Moving and doing in an acute geriatric ward: the potential for a Mobility Team to improve occupational performance and patient autonomy

Pozzi, Christian and Staglianò, Andrea and Pallotta, Valeria and Pintonello, Daniela and Sidoli, Chiara and Corna, Laurie and Cavalli, Stefano and Bellelli, Giuseppe (2022) Moving and doing in an acute geriatric ward: the potential for a Mobility Team to improve occupational performance and patient autonomy. In: Oral communication world federation occupational therapy, Parigi, Francia - Webinar. (Unpublished)

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Abstract

Introduction: Admission to acute geriatric wards can lead to complications that are not associated with the reason for hospitalization and that can delay hospital discharge. The introduction of a Mobility Team (MT), including a physiotherapist and an occupational therapist specialized in geriatrics, has the potential to mitigate the problems associated with acute hospital admission Objectives: To assess whether the integration of a MT into the existing multidisciplinary team on an acute geriatrics ward can improve the occupational performance and the autonomy of patients in basic and instrumental activities of daily living Method: The MT is activated soon on admission for all patients who are clinically stable (i.e., scoring < 4 at the National Early Warning Score 2) and without end-of-life problems (i.e., scoring Clinical Frailty Scale < 7). The initial assessment includes the Cumulated Ambulation Score, the Katz ADL scale, the Trunk Control Test and the Tinetti scale. Bespoke treatment includes occupational therapy and physiotherapy with provide standardised initial interviews on occupational history, techniques of mobilization and adaptation of the physical and social environment. The same assessment is obtained at discharge to evaluate functional improvements Results: Data collection is ongoing, and analysis is in progress. From this real-world study we may have important data on the need for occupational therapists in all acute geriatric wards Conclusion: The study will hopefully demonstrate that the implementation of the MT within the interdisciplinary team of an acute geriatric ward has the potential to mitigate the complications associated with the hospitalization in this population

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