1 / 32

College for Geriatrics 1. State of the Art 2. Project ’s results 3. SWOT analysis 2003 Thierry Pepersack on behalf of th

College for Geriatrics 1. State of the Art 2. Project ’s results 3. SWOT analysis 2003 Thierry Pepersack on behalf of the college for geriatrics. 1. State of the art. Peer review 2000: 103/160 geriatric units 13 admissions/bed/year (median) 50% admissions from private home 46% home discharge

saeran
Download Presentation

College for Geriatrics 1. State of the Art 2. Project ’s results 3. SWOT analysis 2003 Thierry Pepersack on behalf of th

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. College for Geriatrics1. State of the Art2. Project ’s results3. SWOT analysis2003Thierry Pepersack on behalf of the college for geriatrics

  2. 1. State of the art • Peer review 2000: 103/160 geriatric units • 13 admissions/bed/year (median) • 50% admissions from private home • 46% home discharge • Median age = 82 yrs • Length of stay 22 days • median occupation rate 90% • multidisciplinary team J.P.Baeyens et al. BVGG 2000

  3. State of the art • 21 formation centers • 37 fellows places available http://www.health.fgov.be/AGP/fr/professions/medecins/maitre_de_stage/specialites/geria.htm

  4. 2. College ’s projects • 2000: Peer review • 2001: Nutrition • 2002: Continence • Collaborations with the colleges for: • radiotherapy, • nephrology, • and emergency medicine

  5. 2001 Nutrition programme

  6. OUTCOMES OF CONTINUOUS PROCESS IMPROVEMENT OF NUTRITIONAL CARE PROGRAM AMONG GERIATRIC UNITS IN BELGIUM Nutrition program 2001

  7. Observation Comprehensive geriatric assessment and MNA Routine nutrition Intervention Comprehensive geriatric assessment and MNA « Flow Chart» « Meals on Wheels » approach Methodology: 2 phases 0 3 6 months Nutrition program 2001

  8. Outcomes • to assess the quality of care concerning nutrition among Belgian geriatric units • descriptive statistics of nutritional status during phase 1 • to include more routinely nutritional assessments and interventions into comprehensive geriatric assessment • sensitize the teams to nutritional aspect of the comprehensive geriatric assessment • to assess the impact of nutritional recommendations on nutritional status an on the length of hospitalisation • comparison of nutritional parameters and hospitalisation stays between phase 1 and phase 2 Nutrition program 2001

  9. Conclusions • High prevalence of malnutrition among geriatric hospitalized patients • Significant decreased hospitalization stay during 2nd phase (Confounding factor?) • Significant increased PAB concentrations during 2nd phase Nutrition program 2001

  10. 2002 Continence programme

  11. DRIPDetect, Reduce, Incontinence, Programme Thierry Pepersack on behalf of the College of Geriatrics

  12. Introduction • urinary incontinence is a straightforward condition, its cause easily identified and treated, treatment can have a major impact on the older person's quality of life • Two phases project Continence 2002

  13. Part 1: Outcomes • Prevalence of urinary incontinence among geriatric units • Classification of incontinence • Characterisation of the geriatric teams and of the professionals implicated in the management of incontinence Continence 2002

  14. Part 1: Methodology • Survey design: transversal • Questionnaire by mail, web site • Data collect of the characteristics of • hospitals • teams • patients Continence 2002

  15. ResultsPrevalence of incontinence(N=834 patients) Continence 2002

  16. Types of chronic incontinence Continence 2002

  17. Characteristics of the teams/patientsFactors associated with the absence of incontinence management

  18. Characteristics of the patients13% under continued catheterization, why?

  19. Characteristics of the patients13% under intermittent catheterization, why? Continence 2002

  20. Relationship between % of incontinent patientsand patients’ and teams’ characteristics Continence 2002

  21. Discussion (1) • 45% of incontinent patients in geriatric units • 26% of transient incontinence • Functional incontinence represents more than the half of the chronic situations • Incontinence is associated with: • High length of stay • High proportion of demented patients Continence 2002

  22. Discussion (2) • A interventional proposition will complete this survey based on valided guidelines • Part 2: 2004?

  23. Part 2: Objectives • enhance quality of care among geriatric unit providing suggestions about topics which are considered important for the majority of the patients. • improve not only the quality of life of our patients but also the quality of life of the geriatric team’s professionals. Continence 2004

  24. 2003 AGGIR-PATHOS-SOCIOS

  25. 3. SWOT analysis Geriatrics 2003

  26. Strength • EBM, Comprehensive Geriatric Assessment • New medical culture, multidisciplinary,comprehensive • psychosocial > biomedical model • CGA associated with low dependence, low institionalization • realistic approach in view of care situation • National Scientific Society associated with the College • Motivation, EAMA • demographic data

  27. Weakness • lack of geriatricians, formation services, academic • lack of attractivity, ‘ faire savoir ’ • disproportion between allowed ressources and the burden • caregivers, staff • geriatricians • lack of financial incentive • lack of alternative services • day hospitals, day centers, familial caregivers,

  28. Opportunities • Education & Formation • GP, caregivers, specialists • Geriatric programme for impatients • European, governmental research • GP partnership (CGA)

  29. Threats • « Everybody practice geriatrics » (lack of professionalism) • « Wrong » geriatrics (Fountain of Youth) • lack of defence and promotion • appropriation by lobbies • Burn-out

  30. Priorities • Geriatric programme • Beds programmation • Adapted financial ressources • Alternative services • day hospital • inpatients geriatric consultation service (multidisciplinary) • for geriatric problems (confusion, denutrition, falls, incontinence, etc.)

  31. Objectives Quality Partnership « Education », awareness campaign, promotion of a broader concept of health Ressources advisory board Scientific Society Surveys (Nutrition, continence) Comprehensive geriatrics focused on: maintenance of function and comfort presence of satisfactory support systems College ’s role

More Related