Rumi S Bhattacharjee, Riya J Shah, Nitin S Raithatha, Mamta R Patel
Pre-term labour: A study on evaluation of causes and outcome
Journal of family medicine and primary care
despite importance clinical care outcomes among older adults functional statusthe ability perform basic activities daily living adls instrumental adls iadlsis seldom routinely measured primary care settings objective study pilot test personcentered interprofessional intervention improve identification management functional impairment among older adults veterans affairs va primary care practices fourcomponent intervention included 1 interprofessional educational session 2 routine standardized functional status measurement among patients aged 75 3 annual screening nurses using standardized instrument followup assessment primary care providers 4 electronic tools templates facilitate increased identification improved management functional impairment surveys semistructured interviews electronic health record data used measure implementation outcomes appropriateness acceptability satisfaction feasibility fidelity adoptionreach sustainability analyzed qualitative interviews using rapid qualitative analysis study period 959 eligible patients screened 100 reach 73 n 58 reported difficulty needing help 1 adl 118 n 113 reported difficulty needing help 1 iadl chart review among subset 50 patients functional impairment 78 percent clinician notes visit screening completed content related function 48 patients referrals ordered address impairments eg physical therapy within 1 week clinicians highly rated quality educational session reported increased ability measure communicate function clinicians patients reported intervention appropriate acceptable feasible complete even covid pandemic findings suggest intervention promising approach improve identification management functional impairment older patients primary care broader implementation evaluation intervention currently underway