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[The interdisciplinary team on the assessment unit]

I Nerenheim-Duscha1, W H Kruse, H P Meier-Baumgartner

  • 1Medizinisch-Geriatrische Klinik, Albertinen-Haus, Hamburg.

Zeitschrift Fur Gerontologie Und Geriatrie
|March 1, 1995
PubMed
Summary
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Comprehensive geriatric assessment by multidisciplinary teams improved patient function and led to over 70% of survivors returning home. The study highlights a significant need for ongoing outpatient professional care for geriatric patients.

Area of Science:

  • Gerontology
  • Internal Medicine
  • Healthcare Management

Context:

  • Multidisciplinary teams are essential for comprehensive geriatric assessment (CGA).
  • Systematic information exchange and treatment planning are crucial for interdisciplinary collaboration.
  • This study evaluated a CGA unit serving 54 consecutively admitted patients.

Purpose:

  • To assess the effectiveness of a CGA model implemented in an assessment unit.
  • To evaluate functional outcomes and discharge destinations for geriatric patients.
  • To identify unmet healthcare needs post-discharge.

Summary:

  • A core team (physician, nurse, social worker) supplemented by other disciplines conducted assessments.
  • The CGA process resulted in functional improvement, evidenced by increased Barthel Index scores.

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  • Over 70% of surviving patients were discharged home, with a notable need for further ambulatory care identified.

    • Impact:

    • Demonstrates the positive impact of CGA on geriatric patient functional status.
    • Highlights the successful reintegration of a majority of patients into their homes.
    • Underscores the critical need for enhanced post-discharge ambulatory care services for the elderly.