Table 1.

Summary of Intervention Models.

Model Purpose Intervention Findings Limitations
NICHE6569 To improve outcomes for the elderly Providing nurses with resources and guidance to improve care of hospitalized older adults Enhanced knowledge and improved attitudes of nurses regarding incontinence, and reduced use of physical restraints Mediated intervention with no guarantee of permanent change
ACE7074 To provide holistic care for the elderly Specially designed environment
Patient-centered care
Planned discharge by a multidisciplinary team
Review of medical care
Lower risk of being discharged to nursing homes
Less need for medical devices
Lower incidence of depression
Reported increased satisfaction with ACE unit as compared with standard care
Specialized ACE units more costly than regular units
Need for resource allocation and specialized staff
HELP7577 To retain physical and cognitive function; maximize independence at discharge; assist with hospital-to-home transition; and prevent unplanned readmissions Daily volunteer visits
Treatment by an interdisciplinary geriatric team
Reduced incidences of delirium, falls, and cognitive decline
Cost-effective for many hospitals
Limited availability within only the dedicated department
FFC78,79 To assist nurses in teaching patients to help themselves in activities Providing nurses with resources and guidance to support patient independence and physical activity Nursing care that supports patient independence and physical activity may decrease functional deterioration Requires further empirical testing of feasibility and potential outcomes
CGA8084 To provide extensive geriatric evaluation Personalized evaluation Six and eight months after admission: lower mortality rate for patients assisted by this approach than for those not participating Found no significant effects on physical function, re-hospitalization, or length of hospitalization
Rambam Combined Model To improve treatment and outcomes for the elderly Comprehensive geriatric evaluation
Daily volunteer visits
Providing nurses with guidance to improve care of hospitalized older adults
Data still being analyzed Data still being analyzed
RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2015 April; 6(2): e0017. ISSN: 2076-9172
Published online 2015 April 29. doi: 10.5041/RMMJ.10201.