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Moving Towards the Age-friendly Hospital: A Paradigm Shift for the Hospital-based Care of the Elderly
INTRODUCTION: Care of the older adult in the acute care hospital is becoming more challenging. Patients 65 years and older account for 35% of hospital discharges and 45% of hospital days. Up to one-third of the hospitalized frail elderly loses independent functioning in one or more activities of dai...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Canadian Geriatrics Society
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516236/ https://www.ncbi.nlm.nih.gov/pubmed/23251321 http://dx.doi.org/10.57700/cgj.v14i4.8 |
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author | Huang, Allen R. Larente, Nadine Morais, Jose A. |
author_facet | Huang, Allen R. Larente, Nadine Morais, Jose A. |
author_sort | Huang, Allen R. |
collection | PubMed |
description | INTRODUCTION: Care of the older adult in the acute care hospital is becoming more challenging. Patients 65 years and older account for 35% of hospital discharges and 45% of hospital days. Up to one-third of the hospitalized frail elderly loses independent functioning in one or more activities of daily living as a result of the ‘hostile environment’ that is present in the acute hospitals. A critical deficit of health care workers with expertise and experience in the care of the elderly also jeopardizes successful care delivery in the acute hospital setting. METHODS: We propose a paradigm shift in the culture and practice of event-driven acute hospital-based care of the elderly which we call the Age-friendly Hospital concept. Guiding principles include: a favourable physical environment; zero tolerance for ageism throughout the organization; an integrated process to develop comprehensive services using the geriatric approach; assistance with appropriateness decision-making and fostering links between the hospital and the community. Our current proposed strategy is to focus on delirium management as a hospital-wide condition that both requires and highlights the Geriatric Medicine specialist as an expert of content, for program development and of evaluation. CONCLUSION: The Age-friendly Hospital concept we propose may lead the way to enable hospitals in the fast-moving health care system to deliver high-quality care without jeopardizing risk-benefit, function, and quality of life balances for the frail elderly. Recruitment and retention of skilled health care professionals would benefit from this positive ‘branding’ of an institution. Convincing hospital management and managing change are significant challenges, especially with competing priorities in a fiscal environment with limited funding. The implementation of a hospital-wide delirium management program is an example of an intervention that embodies many of the principles in the Age-friendly Hospital concept. It is important to change the way hospital care is delivered to older adults in time to meet our needs when we need hospital services ourselves. |
format | Online Article Text |
id | pubmed-3516236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Canadian Geriatrics Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-35162362012-12-18 Moving Towards the Age-friendly Hospital: A Paradigm Shift for the Hospital-based Care of the Elderly Huang, Allen R. Larente, Nadine Morais, Jose A. Can Geriatr J Systematic Reviews/Meta-Analysis INTRODUCTION: Care of the older adult in the acute care hospital is becoming more challenging. Patients 65 years and older account for 35% of hospital discharges and 45% of hospital days. Up to one-third of the hospitalized frail elderly loses independent functioning in one or more activities of daily living as a result of the ‘hostile environment’ that is present in the acute hospitals. A critical deficit of health care workers with expertise and experience in the care of the elderly also jeopardizes successful care delivery in the acute hospital setting. METHODS: We propose a paradigm shift in the culture and practice of event-driven acute hospital-based care of the elderly which we call the Age-friendly Hospital concept. Guiding principles include: a favourable physical environment; zero tolerance for ageism throughout the organization; an integrated process to develop comprehensive services using the geriatric approach; assistance with appropriateness decision-making and fostering links between the hospital and the community. Our current proposed strategy is to focus on delirium management as a hospital-wide condition that both requires and highlights the Geriatric Medicine specialist as an expert of content, for program development and of evaluation. CONCLUSION: The Age-friendly Hospital concept we propose may lead the way to enable hospitals in the fast-moving health care system to deliver high-quality care without jeopardizing risk-benefit, function, and quality of life balances for the frail elderly. Recruitment and retention of skilled health care professionals would benefit from this positive ‘branding’ of an institution. Convincing hospital management and managing change are significant challenges, especially with competing priorities in a fiscal environment with limited funding. The implementation of a hospital-wide delirium management program is an example of an intervention that embodies many of the principles in the Age-friendly Hospital concept. It is important to change the way hospital care is delivered to older adults in time to meet our needs when we need hospital services ourselves. Canadian Geriatrics Society 2011-12-12 /pmc/articles/PMC3516236/ /pubmed/23251321 http://dx.doi.org/10.57700/cgj.v14i4.8 Text en © 2011 Author(s). Published by the Canadian Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivative license (http://creativecommons.org/licenses/by-nc-nd/2.5/ca/), which permits unrestricted non-commercial use and distribution, provided the original work is properly cited. |
spellingShingle | Systematic Reviews/Meta-Analysis Huang, Allen R. Larente, Nadine Morais, Jose A. Moving Towards the Age-friendly Hospital: A Paradigm Shift for the Hospital-based Care of the Elderly |
title | Moving Towards the Age-friendly Hospital: A Paradigm Shift for the Hospital-based Care of the Elderly |
title_full | Moving Towards the Age-friendly Hospital: A Paradigm Shift for the Hospital-based Care of the Elderly |
title_fullStr | Moving Towards the Age-friendly Hospital: A Paradigm Shift for the Hospital-based Care of the Elderly |
title_full_unstemmed | Moving Towards the Age-friendly Hospital: A Paradigm Shift for the Hospital-based Care of the Elderly |
title_short | Moving Towards the Age-friendly Hospital: A Paradigm Shift for the Hospital-based Care of the Elderly |
title_sort | moving towards the age-friendly hospital: a paradigm shift for the hospital-based care of the elderly |
topic | Systematic Reviews/Meta-Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3516236/ https://www.ncbi.nlm.nih.gov/pubmed/23251321 http://dx.doi.org/10.57700/cgj.v14i4.8 |
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