Implementation of functional assessment scales in geriatric practice: a feasibility study.
OBJECTIVE
A study was undertaken to evaluate the feasibility of functional assessment scales regarding completion rate and ability to document functional changes in geriatric rehabilitation patients.


METHODS
Five functional assessment scales were implemented, and used on admission and discharge as part of standard care.


RESULTS
Of 2,812 patients, 90 patients (3.2%) had no scales administered, 2,330 patients (82.9%) had between one and six scales administered and 392 (13.9%) had a complete data set (seven scales). The percentage of inpatients who were independent or almost independent in basic ADL functions improved from 30% to 60% during hospitalization; 53% had cognitive impairment, while 19% expressed depressive thoughts or depression on admission.


CONCLUSIONS
Functional assessment scales were feasible in the clinical routine, gave important information on patients' functional status at baseline, and showed that patients improved their physical function considerably during hospitalization. Interdisciplinary teamwork and management affect the success of the implementation of assessment scales.
Poulsen
Ingrid
I
Department of Geriatric Medicine, Copenhagen University Hospital, Bispebjerg, Denmark. ingrid.poulsen@omv.lu.se
Hesselbo
Bjørn
B
Pietersen
Inge
I
Schroll
Marianne
M
D000368:Aged / Q000502:physiology / Q000523:psychology; D000369:Aged, 80 and over / Q000502:physiology / Q000523:psychology; D003071:Cognition; D003718:Denmark; D005260:Female; D015577:Geriatric Assessment / Q000379:methods; D005852:Geriatric Psychiatry; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D010348:Patient Care Team; D010351:Patient Discharge