Models of care and outcomes in older medical patients

Mudge, Alison and Denaro, Charles (2010). Models of care and outcomes in older medical patients. In: World Congress in Internal Medicine (WCIM) 2010, Melbourne, Australia, (39-40). 20-25 March 2010. doi:10.1111/j.1445-5994.2010.02186.x

Author Mudge, Alison
Denaro, Charles
Title of paper Models of care and outcomes in older medical patients
Conference name World Congress in Internal Medicine (WCIM) 2010
Conference location Melbourne, Australia
Conference dates 20-25 March 2010
Journal name Internal Medicine Journal   Check publisher's open access policy
Place of Publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Publication Year 2010
Sub-type Published abstract
DOI 10.1111/j.1445-5994.2010.02186.x
ISSN 1444-0903
Volume 40
Issue Supp. 1
Start page 39
End page 40
Total pages 2
Language eng
Abstract/Summary Care of the older patient is becoming the core business of general medicine. Older patients comprise an increasing proportion of medical inpatients, and the long average hospital stays and poor clinical outcomes in this group are an attractive target for improvements in both efficiency and quality. Functional, cognitive and nutritional impairments increase with age, commonly worsen with hospitalisation, and are predictive of poor outcomes. Recognition and management of these issues require an interdisciplinary, system level approach. In 2003, a model of interdisciplinary care was introduced into the large general medical service of a tertiary Australian teaching hospital, and controlled trial evaluation demonstrated improvements in efficiency and clinical outcomes consistent with previous literature. This presentation will summarise the model, and describe the implementation and evaluation of subsequent modifications specifically addressing the issues of functional decline, delirium and poor nutrition. The session will present data on the prevalence of these problems in older medical patients, and discuss the implementation and effects of the interventions in the context of the literature. It will also discuss practical challenges and barriers to implementation and sustainability. Objectives/learning outcomes: (1)To increase awareness of functional decline, delirium and poor nutrition as common issues in older medical patients (2)To review evidence regarding prevention and management of these problems in older medical patients (3)To discuss practical examples of system-level approaches to these problems in a large Australian hospital general medicine service.
Q-Index Code CX
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Special Issue: Abstracts for the World Congress of Internal Medicine, World Congress of Internal Medicine in Conjunction with Physicians Week. Oral Abstract 0145

Document type: Conference Paper
Collection: School of Medicine Publications
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Created: Wed, 23 Feb 2011, 11:07:56 EST by Amarjeet Sanghera on behalf of Medicine - Royal Brisbane and Women's Hospital