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Hospitalized elders: changes in functional and mental status.

Joyce J Fitzpatrick1, Lori Stier, Ann Eichorn

  • 1New York Health Alliance, Mount Sinai NYU Health, Long Island Jewish Health System, USA. jjfitzpatrick@hotmail.com

Outcomes Management
|January 27, 2004
PubMed
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A new educational program for geriatric nurses improved hospitalized elders' functional and cognitive status. While the intervention group showed benefits, a smaller comparison group did not reveal statistically significant differences.

Area of Science:

  • Geriatric Medicine
  • Nursing Education
  • Healthcare Models

Background:

  • Hospitalized elders often experience declines in functional and cognitive status.
  • Family-centered care models aim to improve outcomes for elderly patients.
  • Geriatric resource nurses play a key role in elder care.

Purpose of the Study:

  • To evaluate a new care model for hospitalized elders and their families.
  • To assess the impact of an educational program for geriatric resource nurses on patient outcomes.
  • To measure changes in patient functional and cognitive status.

Main Methods:

  • An educational program was implemented for family-centered geriatric resource nurses.
  • Patient functional and cognitive status were assessed at admission and discharge.

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  • An intervention group (n=173) received the new model of care.
  • A subset of the intervention group (n=50) was compared to a control group (n=44).

    • Main Results:

    • Patients in the intervention group showed significant improvements in functional and cognitive status from admission to discharge.
    • No statistically significant differences were observed between the intervention subset and the control group.
    • The educational program positively impacted outcomes within the larger intervention group.

    Conclusions:

    • The new model of care, focused on educated geriatric resource nurses, shows promise for improving hospitalized elder outcomes.
    • Further research is needed to understand the nuances of this care model and its impact on different patient groups.
    • The findings suggest the importance of specialized nursing education in geriatric care settings.