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Optimizing reserve in hospitalized elderly.

Kathleen Fletcher1

  • 1University of Virginia Health System, 2071 McKim Hall, P.O. Box 800566, Charlottesville, VA 22908-0566, USA. krf8d@virginia.edu

Critical Care Nursing Clinics of North America
|August 19, 2007
PubMed
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Elderly patients in hospitals are vulnerable to decline. Nurses can prevent this by using evidence-based interventions to support physical, psychosocial, and spiritual health during acute care.

Area of Science:

  • Gerontology and Geriatric Care
  • Nursing Science
  • Healthcare Management

Background:

  • Aging is a complex process affecting physical, psychosocial, and spiritual well-being.
  • Acute and critical care hospitalizations significantly challenge the reserves of older adults.
  • Hospitalized elderly individuals are particularly vulnerable to decline and deterioration.

Purpose of the Study:

  • To highlight the vulnerability of elderly patients during hospitalization.
  • To emphasize the critical role of hospital nursing staff in preventing age-related decline.
  • To identify opportunities for nurses to bolster the resilience of older adults.

Main Methods:

  • This study is a conceptual review and synthesis of existing literature.
  • It focuses on the multidimensional aspects of aging and healthcare.

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  • Evidence-based interventions and nursing roles are discussed.

    • Main Results:

    • Hospitalization poses a significant threat to the physical, psychosocial, and spiritual reserves of the elderly.
    • Nurses are pivotal in recognizing and mitigating risks for elderly patients.
    • Proactive, evidence-based nursing interventions can prevent avoidable deterioration.

    Conclusions:

    • Hospital nursing staff must recognize the unique vulnerabilities of aging patients.
    • Evidence-based practices are essential for preventing decline in hospitalized older adults.
    • Nurses can enhance elderly resilience through practice, research, education, and policy initiatives.