BOOST
Better Outcomes for Older Adults
thru Safe Transition (Reduce readmissions)
*Reduce 30-day hospital readmission rates for older adults
*
... [Show More] Improve patient satisfaction
*Identify high-risk patient s to prevent adverse events
*Improve communication between providers & patients
*Better prepare the patient and family for discharge CTI
*A patient centered 4-week intervention program designed to improve quality of care and contain costs for patients with complex care needs as they transition across care settings TCM
*Nurse acts as main Care mgr
*She consults w/pt in hospital and at home within 24 hours of d/c
*Accompanies pt to post d/c & f/u visits and provides weekly home visits also ongoing phone support for an average of 2 months
Palliative Care Life threatening debilitating diseases and
have quality of life but active treatment
Hospice Family involved. Life expectancy 6 mos or
less
3 Triple Aim Goals *Better Care
* Better health outcomes
*Lower costs
Active Euthanasia A person directly and deliberately causes the patient’s death
Ex: Morphine or phenobarbital
Passive Euthanasia They don’t directly take a person’s life; they allow them to die
Ex: Withholding meds or feedings, removing O2
Atrophy of Sweat Glands *Susceptible to head & cold.
*Lack of glands allows you to overheat easily
*Decrease wound healing
Quality of Life Autonomy and Independence
Orthopneic position Upright to prevent Shortness of Breath
Restraints *Can cause death
*Increase Falls
*Injure self
*Mortality rates increase with restraints
*Bed rails
*Mitts
*Seatbelts in wheelchairs
Gustatory Deficit Lack of appetite & sense of smell
Senile Kyphosis Degeneration & attrition on the intervertebral disks particularly of their Anterior portions, in
the physiological kyphotic THORACIC segments
Wear and tear theory Cells wear out and cannot function with aging
Isometric exercise Pushing on the wall
Isotonic exercise Resistance bands
Short gut syndrome Malabsorption disorder caused by lack of functional small intestine. Primary symptom is diarrhea, which can cause dehydration,
malnutrition and weight loss
Endocrine Decrease in BMR (Basal Metabolic Rate)
Permanent decrease in mental capacity Dementia
Satir’s Basic Principles for Communication *Invite
*Arrange environment
*Maximize Understanding
*Maximize Communication
*Follow Through
SPICES *Sleep Disorders
*Problems w/bathing or feeding
*Incontinence
*Confusion
*Evidence of Falls
*Skin Breakdown
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