title: Predicting posthospital recovery of physical function among older adults after lower extremity surgery in a short-stay skilled nursing facility.
abstract: This study describes the posthospital recovery of physical function among 131 older adults after lower extremity surgery in a short-stay skilled nursing facility (SNF), and identifies admission factors predicting physical function at discharge. Multiple regression analyses found that older adults with low baseline physical function, pressure ulcer, malnutrition, memory loss upon admission, and not enough physical therapy had poor physical function at the time of discharge from the facility. This study generated the following recommendations for nurses working in short-stay SNFs: (1) screen all posthospital residents at admission with predictors to identify people at risk for physical functional decline, (2) design and implement targeted nursing and rehabilitation interventions to improve physical function, and (3) develop discharge plans that provide ongoing monitoring and interventions for community or nursing home nurses.
authors.affiliation: Kyung Hee University, Seoul, South Korea. leejia@khu.ac.kr
authors.forename: Jia
authors.initials: J
authors.lastname: Lee
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Higgins
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000601:surgery*; D008297:Male; D051346:Mobility Limitation; D015999:Multivariate Analysis; D010351:Patient Discharge; D011379:Prognosis; D020127:Recovery of Function; D012044:Regression Analysis; D012189:Retrospective Studies; D012307:Risk Factors; D012866:Skilled Nursing Facilities; D013514:Surgical Procedures, Operative / Q000534:rehabilitation*