trigger - hospital care/services

Question 1

goal is to prevent delerium in hospitalized pts

Answer 1

Hospital Elder Life Program (HELP)

strategy: Implement mobility, cognitive, sleep, and nutrition protocols on general medical wards throughout the hospital

evidence: Trials show a 33% reduction in the incident of delirium and improvements in severity and duration in those who do develop delirium

Question 2

factors include:
quiet environments
improve cognition
nonpharm sleep
hydration and nutrition
early mobility
hearing.vision adaptions

Answer 2

HELP

Question 3

Strategy: Implement mobility, cognitive, sleep, and nutrition protocols on general medical wards throughout the hospital

Answer 3

Hospital Elder Life Program (HELP)

GOAL: Prevent delirium in older hospitalized adults

Evidence: Trials show a 33% reduction in the incident of delirium and improvements in severity and duration in those who do develop delirium

Question 4

Trials show a 33% reduction in the incident of delirium and improvements in severity and duration in those who do develop delirium

Answer 4

Hospital Elder Life Program (HELP)

GOAL: Prevent delirium in older hospitalized adults

Question 5

GOAL: prevent functional decline and improve the quality of care during acute hospitalization - go home with same ADLs they came in with

Answer 5

Acute Care for Elders (ACE) Model

Uses comprehensive geriatric assessment and interprofessional team-based care - combo of geriatrician, geriatric nurses, geriatric trained staff, rehabilitation specialists and pharmacist

STRATEGY: Develop pt goals and to prevent common complications - Deconditioning, cognitive decline, nutritional decline, polypharmacy

Question 6

STRATEGY: Develop pt goals and to prevent common complications - Deconditioning, cognitive decline, nutritional decline, polypharmacy

Question 7

Factors include:
mobility
healthy sleep
good nutrition
continence
orientation
inclusion of pt in POC
frequent review of med care plan
skin integrity

Answer 7

Acute Care for Elders (ACE) Model

Uses comprehensive geriatric assessment and interprofessional team-based care - combo of geriatrician, geriatric nurses, geriatric trained staff, rehabilitation specialists and pharmacist

GOAL: prevent functional decline and improve the quality of care during acute hospitalization - go home with same ADLs they came in with

Question 8

when does urinary retention warrant an indwelling catheter

Answer 8

when its causing complications and cannot be medically OR surgically corrected!

cannot be managed w intermittent catheterization.