Don't Fall, But Get Up And Move
Institutionalized Immobility: How “Fall-Free” Hospitals Are Leaving Patients Disabled Hospitals have become so focused on short-term fall metrics that prolonged bed rest has become the default. In exchange for a cleaner safety number on one shift, many older patients lose muscle, balance, and the ability to walk independently. The result is hospital-associated disability (HAD): a new loss of independence in activities of daily living that was not present before the stay. Roughly 30% of adults aged 65+ hospitalized in acute care develop HAD (Loyd et al., meta-analysis in JAMDA , 2020; later reviews put the pooled figure around 27%). Many of these people entered for something relatively straightforward and left needing more help with bathing, dressing, toileting, or transferring. Hospitalized adults as a group spend 87–100% of their time sitting or lying in bed (Fazio et al., systematic review and meta-analysis, Applied Nursing Research , 2020); classic estimates ...