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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Home alone: assessing mobility independence before discharge.

Dennis M Manning¹, A Scott Keller, Debra L Frank

¹Department of Medicine, Mercy Hospital of Pittsburgh, Pittsburgh, PA, USA. manning.dennis@mayo.edu

Journal of Hospital Medicine

|April 24, 2009

Summary

This summary is machine-generated.

Hospitalists can use the new Independent Mobility Validation Examination (I-MOVE) tool to quickly assess elderly patients

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Area of Science:

Geriatrics
Rehabilitation Medicine
Hospital Medicine

Background:

Elderly patients living alone are at increased risk during hospitalization due to potential deconditioning and loss of mobility.
Discharge planning for these vulnerable patients requires accurate assessment of their functional independence.
Existing assessment methods may not be sufficient for rapid bedside screening of mobility.

Purpose of the Study:

To design and validate a bedside tool, the Independent Mobility Validation Examination (I-MOVE), for hospitalists.
To enable timely screening of mobility decrements in elderly patients at risk of functional decline.
To aid in safe and effective discharge planning for elderly individuals living alone.

Main Methods:

Development of I-MOVE, a hierarchical performance test assessing fundamental movements critical for independent living.
Administration and scoring of I-MOVE by two registered nurses (RNs) on a general medical care unit.
Assessment of face validity and interrater reliability of the I-MOVE tool.

Main Results:

The I-MOVE tool demonstrated high interrater reliability (> 0.90 intra-class correlation coefficient) between two RNs.
The tool was found to have face validity, indicating it appears to measure what it intends to measure.
I-MOVE was administered to 41 patients on a General Medical Care Unit.

Conclusions:

The Independent Mobility Validation Examination (I-MOVE) is a reliable and valid bedside tool for assessing mobility in elderly patients.
I-MOVE can serve as a valuable extension to nursing assessments and hospitalist physical examinations.
This tool can assist in identifying patients at risk for mobility decline, facilitating better discharge planning.