Functional Assessment and Intervention by Nursing Assistants in Hospice and Palliative Care Inpatient Care Settings: A Quality Improvement Pilot Study

Functional Assessment and Intervention by Nursing Assistants in Hospice and Palliative Care Inpatient Care Settings A Quality Improvement Pilot Study

This study assessed the impact of a nursing assistant-led functional intervention in an urban hospice. Thirty-three patients participated. A physical therapist trained 4 nursing assistants to assess 4 basic functional activities at admission and discharge and to provide daily activity training to in...

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Bibliographic Details
Published in:American journal of hospice & palliative medicine Vol. 33; no. 2; pp. 136 - 143
Main Authors: Mueller, Karen, Hamilton, Gillian, Rodden, Betheny, DeHeer, Hendrick D.
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-03-2016
Subjects:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Female
Hospices - organization & administration
Humans
Inpatients
Inservice Training
Male
Middle Aged
Nurses' Aides - education
Nurses' Aides - organization & administration
Nursing
Palliative Care - organization & administration
Physical Therapy Modalities - organization & administration
Pilot Projects
Quality Improvement - organization & administration
Quality of Life
United States > US
patient care team
physical therapists
outcomes assessment
hospice and palliative care
nurses
quality improvement
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Summary:This study assessed the impact of a nursing assistant-led functional intervention in an urban hospice. Thirty-three patients participated. A physical therapist trained 4 nursing assistants to assess 4 basic functional activities at admission and discharge and to provide daily activity training to intervention group participants. Control group participants were assessed at admission and discharge and received the usual standard of care. Both groups improved. The intervention group participants demonstrated significant improvement in the Timed up and Go test as well as their self-reported ability to achieve goals on the Patient-Specific Functional Scale. Control group participants made significant improvements in the ability to move from supine to sit in bed. These findings suggest that nursing assistants can provide activity-based assessment and intervention leading to improved function among patients in hospice.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
ISSN:1049-9091
1938-2715
DOI:10.1177/1049909114555397