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Implementation of an Exercise Program in an Assisted Living Facility.
Deborah B Hummer1, Susan G Silva, Tracey L Yap
1School of Nursing (Drs Hummer, Silva, Yap, and Anderson), Department of Psychiatry and Behavioral Sciences, School of Medicine (Dr Silva), and Center for the Study of Aging and Human Development (Drs Yap and Anderson), Duke University, Durham, North Carolina; and School of Nursing, University of North Carolina at Chapel Hill (Dr Toles).
Nursing assistants implemented a sit-to-stand exercise program to help assisted living residents maintain or improve daily function. This initiative highlights the vital role of nursing staff in preventing functional decline in institutionalized older adults.
Area of Science:
- Gerontology
- Nursing Science
- Rehabilitation Medicine
Background:
- Functional decline is a significant concern for residents in assisted living facilities.
- Maintaining activities of daily living (ADLs) is crucial for resident independence and quality of life.
- Nursing assistants are well-positioned to implement exercise interventions.
Purpose of the Study:
- To implement and evaluate a sit-to-stand exercise program delivered by nursing assistants.
- To assess the program's impact on residents' functional status in activities of daily living.
- To explore the role of nursing assistants in promoting exercise and preventing decline.
Main Methods:
- A quality improvement project was conducted in an assisted living facility.
- Nursing assistants were trained to deliver a sit-to-stand exercise program to residents.
- Functional outcomes in activities of daily living were monitored as the primary outcome.
Main Results:
- The program aimed to improve or maintain residents' function in activities of daily living.
- Findings suggest the program's potential to prevent avoidable functional decline.
- Nursing assistants played a key role in program delivery and resident engagement.
Conclusions:
- Sit-to-stand exercises, delivered by nursing assistants, can support functional maintenance in assisted living residents.
- This model demonstrates the significant contribution of nursing assistants to resident well-being and independence.
- Interventions promoting exercise are essential for mitigating functional decline in institutionalized older adults.
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