scholarly journals The identification of frail older adults in primary care: comparing the accuracy of five simple instruments

2012 ◽  
Vol 42 (2) ◽  
pp. 262-265 ◽  
Author(s):  
Emiel O. Hoogendijk ◽  
Henriëtte E. van der Horst ◽  
Dorly J. H. Deeg ◽  
Dinnus H. M. Frijters ◽  
Bernard A. H. Prins ◽  
...  
CJEM ◽  
2015 ◽  
Vol 18 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Judah Goldstein ◽  
Jennifer McVey ◽  
Stacy Ackroyd-Stolarz

AbstractCaring for older adults is a major function of emergency medical services (EMS). Traditional EMS systems were designed to treat single acute conditions; this approach contrasts with best practices for the care of frail older adults. Care might be improved by the early identification of those who are frail and at highest risk for adverse outcomes. Paramedics are well positioned to play an important role via a more thorough evaluation of frailty (or vulnerability). These findings may inform both pre-hospital and subsequent emergency department (ED) based decisions. Innovative programs involving EMS, the ED, and primary care could reduce the workload on EDs while improving patient access to care, and ultimately patient outcomes. Some frail older adults will benefit from the resources and specialized knowledge provided by the ED, while others may be better helped in alternative ways, usually in coordination with primary care. Discerning between these groups is a challenge worthy of further inquiry. In either case, care should be timely, with a focus on identifying emergent or acute care needs, frailty evaluation, mobility assessments, identifying appropriate goals for treatment, promoting functional independence, and striving to have the patient return to their usual place of residence if this can be done safely. Paramedics are uniquely positioned to play a larger role in the care of our aging population. Improving paramedic education as it pertains to geriatrics is a critical next step.


2021 ◽  
Vol 40 (9) ◽  
pp. 1368-1376
Author(s):  
David I. Auerbach ◽  
Douglas E. Levy ◽  
Peter Maramaldi ◽  
Robert S. Dittus ◽  
Joanne Spetz ◽  
...  

1998 ◽  
Vol 46 (10) ◽  
pp. 1191-1198 ◽  
Author(s):  
Suzanne G. Leveille ◽  
Edward H. Wagner ◽  
Connie Davis ◽  
Lou Grothaus ◽  
Jeffrey Wallace ◽  
...  

2017 ◽  
Vol 17 (5) ◽  
pp. 284
Author(s):  
Marco Inzitari ◽  
Laura Mónica Pérez ◽  
Belen Enfedaque ◽  
Elisabeth Martín ◽  
Gabriel Liesa ◽  
...  

2020 ◽  
Vol Volume 15 ◽  
pp. 1625-1636
Author(s):  
WMA Meekes ◽  
Chantal Leemrijse ◽  
JC Korevaar ◽  
JMAE Henquet ◽  
M Nieuwenhuis ◽  
...  

2016 ◽  
Vol 28 ◽  
pp. 43-51 ◽  
Author(s):  
Emiel O. Hoogendijk ◽  
Henriëtte E. van der Horst ◽  
Peter M. van de Ven ◽  
Jos W.R. Twisk ◽  
Dorly J.H. Deeg ◽  
...  

2014 ◽  
Vol 62 (9) ◽  
pp. 1772-1780 ◽  
Author(s):  
Sadhana Prasad ◽  
Wendy Dunn ◽  
Loretta M. Hillier ◽  
Carrie A. McAiney ◽  
Rex Warren ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S66-S66
Author(s):  
Karen Donelan ◽  
Joanne Spetz

Abstract This symposium will include 3 papers that provide critical interprofessional and interdisciplinary perspectives on our work to understand and measure staffing in health care teams caring for older adults, and frail older adults. The Health Teams for Frail Elders project was funded by the Gordon and Betty Moore Foundation from August 2016 to October 2018. Dr. Karen Donelan, project Principal Investigator, will chair the session, providing a brief project overview of project aims and activities. A survey and health services researcher, Dr. Donelan will set the context for this large scale project. Dr. Barbara Roberge, a geriatric nurse practitioner who established one of the first senior health programs in the nation along with Dr. Kenneth Minaker at Mass General Hospital, was our primary care and nursing lead on our site visits. She will talk about the care settings we visited, her development of a site assessment tool that covered a range of frail elder needs, and will summarize professional roles and staffing observed within different site types. Dr. Julie Berrett-Abebe, a junior investigator on our team (PhD 2017), will present a paper on the competencies and roles of social workers and community health workers in primary and geriatric practices, as well as the roles of community health workers. Dr. David Auerbach, a national expert in health policy and workforce analysis, will present 4 models of staffing of practices, demonstrating efficiencies in optimizing services for frail elders while minimizing costs.Dr. Joanne Spetz will be the discussant of cross-cutting themes.


2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1379-1379
Author(s):  
B. Hanratty ◽  
D. Stow ◽  
A. Clegg ◽  
S. Iliffe ◽  
S. Barclay ◽  
...  

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