Assessment of Functional Ability and Follow-up at Home for Older Medical Patients

Assessment of Functional Ability and Follow-up at Home for Older Medical Patients

The aim of this study is to examine the effect of an intervention that consist of assessment of functional ability, rehabilitation plan and follow-up at home for older medical patients.

The hypothesis is that assessment of functional ability, development of rehabilitation plan and follow-up at home reduce the older medical patient's risk of readmission. Also the intervention is expected to reduce mortality, number of contacts to general practitioners and emergency physician

Inclusion Criteria:

• Patients admitted to Medical Visitations Section (MVA) Aarhus University Hospital
• Aged 65+
• Resident in City of Aarhus

Exclusion Criteria:

• Patients admitted from nursing home
• Patients transferred to other hospital departments
• Patients terminally ill