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Post-acute Considerations in Disposition

  • Laura Harmon
  • Leah Kohri
  • Rosemary Kozar
Chapter

Abstract

Geriatric trauma patients are a unique population requiring the balance of treating traumatic injury with the treatment of multiple underlying diseases and variable physiologic reserve. Successful disposition is dependent on early triage, multidisciplinary approach, and prevention of readmission. Early identification of long-term needs is the first step. A multidisciplinary team including physicians, nursing, physical therapy, speech pathology, respiratory care, social services, and case management should all contribute to successful placement. Unplanned readmission is approximately 25% within one year. Early and frequent follow-up to help prevent readmissions is essential with both the trauma team and primary care physicians. Finally, and perhaps most important is helping the patient and family to understand the transition of care and realistic goals to regaining independence.

The adage, “discharge planning begins on the day of admission,” is particularly true for the geriatric trauma patient. A successful approach to geriatric disposition is dependent on: (1) triaging patients for disposition, (2) a multidisciplinary team approach, and (3) preventing readmissions.

Keywords

Post discharge disposition Discharge planning Multidisciplinary team approach Preventing readmissions 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery, R Adams Cowley Shock Trauma CenterUniversity of Maryland School of MedicineBaltimoreUSA
  2. 2.Multitrauma Critical CareR Adams Cowley Shock Trauma CenterBaltimoreUSA

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