Characteristics of Patients Described as Sub-acute in an Acute Care Hospital

被引:12
作者
Elbourne, Heather Fillmore [1 ]
Hominick, Kathryn [2 ]
Mallery, Laurie [2 ,3 ]
Rockwood, Kenneth [2 ,3 ]
机构
[1] Dalhousie Univ, Sch Nursing, Halifax, NS B3H 2E1, Canada
[2] Dalhousie Univ, Halifax, NS B3H 2E1, Canada
[3] Dalhousie Univ, Div Geriatr Med, Halifax, NS B3H 2E1, Canada
来源
CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT | 2013年 / 32卷 / 02期
关键词
aging; seniors; acute care; health outcomes; functional outcomes; interventions; implementation strategies; social and complexity theory; ILLNESS PRESENTATION; OLDER PERSONS; DELIRIUM; RECOVERY; ADULTS; HOME;
D O I
10.1017/S0714980813000214
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Frail older patients suffer from multiple, complex needs that often go unmet in an acute care setting. Failure to recognize the geriatric giants in frail older adults is resulting in the misclassification of this population. This study investigated "sub-acute" frail, older-adult in-patients in a tertiary care teaching hospital. Although identified as being no longer acutely ill, all participants (n = 62) required active medical and/or nursing care. Frail older patients, often acutely ill, were being misclassified as sub-acute when the acuity of their illness went unrecognized which resulted in equally unrecognized disease presentations. The majority of participants wished to be cared for at or closer to home. The lack of post-acute-care service within our health care system and risk aversion on the part of hospital staff resulted in lengthy hospital stays and/or in patients being funneled into existing services (nursing homes) against their desire to go home.
引用
收藏
页码:203 / 208
页数:6
相关论文
共 27 条
[1]   Incomplete functional recovery after delirium in elderly people: A prospective cohort study [J].
Andrew M.K. ;
Freter S.H. ;
Rockwood K. .
BMC Geriatrics, 5 (1)
[2]   Recovery of Activities of Daily Living in Older Adults After Hospitalization for Acute Medical Illness [J].
Boyd, Cynthia M. ;
Landefeld, C. Seth ;
Counsell, Steven R. ;
Palmer, Robert M. ;
Fortinsky, Richard H. ;
Kresevic, Denise ;
Burant, Christopher ;
Covinsky, Kenneth E. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2008, 56 (12) :2171-2179
[3]   Older people's and relatives' experiences in acute care settings: Systematic review and synthesis of qualitative studies [J].
Bridges, Jackie ;
Flatley, Mary ;
Meyer, Julienne .
INTERNATIONAL JOURNAL OF NURSING STUDIES, 2010, 47 (01) :89-107
[4]   Persistent delirium in older hospital patients: a systematic review of frequency and prognosis [J].
Cole, Martin G. ;
Ciampi, Antonio ;
Belzile, Eric ;
Zhong, Lihong .
AGE AND AGEING, 2009, 38 (01) :19-26
[5]   The last 2 years of life: Functional trajectories of frail older people [J].
Covinsky, KE ;
Eng, C ;
Lui, LY ;
Sands, LP ;
Yaffe, K .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (04) :492-498
[6]  
Evans Bill, 2011, Healthc Q, V14, P66
[7]  
Ferrucci L, 1997, JAMA-J AM MED ASSOC, V277, P728
[8]   DIAGNOSIS OF ILLNESS PRESENTATION IN THE ELDERLY [J].
FRIED, LP ;
STORER, DJ ;
KING, DE ;
LODDER, F .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1991, 39 (02) :117-123
[9]   Is Geriatric Medicine Terminally Ill? [J].
Golden, Adam G. ;
Silverman, Michael A. ;
Mintzer, Michael J. .
ANNALS OF INTERNAL MEDICINE, 2012, 156 (09) :654-657
[10]  
Gomm R., 2000, EVALUATING RES HLTH