. Archiv Med Del Deporte 2020; 37:430–435.

16. Gallardo-Gómez D, Del Pozo-Cruz J, Pedder H, et al.: Optimal dose and type of physical activity to improve functional capacity and minimise adverse events in acutely hospitalised older adults: a systematic review with dose-response network meta-analysis of randomised controlled trials. Br. J. Sports Med. 2023; 57(19):1272–1278.

17. Sager MA, Rudberg MA, Jalaluddin M, Franke T, Inouye SK, Landefeld CS, et al. Hospital admission risk profile (HARP): identifying older patients at risk for functional decline following acute medical illness and hospitalization. J Am Geriatr Soc 1996; 44:251–257.

18. Fazio S, Stocking J, Kuhn B, et al.: How much do hospitalized adults move? A systematic review and meta-analysis. Appl. Nurs. Res. 2020; 51:151189.

19. Giacomino K, Hilfiker R, Beckwee D, et al.: Assessment tools and incidence of hospital-associated disability: a rapid systematic review. medRxiv (pre-print). 2022.

20. Covinsky KE, Wu AW, Landefeld CS, et al.: Health status versus quality of life in older patients: does the distinction matter? Am. J. Med. 1999; 106(4):435–440.

21. Brown CJ, Friedkin RJ, Inouye SK: Prevalence and outcomes of low mobility in hospitalized older patients. J. Am. Geriatr. Soc. 2004; 52(8):1263–1270.

22. Boyd CM, Landefeld CS, Counsell SR, et al.: Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J. Am. Geriatr. Soc. 2008; 56(12):2171–2179.

23. Borenstein M, Hedges LV, Higgins JP, et al.: Introduction to meta-analysis. John Wiley & Sons;2021.

24. Covensky KE, Pierluissi E, Johnston CB: Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure". JAMA. 2011; 306(16):1782–1793.

25. Cohen J: Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Publishers;1988.

26. Covidence systematic review software: Veritas Health Innovation, Melbourne, Australia.

27. Valenzuela PL, Castillo-García A, Morales JS, Izquierdo M, Serra-Rexach JA, Santos-Lozano A, et al. Physical exercise in the oldest old. Compr Physiol 2019; 9 (4):1281–2104.

28. Blanc-Bisson C, Dechamps A, Gouspillou G, et al.: A randomized controlled trial on early physiotherapy intervention versus usual care in acute care unit for elderly: potential benefits in light of dietary intakes. J. Nutr. Health Aging. 2008; 12(6):395–399.

29. Godino L, Ambrosi E, Decaro R, et al.: A three-months follow up of a randomized controlled trial of Assisted Walking Program for in-hospital geriatric patients. Assist. Inferm. Ric. 2022; 41(1):23–32.

30. Valenzuela PL, Morales JS, Pareja-Galeano H, Izquierdo M, Emanuele E, de la Villa P, et al. Physical strategies to prevent disuse-induced functional decline in the elderly. Ageing Res Rev 2018; 47:80–88.

31. Bachmann S, Finger C, Huss A, et al.: Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ. 2010; 340:c1718.

32. Ogrinc G, Davies L, Goodman D, Batalden P, Davidoff F, Stevens D. SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. BMJ Qual Saf 2016; 25:986–992.

33. White MJ, Gutierrez A, McLaughlin C, Eziakonwa C, Newman LS, White M, et al. A pilot for understanding interdisciplinary teams in rehabilitation practice. Rehabil Nurs 2013; 38:142–152.

34. Tasheva P, Vollenweider P, Kraege V, Roulet G, Lamy O, Marques-Vidal P, et al. Association between physical activity levels in the hospital setting and hospital-acquired functional decline in elderly patients. JAMA Network Open 2020; 3:e1920185.

35. Chaimani A, Salanti G, Leucht S, et al.: Common pitfalls and mistakes in the set-up, analysis and interpretation of results in network meta-analysis: what clinicians should look for in a published article. BMJ Ment Health. 2017; 20(3):88–94.

36. Antoniou SA, Koelemay M, Antoniou GA, et al.: A practical guide for application of network meta-analysis in evidence synthesis. Eur. J. Vasc. Endovasc. Surg. 2019; 58(1):141–144.

37. Ministry of the Interior Republic of China (Taiwan) Bulletin of Interior Statistics. 2011.

38. Martínez-Velilla N, Casas-Herrero A, Zambom-Ferraresi F, Sáez de Asteasu ML, Lucia A, Galbete A, et al. Effect of exercise intervention on functional decline in very elderly patients during acute hospitalization: a randomized clinical trial. JAMA Intern Med 2019; 179:28–36.

39. Easwvaran S. Evidence summary. Hospitalized older adults: prevention of functional decline. The JBI EBP Database 2021; JBI-ES-3601-5.

40. Jadczak AD, Makwana N, Luscombe-Marsh N, Visvanathan R, Schultz TJ. Effectiveness of exercise interventions on physical function in community-dwelling frail older people: an umbrella review of systematic reviews. JBI Database System Rev Implement Rep 2018; 16:752–775.

41. Boltz M, Resnick B, Galik E. Preventing functional decline in the acute care setting. Evidence-based geriatric nursing protocols for best practice. Springer; 2016.

Downloads

Published

2024-05-30

How to Cite

Mohammad Maflah R Alenezi, Abrar Abdallh Ali Omar, Wesam Abdullah F Alruwaili, Alanazi, Albardari Mohammd A, Anoud Radhi Aziz Alhazmi, Abdullah Khalaf M Alanazi, … Gamrah Sultan Onezan Alsolabi. (2024). Nursing and Physical Therapy Interventions for the Prevention of Functional Decline in Hospitalized Patients. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.4449

Issue

Section

Research Article