Summary of Intervention Models.
Summary of Intervention Models.
| Model | Purpose | Intervention | Findings | Limitations |
|---|---|---|---|---|
| NICHE65–69 | 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 |
| ACE70–74 | 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 |
| HELP75–77 | 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 |
| CGA80–84 | 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 |