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Deconditioning Awareness

Deconditioning in older people with frailty may start within hours of their lying on a trolley or bed. It is vital to implement preventative measures early, following admission. 

Up to 65% of older patients experience decline in function during hospitalisation. Many of these patients could prematurely end up in a care home because of ‘deconditioning’ and the loss of functional abilities in hospital.

It is not only the therapist’s job to combat this syndrome - it is incumbent of all staff to encourage the patient to ‘Sit up, Get Dressed, Keep Moving’, be they doctors, nurses, healthcare professionals, dinner ladies, porters, everyone should be able to encourage this.

In 2005, under the leadership of Dr Amit Arora, the University Hospital of North Midlands embarked on a campaign to address the issue of deconditioning across its local hospitals. It began to promote the 'Sit up, get dress, keep moving': deconditioning syndrome awareness and prevention campaign.

Since then, the campaign has gained the endorsement of the British Geriatrics Society and the interest of twenty UK hospitals as well as institutions as far away as Australia, New Zealand and Canada.

The following downloadable resources were developed by the University Hospital of North Midlands and have been endorsed by the BGS. 





Deconditioning awareness and prevention poster


Deconditioning Standard Operating Plan for Hospitals


Staying active in hospital leaflet


Deconditioning syndrome (2 page poster)

Blogs and articles on deconditioning:

We should all support #EndPJparalysis, Jane Cummings for NHS England

Our #endPJparalysis journey, Blog by Anne-Marie, Riley for NHS Improvement

Time to move: Get up, Get Dressed, Keep moving, Blog by Amit Arora for the BGS

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