HLTH201 Lecture Notes - Lecture 9: Geriatrics, Polypharmacy, Sleep Deprivation
6 Sep 2018
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Reduced delirium and saved tons of money: reduced risk of delirium by 40% days of delirium by 35% sedative use by 24% risk of functional decline from 33% to 14, cost-effective for moderate risk group, significant contamination: Intervention likely more powerful in typical hospital: geriatrician back-up for complex patients. Preventing bad outcomes from hospitalization of the frail elderly. Insufficient physiotherapy resources, restraints, bladder catheters, bed rest. What about discharge from hospital: this can be a stressor. Pitfalls of early discharge: earlier discharge of seniors driving rise in rehospitalization. 25% of all medicare admissions in us risk factors (people who keep being readmitted in the hospital) multiple functional deficits polypharmacy limited social support system. Takeaway ! target high risk elderly with multidisciplinary interventions: heart failure best studied: peridischarge planning reduces readmission, key features multidisciplinary: apn, md, others emphasize exercise prompt interventions when deteriorating multiple f/u methods, including home visits.
