AOTA

Authors:

Annette Lavezza, OTR/L, is Director, Inpatient Rehabilitation Therapy Services, Johns Hopkins Hospital, Baltimore, MD, and Assistant Professor, Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.

Erik Hoyer, MD, is Associate Professor, Department of Physical Medicine and Rehabilitation and Division of General Internal Medicine, Johns Hopkins University, Baltimore, MD.

Lisa Aronson Friedman, ScM, is Senior Biostatistician, Division of Pulmonary and Critical Care Medicine, Outcomes After Critical Illness and Surgery (OACIS) Research Group, School of Medicine, Johns Hopkins University, Baltimore, MD.

Kelly N. Daley, PT, MBA, is Director, Clinical Informatics, Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, MD, and Assistant Professor, Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.

Amber Steele, PT, DPT, CSCS, is Physical Therapist, Department of Physical Therapy, University of Nevada, Las Vegas.

Stephanie Rosen, PT, DPT, is Physical Therapist, Department of Physical Therapy, University of Nevada, Las Vegas.

Daniel Young, PT, DPT, PhD, is Associate Professor, School of Integrated Health Sciences—Physical Therapy, University of Nevada, Las Vegas, and Adjunct Associate Professor, Department of Physical Medicine and Rehabilitation and Outcomes After Critical Illness and Surgery (OACIS) Research Group, School of Medicine, Johns Hopkins University, Baltimore, MD.

CE Credit:  .1 AOTA CEUs (1 contact hour/1.25 NBCOT PDUs)

Importance: Assessing patients’ activities of daily living (ADLs) function early in hospitalization may help identify patients at risk for poor outcomes.

Objective: To investigate the association between patients’ ADL function at hospital admission and length of stay, inpatient falls, hospital-acquired pressure injuries, and discharge disposition.

Following this course, the learner will be able to:

1. Identify the characteristics of the AM-PAC IASF.
2. Describe the association between ADL function and patient outcomes. 
3. Explain the effects of the study on occupational therapy practice.

What This Article Adds: Early assessment of ADL function in routine care of hospitalized patients may aid in treatment and care plan decisions, particularly for inpatients who may be at higher risk for adverse outcomes.