Physical Functioning of Hospitalized Older Adults - PowerPoint PPT Presentation

1 / 24
About This Presentation
Title:

Physical Functioning of Hospitalized Older Adults

Description:

Short Physical Performance Battery in Hospitalized Older Adults ... Study physical function during acute illness and hospitalization ... – PowerPoint PPT presentation

Number of Views:121
Avg rating:3.0/5.0
Slides: 25
Provided by: Oua5
Category:

less

Transcript and Presenter's Notes

Title: Physical Functioning of Hospitalized Older Adults


1
Physical Functioning of Hospitalized Older Adults
  • Steve Fisher PT, PhD, GCS
  • Assistant Professor
  • Division of Rehabilitation Science

2
Education Training
  • MPT, TX Tech University, 1999
  • PT experience
  • Inpatient Acute Care
  • The Institute for rehabilitation and research
    (TIRR)
  • Geriatric Clinical Specialist (GCS)
  • PhD, UTMB, 2008
  • Post doctoral training at UTMB, 2008

3
Career Goals
  • Develop publication record in high impact
    journals
  • Obtain NIH grant funding as a principal
    investigator
  • Obtain a tenure track academic appointment at a
    major medical research institution

4
Research Career Development Activities
  • Longitudinal Data analyses course
  • Grant writing work shop
  • Monthly Grant writing seminars
  • Weekly research team meetings with senior
    investigators

5
Presentation Objectives
  • Describe research environment
  • Present published and current work
  • Short Physical Performance Battery in
    Hospitalized Older Adults
  • Gait Speed of Hospitalized Older Adults
  • Chair Rise Ability and Length of Stay
  • Step Activity of Hospitalized Older Adults
  • Future Directions

6
Acute Care for Elders (ACE) Unit
  • First hospital unit in Texas designed exclusively
    to care for acutely ill older adults
  • Post Ike, 20 beds

7
Acute Care for Elders (ACE) Unit
  • Patients receive their hospital care in a more
    home-like setting

8
(No Transcript)
9
Patient Characteristics
  • Sociodemographics
  • Clinical measures

n128
10
Short Physical Performance Battery in
Hospitalized Older Adults
  • Three objective tests of lower body function
  • timed 8-foot walk
  • 5 timed, repetitive chair stands
  • hierarchical test of standing balance
  • Scoring methods developed from large
    epidemiological investigations of relatively
    healthy older men and women living at home.

11
Short Physical Performance Battery in
Hospitalized Older Adults
  • Determine if SPPB information could be collected
    in a broad sample of older adults hospitalized
    for acute illness.
  • Compare community based SPPB scoring criteria
    with revised scoring criteria based on
    hospitalized older patients.

12
Short Physical Performance Battery in
Hospitalized Older Adults
  • Can be safely collected in older patients
  • Revised hospital SPPB may be preferable in
    inpatient or institutional type settings as
    scoring criteria were developed using the
    intended target population.

13
Gait Speed of Hospitalized Older Adults
  • Mean gait speed approximately 1/3 that of healthy
    older adults living in the community
  • Evidence that separate normative standards should
    be considered when evaluating the gait speed of
    older patients

14
Chair Rise Ability and Length of Stay
  • Typically, combinations of variables are used as
    a general set of risk indicators for prolonged
    length of stay
  • Patients who could not perform the chair rise
    task had expected lengths of stay about 50
    longer than those who could
  • Implications for decisions regarding early
    preventative measures

Adjusted for age, gender, BMI, pain report,
comorbidities, ADL limitations, and admitting
diagnosis
15
Step Activity of Hospitalized Older Adults
  • Objective
  • Examine the ambulatory activity or hospitalized
    older adults from admission to discharge

16
Step Activity of Hospitalized Older Adults
  • Collaborating with nursing staff
  • Enrolling patients day of admission
  • Patient wears monitor throughout hospital course

17
(No Transcript)
18
Step Activity of Hospitalized Older Adults
19
Step Activity of Hospitalized Older Adults
20
Step Activity of Hospitalized Older Adults
21
Future Directions
  • Study physical function during acute illness and
    hospitalization
  • Expand step monitor study to post discharge
    environment
  • Submit R01

22
Career Development Needs
  • Gain expertise in
  • High level statistical analyses
  • Mixed models for longitudinal data
  • Manuscript writing
  • Grant writing

23
Research Team
  • Glenn Ostir, PhD (mentor)
  • Ken Ottenbacher, PhD, OT
  • James Goodwin, MD (director, Sealy Center on
    Aging)
  • Roxana Hirst (research coordinator)
  • Shawn Goodlet (ACE unit interviewer)
  • Harlow Ratzman (ACE unit interviewer)
  • Deven Barriault (ACE unit nurse manager)

24
Acknowledgements
  • K12 HD055929 National Institutes of Health
    National Center for Medical and Rehabilitation
    Research (NICHD) and National Institute for
    Neurological Disorders Stroke
  • National Institute of Health (R01AG024806),
    (K01HD046682) Glenn Ostir, PI
Write a Comment
User Comments (0)
About PowerShow.com