Many Paths to Recovery: Comparing Basic Function and Participation in High-Functioning Older Adults After Acute Hospitalization

Maya Arieli, Rachel Kizony, Efrat Gil, Maayan Agmon

Research output: Contribution to journalArticlepeer-review

Abstract

Function after acute hospitalization is mostly operationalized by Basic Activities of Daily Living (BADL), a limited concept that overshadows a wide range of instrumental, social, and recreational activities, otherwise referred to as participation. Participation is important for patients’ health and quality of life after hospitalization. This study focuses on high-functioning older adults, examining functional recovery after hospitalization by comparing BADL assessment with assessment of participation at one and three months following discharge relative to pre-hospitalization. Quantitative data were collected from 72 participants divided into two age groups of hospitalized older adults (age 65–74, n = 38; age ≥75, n = 34), followed by home visits after 1 month and telephone interviews 3 months after discharge. Both groups experienced a significantly greater decline in participation, compared with BADL, which were mostly preserved. A comprehensive assessment of participation better captures functional changes in high-functioning older adults. Early identification of participation withdrawal is crucial for preventing disability.

Original languageEnglish
Pages (from-to)1896-1904
Number of pages9
JournalJournal of Applied Gerontology
Volume41
Issue number8
DOIs
StatePublished - Aug 2022

Bibliographical note

Publisher Copyright:
© The Author(s) 2022.

Keywords

  • active aging
  • acute illness
  • functional decline
  • high-functioning older adults
  • meaningful activities
  • participation

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology

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