@HopkinsAMP Looking forwards to another great mobility conference—practical tips to inspire us all!
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Alison Mudge
161 posts
Alison Mudge
@AlisonMudge
Physician, researcher, mum, grandma, dessert queen, cat lover. Passion is improving care for older inpatients. Blessed to lead the amazing Eat Walk Engage team
Brisbane, Queensland เข้าร่วม Haziran 2017
191 กำลังติดตาม434 ผู้ติดตาม
We can help you spearhead a #patientmobility program in your hospital. Register for the 7th Annual Hospital Activity and Mobility Conference through 2/29 with our early bird rates! Use code Holiday24_AMP for 25% off registration. bit.ly/49WF6dm
GIF
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Thanks #ASPA2023 for the opportunity to showcase our evolving @EatWalkEngage program in our mission to reduce hospital associated functional decline and delirium
A/Prof Christina Ekegren@C_Ekegren
And finally, inspiring presentation from @AlisonMudge on the evolution of Eat Walk Engage for hospitalised older adults, showing that passion and perseverance pay off! @ASPActivity #ASPA2023 @RAILMonash @PhysiosforPA
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What is the ‘secret sauce’ of our successful @EatWalkEngage program? Our new paper with @GillHar26 describes facilitators and their learning journey #citeas" target="_blank" rel="nofollow noopener">link.springer.com/article/10.118…
And we’ve been getting the learnings straight into practice, training 78 new facilitators since 2019!
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So little evidence for strategies to reduce falls in hospital but evidence that it harms both staff and patients, and wastes scarce resources. Let’s shift the conversation from falls to function
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Alison Mudge รีทวีตแล้ว
Many US Hospitals use bed alarms. But there is no evidence they prevent falls. Zero. None. But they do succeed in keeping patients immobile and increase the risk for hospital acquired disability.
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Julie Adsett presenting our umbrella review on ward based mobility interventions for medical inpatients. Interventions need to be multi component, multidisciplinary, goal focussed and target those with assistance needs #AAGConf23
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Do inpatients achieve their mobility capability? Sally Yin describes the capability-performance gap in our medical inpatients. Interesting how many exceeded their nurse assessed capability—suggesting we are systematically underestimating mobility capability
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Emily Harvey presents the complexity of mobility communication in hospital wards. How can we support mobility if nurses and physios use different places, language and mobility domains?#AAGConf23
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With Prue McRae @EatWalkEngage presenting a summary of local mobility barriers in our health service to inform our Mobility Improvement Collaborative #AAGConf23 —staff expectations, roles, team communication, environment, policy and perceived risk
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Hospital mealtimes offer an opportunity to deliver care that matters but the many players and complex environment caution against ‘quick fixes’. I love working with this team on research that keeps peeling down the layers
Angela Byrnes@AngelaByrnesAPD
Patient-centred approaches to measuring and improving mealtimes for older adults in hospital. Improvements in mealtime care possible but need multi-level, multi-component interventions tailored to local contexts @dr_am_young #NutrResCollab #malnutritionweekanz
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Incontinence is a poorly recognised but deeply feared complication of hospitalisation in older people. Our research academic.oup.com/ageing/article… shows almost half of older people experience incontinence before, during or after their hospital stay @Age_and_Ageing @EatWalkEngage
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Thanks to John’s Hopkins AMP program for helping us share our @EatWalkEngage program now delivered across Queensland to improve care for older people and prevent delirium
Johns Hopkins Activity & Mobility Promotion (AMP)@HopkinsAMP
In this recorded webinar, Prue McRae and Alison Mudge discuss how the #EatWalkEngage program can improve #agefriendly hospital care and transform #patientcare and outcomes. bit.ly/3rsR9h8 #healthyagingmonth
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@Hassanah2017 @AcademyHealth @ImpSciUW @ImplementSci @KPWaResearch @kramiah @harborviewmc @AgingInitiative Great to see these abstracts in print and the chance to share our implementation program @EatWalkEngage that is reducing delirium throughout Queensland—and about to start our national expansion! Our implementation trial paper here bmchealthservres.biomedcentral.com/articles/10.11…
