Clinically relevant behaviors in elderly hip fracture inpatients.

Abstract:

OBJECTIVE:To examine the range of behaviors documented by inpatient rehabilitation staff and the association of these behaviors with functional outcome, in elderly persons undergoing rehabilitation after hip fracture. METHOD:Subjects were 137 patients, aged 60 and older, admitted to a rehabilitation hospital after a hip fracture, defined as having either a good or poor rehabilitation outcome based on change in Functional Independence Measure motor subscale scores during the course of their admission. Their charts were systematically reviewed for nursing and therapy staff documentation of behaviors. Prevalence of behaviors was compared between good and poor rehabilitation outcome group. RESULTS:Disturbances in cognition and rehabilitation participation were common and were associated with poorer rehabilitation outcome. Behaviors reflective of depression and anxiety were relatively uncommon and not associated with rehabilitation outcome. CONCLUSION:Rehabilitation staff frequently detect and document disturbances in cognition and participation that are associated with poorer rehabilitation outcome. It is recommended that staff observations be routinely added to mental health evaluations. Additionally, routine mental health screening and required staff documentation of behaviors would improve case detection rate.

journal_name

Int J Psychiatry Med

authors

Dorra HH,Lenze EJ,Kim Y,Mulsant BH,Munin MC,Dew MA,Reynolds CF 3rd

doi

10.2190/6REK-NYYD-MAXF-TD34

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

249-59

issue

3

eissn

0091-2174

issn

1541-3527

journal_volume

32

pub_type

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