Who is High Risk Elderly Patient?

The acute and post-acute care of the elderly is a process fraught with problems. Elderly patients at high risk are individuals who have to be admitted more frequently to a hospital due to developed complications, who are faced with a constant risk of hospitalization, and who have increased risks of...

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Main Author: Mehmet İlkin Naharcı
Format: Article
Language:English
Published: Galenos Yayinevi 2017-03-01
Series:İstanbul Medical Journal
Subjects:
Online Access: http://imj.galenos.com.tr/archives/archive-detail/article-preview/who-is-high-risk-elderly-patient/20391
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author Mehmet İlkin Naharcı
author_facet Mehmet İlkin Naharcı
author_sort Mehmet İlkin Naharcı
collection DOAJ
description The acute and post-acute care of the elderly is a process fraught with problems. Elderly patients at high risk are individuals who have to be admitted more frequently to a hospital due to developed complications, who are faced with a constant risk of hospitalization, and who have increased risks of functional decline, nursing home admittance, and death. These adverse outcomes cause discrepancies and problems in the implementation and regulation of treatment and coordination between health entities. Factors increasing these risks vary among these individuals, but existing chronic diseases and geriatric syndromes are the most important underlying causes. The identification of elderly patients at high risk for complications is difficult because of the complex syndromes, chronic diseases, care and socioeconomic problems. Also, these patients are at risk for unplanned hospital admissions. One of every 4 or 5 elderly patients discharged at high risk is re-admitted to a hospital within the first month. In these patients, early diagnosis, followed by a multi-disciplinary team, enhanced discharge planning, medication reconciliation and out of hospital care could contribute to improving the quality of care and more efficient use of the resources. In Turkey there is a need for patient-centered programs on this issue.
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spelling doaj.art-c5a38586c4c649df82230ab2cbaecea42023-02-15T16:15:52ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2017-03-011811610.5152/imj.2017.7135413049054Who is High Risk Elderly Patient?Mehmet İlkin Naharcı0 Division of Geriatrics, Health Science University Gülhane School of Medicine, Ankara, Türkiye The acute and post-acute care of the elderly is a process fraught with problems. Elderly patients at high risk are individuals who have to be admitted more frequently to a hospital due to developed complications, who are faced with a constant risk of hospitalization, and who have increased risks of functional decline, nursing home admittance, and death. These adverse outcomes cause discrepancies and problems in the implementation and regulation of treatment and coordination between health entities. Factors increasing these risks vary among these individuals, but existing chronic diseases and geriatric syndromes are the most important underlying causes. The identification of elderly patients at high risk for complications is difficult because of the complex syndromes, chronic diseases, care and socioeconomic problems. Also, these patients are at risk for unplanned hospital admissions. One of every 4 or 5 elderly patients discharged at high risk is re-admitted to a hospital within the first month. In these patients, early diagnosis, followed by a multi-disciplinary team, enhanced discharge planning, medication reconciliation and out of hospital care could contribute to improving the quality of care and more efficient use of the resources. In Turkey there is a need for patient-centered programs on this issue. http://imj.galenos.com.tr/archives/archive-detail/article-preview/who-is-high-risk-elderly-patient/20391 Agedpatient safetyrisk managementpatient readmission
spellingShingle Mehmet İlkin Naharcı
Who is High Risk Elderly Patient?
İstanbul Medical Journal
Aged
patient safety
risk management
patient readmission
title Who is High Risk Elderly Patient?
title_full Who is High Risk Elderly Patient?
title_fullStr Who is High Risk Elderly Patient?
title_full_unstemmed Who is High Risk Elderly Patient?
title_short Who is High Risk Elderly Patient?
title_sort who is high risk elderly patient
topic Aged
patient safety
risk management
patient readmission
url http://imj.galenos.com.tr/archives/archive-detail/article-preview/who-is-high-risk-elderly-patient/20391
work_keys_str_mv AT mehmetilkinnaharcı whoishighriskelderlypatient