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Updated: Jul 19, 2025

Oral Health Assessment by Lay Personnel for Older Adults
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Ward round communication with older patients.

Lene Holst Andersen1,2,3, Rune Dall Jensen3,4, Mads Skipper5

  • 1Department of Internal Medicine, Randers Regional Hospital, Randers, Denmark.

The Clinical Teacher
|August 8, 2023
PubMed
Summary

Effective ward round communication with older patients is challenged by frailty and organizational factors. More research is needed to optimize communication strategies for this demographic.

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Area of Science:

  • Gerontology
  • Healthcare Communication
  • Patient Care

Background:

  • Effective ward round communication is crucial for patient care, yet optimal strategies for older patients and their relatives remain underexplored.
  • Existing research primarily focuses on general communication with older adults, with limited specific insights into ward round interactions.
  • This review addresses the knowledge gap concerning optimizing communication during ward rounds for elderly individuals.

Approach:

  • A comprehensive scoping review was conducted utilizing major biomedical databases (CINAHL, Embase, MEDLINE, PubMed).
  • The search strategy targeted studies on "ward rounds" and "older patients" (defined as >65 years).
  • Thematic analysis was applied to synthesize findings from the included literature.

Key Points:

  • Three major themes emerged: communication strategy, frailty and patient participation, and organizational/age norm challenges.
  • Identified barriers include patient frailty characteristics and power imbalances between healthcare providers and patients.
  • The reviewed literature predominantly describes ideal communication content rather than practical implementation methods.

Conclusions:

  • Frailty in older patients and systemic organizational issues present significant barriers to effective and safe ward round communication.
  • Further investigation is required to develop and implement optimized communication approaches for frail older patients and their families during ward rounds.