Lecture 16 Gero resources

Question 1

The Transitional Care Model (TCM)

Answer 1

1. An evidence-based assessment tool with 10 screening criteria that are found to predict higher risk for readmission once the patient transitions from hospital to home.
2. High-risk criteria include: Being age 80 or older; moderate to severe functional deficits; depressive symptoms; four or more active co-existing health conditions; six or more prescribed medications; an inadequate support system; low health literacy; documented history of nonadherence to therapeutic regimen; cognitive impairment.
3. Patients are also considered high risk for poor transitions if they have had two or more hospitalizations in the past 6 months or a hospitalization in the past 30 days.

Question 2

Older adults make up _ of non-obstetric hospital days.

Answer 2

52%

Question 3

_ of older adults have chronic conditions.

Answer 3

88%

Question 4

According to an IOM report, adverse events are common for older adults, particularly in the areas of _

Answer 4

1. Pressure ulcers.
2. Medication errors.
3. Delirium.
4. Physical restraint use.

Question 5

“NICHE” stands for _

Answer 5

Nurses Improving Care to Health systems Elders.

Question 6

ACE Unit

Answer 6

“Acute Care of the Elderly” Unit - all staff are GRNs (Geriatric Resource Nurses).

Question 7

The Geriatric Resource Nurse (GRN) model offers a unit-based approach to managing the needs of older adults by _

Answer 7

Adding the resources of a staff nurse who has participated in didactic and often also clinical training programs in the hospital.