The main objective is to assess the effect, compared to usual care, of a nursing accompaniment or nursing assistant intervention in the physical activity of patients hospitalized in the geriatric stay, on the daily number of steps.
The secondary objectives consist in evaluating the effect, compared to usual care, of a nursing or nursing assistant's intervention in physical activity of elderly patients hospitalized on a short geriatric stay in terms of:
* The change of the daily physical exertion in metabolic equivalent * The change of the daily number of steps * The change of care course * The change of in falls occurrence * The change of autonomy patient * The change of travels habits
Men or women ≥ 75 years old
Hospitalization in geriatric short stay
Informed and express (oral) consent to participate in the study by the patient or the patient's representative
Affiliation to French Social Security.
Neurological or orthopedic pathology that prevents the performance of one or more exercises corresponding to the patient's level of risk of falling
Short expected hospital stay
Contraindication to physical activity
Person subject to a safeguard of justice measure
Parallel
"Control" strategy
Procedure/SurgeryPatients included in the "control" group will received the usual cares of the unit during their stay : support in the gestures of daily life and walking according to their ability and at the discretion of the care teams.
"Intervention" strategy
Procedure/SurgeryPatients included in the "intervention" group will received the usual cares of the unit during their stay : support in the gestures of daily life and walking according to their ability and at the discretion of the care teams. They will also get a physical activity program realized with a nurse or a nursing assistant, twice a day (morning and evening) for 5 days. The intervention consists of physical support with mimed instructions, the nature of which depends on the falling risk of the participant : * High falling risk : "out of bed" exercise (on a chair for at least 30 min) * Mild falling risk : "out of bed" exercise + "in front of chair" (The participant stands standing in static equilibrium to a chair holding the back of it for 2 minutes, on both feet or one foot) * Low falling risk : "out of bed" exercise + "in front of chair" + FTSS exercise (The participant performs a transfer activity of sitting to standing repeated 5 times, with physical assistance or not)
Change in the number of steps
the relative evolution of the number of steps between the 1st day (D1) and the 5th day (D5) is calculated with this formula : Δ nbsteps (%) = (D5 number of steps - D1 number of steps)\*100 / ((D1 number of steps + D5 number of steps)/2).
Change in the daily physical expenditure in metabolic equivalent
The daily physical expenditure is evaluated by the actimeter in MET (Metabolic Equivalent of Task)
Change in the daily number of steps
The daily number of steps is evaluated by the actimeter
Change in the daily physical expenditure
The daily physical expenditure is evaluated by the actimeter
Change in care course
The care course is evaluated by the length of hospitalization
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