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An Overview of Hospital-Based Models of Care

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Acute Care for Elders

Part of the book series: Aging Medicine ((AGME))

Abstract

The science of geriatric health care has evolved tremendously during the last 30 years including the development of several geriatric models of care across all healthcare settings. This chapter provides an overview of the various geriatric hospital models of care, including their objectives, unique strategies, and outcomes, including costs. Each geriatric care model may differ in its approach to prevent complications and address hospital factors that can contribute to complications, yet all embrace a common set of general objectives that reflect the care domains of CGA: physical health, functional status, psychological health, and socio-environmental parameters. These include patient–family-centric care, evidence-based geriatric screening, prevention and treatment, function-focused care, and discharge planning (or transitional care).

Institutional approaches utilized by geriatric models of care address workforce issues as well as how the evidence-based geriatric care processes are embedded within the organizational structure of the hospital or health system. Specific models of care described include the consultative service or mobile ACE unit, NICHE, and HELP as well as evolving specialty models of care.

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Abbreviations

ACE:

Acute Care for Elders

AGS:

American Geriatrics Society

CGA:

Comprehensive geriatric assessment

GIAP:

Geriatric Institutional Assessment Profile

GPCA:

Geriatric Patient Care Associate

GRN:

Geriatric Resource Nurse

GRN:

Geriatric registered nurse

GSA:

Gerontological Association of America

HELP:

Hospital Elder Life Program

MACE:

Mobile ACE

NICHE:

Nurses Improving Care for Healthsystem Elders

NYU:

New York University

OT:

Occupational therapy

PT:

Physical therapy

QA:

Quality assurance

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Authors and Affiliations

  1. School of Nursing, Hunter College, 425 E. 25 th Street, New York, NY, 10010, USA

    Elizabeth A. Capezuti Ph.D., R.N., F.A.A.N.

  2. New York University College of Nursing, New York, NY, 10013, USA

    Marie Boltz Ph.D., R.N.

Authors
  1. Elizabeth A. Capezuti Ph.D., R.N., F.A.A.N.
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  2. Marie Boltz Ph.D., R.N.
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Correspondence to Elizabeth A. Capezuti Ph.D., R.N., F.A.A.N. .

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Editors and Affiliations

  1. Aurora Sinai Medical Center, Milwaukee, Wisconsin, USA

    Michael L. Malone

  2. Hunter College, New York, New York, USA

    Elizabeth A. Capezuti

  3. Eastern Virginia Medical School, Norfolk, Virginia, USA

    Robert M. Palmer

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Capezuti, E.A., Boltz, M. (2014). An Overview of Hospital-Based Models of Care. In: Malone, M., Capezuti, E., Palmer, R. (eds) Acute Care for Elders. Aging Medicine. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1025-0_4

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