Answer Happy

Promoting Mobility in Oncology Patients Using Goal-Directed Care d
Objectives • To evaluate the use of the Johns Hopkins-Highest Level of Mobility (JH-HLM) scale by tracking goal attainment, differences in mobility scores between admission and discharge, and average score by discharge disposition • Determine the impact on quality such as length of stay (LOS) and discharge to home • Evaluate nurse perception of the scale through a knowledge and attitudes survey Jefferson Health O SVE. DIC.COM Introduction • JH-HLM scale implemented throughout Enterprise in February 2019 • A retrospective program evaluation of the implementation of the JH-HLM scale on an inpatient oncology unit • Activity Measure for Post Acute Care (AMPAC) scale and JH-HLM • JH-HLM scale drives mobility, is standardized, and assists in mobility goal setting with patients (Hoyer et al., 2016).
Clinical Question • Will the implementation of the JH-HLM scale promote early mobility and improve patient outcomes in the oncology population? AM PAC MOBILITY SCORE 16-17 18-21 22:23 JOHNS HOPKINS HIGHEST LEVEL OF MOBILITY SCORE (HAM) +8 WALK 250 FEET OR MORE 7 WALK 25 FEET OR MORE 16 WALK 10 STEPS OR MORE 5 STANDING (1 OR MORE MINUTES) 4 MOVE TO CHAIR/COMMODE 213 SIT AT EDGE OF BED 5 BED ACTIVITIES/DEPENDENT TRANSFER 1312 1 LYING IN BED Jefferson Health Background and Significance Barriers to immobility Nurses assessed mobility once per shift and relied on physical therapy Preventable pared completo de writy includerer well. pomorand thromboembo (Pedere, 2016 Benefits of being physically active as an Oncology patient Benefits of my mobilization with goal directed mobility Mobility tools that we and gestalt to safely promote mobility increases muried patient motions. Jones Earty mobilization decreases length of stay reduces risk for complications, and increases patient dhcharge to home Dewitd #.2019 Will this also benefit oncology patients? Jefferson Health
Methodology Jefferson Health CCCB Results-Patient Outcomes Preimplementation Postimplementation • LOS increased in post LOS Mean LOS Mean implementation period Le Patients 535504916) 6.40 (505.801) • Discharge Disposition Other Oncology 8.08 (SD = 8.836) 8.08 (SD = 7.623) Patients • More oncology patients discharged Medical Patients 6.41 (SD 4.064) 7.37 (SD = 3.075) home than the expected count in post implementation period, opposite for medical patients Oncology disposition Crosstabulation AMPAC Dischar Discharge to • In post implementation period go to Rehabil more oncology patients Home tation Total Oncology Oncology Count 204 7 211 maintained or exceeded their Patients Expected 1902 20.8 2110 AMPAC score and less patients lost Count Adjusted mobility, not same for medical Residual patients Medical Count 189 38 225 Patients Expected 2028 222 2250 . Majority of patients both Count medical and oncology did not Adjusted Residual achieve their JH-HLM goal 393 Expected 3930 43.0 4380 Count Jefferson Health Count 43 436
hello can someone answer this question according to the topic I have included answering first question. can you please add more details about it, i have included few sentences in both answers but i need more detail answer. thank you Poster Presentation Directions: Please view a research poster and listen to this poster presentation. Use the information from class and your online classes to construct a thoughtful response to cach question. Each response should have a minimum of 5 sentences. Question 1: What is the topic of this poster? Why is this topic important to nursing? Topic is : Promoting Mobility in Oncology Patients Using Goal-Directed care. I chose to write on this topic because it's a really important topic to me to discuss the importance of mobility in patients because it lowers the chance of having physical side effects, such as fatigue, neuropathy, osteoporosis, and nausea. It can also reduce the risk of depression and anxiety Keep you as mobile and independent as possible Question 2: Is this poster research based? Why or why not? Yes, this topic is research-based and was a quantitative study since there were (n-92) oncology patients involved and the survey was distributed to (nu52) which was completed by 9 nurses. The research was done to promote mobility and Improve the quality of oncology patients' life.