A Controlled Trial of Inpatient and Outpatient Geriatric Evaluation and Management

Cohen, Harvey Jay; Feussner, John R.; Weinberger, Morris; Carnes, Molly; Hamdy, Ronald C.; Hsieh, F.; Phibbs, Ciaran S.; Courtney, D Mark; Lyles, Kenneth W.; May, Conrad; McMurtry, C. Meghan; Pennypacker, Leslye C.; Smith, David M.; Ainslie, Nina; Hornick, Thomas; Brodkin, Kayla I.; Lavori, Philip W.

doi:10.1056/nejmsa010285

Cited by 542 publications

(471 citation statements)

References 37 publications

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“…Similar results have been obtained in several subsequent studies, and although the results are not uniformly positive, aggregate analyses (of some 28 studies) demonstrate overall strong impact (Stuck, Siu et al 1993). The ability to produce sustained improvements in function is doubtful, but several studies have shown at least short term gains (Cohen, Feussner et al 2002). Careful patient selection is a critical factor in program effectiveness, with patients that are either too well, or severely ill (eg advanced dementia and terminal cancer) appearing to gain no benefit (Winograd 1991).…”

Section: Enhancing Treatment Outcomessupporting

confidence: 80%

Subacute care and rehabilitation

Gray

2002

Aust. Health Review

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Section: Enhancing Treatment Outcomessupporting

confidence: 80%

Subacute care and rehabilitation

Gray

2002

Aust. Health Review

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“…The FDP geriatrics content and design model were developed as follows: reviewing existing published geriatrics curricular materials, 5,6,8,18 including high-risk areas of geriatric hospital care; [19][20][21][22] drawing from the experience of the inpatient geriatric evaluation and treatment units; [23][24][25] and reviewing the Joint Commission mandates 26 that have a particular impact on the care of the older hospitalized patients (eg, high-risk medications, medication reconciliation, restraint use, and transitions of care). Final curricular materials were approved by consensus of the University of Chicago geriatrics/hospitalist core CHAMP faculty.…”

Section: Geriatrics Contentmentioning

confidence: 99%

The Curriculum for the Hospitalized Aging Medical Patient program: A collaborative faculty development program for hospitalists, general internists, and geriatricians

Podrazik

Levine

Smith

et al. 2008

Journal of Hospital Medicine

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BACKGROUND:The University of Chicago Curriculum for the Hospitalized Aging Medical Patient (CHAMP) faculty development program (FDP) is targeted at hospitalists and other internists who teach residents and students in the hospital setting. The aim of CHAMP is to increase the quantity and quality of teaching of geriatric medicine pertinent to the inpatient setting.METHODS:Hospitalist and general internist faculty members who attend on the University of Chicago Medicine teaching service were invited to participate. The CHAMP FDP consisted of twelve 4‐hour sessions. Two hours of each session covered inpatient geriatrics content, and 2 hours addressed improving clinical teaching (both general teaching skills and challenges specific to the inpatient wards) and teaching the Accreditation Council for Graduate Medical Education core competencies with geriatrics content. The evaluation included a self‐report survey of the impact on the graduates' teaching and clinical practice.RESULTS:The FDP was piloted in early 2004 with a core group of geriatrics and hospitalist faculty. Three subsequent cohorts totaling 29 hospitalist and general internal medicine faculty members completed the FDP by the fall of 2006. Faculty participants evaluated the program positively, and significant improvements in knowledge, attitudes to geriatrics, and perceived behavior in teaching and practicing geriatrics skills were found.CONCLUSIONS:The integration of teaching techniques and geriatrics content was enthusiastically accepted by University of Chicago hospitalists and general internists who teach residents and medical students in the inpatient setting. The program has potential for widespread suitability to all teaching faculty who care for the older hospitalized patient. Journal of Hospital Medicine 2008. © 2008 Society of Hospital Medicine.

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“…23 In verschillende studies is gewezen op het belang van gespecialiseerde geriatrische afdelingen, vaak in combinatie met multidisciplinaire nazorg, zoals casemanagement na ontslag uit het ziekenhuis met revalidatiemogelijkheden. 19,[23][24][25][26] Ziekenhuisgerelateerd functieverlies bij oudere patiënten is een onderschat probleem. In Nederland zijn de medische behandeling en verpleegkundige zorg grotendeels gericht op de gediagnosticeerde ziekte, met weinig aandacht voor een reactiverende behandeling om functieverlies bij de oudere patiënt te voorkomen.…”

Section: Achtergrondunclassified

Integrale interventie ter voorkoming van functieverlies bij ouderen tijdens ziekenhuisopname: het Zorgprogramma voor Preventie en Herstel

Vos

Asmus-Szepesi²,

Bakker

et al. 2014

Tijdschr Gerontol Geriatr

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Integrated approach to prevent functional decline in hospitalized elderlyBackground: Hospital related functional decline in older patients is an underestimated problem. Thirty-five procent of 70-year old patients experience functional decline during hospital admission in comparison with pre-illness baseline. This percentage increases considerably with age. Methods/design: To address this issue, the Vlietland Ziekenhuis in The Netherlands has implemented the Prevention and Reactivation Care Programme (PReCaP), an innovative program aimed at reducing hospital related functional decline among elderly patients by offering interventions that are multidisciplinary, integrated and goal-oriented at the physical, social, and psychological domains of functional decline. Discussion: This paper presents a detailed description of the intervention, which incorporates five distinctive elements: (1) Early identification of elderly patients with a high risk of functional decline, and if necessary followed by the start of the reactivation treatment within 48 h after hospital admission; (2) Intensive follow-up treatment for a selected patient group at the prevention and Reactivation Centre; (3) Availability of multidisciplinary geriatric expertise; (4) Provision of support and consultation of relevant professionals to informal caregivers; (5) Intensive follow-up throughout the entire chain of care by a casemanager with geriatric expertise. Outcome and process evaluations are ongoing and results will be published in a series of forthcoming papers.

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A Controlled Trial of Inpatient and Outpatient Geriatric Evaluation and Management

Cited by 542 publications

References 37 publications

Subacute care and rehabilitation

Subacute care and rehabilitation

The Curriculum for the Hospitalized Aging Medical Patient program: A collaborative faculty development program for hospitalists, general internists, and geriatricians

Integrale interventie ter voorkoming van functieverlies bij ouderen tijdens ziekenhuisopname: het Zorgprogramma voor Preventie en Herstel

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