Reduced Mortality in Treating Acutely Sick, Frail Older Patients in a Geriatric Evaluation and Management Unit. A Prospective Randomized Trial

Saltvedt, Ingvild; Mo, Ellen-Sofie Opdahl; Fayers, Peter; Kaasa, Stein; Sletvold, Olav

doi:10.1046/j.1532-5415.2002.50202.x

Cited by 160 publications

(181 citation statements)

References 28 publications

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“…One suggestion for meeting this goal was to change the way health professionals were educated; hence, an initiative on professional education for collaborative patient-centred practices was launched. Since then, other interprofessional initiatives have been launched within the provinces across Canada [10,21].A Health Canada review of interprofessional education [10] found some evidence that post-licensure professional collaborations can improve healthcare processes and outcomes in some areas of geriatric care [22,23], congestive heart failure management [24], and neonatal care [25], but no reliable evidence on the effectiveness of interprofessional education at the undergraduate or pre-licensure level could be found. One of the notions supporting interprofessional education at the undergraduate level is that it may assist students in appreciating various roles within healthcare, increase comfort in working with other health professionals, and hence increase post-licensure interprofessional practice.…”

mentioning

confidence: 99%

The Development of Competencies in Interprofessional Health Care for Use in Health Science Educational Programs

Tashiro¹,

Byrne²,

Kitchen³

et al. 2011

JRIPE

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Background: The Health Education Technology Research Unit (HETRU) at the University of Ontario Institute of Technology (UOIT) has developed an interprofessional framework for use as a learning map to create computer-based simulations that can automatically assess interprofessional competencies of undergraduate health sciences students.Methods: Our interprofessional competency framework was developed through an iterative process of competency mapping. Each iteration involved: 1) a literature review of interprofessional competencies, 2) the mapping of these competencies within a meaningful taxonomy, and 3) the review of the mapping by an expert panel of educators and clinicians. Findings and Conclusions:After three iterations, the research team developed a competency taxonomy that mapped interprofessional competencies from our literature reviews into six competency domains and three cross-cutting themes for each domain. The competency matrix was then used as a learning map to define learning resources related to interprofessional education and learning activities associated with such resources to help students develop competencies in interprofessional healthcare planning and delivery. Interactive, computer-based clinical simulations were then developed to portray opportunities in which the learning resources and activities could be explored and to provide more realistic exposure to complexities in healthcare planning and delivery.Keywords: Interprofessional education; Health sciences; Competencies; Technology Introduction A broad base of recent work has provided new models for exploring the complexity of factors leading to the ineffective articulation of healthcare services [1][2][3][4][5][6]. Worldwide, healthcare services could be improved by providing interprofessional, collaborative, patient-centred care that improves patient outcomes while reducing healthcare costs [7][8][9][10][11][12][13][14]. Yet, despite the diverse and extensive literature on change management and human resources management, few empirically based models provide the breadth and depth necessary to deal with the complexities of transforming current healthcare systems into care planning and delivery systems that are interprofessional, evidence-based, and cost-effective.Interestingly, the concept of patient-centered care [15] Exploring new ways of providing care has led to the resurgence of interest in interprofessional healthcare collaboration. This interest is due to health system renewal, emerging health and human resource issues, and continuity and co-ordination of care [10]. The belief underlying the support for interprofessional care is that working with members of other professions will result in the provision of more highly integrated, patient-centred care; in addition, the complexity of most health problems requires a co-ordinated approach to understanding and management [19]. Although advocates for interprofessional education have tried to move forward in implementing this approach, one of the most difficult arenas to estab...

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mentioning

confidence: 99%

The Development of Competencies in Interprofessional Health Care for Use in Health Science Educational Programs

Tashiro¹,

Byrne²,

Kitchen³

et al. 2011

JRIPE

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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

“…Er zijn voldoende aanwijzingen dat deze aanpak leidt tot een betere functionele status, betere kwaliteit van leven van de oudere patiënt gedurende 12 maanden na de ziekenhuisopname, minder valincidenten, kortere ziekenhuisopname, minder (her)opnamen in ziekenhuizen en verpleeghuizen, beter geestelijk welzijn van de mantelzorgers, en lagere sterfte. 13,15,18,[20][21][22][23]25,[27][28][29][30] Beschrijvingen …”

Section: Achtergrondunclassified

“…Naar verwachting zal deze benadering leiden tot een betere functionele status, minder valincidenten, kortere duur van ziekenhuisopname, minder (her)opnamen in het ziekenhuis en verpleeghuis, beter mentaal welzijn van mantelzorgers, en lagere sterfte. 13,15,18,[20][21][22][23]25,[27][28][29][30] Ziekenhuiszorg en eerstelijnszorg zijn volledig geïntegreerd in het ZPH. Er zijn werkafspraken gemaakt tussen en binnen de eerstelijnszorg (bijvoorbeeld huisarts, thuiszorginstellingen) en tweedelijnsgezondheidszorgorganisaties (bijvoorbeeld ziekenhuis, Centrum voor Preventie en Herstel).…”

Section: Multidisciplinaire Benaderingunclassified

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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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“…Geriatric giants (Chase et al. , 2000;Sherman, 2003;) syndrom of terminal geriatric deterioration -FTT ("failure to thrive") The above mentioned geriatric syndromes not always threaten patient's life but they essentially influence quality of their following life (Fauci et al, 2008;Salvedt et al., 2002). Patients become fully dependent on other people´s assistance (family, friends, neighbours, community services).…”

Section: Geriatic Syndromes and Frailty As Golden Grale Of Geriatric mentioning

confidence: 99%

Pulmonary Embolism in the Elderly - Significance and Particularities

Weber¹,

Weberová²,

Kubešová³

et al. 2012

Pulmonary Embolism

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Reduced Mortality in Treating Acutely Sick, Frail Older Patients in a Geriatric Evaluation and Management Unit. A Prospective Randomized Trial

Abstract: Treatment of acutely sick, frail, older patients in a GEMU substantially reduced mortality.

Cited by 160 publications

References 28 publications

The Development of Competencies in Interprofessional Health Care for Use in Health Science Educational Programs

The Development of Competencies in Interprofessional Health Care for Use in Health Science Educational Programs

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

Pulmonary Embolism in the Elderly - Significance and Particularities

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