Care for the Frail Older Patient Essay

1490 Words 6 Pages
Running Head: Older Adults 1

Essential Care of Frail Older Adults
Mary Anne V Wheeler
Lane Community College

Abstract
This paper explores the Institute for Healthcare Improvement’s map for the patient process of essential care for the elderly. It summarizes the IHI map and then discusses the specific goals of The Joint Commission (TJC) and how they relate to the IHI map. The paper then continues on to discuss how the standards of TJC are put into effect at McKenzie Willamette hospital to provide the essential care for the older patient.

Essential Care of Frail Older Adults

Overview On the improvement map from the Institute for Healthcare Improvement’s (IHI) website, the patient process “Essential
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Although the map does not outline what the specifics or requirements of such an assessment need to be. In her article Heather Young (2003) states that to determine what services the frail older adult will require “will depend on his or her specific needs for support with activities of daily living (ADLs), instrumental activities of daily living (IADLs), health problems, mobility, sensory limitations, cognitive decline, or general physiological changes.” During the frail adult specific admission process would be the first time that screening for potential health risks and thus interventions developed to minimize the health risk. Some of the risks that for the frail older adult would include polypharmacy, fall history, nutrition, delirium, and advance care planning. The frail older adult would also need to be screened to implement measures to prevent venous thromboembolus (DVT), pressure ulcers, and falls during their hospital stay. Also during the frail older adults initial assessment and during each assessment after the IHI states that the medical worker should ask themselves; “What is the greatest hazard that this patient faces?” When the medical worker asks this question of themselves they are able to identify potential risks based on the information gathered in the assessment and thus they are able to establish a plan to prevent or

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