Alison Mudge

Physician, researcher, mum, grandma, dessert queen, cat lover. Passion is improving care for older inpatients. Blessed to lead the amazing Eat Walk Engage team

[Alison Mudge @AlisonMudge]

@HopkinsAMP Looking forwards to another great mobility conference—practical tips to inspire us all!

[Alison Mudge @AlisonMudge]

Thanks #ASPA2023 for the opportunity to showcase our evolving @EatWalkEngage program in our mission to reduce hospital associated functional decline and delirium

[A/Prof Christina Ekegren @C_Ekegren]

And finally, inspiring presentation from @AlisonMudge on the evolution of Eat Walk Engage for hospitalised older adults, showing that passion and perseverance pay off! @ASPActivity #ASPA2023 @RAILMonash @PhysiosforPA

[Alison Mudge @AlisonMudge]

What is the ‘secret sauce’ of our successful @EatWalkEngage program? Our new paper with @GillHar26 describes facilitators and their learning journey https://t.co/U1Vj3qt8Xh
And we’ve been getting the learnings straight into practice, training 78 new facilitators since 2019!

[Alison Mudge @AlisonMudge]

So little evidence for strategies to reduce falls in hospital but evidence that it harms both staff and patients, and wastes scarce resources. Let’s shift the conversation from falls to function

[Ken Covinsky @geri_doc]

Many US Hospitals use bed alarms. But there is no evidence they prevent falls. Zero. None. But they do succeed in keeping patients immobile and increase the risk for hospital acquired disability.

[Alison Mudge @AlisonMudge]

Julie Adsett presenting our umbrella review on ward based mobility interventions for medical inpatients. Interventions need to be multi component, multidisciplinary, goal focussed and target those with assistance needs #AAGConf23

[Alison Mudge @AlisonMudge]

Do inpatients achieve their mobility capability? Sally Yin describes the capability-performance gap in our medical inpatients. Interesting how many exceeded their nurse assessed capability—suggesting we are systematically underestimating mobility capability

[Alison Mudge @AlisonMudge]

Emily Harvey presents the complexity of mobility communication in hospital wards. How can we support mobility if nurses and physios use different places, language and mobility domains?#AAGConf23

[Alison Mudge @AlisonMudge]

With Prue McRae @EatWalkEngage presenting a summary of local mobility barriers in our health service to inform our Mobility Improvement Collaborative #AAGConf23 —staff expectations, roles, team communication, environment, policy and perceived risk

[Alison Mudge @AlisonMudge]

Hospital mealtimes offer an opportunity to deliver care that matters but the many players and complex environment caution against ‘quick fixes’. I love working with this team on research that keeps peeling down the layers

[Angela Byrnes @AngelaByrnesAPD]

Patient-centred approaches to measuring and improving mealtimes for older adults in hospital. Improvements in mealtime care possible but need multi-level, multi-component interventions tailored to local contexts @dr_am_young
#NutrResCollab #malnutritionweekanz

[Alison Mudge @AlisonMudge]

Incontinence is a poorly recognised but deeply feared complication of hospitalisation in older people. Our research https://t.co/Zxum4A1IDD shows almost half of older people experience incontinence before, during or after their hospital stay @Age_and_Ageing @EatWalkEngage

[Alison Mudge @AlisonMudge]

Thanks to John’s Hopkins AMP program for helping us share our @EatWalkEngage program now delivered across Queensland to improve care for older people and prevent delirium

[Johns Hopkins Activity & Mobility Promotion (AMP) @HopkinsAMP]

In this recorded webinar, Prue McRae and Alison Mudge discuss how the #EatWalkEngage program can improve #agefriendly hospital care and transform #patientcare and outcomes. https://t.co/m5DOD96jtg #healthyagingmonth

[Alison Mudge @AlisonMudge]

@Hassanah2017 @AcademyHealth @ImpSciUW @ImplementSci @KPWaResearch @kramiah @harborviewmc @AgingInitiative Great to see these abstracts in print and the chance to share our implementation program @EatWalkEngage that is reducing delirium throughout Queensland—and about to start our national expansion! Our implementation trial paper here https://t.co/VZAEcSaGtp

[Alison Mudge @AlisonMudge]

Insightful research highlighting challenges delivering one of the fundamentals of patient care. We must strive for interprofessional care which needs reflection, role clarification, ways to flatten hierarchies —requires curiosity, time and leadership @EatWalkEngage

[Hannah Olufson @HannahOlufson]

Excited to share our new publication from my PhD research "Opportunity, hierarchy, and awareness: an ethnographic exploration across rehabilitation units of interprofessional practice in nutrition and mealtime care" @ellaottrey @dr_am_young @TheresaNurs https://t.co/j14kvbV8JV

[Emily Gordon @DrEHGordon]

Fit or frail, being married/partnered reduces patients' risk of discharge to a nursing home. Fit or frail, changed/responsive behaviours (BPSD) increases their risk.

Factors assoc with entry to RAC in frail older inpatients.
https://t.co/QiEUGIyhX7

[Alison Mudge @AlisonMudge]

@A_MacLullich @emmavardy2 Almost half of older inpatients experienced one or more of these complications, which are strongly influenced by our care processes and environment. Getting fundamental care right has never been so important @EatWalkEngage @sharon_inouye

[Mikel Izquierdo @mikelizquierdo_]

Strength training treats sarcopenia better than any drug we have. 💪 Yet few doctors prescribe it. 🩺 Let's integrate evidence-based exercise into care for older adults! 👵👴 #ClosingCareGaps

https://t.co/FU4lFpDPfP

[Mikel Izquierdo @mikelizquierdo_]

Older adults deserve the benefits of exercise medicine. Let's update practices to reflect the research! 👵👴💪

Please retweet if you agree doctors should value exercise more. 🏥🩺 #ExerciseRx

Expert consensus guidelines show exercise is safe & effective for older adults. Let's get moving! 🚶‍♀��🚴‍♂️ #ExerciseIsMedicine

Free download here:📲📲📲📲📲📲
https://t.co/sWjQ5hdUOr

[Alison Mudge @AlisonMudge]

@Jessica05338329 Physical environment is important. We must advocate with health system designers and managers and we have seen good examples in Qld and beyond. But it must also be supported by a strong sociocultural environment to provide the permission &help our pts need to use it well

[Alison Mudge @AlisonMudge]

@DianeCEWalker @EatWalkEngage @AngelaByrnesAPD @Age_and_Ageing Thanks Diane, it’s an open access article so the figure is free to share as long as you please cite the publication

[Alison Mudge @AlisonMudge]

Why don't patients mobilise more in hospital, and how can we help? Patients KNOW mobility is important but meet so many physical and cultural barriers--learn more in our new paper interviewing 200 patients https://t.co/9Vd1Xs4mZS