Regardless of Age: Incorporating Principles from Geriatric Medicine to Improve Care Transitions for Patients with Complex Needs
作者： Alicia I. Arbaje , Devan L. Kansagara , Amanda H. Salanitro , Honora L. Englander , Sunil Kripalani
DOI: 10.1007/S11606-013-2729-1
关键词:
摘要: With its focus on holistic approaches to patient care, caregiver support, and delivery system redesign, geriatrics has advanced our understanding of optimal care during transitions. This article provides a framework for incorporating principles into transition activities by discussing the following elements: (1) identifying factors that make transitions more complex, (2) engaging “receivers” tailoring home meet needs, (3) building “recovery plans” transitional (4) predicting avoiding preventable readmissions, (5) adopting palliative approach, when appropriate, optimizes family goals care. The concludes with discussion practical aspects designing, implementing, evaluating programs those complex as well implications public policy.
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