TY - JOUR
T1 - Development of a Comprehensive Geriatric Assessment led by geriatric nurse consultants
T2 - A feasibility study
AU - Trotta, Rebecca L.
AU - Rao, Aditi D.
AU - Hermann, Robin M.
AU - Boltz, Marie P.
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Hospitalized older adults are at high risk for complications, leading to negative outcomes such as longer lengths of stay, hospital readmissions, and functional and cognitive decline. Comprehensive Geriatric Assessment (CGA) models are effective in mitigating these syndromes but are not widespread. Nurses with expertise in gerontology who can provide consultation and care coordination can improve care processes and clinical outcomes. This pilot study capitalized on the role of the geriatric nurse consultant (GNC) to develop, implement, and test the feasibility, acceptability, and utility of a GNC-led CGA. Through repeated applications with hospitalized patients, this study demonstrated that GNCs could complete a CGA and identify clinically actionable fi ndings. This study also uncovered clinical geriatric concerns that would not have otherwise been identifi ed via traditional nursing assessments. The results highlight contribution of a GNC-led CGA as a mechanism to support care process improvements to address common geriatric concerns in the acute care setting.
AB - Hospitalized older adults are at high risk for complications, leading to negative outcomes such as longer lengths of stay, hospital readmissions, and functional and cognitive decline. Comprehensive Geriatric Assessment (CGA) models are effective in mitigating these syndromes but are not widespread. Nurses with expertise in gerontology who can provide consultation and care coordination can improve care processes and clinical outcomes. This pilot study capitalized on the role of the geriatric nurse consultant (GNC) to develop, implement, and test the feasibility, acceptability, and utility of a GNC-led CGA. Through repeated applications with hospitalized patients, this study demonstrated that GNCs could complete a CGA and identify clinically actionable fi ndings. This study also uncovered clinical geriatric concerns that would not have otherwise been identifi ed via traditional nursing assessments. The results highlight contribution of a GNC-led CGA as a mechanism to support care process improvements to address common geriatric concerns in the acute care setting.
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U2 - 10.3928/00989134-20181109-03
DO - 10.3928/00989134-20181109-03
M3 - Article
C2 - 30484845
AN - SCOPUS:85057257440
SN - 0098-9134
VL - 44
SP - 25
EP - 34
JO - Journal of gerontological nursing
JF - Journal of gerontological nursing
IS - 12
ER -