University of San Francisco
A Clinical Nurse Leader Initiative: Promoting Mobility Among Long-Term Care Facility Residents
Abstract
dc:description.abstract<p>Maintenance of mobility during hospitalization or stay in long-term care facility result in improved patient outcomes including but not limited to decreased incidence of falls, non-pharmacological pain intervention, and prevention of further functional decline. In a 45-bed rehabilitation unit of a Veterans Affairs (VA) health care facility, a clinical nurse leader (CNL) initiative was done to promote mobility among the patients to mitigate functional decline. The patients, also referred to as clients or residents in long-term care facilities, were aged between 20s and 90s. The resident population consisted of patients admitted for physical rehabilitation after a stroke or surgical procedure, deconditioning, respite care, skilled nursing or wound care, and younger veterans admitted for neurocognitive rehabilitation for post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI). The CNL project consisted of process improvement and improvement of access to mobility activities through the adaption of poster-guided exercise par course. The interventions resulted to an increase in the number of residents participating in mobility/exercise activities from 76% (n=34) to 84% (n=37) of the unit population. Nursing plays a major role in patient mobility maintenance starting with mobility assessment during admission, up to the implementation of the interventions, and until discharge.</p> <p><em>Keywords: </em>nursing, mobility, exercise, poster-guided, par course, long-term care</p>
Degree
thesis:*- Name thesis:degree_name
- Master of Science in Nursing (MSN)
- Level thesis:degree_level
- Project/Capstone - Global access
- Year dc:date.available
- 2017
Author and committee
dc:creator, dc:contributor.*- Author dc:creator
-
- Reamico, Ulyses
Subjects
dc:subject × 8Identifiers
dc:identifier.*- Repository record dc:identifier
- https://repository.usfca.edu/capstone/621
- OAI identifier oai:identifier
- oai:repository.usfca.edu:capstone-1652