Department of Health

Improving access - fact sheets for clinicians

Older people in hospital are at risk of functional decline and require a multi-dimensional approach to minimise this risk.

This set of ten fact sheets cover the topics of communication, comprehensive geriatric assessment, identifying and managing cognitive impairment, multi-morbidity, preventing adverse events, advance care planning, interdisciplinary practice, implementing evidence based practice and minimising the risk of transitions.

Providing best care for older people

Best care for older people in hospital uses a person-centred approach, evidence and resources to identify and respond to the risks of functional decline.

Improving communication

The communication process is an intervention; you need to be mindful of its impact during every encounter.

Conducting a comprehensive geriatric assessment

Information gained from a comprehensive geriatric assessment allows clinicians to implement a person centred care plan which can reduce functional decline, support independence and improve quality of life.

Identifying and managing cognitive impairment

Cognitive impairment is when a person has memory and thinking problems. All people over 70 should be screened for cognitive impairment on their first contact with a health service.

Identifying and responding to multimorbidity

Multimorbidity is the presence of multiple diseases and medical conditions – chronic or acute – in the one person. It requires a holistic approach which puts the patient, not the disease, at the centre of the plan.

Preventing adverse events

An adverse event is an incident that results in harm to the patient. These events can be prevented through screening and early identification of the factors that put older people at risk.

Implementing evidence-based practice

Evidence-based practice is about translating evidence into practice, and ensuring that health practitioners, patients, family and carers use evidence when they make decisions about their healthcare.

An interdisciplinary approach to caring

An interdisciplinary approach involves team members from different disciplines working collaboratively to set goals, make decisions and share resources and responsibilities.

Advance care planning

Advance care planning allows a person to express their wishes for care, levels of treatment and acceptable health outcomes.

Minimising the risks of transitions

Older people often have complex needs, which means they can experience multiple transitions within the hospital during their admission. The risks associated with these transitions need to be assessed and mitigated.

Reviewed 04 October 2015

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Contact details

Older People in Hospital Department of Health

opih@dhhs.vic.gov.au
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