The journey of care for the frail older person

Ayyar, Anita; Varman, Surendra; Bhaldraithe, Sorcha De

doi:10.12968/hmed.2010.71.2.46487

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…Moreover, the continuity of care is more than only the connection between the different levels, but it also depends on the information flow regarding the assistance provided between the different services (40). In this regard, the authors (31) point out that the care provided in the different scenarios should be coordinated and easily transferable, constituting a safe and seamless care journey for the elderly and ensuring the patient's holistic experience. The successful joint operation of this system depends on an active interface between the various parts of the system (31).…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, the authors (31) point out that the care provided in the different scenarios should be coordinated and easily transferable, constituting a safe and seamless care journey for the elderly and ensuring the patient's holistic experience. The successful joint operation of this system depends on an active interface between the various parts of the system (31).…”

Section: Discussionmentioning

confidence: 99%

“…Also of note is that the care provided to the frail elderly at this level of care improves patient satisfaction and reduces the transfer of the elderly to long-stay institutions and inadequate hospital admissions (31). The present study results corroborate a literature review (41) conducted on the role of primary healthcare in PC for the elderly, which indicates as benefits of PC at this level of care factors such as the improvement of symptoms manifested by patients, their satisfaction, and the reduction of hospitalizations at the tertiary level and expenses with specialized services.…”

Section: Discussionmentioning

confidence: 99%

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Palliative Care for the Elderly in the Healthcare System: A Scoping Review

et al. 2022

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Objective: To map the scientific evidence related to the organization of palliative care practices provided for the elderly in the Healthcare System. Materials and methods: This is a scoping review following the Joanna Briggs Institute’s method. The search was conducted in the PubMed, Cinahl, Web of Science, Scopus, VHL/Lilacs, Embase, and Cochrane databases, identifying 1,150 articles managed using the Endnote software. After the selection, the study sample consisted of 12 articles. The data were organized in Microsoft Excel spreadsheets, submitted to descriptive analysis, and discussed with the literature. Results: The relevance of palliative care practices for older adults to be organized in the Healthcare System was noted, focusing on primary healthcare, at home, and interdisciplinary coordination. However, there is still a fragmented offer of this care with limited considerations regarding the challenges and possibilities of its effectiveness. Conclusions: The mapping of scientific evidence on the subject shows that discussions regarding the insertion of palliative care in the Healthcare System are modest. The studies explore the role of primary care as the organizer of these practices, although in a fragmented perspective, with limited coordination between the Healthcare System services.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Palliative Care for the Elderly in the Healthcare System: A Scoping Review

et al. 2022

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“…Many older patients have several chronic diseases, use multiple medications and are frail, which complicates patient management (Ayyar et al, 2010;Lacas & Rockwood, 2012). Knowledge of geriatric syndromes and a basic set of geriatric assessment and care competencies are therefore indispensable (Atkinson et al, 2013;Tersmette et al, 2013;Tullo, Spencer, & Allan, 2010).…”

Section: Key Element Explanatory Remarks Create a Knowledge Basementioning

confidence: 99%

“…Despite its importance, research shows that the application of SDM in routine clinical practice remains limited (Couet et al, 2015). Because of the aging population, in nearly all clinical practices the number of patients with multimorbidity and impairments will increase, which complicates patient management and decision making (Ayyar, Varman, de Bhaldraithe, & Singh, 2010;Illsley & Clegg, 2016;Lacas & Rockwood, 2012). In this patient category however, existing models for SDM-that are developed for medical treatment decision making about a single condition-are difficult to apply (Gionfriddo et al, 2014;Holm, Berland, & Severinsson, 2016;Montori, Gafni, & Charles, 2006).…”

Section: Introductionmentioning

confidence: 99%

Shared decision making with frail older patients: Proposed teaching framework and practice recommendations

Pol

Fluit

Lagro

et al. 2016

Gerontology & Geriatrics Education

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This study has two aims: The first aim is to identify core competencies for shared decision making (SDM) with frail older persons, and the second is to determine key elements of a teaching framework, based on the authors' recently developed model for SDM with older patients who are frail. To this end the authors conducted a qualitative inquiry among health professionals (n = 53) and older patients who are frail (n = 16). Participants formulated core competencies and educational needs for SDM with older patients who are frail, which were further explored in the literature. This resulted in practice recommendations and a teaching framework with the following key elements: create a knowledge base for all health professionals, offer practical training, facilitate communication, identify discussion partners, engage patients, and collaborate. The authors' teaching framework for SDM with older patients who are frail may be useful for clinicians, educators, and researchers who aim to promote SDM with older patients who are frail.

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