Development of a Geriatric Clinical Pathway Based on Hospital Elder Life Program Research

2.50
Hdl Handle:
http://hdl.handle.net/10755/154529
Type:
Presentation
Title:
Development of a Geriatric Clinical Pathway Based on Hospital Elder Life Program Research
Abstract:
Development of a Geriatric Clinical Pathway Based on Hospital Elder Life Program Research
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Edelman, Victoria A., RN, BSN
P.I. Institution Name:Lankenau Hospital
Title:Elder Life Nurse
Co-Authors:Ruth A. Mooney, BSN, MN, PhD
The Hospital Elder Life Program (HELP) was developed at Yale/ New Haven Hospital to decrease new onset delirium and functional decline in elderly hospitalized patients.  Risk factors were identified through research and corresponding strategies were developed to reduce these risks. H.E.L.P. strategies include; frequent patient orientation, increased mobility, attention to hearing and vision, emphasis on nutrition and hydration needs, mentally stimulating therapeutic activities, and a non-pharmacologic sleep protocol. Lankenau Hospital, a community based teaching hospital, modified the model, renaming it H.E.A.L. (Helping Elders at Lankenau).  The goal of the H.E.A L. Program is to provide these strategies to the greatest number of patients possible. A Geriatric Clinical Pathway was developed, derived from the original strategies of the in H.E.L.P. research, to be used with every patient over age 70.  Clinical pathways guide the consistent delivery of focused evidence based care. The Geriatric Clinical Pathway is used in addition to the diagnostic clinical pathway. The Geriatric Clinical Pathway was piloted and modifications were made based on usability and feedback from the nursing staff.  Following education and the implementation of the final Geriatric Clinical Pathway on a Medical Telemetry Unit we found a decrease in the number of falls with injuries, restraints and urinary catheters.  In addition, an increase was noted on patient satisfaction scores with specific mention of the HEAL Program.  The Geriatric Clinical Pathway is now implemented on 4 units. The Geriatric Clinical Pathway facilitates the implementation of evidence based strategies, resulting in improved quality of care, to a great number of elder patients.
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.titleDevelopment of a Geriatric Clinical Pathway Based on Hospital Elder Life Program Researchen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154529-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a Geriatric Clinical Pathway Based on Hospital Elder Life Program Research</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">2006</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 class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ruth A. Mooney, BSN, MN, PhD</td></tr><tr><td colspan="2" class="item-abstract">The Hospital Elder Life Program (HELP) was developed at Yale/ New Haven Hospital to decrease new onset delirium and functional decline in elderly hospitalized patients.&nbsp; Risk factors were identified through research and corresponding strategies were developed to reduce these risks. H.E.L.P. strategies include; frequent patient orientation, increased mobility, attention to hearing and vision, emphasis on nutrition and hydration needs, mentally stimulating therapeutic activities, and a non-pharmacologic sleep protocol. Lankenau Hospital, a community based teaching hospital, modified the model, renaming it H.E.A.L. (Helping Elders at Lankenau).&nbsp; The goal of the H.E.A L. Program is to provide these strategies to the greatest number of patients possible. A Geriatric Clinical Pathway was developed, derived from the original strategies of the in H.E.L.P. research, to be used with every patient over age 70.&nbsp; Clinical pathways guide the consistent delivery of focused evidence based care. The Geriatric Clinical Pathway is used in addition to the diagnostic clinical pathway.&nbsp;The Geriatric Clinical Pathway was piloted and modifications were made based on usability and feedback from the nursing staff.&nbsp; Following education and the implementation of the final Geriatric Clinical Pathway on a Medical Telemetry Unit we found a decrease in the number of falls with injuries, restraints and urinary catheters.&nbsp; In addition, an increase was noted on patient satisfaction scores with specific mention of the HEAL Program.&nbsp; The Geriatric Clinical Pathway is now implemented on 4 units. The Geriatric Clinical Pathway facilitates the implementation of evidence based strategies, resulting in improved quality of care, to a great number of elder patients.</td></tr></table>en_GB
dc.date.available2011-10-26T13:04:17Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:04:17Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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