Article type
Abstract
"Backgrounds
Frailty is common and associated with increased risks of hospitalization, functional decline, moves to long-term care, and death. Frailty is caused by several factors whose main aspect is the progressive reduction of muscular strength and body-weight. Therefore, the strategies to stabilize the system and control frailty are promoting physical activity, monitoring diet and body-weight, and activating adequate social paths. The objective of this evidence based implementation project was to promote evidence based practice in health promotion in community-dwelling older people with frailty.
Methods
The health promotion module was including four parts: screening, Tai Chi, nutrition and board game. A clinical audit was undertaken using the JBI-PACE System tool, based on 14 audit criteria that represented best practice recommendations for “Management of Frailty in Older People” and “Nutrition screen in community”; 7 audit criteria that represented evidence summary; 2 audit criteria that represented 2 RCTs related board game. A baseline audit was performed, followed by the implementation throughout a 12-week period. A follow-up audit was undertaken after this to assess changes in practice.
Results
The results indicated compliance with clinical guideline recommendations improved considerably. In addition, the indicator of the project shows that the elderly have significant differences in body-weight.
Conclusions
The implementation project was successful in improving body weight in community-dwelling elderly. A health promotion module, such as screening of frailty and nutrition, taking exercise and social activities, can help to reduce the severity of frailty in community-dwelling older people, also can facilitate implementation of evidence based procedures in clinical practice.
Keywords: health promotion, frailty, community-dwelling"
Frailty is common and associated with increased risks of hospitalization, functional decline, moves to long-term care, and death. Frailty is caused by several factors whose main aspect is the progressive reduction of muscular strength and body-weight. Therefore, the strategies to stabilize the system and control frailty are promoting physical activity, monitoring diet and body-weight, and activating adequate social paths. The objective of this evidence based implementation project was to promote evidence based practice in health promotion in community-dwelling older people with frailty.
Methods
The health promotion module was including four parts: screening, Tai Chi, nutrition and board game. A clinical audit was undertaken using the JBI-PACE System tool, based on 14 audit criteria that represented best practice recommendations for “Management of Frailty in Older People” and “Nutrition screen in community”; 7 audit criteria that represented evidence summary; 2 audit criteria that represented 2 RCTs related board game. A baseline audit was performed, followed by the implementation throughout a 12-week period. A follow-up audit was undertaken after this to assess changes in practice.
Results
The results indicated compliance with clinical guideline recommendations improved considerably. In addition, the indicator of the project shows that the elderly have significant differences in body-weight.
Conclusions
The implementation project was successful in improving body weight in community-dwelling elderly. A health promotion module, such as screening of frailty and nutrition, taking exercise and social activities, can help to reduce the severity of frailty in community-dwelling older people, also can facilitate implementation of evidence based procedures in clinical practice.
Keywords: health promotion, frailty, community-dwelling"