By Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer
Acute deal with Elders (ACE) is a version of care designed to enhance sensible results and to enhance the techniques for the care of older sufferers. This version contains: an atmosphere of care designed to advertise more desirable functionality for older sufferers; an interdisciplinary workforce that works jointly to identify/address the vulnerabilities of the older sufferers; nursing care plans for prevention of incapacity; early making plans to aid organize the sufferer to come domestic and a evaluate of treatment to avoid iatrogenic illness.
Acute take care of Elders: A version for Interdisciplinary Care is a necessary new source geared toward supporting companies in constructing and maintaining an ACE software. The interdisciplinary method offers an advent to the main vulnerabilities of older adults and defines the teachings discovered from the intense take care of Elders version. Expertly written chapters describe severe facets of ACE: the interdisciplinary method and the point of interest on functionality. the elemental ideas of ACE defined during this publication will additional support medical institution leaders to improve, enforce, maintain and disseminate the intense deal with Elders version of care. Acute take care of Elders: A version for Interdisciplinary Care is of significant price to geriatricians, hospitalists, strengthen perform nurses, social staff and all others who supply prime quality care to older patients.
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Additional resources for Acute Care for Elders: A Model for Interdisciplinary Care
Larger studies, conducted in the 1990s, also showed significant rates of functional decline. These studies examined functional decline from baseline (2 weeks prior to admission as assessed at the time of admission) to hospital discharge. The hospital admission risk profile (HARP) investigators demonstrated that 31 % of 1,279 hospitalized older adults declined in ADL function from baseline to hospital discharge . In the largest study conducted of functional state in hospitalized older adults, approximately one-third of 2,279 hospitalized patients developed new 3 Patient and Hospital Factors That Lead to Adverse Outcomes… 25 Fig.
The cornerstone of the interdisciplinary team process of care appears to be twofold: it relies on an efficient pattern of communication among multiple disciplines and a philosophy of patient-centered care among multiple disciplines that provides expertise in consultation or direct care . 1 Team roles ACE team members Geriatrician Advanced practice nurse (APN) Registered nurse Case manager/social worker Physical therapy Occupational therapy Dietician Pharmacy Pastoral care Roles/responsibilities Comprehensive evaluation of medical issues including medications Organizes and participates in interdisciplinary rounds Provide education to nursing and all interdisciplinary staff on geriatric issues Perform assessments on complex cases Bedside assessment of patient’s physical, cognitive and emotional status, communication with attending physician, assurance of patient safety Coordinate discharge plan Facilitate referrals/transitions of care Evaluate and treat patients for mobility problems, need for devices needed at home.
Additional strategies used by the APN for improved performance include behavior modeling and direct education. 16 M. Cleveland et al. The APN mentors new members to the team and its process. The APN also guides the team to recognized great ideas or solutions with praise. Process challenges for interdisciplinary teams include accountability and ongoing communication. The APN works to ensure that all members are actively involved in follow through on the plan of care. Ongoing communication is crucial for individuals who are not core members.
Acute Care for Elders: A Model for Interdisciplinary Care by Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer