Classificação da mobilidade.pdf

MEDSURG NURSING
CE Objectives and Evaluation Form appear on page 164.

Admission and Discharge
Mobility of Frail Hospitalized
Older Adults
Bonnie L. Callen
Jane E. Mahoney
Functional decline during hospitaiization is an important clinical problem with potential longlasting undesirable outcomes in frail elders. However, little is known about the change in mobility during hospitaiization and the association with discharge .status.
A Mobility Classification Tool has been developed that categorizes progression of patients' in-hospital mobility using a 5-point scale. The validity and clinical usefulness of this tool was evaluated in a sample of 60 frail older adults hospitalized for medical illness. The tool allows nurses to assess, quantify, and communicate mobility levels and changes in mobility more accurately.

Thelma J. Wells
Myra Enloe

Susan Hughes

mmobility is a common occurrence among hospitalized elders and may contribute to multiple, long-lasting adverse physiologic and functional outcomes. Functional decline during hospitaiization is an important clinical problem with potential long-lasting undesirable outcomes, but little is known about the change in mobility during hospitaiization and the association with the elder's discharge status.
Furthermore, changes in mobility are difficult to quantify and com-

municate due to limited mobility language in nursing practice. When mobility is conceptualized as a continuum progressing from bedbound to independent walking, a single scale could contribute to more precise documentation of changes in mobility. Thus, changes in mobility and outcomes of these changes could be monitored and evaluated. I

Background
Bed rest in young healthy

Myra Enloe, MS, RN, is Patient Safety Officer, University of Wisconsin Hospital,
Madison. WI.
Sus£ui Hnghes, MS, RN, is a Senior Research Specialist, University of WisconsinMadison, School of Nursing, Madison, WI.
Funding: This