A Transdisciplinary approach to bringing evidence based practice to our elder patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/150669
Type:
Presentation
Title:
A Transdisciplinary approach to bringing evidence based practice to our elder patients
Abstract:
A Transdisciplinary approach to bringing evidence based practice to our elder patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Edelman, Victoria A., RN, BSN
P.I. Institution Name:Lankenau Hospital
Title:Elder Life Nurse
[Symposium Presentation] Caring for elderly patients in our hospital was often fragmented and uncoordinated. With 50% of our beds occupied by patients over the age of 70 each night, we needed a comprehensive, interdisciplinary approach for consistent quality care.áOur hospital chose the Hospital Elder Life Program (HELP) developed at Yale University as our template for evidence based practice care.áYale's research demonstrated a decrease in new onset delirium and functional decline in elderly patients.á Risk factors were identified and strategies were developed to reduce these risks.áUpon adopting the model, we recruited team members from all disciplines to join our efforts.áTeam members included nurses, social workers, dieticians, administration, volunteers, physical therapists and medical staff.áThe team made rounds, interviewed patients, changed standing medical orders, expanded menu choices, addressed falls, restraints, and Foley catheter use, and improved communication. We identified areas of needs and developed a Geriatric Clinical Pathway, room specific patient binders, and provided boards for daily orientation. á This transdisciplinary approach proved most successful.áWe received positive feedback from patients and families.áAs we started on each new unit, the fall rate was noted to decrease.áFoley catheter and adult diaper use decreased and has continued for over 2 years.áWith the change in standing medical orders, fewer potentially inappropriate medications were ordered per patient. Patients are out of bed and ambulating more frequently, lowering the risk of functional decline.áBecause of our early success on one unit, we are currently on five units and the program is being replicated at one of our sister hospitals.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Transdisciplinary approach to bringing evidence based practice to our elder patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150669-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Transdisciplinary approach to bringing evidence based practice to our elder patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Edelman, Victoria A., RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lankenau Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Elder Life Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">edelmanv@mlhs.org</td></tr><tr><td colspan="2" class="item-abstract">[Symposium Presentation] Caring for elderly patients in our hospital was often fragmented and uncoordinated. With 50% of our beds occupied by patients over the age of 70 each night, we needed a comprehensive, interdisciplinary approach for consistent quality care.&aacute;Our hospital chose the Hospital Elder Life Program (HELP) developed at Yale University as our template for evidence based practice care.&aacute;Yale's research demonstrated a decrease in new onset delirium and functional decline in elderly patients.&aacute; Risk factors were identified and strategies were developed to reduce these risks.&aacute;Upon adopting the model, we recruited team members from all disciplines to join our efforts.&aacute;Team members included nurses, social workers, dieticians, administration, volunteers, physical therapists and medical staff.&aacute;The team made rounds, interviewed patients, changed standing medical orders, expanded menu choices, addressed falls, restraints, and Foley catheter use, and improved communication. We identified areas of needs and developed a Geriatric Clinical Pathway, room specific patient binders, and provided boards for daily orientation. &aacute; This transdisciplinary approach proved most successful.&aacute;We received positive feedback from patients and families.&aacute;As we started on each new unit, the fall rate was noted to decrease.&aacute;Foley catheter and adult diaper use decreased and has continued for over 2 years.&aacute;With the change in standing medical orders, fewer potentially inappropriate medications were ordered per patient. Patients are out of bed and ambulating more frequently, lowering the risk of functional decline.&aacute;Because of our early success on one unit, we are currently on five units and the program is being replicated at one of our sister hospitals.</td></tr></table>en_GB
dc.date.available2011-10-26T10:39:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:39:36Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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