Previously, health care focused on the preventing and treating diseases. However, the older population needs are not limited to maintaining good physical and mental health but also include the promotion of independence and society participation (Hoogerduijn, Grobbee, & Schuurmans, 2014). “Ageing comprise of decline in muscle strength and aerobic capacity, diminished pulmonary ventilation, and a diminished quality of senses and skin integrity. These changes increase the susceptibility to illnesses and hospitalization and could initiate a cascade of events and complications that could finally result in a diminished quality of life and increased dependency (Hoogerduijn et al., 2014). 30–60% of the older hospitalized patients experienced functional
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The study comprised of 50 adult 60 years and older admitted with medical diagnoses without physical impairment that would significantly limit ability to mobilize. The study suggested that early and ongoing ambulation in the hallway may be an important contributor to maintaining functional status during hospitalization and to shortening LOS. Additionally, ambulation should be viewed as a priority and as a vital component of quality nursing care (Padula et al., …show more content…
The patient care assistant (PCA) had provide a urinal for the patient. Each time I made rounds, I offered to walk the patient to the bathroom instead of using the urinal. In addition, we encouraged the patient to participate in changing his position instead of lying still, while the staff turn him in bed. The patient’s daughter informed us that he was able to feed himself however, he prefer not to. During meals, the patient was also encourage to try feeding himself and the PCA will help if he struggles. The patient was able to complete his meals with minimum assistance. “Functional –focused care (FFC) is a philosophy of care in which nursing staff members help patient engage in care activities versus simply performing the tasks for the patient or limiting the amount of activity the patients perform. Nursing care practices that acknowledge the older person’s capabilities and potential while promoting physical activity and self-care may prevent avoidable functional decline (Boltz et al.,
The study comprised of 50 adult 60 years and older admitted with medical diagnoses without physical impairment that would significantly limit ability to mobilize. The study suggested that early and ongoing ambulation in the hallway may be an important contributor to maintaining functional status during hospitalization and to shortening LOS. Additionally, ambulation should be viewed as a priority and as a vital component of quality nursing care (Padula et al., …show more content…
The patient care assistant (PCA) had provide a urinal for the patient. Each time I made rounds, I offered to walk the patient to the bathroom instead of using the urinal. In addition, we encouraged the patient to participate in changing his position instead of lying still, while the staff turn him in bed. The patient’s daughter informed us that he was able to feed himself however, he prefer not to. During meals, the patient was also encourage to try feeding himself and the PCA will help if he struggles. The patient was able to complete his meals with minimum assistance. “Functional –focused care (FFC) is a philosophy of care in which nursing staff members help patient engage in care activities versus simply performing the tasks for the patient or limiting the amount of activity the patients perform. Nursing care practices that acknowledge the older person’s capabilities and potential while promoting physical activity and self-care may prevent avoidable functional decline (Boltz et al.,