The Nursing Home Life‐Space Diameter

We developed the Nursing Home Life‐Space Diameter (NHLSD) as a measure of the extent and frequency of mobility among skilled nursing facility (SNF) residents. Intrarater and interrater reliability was assessed in a small sample of SNF residents. The means and ranges of NHLSD scores, the characteristics associated with NHLSD score, and the association between NHLSD score and other functional characteristics were then determined among 398 residents of 12 SNFs. NHLSD scores ranged from 0, signifying bed‐ or chair‐bound to 50, signifying leaving the facility daily. The correlation between NHLSD scores by two nurses was 0.951; the correlation between scores at two points of time was 0.922. Mean score among the 398 subjects was 27.05. Decreased vision, presence of a neurologic disease, and arthritis were all associated with lower NHLSD score. Mobility (NHLSD) score was moderately correlated with other functional characteristics such as participation in social activities (Spearman's correlation = +0.565). The NHLSD, which represents a simple and reliable assessment of mobility among SNF residents, could be used to assess the effect of interventions and to monitor changes among SNF residents.

[1]  D B Reuben,et al.  Assessment in Geriatrics , 1989, Journal of the American Geriatrics Society.

[2]  Karla Damus,et al.  Risk Factors Associated with Immobility , 1988, Journal of the American Geriatrics Society.

[3]  K. Morgan,et al.  Levels of customary physical activity among the old and the very old living at home. , 1988, Journal of epidemiology and community health.

[4]  S. Ogston,et al.  Dementia and immobility. , 1987, Age and ageing.

[5]  L. G. Pawlson,et al.  Wheelchair Use by Ambulatory Nursing Home Residents , 1986, Journal of the American Geriatrics Society.

[6]  U S Nayak,et al.  Balance in elderly patients: the "get-up and go" test. , 1986, Archives of physical medicine and rehabilitation.

[7]  M. Tinetti.  Performance‐Oriented Assessment of Mobility Problems in Elderly Patients , 1986, Journal of the American Geriatrics Society.

[8]  U S Nayak,et al.  The life-space diary: a measure of mobility in old people at home. , 1985, International rehabilitation medicine.

[9]  O. Edholm,et al.  Studies of gait and mobility in the elderly. , 1981, Age and ageing.

[10]  Mahoney Fi,et al.  FUNCTIONAL EVALUATION: THE BARTHEL INDEX. , 1965 .

[11]  F. I. Mahonery.  Functional evaluation : Barthel index , 1965 .

[12]  S. Katz,et al.  STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. , 1963, JAMA.