Development of a Comprehensive Geriatric Assessment Led by Geriatric Nurse Consultants: A Feasibility Study
| Autor: | Rebecca L. Trotta, Robin M. Hermann, Marie Boltz, Aditi D. Rao |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Consultants MEDLINE Gerontological nursing Pilot Projects Nurse's Role 03 medical and health sciences Young Adult 0302 clinical medicine Nursing Geriatric Nursing Acute care medicine Humans 030212 general & internal medicine Young adult Cognitive decline Geriatric Assessment General Nursing Aged Aged 80 and over business.industry Geriatric assessment Middle Aged United States Test (assessment) Practice Guidelines as Topic Feasibility Studies Female Geriatric nurse business Gerontology Delivery of Health Care 030217 neurology & neurosurgery |
| Zdroj: | Journal of gerontological nursing. 44(12) |
| ISSN: | 0098-9134 |
| Popis: | Hospitalized older adults are at high risk for complications, leading to negative outcomes such as longer lengths of stay, hospital readmissions, and functional and cognitive decline. Comprehensive Geriatric Assessment (CGA) models are effective in mitigating these syndromes but are not widespread. Nurses with expertise in gerontology who can provide consultation and care coordination can improve care processes and clinical outcomes. This pilot study capitalized on the role of the geriatric nurse consultant (GNC) to develop, implement, and test the feasibility, acceptability, and utility of a GNC–led CGA. Through repeated applications with hospitalized patients, this study demonstrated that GNCs could complete a CGA and identify clinically actionable findings. This study also uncovered clinical geriatric concerns that would not have otherwise been identified via traditional nursing assessments. The results highlight contribution of a GNC–led CGA as a mechanism to support care process improvements to address common geriatric concerns in the acute care setting. [ Journal of Gerontological Nursing, 44 (12), 25–34.] |
| Databáze: | OpenAIRE |
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