2.50
Hdl Handle:
http://hdl.handle.net/10755/182958
Category:
Abstract
Type:
Presentation
Title:
Improving Care to Elderly Patients
Author(s):
Mooney, Ruth; Edelman, Victoria
Author Details:
Ruth Mooney, PhD, MN, RN, Lankenau Hospital, Wynnewood, Pennsylvania, USA, email: mooneyr@mlhs.org; Victoria Edelman, BSN, RNC
Abstract:
Poster Presentation: Because our hospital serves a high percentage of elderly, we resolved to develop a comprehensive model for providing high quality care for this vulnerable population. A literature search revealed the Hospital Elder Life Program (HELP) (Inouye, 2000). This research served as the model upon which we based our program, Helping Elders at L (HEAL). HEAL was implemented on one unit and due to the success in reducing falls, restraints, Foley catheters, adult diapers, and increased patient/family satisfaction the program was expanded to three additional units. A pilot was conducted on a 30 bed medical unit with a high percentage of elderly patients. An Elder Life Nurse (ELN) implemented the program. We determined that it was imperative to offer the program to more patients than the original model allowed. The ELN began seeing more patients, conducting a brief assessment, and delivering interventions. The ELN modeled the desired behavior and enticed the staff to complete the interventions. We receive positive feedback from the patients and family. Press Ganey satisfaction scores on one unit improved. Our system uses the NDNQI data set as our comparison for falls. The initial unit experienced a decreased fall rate with one quarter below the National Comparative Index (NCI). On the second unit, the fall rate was below the NCI mean for 4 quarters. On the third unit the fall rate was lower for 2 quarters. Foley catheter and adult diaper use decreased on the initial unit, a trend that has continued for over two years. References: Inouye, S. K., Bogardus, S. T., Baker, D. I., Leo-Summers, L., & Cooney, L. M. (2000). The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. JAGS. 48:SI 1697-1706. Inouye, S. K., Bogardus, S. T., Charpentier, P.A., Leo-Summers, L. Acampors, D., Holford, T. R., & Cooney, L. M. (1999). A clinical trial of a multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine. 340: 669-676.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2006
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Denver, Colorado, USA
Description:
10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, 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.titleImproving Care to Elderly Patientsen_GB
dc.contributor.authorMooney, Ruthen_US
dc.contributor.authorEdelman, Victoriaen_US
dc.author.detailsRuth Mooney, PhD, MN, RN, Lankenau Hospital, Wynnewood, Pennsylvania, USA, email: mooneyr@mlhs.org; Victoria Edelman, BSN, RNCen_US
dc.identifier.urihttp://hdl.handle.net/10755/182958-
dc.description.abstractPoster Presentation: Because our hospital serves a high percentage of elderly, we resolved to develop a comprehensive model for providing high quality care for this vulnerable population. A literature search revealed the Hospital Elder Life Program (HELP) (Inouye, 2000). This research served as the model upon which we based our program, Helping Elders at L (HEAL). HEAL was implemented on one unit and due to the success in reducing falls, restraints, Foley catheters, adult diapers, and increased patient/family satisfaction the program was expanded to three additional units. A pilot was conducted on a 30 bed medical unit with a high percentage of elderly patients. An Elder Life Nurse (ELN) implemented the program. We determined that it was imperative to offer the program to more patients than the original model allowed. The ELN began seeing more patients, conducting a brief assessment, and delivering interventions. The ELN modeled the desired behavior and enticed the staff to complete the interventions. We receive positive feedback from the patients and family. Press Ganey satisfaction scores on one unit improved. Our system uses the NDNQI data set as our comparison for falls. The initial unit experienced a decreased fall rate with one quarter below the National Comparative Index (NCI). On the second unit, the fall rate was below the NCI mean for 4 quarters. On the third unit the fall rate was lower for 2 quarters. Foley catheter and adult diaper use decreased on the initial unit, a trend that has continued for over two years. References: Inouye, S. K., Bogardus, S. T., Baker, D. I., Leo-Summers, L., & Cooney, L. M. (2000). The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. JAGS. 48:SI 1697-1706. Inouye, S. K., Bogardus, S. T., Charpentier, P.A., Leo-Summers, L. Acampors, D., Holford, T. R., & Cooney, L. M. (1999). A clinical trial of a multicomponent intervention to prevent delirium in hospitalized older patients. New England Journal of Medicine. 340: 669-676.en_GB
dc.date.available2011-10-28T15:47:54Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:47:54Z-
dc.conference.date2006en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, 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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