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Related Experiment Video

Updated: May 2, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Published on: September 30, 2020

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Aging patients: nursing implications for direct care nurses.

Ellarene Duis Sanders1

  • 1Texas Nurses Association, Austin.

Nursing Administration Quarterly
|February 27, 2014
PubMed
Summary

Nurses providing direct care are crucial for older adults lacking family support. They must develop skills in geriatric assessment and manage care across the continuum, bridging gaps for those without specialized coordination.

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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Published on: September 30, 2020

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Area of Science:

  • Geriatric Nursing
  • Healthcare Management
  • Patient Care Coordination

Background:

  • Family members often provide care for older adults, but gaps exist when this support is unavailable.
  • Specialized nursing roles in care coordination are increasing but often focus on complex cases.
  • Direct-care nurses in inpatient and outpatient settings serve as a critical safety net for vulnerable older populations.

Purpose of the Study:

  • To examine the role of direct-care nurses in coordinating care for older adults.
  • To identify the need for enhanced geriatric competencies among frontline nursing staff.
  • To explore strategies for improving continuity of care for elderly patients outside specialized programs.

Main Methods:

  • Qualitative reflection based on personal experience with maternal care.
  • Analysis of the current landscape of care coordination for older adults.
  • Identification of essential competencies for nurses managing geriatric care.

Main Results:

  • Direct-care nurses are essential for older adults lacking specialized care coordination.
  • Gaps in care continuity and transitions are prevalent for this population.
  • There is a need for improved geriatric assessment skills and continuum-of-care awareness among direct-care nurses.

Conclusions:

  • Direct-care nurses require enhanced competencies in geriatric assessment and care coordination.
  • Empowering frontline nurses can improve care continuity for older adults.
  • Addressing the needs of older adults necessitates a broader approach to care coordination beyond specialized roles.