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01.06.2014 | Perspective

Regardless of Age: Incorporating Principles from Geriatric Medicine to Improve Care Transitions for Patients with Complex Needs

verfasst von: Alicia I. Arbaje, MD, MPH, Devan L. Kansagara, MD, MCR, FACP, Amanda H. Salanitro, MD, MS, MSPH, Honora L. Englander, MD, Sunil Kripalani, MD, MSc, Stephen F. Jencks, MD, MPH, Lee A. Lindquist, MD, MBA

Erschienen in: Journal of General Internal Medicine | Ausgabe 6/2014

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ABSTRACT

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 geriatrics principles into care transition activities by discussing the following elements: (1) identifying factors that make transitions more complex, (2) engaging care “receivers” and tailoring home care to meet patient needs, (3) building “recovery plans” into transitional care, (4) predicting and avoiding preventable readmissions, and (5) adopting a palliative approach, when appropriate, that optimizes patient and family goals of care. The article concludes with a discussion of practical aspects of designing, implementing, and evaluating care transitions programs for those with complex care needs, as well as implications for public policy.

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Titel: Regardless of Age: Incorporating Principles from Geriatric Medicine to Improve Care Transitions for Patients with Complex Needs
verfasst von: Alicia I. Arbaje, MD, MPH
Devan L. Kansagara, MD, MCR, FACP
Amanda H. Salanitro, MD, MS, MSPH
Honora L. Englander, MD
Sunil Kripalani, MD, MSc
Stephen F. Jencks, MD, MPH
Lee A. Lindquist, MD, MBA
Publikationsdatum: 01.06.2014
Verlag: Springer US
Erschienen in: Journal of General Internal Medicine / Ausgabe 6/2014
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-013-2729-1

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