Abstract Detail

Abstract

Nursing home residents (NHRs) represent one of the most vulnerable groups of older individuals, requiring complex and comprehensive care due to their multiple comorbidities and intricate healthcare needs. The establishment of specialized gerontological acute care services tailored for older adults within tertiary referral university teaching hospitals has demonstrated significant benefits over traditional care models. These services are designed to address the unique needs of this population, providing appropriate treatment in settings conducive to their well-being and aiming to mitigate adverse consequences associated with unnecessary hospitalizations, such as functional decline, iatrogenic complications, and increased healthcare costs. In 2023, at a Tertiary Referral University Teaching Hospital 343 NHRs were admitted to acute care. Of these, 227 were directly admitted under the care of specialized gerontological acute care, with an average length of stay of 7 days, totalling 376 bed days, and a readmission rate of 15%. In contrast, 112 NHRs admitted under other specialized services had an average length of stay of 9 days, totalling 849 bed days, and a readmission rate of 11%. The primary advantage of acute care-specific services lies in the personalized attention and specialized expertise provided by gerontologically attuned practitioners. These professionals have a profound understanding of age-related changes, complex health conditions, and psychosocial aspects affecting older adults. By tailoring care plans to individual needs and preferences, they optimize treatment outcomes and enhance the overall quality of life for nursing home residents. In conclusion, the establishment of acute gerontological care-specific services represents a significant advancement in addressing the complex needs of frail older adults in nursing homes. By leveraging the expertise of gerontologically attuned practitioners and emphasizing person-centred care approaches, these services offer a holistic and tailored solution to improve outcomes and enhance the quality of life for this vulnerable population. Continued investment in developing and expanding such services is crucial for advancing care standards for older adults and promoting a more age-friendly healthcare system.

Biography

Registered Advanced Nurse Practitioner in gerontology based in acute services. Claire has completed a Post Grad diploma in Gerontological Nursing and Masters in Advanced Practice in TCD. As part of her role as RANP she development of a nursing home liaison services within TUH. To provide mainstream medical care to all nursing home residents admitted. The aim of this service is to improve the patients journey through the acute services while provide follow-up post discharge.  This directly impacts on avoidable unnecessary presentations or prolonged admission by enhancing direct communication between services and maintaining strong links with integrated care. Claire is committed to continued professional development and improving the healthcare experience for older people.