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I found the #EatWalkEngage implementation of interest, as an effective way for healthcare settings to address delirium @AcademyHealth @ImpSciUW @ImplementSci @KPWaResearch @kramiah @harborviewmc @AgingInitiative journals.sagepub.com/doi/10.1177/10…
Mitchell Sarkies@MitchellSarkies
🎉#ISHCA proceedings have been published in @ImplementSci Big thanks to @SHPartners @MBG_SPHERE @HossaiGul for making this event come to life, and @nicole_rankin8n for your leadership #ISHCA23 #ImpSci #ImplementationScience #ImpSciSHP Open access here 👇 …plementationscience.biomedcentral.com/articles/10.11…
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Insightful research highlighting challenges delivering one of the fundamentals of patient care. We must strive for interprofessional care which needs reflection, role clarification, ways to flatten hierarchies —requires curiosity, time and leadership @EatWalkEngage
Hannah Olufson@HannahOlufson
Excited to share our new publication from my PhD research "Opportunity, hierarchy, and awareness: an ethnographic exploration across rehabilitation units of interprofessional practice in nutrition and mealtime care" @ellaottrey @dr_am_young @TheresaNurs tandfonline.com/doi/full/10.10…
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Alison Mudge รีทวีตแล้ว
Fit or frail, being married/partnered reduces patients' risk of discharge to a nursing home. Fit or frail, changed/responsive behaviours (BPSD) increases their risk.
Factors assoc with entry to RAC in frail older inpatients.
doi.org/10.1111/ajag.1…
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@A_MacLullich @emmavardy2 Almost half of older inpatients experienced one or more of these complications, which are strongly influenced by our care processes and environment. Getting fundamental care right has never been so important @EatWalkEngage @sharon_inouye
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Older people in hospital are vulnerable.
This study looked at rates of: #delirium, falls, functional decline, new incontinence.
These complications strongly associated with with poor outcomes.
ncbi.nlm.nih.gov/pubmed/30423197
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Alison Mudge รีทวีตแล้ว
Strength training treats sarcopenia better than any drug we have. 💪 Yet few doctors prescribe it. 🩺 Let's integrate evidence-based exercise into care for older adults! 👵👴 #ClosingCareGaps
link.springer.com/article/10.100…
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Alison Mudge รีทวีตแล้ว
Older adults deserve the benefits of exercise medicine. Let's update practices to reflect the research! 👵👴💪
Please retweet if you agree doctors should value exercise more. 🏥🩺 #ExerciseRx
Expert consensus guidelines show exercise is safe & effective for older adults. Let's get moving! 🚶♀️🚴♂️ #ExerciseIsMedicine
Free download here:📲📲📲📲📲📲
link.springer.com/article/10.100…
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@Jessica05338329 Physical environment is important. We must advocate with health system designers and managers and we have seen good examples in Qld and beyond. But it must also be supported by a strong sociocultural environment to provide the permission &help our pts need to use it well
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Hospital environments don't support individuals capabilities. Environments need to be 'enabling'. Spaces to walk to, eat, socialise, perform normal daily living activities like preparing food and drink. I wonder if there are good examples anywhere? Would love to know ♥️
Alison Mudge@AlisonMudge
Why don't patients mobilise more in hospital, and how can we help? Patients KNOW mobility is important but meet so many physical and cultural barriers--learn more in our new paper interviewing 200 patients academic.oup.com/ageing/article…
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@DianeCEWalker @EatWalkEngage @AngelaByrnesAPD @Age_and_Ageing Thanks Diane, it’s an open access article so the figure is free to share as long as you please cite the publication
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@AlisonMudge @EatWalkEngage @AngelaByrnesAPD @Age_and_Ageing Love this diagram , can we chat about whether it can be shared ?
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Why don't patients mobilise more in hospital, and how can we help? Patients KNOW mobility is important but meet so many physical and cultural barriers--learn more in our new paper interviewing 200 patients academic.oup.com/ageing/article…
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