Age-Friendly Acute Care in Newfoundland and Labrador

Abstract

Research Question: What programs and/or services are associated with improved outcomes for older adults admitted as inpatients to acute-care hospitals? Results: Models of care show promise when delivered within self-contained units possessing specialized gerontological interdisciplinary knowledge and expertise, but there is less evidence in our synthesis to suggest that these models can be delivered successfully outside of such units. Models of care delivered outside specialized geriatric units require professional staff with enhanced training and skill sets. Models of care are more successful when they use a collaborative and interprofessional team approach. Geriatric assessment in its different variants is central to positive outcomes in inpatient hospital units. Enhanced discharge planning contributes to positive patient satisfaction, quality of life, and a reduction in the utilization of hospital resources. Relational aspects of care delivery are important, particularly the establishment of good communication among staff, patients, and family members, and teamwork with minimal conflict and stress.