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At the same time, it holds the risk of increasing costs if care is not taken to target the intervention to those most likely to benefit and to tailor the evaluation and the recommendations to avoid unnecessary or duplicative services.

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It is highly unlikely that, for care type changes involving subacute care types, more than one change in care type will take place within a hour period.

Equally, there was no effect on readmissions but high heterogeneity was noted. In conclusion, GEM patients are particularly vulnerable to declining mobility and adverse events during hospitalization.

The patient will have complex physical, psychosocial andor spiritual needs. Subacute care comprises the defined care types of rehabilitation, palliative care, geriatric evaluation and management and psychogeriatric care.

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  • The geriatric program at Tennessee Valley Healthcare System responded to an initial need to assess acute care patients remaining on acute awards with a focus on rehabilitation and disposition.
  • The ward environment needs to be set up to promote independence, with communal areas for dining and leisure.
  • The administration of hospital or no longer supported by the geriatric evaluation and assessment?
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Pain as a cause of lifting functional limitations must be further delineated; most rehabilitation interventions address spinal mobility, trunk strength, and fatigue and deconditioning of peripheral muscle, as well as the cardiovascular system.

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As assessment data are obtained, they need to be recorded to allow all members of the health care team to easily access the information.

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