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Models of Care

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Principles and Practice of Geriatric Surgery

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Abstract

The science of health care targeting the unique needs of older adults has evolved tremendously during the last 30 years including the development of several geriatric models of care across all health care settings. This chapter describes the most prominent geriatric hospital models of care, including their objectives, unique strategies, and outcomes. All geriatric care models aim to prevent complications and address hospital factors that can contribute to complications. Although each may differ in their approach, all incorporate the principles of comprehensive geriatric assessment: physical health, functional status, psychological health, and socio-environmental parameters. The overall objectives of the models are similar: educate health care providers in core geriatric principles, target risk factors for complications, incorporate patient or family choices and treatment goals, employ evidence-based interventions, promote interdisciplinary communication, and emphasize proactive discharge planning (or transitional care). Geriatric models of care usually include institutional approaches that address workforce issues as well as how the evidence-based geriatric care processes are embedded within the organizational structure of the hospital or health system. Specific models of care described include the consultative service or mobile ACE unit, NICHE, and HELP as well as evolving surgical specialty models of care.

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Author information

Authors and Affiliations

  1. Hunter College School of Nursing, City University of New York, New York, NY, USA

    Elizabeth Capezuti

  2. College of Nursing, Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA, 16802, USA

    Marie Boltz

  3. Aurora St. Luke’s Medical Center, Milwaukee, WI, 53215, USA

    Jonny A. Macias Tejada

  4. Aurora Health Care, University of Wisconsin School of Medicine & Public Health, Milwaukee, WI, 53233, USA

    Michael Malone

Authors
  1. Elizabeth Capezuti
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  2. Marie Boltz
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  3. Jonny A. Macias Tejada
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  4. Michael Malone
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Corresponding author

Correspondence to Elizabeth Capezuti .

Editor information

Editors and Affiliations

  1. Surgical Service, Yale University School of Medicine VA Connecticut Health Care System, West Haven, Connecticut, USA

    Ronnie A. Rosenthal

  2. SUNY Downstate School of Public Health, National Capital Region Johns Hopkins Medicine, Bethesda, Maryland, USA

    Michael E. Zenilman

  3. Center for Geriatric Surgery, Sinai Hospital of Baltimore, Baltimore, Maryland, USA

    Mark R. Katlic

Section Editor information

  1. School of Medicine, Department of Surgery, University of Colorado, Anschutz Medical Campus, 12631 E 17th Ave, MS C313, 80045, Aurora, CO, USA

    Thomas Robinson

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Capezuti, E., Boltz, M., Macias Tejada, J.A., Malone, M. (2017). Models of Care. In: Rosenthal, R., Zenilman, M., Katlic, M. (eds) Principles and Practice of Geriatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20317-1_24-1

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  • DOI: https://doi.org/10.1007/978-3-319-20317-1_24-1

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  • Print ISBN: 978-3-319-20317-1

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