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Related Experiment Videos

Physical functioning: definitions, measurement, and expectations.

P Painter1, A L Stewart, S Carey

  • 1Department of Physiologic Nursing, and Institute on Health and Aging, University of California at San Francisco, USA. painter@itsa.ucsf.edu

Advances in Renal Replacement Therapy
|May 7, 1999
PubMed
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Physical functioning is crucial for patients, impacting hospitalization, dependency, and mortality. Assessing physical ability, alongside other health metrics, helps tailor interventions like physical therapy for better patient outcomes.

Area of Science:

  • Nephrology
  • Geriatrics
  • Rehabilitation Medicine

Background:

  • Physical functioning is increasingly recognized as vital in nephrology patient care.
  • It strongly correlates with adverse outcomes such as hospitalization, nursing home admission, falls, dependency, and mortality in older adults.
  • Existing terminology for physical functioning is varied, necessitating clear classification.

Purpose of the Study:

  • To classify physical functioning into basic actions, complex activities, essential independence activities, and discretionary activities.
  • To present a comprehensive model of physical functioning determinants, including physical, sensory, environmental, and behavioral factors.
  • To emphasize the importance of regular physical functioning assessment in clinical practice.

Main Methods:

Related Experiment Videos

  • Classifying physical functioning into distinct categories (basic, complex, essential, discretionary).
  • Developing a model for the determinants of physical functioning.
  • Reviewing various measurement methods, including self-report questionnaires, performance measures, and laboratory tests.
  • Highlighting the availability of easily administered, valid, and reliable physical performance tests.

Main Results:

  • Physical functioning is categorized to clarify its components and impact on quality of life.
  • A multifactorial model of physical functioning determinants is proposed.
  • Despite measurement limitations, physical functioning assessment provides unique patient insights.
  • Validated performance tests offer valuable, accessible data.

Conclusions:

  • Regular physical functioning assessment is as important as monitoring nutrition, medications, and dialysis adequacy.
  • Baseline and serial assessments enable monitoring of clinical course and physical ability.
  • Identifying patients with lower functioning allows for timely referral to physical therapy or exercise interventions.
  • Integrating physical functioning assessment can optimize patient care and outcomes in nephrology.