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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Related Experiment Video

Updated: Jun 4, 2025

Multi-Modal Home Sleep Monitoring in Older Adults
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Published on: January 26, 2019

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Progressive Multicomponent Intervention for Older Adults in Home Health Settings Following Hospitalization:

Alexander J Garbin1,2, Jason R Falvey2,3, Ethan Cumbler4,5

  • 1Eastern Colorado VA Health Care System, Geriatric Research Education and Clinical Center (GRECC), Aurora, CO, United States.

Physical Therapy
|December 20, 2024
PubMed
Summary

A high-intensity exercise and protein supplement intervention did not improve physical function more than usual care in older adults post-hospitalization. Both groups showed similar gains in physical function and safety outcomes over 60 days.

Keywords:
ExerciseGeriatricsHealthHigh Intensity ExerciseHome Care ServicesIntervention

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Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Hospitalization frequently leads to reduced physical function in older adults, increasing risks for adverse health events.
  • Home health physical therapy is common for deconditioning, but optimal strategies for functional improvement remain unclear.
  • This study investigated a novel home health approach combining high-intensity exercise, enhanced care transition, and protein supplementation.

Purpose of the Study:

  • To evaluate the effectiveness of a multi-component home health intervention on physical function in older adults post-hospitalization.
  • To compare a high-intensity progressive, multi-component (PMC) intervention against enhanced usual care (UC).
  • To assess secondary outcomes including gait speed, strength, fatigue, fall efficacy, physical activity, and adverse events.

Main Methods:

  • Two hundred medically complex older adults (65+ years) were randomized to either PMC intervention or enhanced UC.
  • Both groups received 12 home health visits over 60 days.
  • The primary outcome was the change in Short Physical Performance Battery (SPPB) score from baseline to 60 days; secondary outcomes were assessed at multiple time points up to 180 days.

Main Results:

  • No significant difference in SPPB change was observed between the PMC and enhanced UC groups at 60 days.
  • Both groups demonstrated significant improvements in physical function (SPPB scores).
  • No differences were found in secondary physical function measures or adverse events between the groups.

Conclusions:

  • The high-intensity progressive, multi-component intervention was not superior to enhanced usual care in improving physical function in older adults receiving home health care.
  • Both intervention and enhanced usual care approaches yielded similar functional improvements and safety profiles.
  • Further research may be needed to identify optimal strategies for enhancing physical function in this population.