Using Systematic Functional Measurements in the Acute Hospital Setting to Combat the Immobility Harm

Authors

Daniel Young, University of Nevada, Las VegasFollow
Sapna R. Kudchadkar, Johns Hopkins University
Michael Friedman, The Johns Hopkins Hospital
Annette Lavezza, The Johns Hopkins Hospital
Sowmya Kumble, The Johns Hopkins Hospital
Kelly Daley, The Johns Hopkins Hospital
Eleni Flanagan, The Johns Hopkins Hospital
Erik Hoyer, Johns Hopkins University

Document Type

Article

Publication Date

12-26-2020

Publication Title

Archives of Physical Medicine and Rehabilitation

First page number:

1

Last page number:

6

Abstract

© 2020 American Congress of Rehabilitation Medicine Hospitalized patients often experience unnecessary immobility and inactivity leading to direct harms and poor outcomes. Despite growing evidence that early and regular mobility and activity are safe and helpful for patients in the hospital, there remains substantial room for improvement in clinical practice. Key to improvement is establishing an interdisciplinary approach to measurement and communication using a common language of function. Here we provide a framework for systematic functional measurement in the hospital. We also provide 3 specific examples of how this framework has been used to improve care: (1) targeting specialized rehabilitation providers to the patients most likely to need their services, (2) generating a daily mobility goal for all patients, and (3) identifying patients early who are likely to require postacute care.

Keywords

Bed rest; Rehabilitation

Disciplines

Physical Therapy | Rehabilitation and Therapy

Language

English

Repository Citation

Young, D., Kudchadkar, S., Friedman, M., Lavezza, A., Kumble, S., Daley, K., Flanagan, E., Hoyer, E. (2020). Using Systematic Functional Measurements in the Acute Hospital Setting to Combat the Immobility Harm. Archives of Physical Medicine and Rehabilitation 1-6.
http://dx.doi.org/10.1016/j.apmr.2020.10.142