2.50
Hdl Handle:
http://hdl.handle.net/10755/182772
Category:
Abstract
Type:
Presentation
Title:
Geriatrics Consultative Service: A Model for EBP
Author(s):
Carolan Doerflinger, Deirdre
Author Details:
Deirdre Carolan Doerflinger, CRNP, Ph.D., Inova Fairfax Hospital, Falls Church, Virginia, USA, email: deirdre.carolan@inova.com
Abstract:
Poster Presentation: Interdisciplinary geriatrics team care results in outcomes based, high quality care delivery to older adults with complex care needs. Interdisciplinary team care demonstrates clear advantages over other models of care. The older population has complex medical and social needs mandating a collaborative approach to care. Team composition varies but common elements are a shared purpose and goal, clear roles and responsibilities, and egalitarian contributions from all team members. Interdisciplinary geriatrics team care is a philosophy of care speaking to Force 8- Consultation and Resources and Force 13-Interdisciplinary Relationships. The Geriatrics Consultative Team, in place since 1987, champions EBB geriatrics initiatives on the campus. The multidisciplinary team, led by an internal medicine physician with added qualifications in geriatrics and run by the full time GINS, makes comprehensive recommendations to the nursing, medical and rehab teams. Support is also provided to the family or caregivers supporting the patient. Continuity is provided by the team across the continuum of care to patients, and families by planning and delivery of individualized care designed to meet the patients? unique needs. Geriatrics Team outcomes are consistent with published findings. Over the past five years the average age of assessed patients has increased from 81 to 87.7 years. Age ranges from 70 to 107. Mean ADEL score at time of assessment was 10 and increased to 15.88 by the time of discharge (p= .01). MUSE scores improved in the same period from a mean of 19.3 to 26.2 (p= .01). All measured parameters showed similar improvements. References: Applegate WB, Miller ST, Graney MY et al. A randomized controlled trial of a geriatric assessment unit in a community rehabilitation hospital. N Engle J Med 1990; 322: 1572-1578. Inouye SK, Boards ST, Carpenter PA et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999; 340: 669-676. Landefeld CS, Palmer RM, Kresevic DM et al. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 1995; 332: 1338-44. Milisen K, Foreman MD, Abraham IL et al. A nurse-led interdisciplinary intervention program for delirium in elderly hip fracture patients. J Am Geriatr Soc 2001; 49: 523-532. The John A. Hartford Fourndation, Inc. GITT: Geriatric Interdisciplinary Team Training Program [on-line]. Available at http://www.gitt.org Accessed February 12, 2007.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleGeriatrics Consultative Service: A Model for EBPen_GB
dc.contributor.authorCarolan Doerflinger, Deirdreen_US
dc.author.detailsDeirdre Carolan Doerflinger, CRNP, Ph.D., Inova Fairfax Hospital, Falls Church, Virginia, USA, email: deirdre.carolan@inova.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182772-
dc.description.abstractPoster Presentation: Interdisciplinary geriatrics team care results in outcomes based, high quality care delivery to older adults with complex care needs. Interdisciplinary team care demonstrates clear advantages over other models of care. The older population has complex medical and social needs mandating a collaborative approach to care. Team composition varies but common elements are a shared purpose and goal, clear roles and responsibilities, and egalitarian contributions from all team members. Interdisciplinary geriatrics team care is a philosophy of care speaking to Force 8- Consultation and Resources and Force 13-Interdisciplinary Relationships. The Geriatrics Consultative Team, in place since 1987, champions EBB geriatrics initiatives on the campus. The multidisciplinary team, led by an internal medicine physician with added qualifications in geriatrics and run by the full time GINS, makes comprehensive recommendations to the nursing, medical and rehab teams. Support is also provided to the family or caregivers supporting the patient. Continuity is provided by the team across the continuum of care to patients, and families by planning and delivery of individualized care designed to meet the patients? unique needs. Geriatrics Team outcomes are consistent with published findings. Over the past five years the average age of assessed patients has increased from 81 to 87.7 years. Age ranges from 70 to 107. Mean ADEL score at time of assessment was 10 and increased to 15.88 by the time of discharge (p= .01). MUSE scores improved in the same period from a mean of 19.3 to 26.2 (p= .01). All measured parameters showed similar improvements. References: Applegate WB, Miller ST, Graney MY et al. A randomized controlled trial of a geriatric assessment unit in a community rehabilitation hospital. N Engle J Med 1990; 322: 1572-1578. Inouye SK, Boards ST, Carpenter PA et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999; 340: 669-676. Landefeld CS, Palmer RM, Kresevic DM et al. A randomized trial of care in a hospital medical unit especially designed to improve the functional outcomes of acutely ill older patients. N Engl J Med 1995; 332: 1338-44. Milisen K, Foreman MD, Abraham IL et al. A nurse-led interdisciplinary intervention program for delirium in elderly hip fracture patients. J Am Geriatr Soc 2001; 49: 523-532. The John A. Hartford Fourndation, Inc. GITT: Geriatric Interdisciplinary Team Training Program [on-line]. Available at http://www.gitt.org Accessed February 12, 2007.en_GB
dc.date.available2011-10-28T15:39:25Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:39:25Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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