The functional autonomy measurement system (SMAF)): A measure of functional change with rehabilitation.
Source: Archives of Gerontology and Geriatrics 22(1):81-85.
Abstract: The Functional Autonomy Measurement System (SMAF) is an instrument that measures the needs of the elderly and the handicapped as well as shows the progress made during rehabilitation. It was observed from the total of 94 patients admitted and discharged from a 22 bed acute/rehabilitation ward for the elderly, that most of them (78) were discharged home or to their original accommodation, another small number (9) were transferred to continued care ward or a nursing home and a few of them (7) died in the hospital. Significant improvement was noted in the 78 patients who were discharged back to their original accommodation as demonstrated by the mean total score (admission vs. discharge: 18.06 vs. 9.18, P < 0.0001) as well as the score for subsections of Activities of Daily Living (ADL) (admission vs. discharge: 15.69 vs. 8.15, P < 0.0001), communication (admission vs. discharge: 1.01 vs. 0.5, P < 0.0001) and Mental Function (admission vs. discharge: 1.29 vs. 0.64, P < 0.0001). No change was noted in the mean scores with treatment of the patients who died or required placement into a continuing care bed or nursing home. Additionally, it was also observed that negligible modifications to SMAF did not significantly affect the instrument. This was demonstrated by the inter-observer agreement between the two nurses and a doctor. (CIRRIE Abstract)
Institution: Care of Older People, Whittington Hospital, Highgate Hill, London N19 SNF, United Kingdom
Subject headings: Abstracts, Daily living, Death, Deinstitutionalization, Disabilities, Functional evaluation, Geriatric rehabilitation, HIV, Hospitals, Mental health, Nursing homes, Older adults, Rehabilitation