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The rapid development of geriatric medicine has made a significant contribution to the well-being of older adults, providing them with more opportunities to enjoy life despite inevitable age-related changes. The provision of geriatric care is impossible without the distribution of responsibilities in healthcare teams. The given essay aligns the assigned case with practical information and studies interdisciplinary old care teams’ characteristics at different sites.
The models of geriatric interdisciplinary teams can vary depending on the sites of care. At my current practicum site (a hospital), the units are more mobile, they include qualified geriatricians, nurses, live-in carers, social workers, nutritionists, and pharmacology specialists, and nurses actively collaborate with other specialists and coordinate care. The model is quite similar to those used in different sites of care when it comes to the composition of teams. However, the Geri-FITT model that is also used in hospital care acts as an exception since it includes only geriatric nurses and geriatricians (Arbaje et al., 2010).
Assisted living facilities provide services to those older adults who are unable to live independently and need health professionals’ help on a regular basis. Many residents of these facilities are dependent since they are disabled or have other dangerous health conditions. Assisted living care teams typically include three groups of members. These groups are presented by qualified medical professionals such as nurses and doctors who are responsible for providing medical services and sick attendants who have no medical qualification and help residents to perform everyday tasks (Jutkowitz et al., 2016). Importantly, residents’ relatives can also be members of care teams since their support helps to guide other specialists.
Senior home care teams support people of advanced age, helping them to perform their everyday tasks. In many cases, patients who use such services are more independent than those in assisted living facilities and hospitals, and this is why home care primarily includes non-medical services, which impacts the role of nurses in this model. IP home care teams have professionals in different areas; for instance, its members are presented by nurses, home support workers, their supervisors, and specialists in medical social work (Légaré et al., 2016). In addition, the work of interdisciplinary teams in-home care involves helping clients to stay relatively independent and maintain good health, and this is why the impact of nutrition specialists also remains essential.
The model is quite different when it comes to rehabilitation facilities, where restoring seniors to everyday life is emphasized. Thus, interdisciplinary geriatric rehabilitation teams can be comprised of medical and nursing professionals such as physicians, nurses, physiotherapists, speech therapists, psychologists, and social workers (Glenny, Kuspinar, Naglie, & Stolee, 2018). In long-term care, interdisciplinary teams can include all the above-mentioned specialists, unpaid volunteers, and pastoral carers who provide spiritual support, which is especially important for religious patients.
The role of advanced practice nurses can slightly change depending on the site of care. In the Geri-FITT model, nurses are responsible for conducting assessments, providing patient or staff education concerning medications, and monitoring patients’ progress. In hospitals, nurses present mid-level providers and closely collaborate with physicians, whereas nurses in long-term care are more independent. Overall, nurses in all teams are expected to fulfill various tasks and serve as coordinators, but those who are providing services to patients who have no acute illnesses pay more attention to family education.
Finally, when it comes to the chosen case, it is clear that the patient who has a severe visual impairment and increased risks of falls needs qualified help on a regular basis, and the model used at my practicum site could be used to provide high-quality care. Our geriatric physicians have vast experience working with older adults who have disabilities. Together with nurses, they could assess the client’s condition and develop recommendations concerning equipment such as intelligent walkers.
References
Arbaje, A. I., Maron, D. D., Yu, Q., Wendel, V. I., Tanner, E., Boult, C.,… Durso, S. C. (2010). The senior floating interdisciplinary transition team. Journal of the American Geriatrics Society, 58(2), 364-370.
Glenny, C., Kuspinar, A., Naglie, G., & Stolee, P. (2018). A qualitative study of healthcare provider perspectives on measuring functional outcomes in geriatric rehabilitation. Clinical Rehabilitation, 32(4), 546-556.
Jutkowitz, E., Brasure, M., Fuchs, E., Shippee, T., Kane, R. A., Fink, H. A.,… Kane, R. L. (2016). Care-delivery interventions to manage agitation and aggression in dementia nursing home and assisted living residents: A systematic review and meta-analysis. Journal of the American Geriatrics Society, 64(3), 477-488.
Légaré, F., Brière, N., Stacey, D., Lacroix, G., Desroches, S., Dumont, S.,… Taljaard, M. (2016). Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): Protocol for a stepped wedge cluster randomized trial. BMJ Open, 6(11), e014023. Web.
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