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The POLST program relies upon teamwork and coordinated systems to ensure preferences are honored throughout the health care system. Research suggests the POLST form accurately represents individual's treatment preferences the majority of the time [17] and that the treatments provided at the end of life match the orders on the form. [18]
Frail elderly patients (score of 4 or 5) have even worse outcomes, with the risk of being discharged to a nursing home rising to twenty times the rate for non-frail elderly people. Another tool that has been used to predict frailty outcome post-surgery is the Modifies Frailty Index, or mFI-5. This scale consists of 5 key co-morbidities: [61]
[9] [11] Under this method, PACE serves as a cost-saving elderly care program that emphasizes on preventative, up-stream care. Notably, PACE programs saved California State $22.6 million in health care cost for elderly. [12] PACE programs organize their services in "PACE Centers". [10]
Frail elderly individuals may choose to decline some kinds of medical care, because the risk-benefit ratio is different. For example, frail elderly women routinely stop screening mammograms, because breast cancer is typically a slowly growing disease that would cause them no pain, impairment, or loss of life before they would die of other ...
A writer in 1956 requested that nurses refocus their research to include major health issues of the time and how to support the frail elderly. [37] In the 1990s, research focus was put on how pain affected the daily lives of older adults. This research lead to improve pain identification and treatment across settings. [37]
The Program of All-Inclusive Care for the Elderly (PACE) model was created in the early 1970s in order to meet the chronic care needs of older people through their community. As an assistance program, one must be at least 55 years of age, certified by their state to need nursing home care, are able to live safely in the community at the time of ...
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The hand of an elderly person Women at the On Lok Senior Health Services day care program in San Francisco, late 1970s. Frail people require a high level of care. Medical advances have made it possible to extend life, or "postpone death", at old age for years. This added time costs many frail people "prolonged sickness, dependence, pain, and ...