By Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer
Acute take care of Elders (ACE) is a version of care designed to enhance practical results and to enhance the procedures for the care of older sufferers. This version comprises: an atmosphere of care designed to advertise better functionality for older sufferers; an interdisciplinary crew that works jointly to identify/address the vulnerabilities of the older sufferers; nursing care plans for prevention of incapacity; early making plans to aid arrange the sufferer to come back domestic and a assessment of therapy to avoid iatrogenic illness.
Acute deal with Elders: A version for Interdisciplinary Care is a vital new source aimed toward aiding services in constructing and maintaining an ACE software. The interdisciplinary strategy offers an creation to the foremost vulnerabilities of older adults and defines the teachings realized from the intense take care of Elders version. Expertly written chapters describe severe features of ACE: the interdisciplinary process and the point of interest on functionality. the basic rules of ACE defined during this publication will extra help clinic leaders to strengthen, enforce, maintain and disseminate the intense deal with Elders version of care. Acute deal with Elders: A version for Interdisciplinary Care is of significant price to geriatricians, hospitalists, develop perform nurses, social staff and all others who offer top of the range care to older patients.
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Extra resources for Acute Care for Elders: A Model for Interdisciplinary Care
Hospital-level factors we consider are low mobility, iatrogenesis, inappropriate prescribing, and important structural and process issues. Low Mobility A prominent hospital process of care associated with HAD is low mobility. Through the careful work of Brown and others, the prevalence of low mobility and its association with HAD has been convincingly demonstrated. Using the primary nurse’s rating of mobility in the preceding 24 h among 498 hospitalized older adults, 34 Fig. 5 Model for dysfunction in hospitalized older adults E.
A Brief History of Health Care Teams The history of health care teams is well documented. Health care teams existed in India before 1900 and in Great Britain since the early twentieth century . As is usually the case in innovation, a nurse was an early pioneer in this method of care in this country. Dorothy Rogers RN authored a paper in 1932 extolling the virtues of teams in hospitals, quoting Kipling for emphasis: It ain’t the individual, nor the army as a whole, But the everlasing effort of every bloomin’ soul.
In this chapter we will: 1. Describe the prevalence and incidence of hospitalization-associated disability (HAD)/functional decline 2. Describe the long-term outcomes of HAD including sustained disability, nursing home placement, and death and health-system costs 3. Describe the prevalence, risk factors, and implications of common problems of older patients during an acute illness 4. Describe the patient-level risk factors associated with HAD and indices that utilize these risk factors to identify elders at highest risk of HAD 5.
Acute Care for Elders: A Model for Interdisciplinary Care by Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer