Domain | Outcome (n = 10 participants) | Number of participants assessed at admission/discharge (%) | Duration taken to complete measure (mins) (mean ± SD) | Evaluation comments from staff |
---|---|---|---|---|
Physical | 10m Walk Test | 9 (90%) / 9 (90%) | 2.4 ± 0.53 | - Minimal equipment required - Useful for quickly identifying gait impairments for further assessment and care planning - Walking speed score helpful for comparing with normative values for other functional correlates - Test condition of self-paced walking speed can be conducted relatively easily in patients with moderate to severe cognitive impairment as minimal instruction is required - One participant unable to perform 10MWT due to being non-ambulant (at least 3 years) prior to hospital admission |
Modified Barthel Index | 100 (100%) / 100 (100%) | 10.5 ± 1.54 | - Completed by TC nurses at both admission and discharge - Provides useful information regarding personal ADL performance to assist with care planning | |
de Morton Mobility Index | 100 (100%) / 100 (100%) | 14.3 ± 5.35 | - Useful as part of initial and discharge assessment as it comprises of balance, bed mobility and ambulation measures - Useful as provides a comprehensive patient functional mobility profile for nursing and therapy staff management in a short amount of time - Hierarchy of tasks are useful in assisting to set smaller interim goals - Used across health and home care settings thus scores can be compared in longer term evaluation of patient functional mobility - Use will depend on baseline function pre-hospitalisation | |
Timed Up and Go | 9 (90%) / 9 (90%) | 2.53 ± 0.96 | - Easily completed at patient’s bedside - Provides very quick review of gait (walking), balance (turning) and leg strength (sit to stand) - Requires a patient to understand a 5-stage command hence low suitability for moderate cognitive impairment - One participant was unable to perform TUG due to being non-ambulant (at least 3 years) prior to hospital admission | |
Social | Lawton scale | 100 (100%) / 100 (100%) | 5.8 ± 2.17 | - Provides useful information regarding older adults’ IADL performance to assist with planning for community discharge |
EQ-5D-5L | 100 (100%) / 100 (100%) | 3.6 ± 1.12 | - Provides useful information regarding older adults’ self-perceived general health and wellbeing for program engagement | |
Cognitive | Mini Mental State Examination | 100 (100%) / 100 (100%) | 7.9 ± 2.88 | - Easier to administer as it takes less time - Provide useful information on executive function, memory, orientation, language to facilitate communication - Has ceiling effect - Inclusion in assessment depends on type of client - Useful for older adults who are rarely assessed with MMSE |
Montreal Cognitive Assessment | 100 (100%) / 100 (100%) | 30–60 | - Completed by TC occupational therapist - More sensitive in detecting mild cognitive impairment - Requires more time to assess | |
Emotional | Geriatric Depression Scale | 100 (100%) / 100 (100%) | 5.8 ± 3.14 | - Can help screen patients for potential depressive symptoms at discharge that may require referral for services post-TCP discharge - Can make some patients feel slightly uncomfortable on specific questions - Questionnaire a bit long for administration - Less relevant for TCP clients; will not use as part of usual assessment unless indicated |
Patient Health Questionnaire-9 | 100 (100%) / 100 (100%) | 6.4 ± 2.50 | - Provides useful information for patients with potential depressive symptoms - While this measure focused on diagnostic criteria for DSM-IV depressive disorders, it is less repetitive and provoking - Assists clinicians to tailor activities for symptoms such as poor sleep, change in appetite and loneliness - Less relevant for these clients - Some questions appeared to make clients feel uncomfortable Less provoking and more general compared to GDS |