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Implementation of functional assessment scales in geriatric practice: A feasibility study

Department of Geriatric Medicine, Copenhagen University Hospital, Denmark, ingrid.poulsen{at}omv.lu.se, Department of Nursing, Lund University, Sweden

Bjørn Hesselbo

Department of Geriatric Medicine, Copenhagen University Hospital, Denmark

Inge Pietersen

Department of Geriatric Medicine, Copenhagen University Hospital, Denmark

Marianne Schroll

Department of Geriatric Medicine, Copenhagen University Hospital, Denmark

Aim: 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. Conclusion: 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.

Key Words: Comprehensive geriatric assessment • disability • functional assessment scales • interdisciplinary health team

Scandinavian Journal of Public Health, Vol. 33, No. 4, 292-299 (2005)
DOI: 10.1080/14034940510005806


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