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Physical Therapy Assessment and Treatment Protocol for Nursing Home Residents

MB O'Neil, PT, M Woodard, PT, V Sosa, PT, and L Hunter, PT, are Physical Therapists, Quality of Life Projects, Audie L Murphy Memorial Veterans Affairs Hospital, 7400 Merton Minter Blvd, San Antonio, TX 78284.
CD Mulrow, MD, is Associate Professor of Medicine, Division of General Medicine, The University of Texas Health Science Center at San Antonio, and Audie L Murphy Memorial Veterans Affairs Hospital.
MB Gerety, MD, is Assistant Professor of Medicine, Division of Geriatrics, The University of Texas Health Science Center at San Antonio, and Audie L Murphy Memorial Veterans Affairs Hospital.
M Tuley, PhD, is Statistician, Division of Geriatrics, Audie L Murphy Memorial Veterans Affairs Hospital.

This article describes a standard protocol for assessing physical function in elderly nursing home residents. Major physical dimensions that are measured with the protocol include range of motion, muscle force, muscle reflex activity, sensation, soft tissue status, balance/coordination, and posture. A practical, functionally prioritized treatment model based on the assessment is also presented. The standardized assessment and treatment plan may be useful to the physical therapist in (1) planning and prioritizing treatment, (2) identifying when goals have been met, (3) recognizing when there is a need for treatment plan modification, and (4) educating physical therapy students in applying problem-solving skills in their treatment sessions.

Key Words: Elderly • Nursing homes • Physical therapy

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