scholarly journals Acute care assessment of older adults living with frailty

BMJ ◽  
2019 ◽  
pp. l13 ◽  
Author(s):  
Terence J Quinn ◽  
Simon P Mooijaart ◽  
Katie Gallacher ◽  
Jennifer K Burton
Keyword(s):  
Older Adults ◽  
Acute Care ◽  
Care Assessment

Comparison of the Responsiveness of the FIM and the interRAI Post Acute Care Assessment Instrument in Rehabilitation of Older Adults

2010 ◽  
Vol 91 (7) ◽  
pp. 1038-1043 ◽  
Author(s):  
Christine Glenny ◽  
Paul Stolee ◽  
Janice Husted ◽  
Mary Thompson ◽  
Katherine Berg
Keyword(s):  
Older Adults ◽  
Acute Care ◽  
Assessment Instrument ◽  
Care Assessment ◽  
Post Acute Care

Integrating Palliative Care Assessment Tools to Enhance Understanding of Illness Trajectory in Post-Acute Care and Long-Term Care

2021 ◽  
pp. 104990912110181
Author(s):  
Daphna Grossman ◽  
Yona Grossman ◽  
Ezra Nadler ◽  
Mark Rootenberg ◽  
Jurgis Karuza ◽  
...  
Keyword(s):  
Acute Care ◽  
Chart Review ◽  
Assessment Tools ◽  
Illness Trajectory ◽  
Illness Burden ◽  
Palliative Approach ◽  
Interprofessional Care ◽  
Care Assessment ◽  
Understanding Of Illness ◽  
Post Acute Care

Objectives: To determine whether education and integration of the Gold Standard Framework Proactive Identification Guidance (GSF-PIG) and the Palliative Performance Scale (PPS) into care rounds, in post-acute care settings, can facilitate communication between the interprofessional care team to enhance understanding of illness trajectories, identifying those who would benefit from a palliative approach to care. Methods: Interprofessional care teams received training on the GSF-PIG and PPS which were integrated into weekly care rounds and completed a post-evaluation survey. A chart review was conducted for the 40 patients and residents reviewed with the GSF-PIG and PPS. Data analysis included descriptive statistics and comparisons of characteristics between patients and residents who were grouped as positive or negative on the GFS-PIG surprise question using chi square analyzes and t-tests. Results: The GSF-PIG and PPS were found to enhance communication within care teams and enhance understanding of patient and resident’s illness burden. The chart review revealed that patients and residents whom the team would not be surprised if they died within 1 year were older (p = .002), had a lower PPS score (p = .002) and had more indicators of decline (p < .001) compared to patients and residents the team would be surprised if they died within the year. Conclusion: Training interprofessional care teams on the utilization and integration of the GSF-PIG and PPS during weekly care rounds helped increase the understanding of patient and resident illness burden and illness trajectory to identify those who may benefit from a palliative approach to care.

scholarly journals The Impact of Function Focused Care From Acute Care to Home Care and Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 629-629
Author(s):  
Silke Metzelthin ◽  
Sandra Zwakhalen ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
The Netherlands ◽  
Home Care ◽  
Acute Care ◽  
Long Term Care ◽  
Functional Decline ◽  
Term Care ◽  
The Us ◽  
The Impact

Abstract Functional decline in older adults often lead towards acute or long-term care. In practice, caregivers often focus on completion of care tasks and of prevention of injuries from falls. This task based, safety approach inadvertently results in fewer opportunities for older adults to be actively involved in activities. Further deconditioning and functional decline are common consequences of this inactivity. To prevent or postpone these consequences Function Focused Care (FFC) was developed meaning that caregivers adapt their level of assistance to the capabilities of older adults and stimulate them to do as much as possible by themselves. FFC was first implemented in institutionalized long-term care in the US, but has spread rapidly to other settings (e.g. acute care), target groups (e.g. people with dementia) and countries (e.g. the Netherlands). During this symposium, four presenters from the US and the Netherlands talk about the impact of FFC. The first presentation is about the results of a stepped wedge cluster trial showing a tendency to improve activities of daily living and mobility. The second presentation is about a FFC training program. FFC was feasible to implement in home care and professionals experienced positive changes in knowledge, attitude, skills and support. The next presenter reports about significant improvements regarding time spent in physical activity and a decrease in resistiveness to care in a cluster randomized controlled trial among nursing home residents with dementia. The fourth speaker presents the content and first results of a training program to implement FFC in nursing homes. Nursing Care of Older Adults Interest Group Sponsored Symposium

Acute care utilization risk among older adults living undiagnosed or unaware of dementia

2021 ◽  
Author(s):  
Halima Amjad ◽  
Quincy M. Samus ◽  
Jin Huang ◽  
Sneha Gundavarpu ◽  
Julie P. W. Bynum ◽  
...  
Keyword(s):  
Older Adults ◽  
Acute Care ◽  
Care Utilization ◽  
Acute Care Utilization

scholarly journals The Role of Emergency Medical Services in Geriatrics: Bridging the Gap between Primary and Acute Care

CJEM ◽  
2015 ◽  
Vol 18 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Judah Goldstein ◽  
Jennifer McVey ◽  
Stacy Ackroyd-Stolarz
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Emergency Medical Services ◽  
Acute Care ◽  
Functional Independence ◽  
Adverse Outcomes ◽  
Medical Services ◽  
Care Needs ◽  
Frail Older Adults ◽  
Emergency Medical

AbstractCaring for older adults is a major function of emergency medical services (EMS). Traditional EMS systems were designed to treat single acute conditions; this approach contrasts with best practices for the care of frail older adults. Care might be improved by the early identification of those who are frail and at highest risk for adverse outcomes. Paramedics are well positioned to play an important role via a more thorough evaluation of frailty (or vulnerability). These findings may inform both pre-hospital and subsequent emergency department (ED) based decisions. Innovative programs involving EMS, the ED, and primary care could reduce the workload on EDs while improving patient access to care, and ultimately patient outcomes. Some frail older adults will benefit from the resources and specialized knowledge provided by the ED, while others may be better helped in alternative ways, usually in coordination with primary care. Discerning between these groups is a challenge worthy of further inquiry. In either case, care should be timely, with a focus on identifying emergent or acute care needs, frailty evaluation, mobility assessments, identifying appropriate goals for treatment, promoting functional independence, and striving to have the patient return to their usual place of residence if this can be done safely. Paramedics are uniquely positioned to play a larger role in the care of our aging population. Improving paramedic education as it pertains to geriatrics is a critical next step.

scholarly journals Reliability of an Online Geriatric Assessment Procedure Using the interRAI Acute Care Assessment System

2017 ◽  
Vol 65 (9) ◽  
pp. 2029-2036 ◽  
Author(s):  
Melinda G. Martin-Khan ◽  
Helen Edwards ◽  
Richard Wootton ◽  
Steven R. Counsell ◽  
Paul Varghese ◽  
...  
Keyword(s):  
Acute Care ◽  
Geriatric Assessment ◽  
Assessment System ◽  
Assessment Procedure ◽  
Interrai Acute Care ◽  
Care Assessment

Post‐Acute Care among Older Adults with Stage I to III Colorectal Cancer

2018 ◽  
Vol 67 (5) ◽  
pp. 937-944 ◽  
Author(s):  
Kelly M. Kenzik ◽  
Grant R. Williams ◽  
Smita Bhatia ◽  
Courtney J. Balentine
Keyword(s):  
Colorectal Cancer ◽  
Older Adults ◽  
Acute Care ◽  
Stage I ◽  
Post Acute Care
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