TY - JOUR
T1 - Sit-stand powered mechanical lifts in long-term care and resident quality indicators
AU - Gucer, Patricia W.
AU - Gaitens, Joanna
AU - Oliver, Marc
AU - Mcdiarmid, Melissa A.
PY - 2013/1
Y1 - 2013/1
N2 - OBJECTIVE:: To determine associations between long-term care powered mechanical lift (PML) availability and mobility-related resident outcomes. METHODS:: Long-term care directors of nursing (N = 271) nationwide gave facility information on the PML availability and the lifting policy to which we linked data on mobility-related resident outcomes from the Centers for Medicare & Medicaid Services Minimum Data Set Quality Indicators. RESULTS:: Four of six Centers for Medicare & Medicaid Services-derived resident indicators improved with the PML number but were maximal for the sit-stand lift use. In facilities with the fewest lifts, 16% of residents had pressure ulcers and 4% were bedfast. In facilities with the maximum number of lifts, only 10% had pressure ulcers (P = 0.000) and 2% were bedfast (P = 0.002). Although falls were more frequent with more lift use, this risk was blunted by a comprehensive safe lift program. CONCLUSION:: The PML availability is associated with benefits to resident outcomes, and accompanying risks are mitigated by safe lift policies.
AB - OBJECTIVE:: To determine associations between long-term care powered mechanical lift (PML) availability and mobility-related resident outcomes. METHODS:: Long-term care directors of nursing (N = 271) nationwide gave facility information on the PML availability and the lifting policy to which we linked data on mobility-related resident outcomes from the Centers for Medicare & Medicaid Services Minimum Data Set Quality Indicators. RESULTS:: Four of six Centers for Medicare & Medicaid Services-derived resident indicators improved with the PML number but were maximal for the sit-stand lift use. In facilities with the fewest lifts, 16% of residents had pressure ulcers and 4% were bedfast. In facilities with the maximum number of lifts, only 10% had pressure ulcers (P = 0.000) and 2% were bedfast (P = 0.002). Although falls were more frequent with more lift use, this risk was blunted by a comprehensive safe lift program. CONCLUSION:: The PML availability is associated with benefits to resident outcomes, and accompanying risks are mitigated by safe lift policies.
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U2 - 10.1097/JOM.0b013e3182749c35
DO - 10.1097/JOM.0b013e3182749c35
M3 - Article
C2 - 23138044
AN - SCOPUS:84873095064
SN - 1076-2752
VL - 55
SP - 36
EP - 44
JO - Journal of Occupational and Environmental Medicine
JF - Journal of Occupational and Environmental Medicine
IS - 1
ER -