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Program of All-inclusive Care for the Elderly (PACE) are programs within the United States that provide comprehensive health services for individuals age 55 and over who are sufficiently frail to be categorized as "nursing home eligible" by their state's Medicaid program. [1]
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]
Geriatricians have focused on holistic assessments of their patients since the early days of the specialty. Dr. Marjorie Warren was the first doctor in the UK to systematically assess older people, categorizing them into those who could be got better with appropriate treatment and then discharged, and those who needed continuing (usually institutional) care. [4]
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 ...
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]
The exercise program is tailored to the patient's specific deficits, which may include walking speed, strength, balance, and coordination. A slow walking speed has been linked to an increased risk of falls; thus, exercises that enhance walking speed are crucial for safer and more functional ambulation. After initiating an exercise program, it ...
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]
Older people have three characteristics to look out for: frailty, disability and comorbidities. [7] Although specific responsibilities may depend on specialty and type of employment, these are the most common responsibilities for AGNP: [8] Conducting wellness visits, examinations and treatment monitoring of adult patients