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- Title
Nursing rehabilitation and exercise strategies in the nursing home.
- Authors
Morris JN; Fiatarone M; Kiely DK; Belleville-Taylor P; Murphy K; Littlehale S; Ooi WL; O'Neill E; Doyle N; Morris, J N; Fiatarone, M; Kiely, D K; Belleville-Taylor, P; Murphy, K; Littlehale, S; Ooi, W L; O'Neill, E; Doyle, N
- Abstract
<bold>Background: </bold>The purpose of this study was to evaluate how weight training or nursing-based rehabilitative care programs in nursing homes impact on resident performance of Activities of Daily Living (ADL) and objectives tests of physical performance.<bold>Methods: </bold>This study involved a quasi-experimental control, longitudinal comparison of functional status over a 10-month period, where baseline status was adjusted through a weighting procedure based on functional status, cognitive status, and age. All residents from six residential care nursing home facilities were eligible except those with a terminal prognosis, a projected stay of less than 90 days, or with health complications that prohibited contact. Homes were placed into matched triplets based on patient characteristics: two members of each triplet were randomly designated to be experimental sites, the third became the control site. Baseline data were available for 468 subjects, follow-up for 392. ADL self-performance measures derived from the Minimum Data Set, including indicators of early loss ADL, locomotion, and late loss ADL; a number of objective functional tests (including measures of balance, power, and endurance); and mood state as measured by the Geriatric Depression Scale.<bold>Results: </bold>Mean ADL values in the two experimental groups declined at a significantly lower rate than did rates for the controls. Functional decline was also lower in more specific measures: locomotion, early loss ADL, and late loss ADL.<bold>Conclusions: </bold>With both interventions, facilities were able to implement a broad-based intervention that resulted in a significant reduction in ADL decline rates. A facility-wide nursing rehabilitation program can play a useful role in reversing functional decline, helping residents to maintain their involvement in a broad spectrum of ADL activities.
- Publication
Journals of Gerontology Series A: Biological Sciences & Medical Sciences, 1999, Vol 54, Issue 10, pM494
- ISSN
1079-5006
- Publication type
journal article
- DOI
10.1093/gerona/54.10.m494