Related Experiment Video
Updated: Sep 17, 2025
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Implementation of a line of care for older adults in a teaching hospital
Lisiane Manganelli Girardi Paskulin1, Roberta Rigo Dalla Corte2, Helena Barreto Dos Santos3
1Universidade Federal do Rio Grande do Sul. Escola de Enfermagem e Saúde Coletiva. Porto Alegre, Rio Grande do Sul, Brasil.
Objective:
To outline the design and implementation processes of a Line of Care for older adults at a teaching hospital in Southern Brazil.
Methods:
This cross-sectional study was conducted at the Hospital de Clínicas de Porto Alegre using the improvement model based on Plan-Do-Study-Act (PDSA) cycles. The results analyzed were collected from the institution's databases for the period between 2019 and 2024. A descriptive statistical analysis was performed on the data.
Results:
The Care Line was implemented for hospitalized patients in wards and emergency departments, as well as for outpatients, considering the prevalent conditions in older adults. The actions were related to mental health, mobility, and drugs used, from the perspective of the older patients and their caregivers, developed according to the improvement model. Stand out the formation of a team of champions, situational diagnoses, the construction of multiprofessional protocols for the care of the older adult, and the prevention and treatment of delirium, as well as the monitoring of processes to guide new actions based on the results obtained.
Conclusion:
The Care Line is being implemented through a program grounded in the science of improvement and practices for older adults' care, enhancing clinical practice, education, and care management.
Related Concept Videos
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:18Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...