Thanks #ASPA2023 for the opportunity to showcase our evolving @EatWalkEngage program in our mission to reduce hospital associated functional decline and delirium

What is the ‘secret sauce’ of our successful @EatWalkEngage program? Our new paper with Gill Harvey describes facilitators and their learning journey link.springer.com/article/10.118…
And we’ve been getting the learnings straight into practice, training 78 new facilitators since 2019!

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

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.

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

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

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

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

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

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

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

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

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…

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…

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…

Alison Mudge Emma Vardy @EatWalkEngage Angela Byrnes Age_and_Ageing I'll never forget being on an elderly care ward during a CQC visit.
Every single patient was sat around a table in the middle of the bay for lunch. Chatting away, all so happy. They looked exponentially better.
Never happened again. Staff spend so much time firefighting normally

More evidence that frailty is not synonymous with old age! In this study, 27% of 18-49 year-olds were frail and at risk of prolonged hospitalisation!

Frailty in Younger Adults in Hospital academic.oup.com/qjmed/article/…

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…

Our ongoing experience spreading and sustaining @EatWalkEngage across Qld really brings this research finding home-changing facilitators, champions and leaders as well as context means continued investment in expert facilitators, monitoring &leadership essential to sustain gains