Development of a Comprehensive Geriatric Assessment Led by Geriatric Nurse Consultants: A Feasibility Study

J Gerontol Nurs. 2018 Dec 1;44(12):25-34. doi: 10.3928/00989134-20181109-03.

Abstract

Hospitalized older adults are at high risk for complications, leading to negative outcomes such as longer lengths of stay, hospital readmissions, and functional and cognitive decline. Comprehensive Geriatric Assessment (CGA) models are effective in mitigating these syndromes but are not widespread. Nurses with expertise in gerontology who can provide consultation and care coordination can improve care processes and clinical outcomes. This pilot study capitalized on the role of the geriatric nurse consultant (GNC) to develop, implement, and test the feasibility, acceptability, and utility of a GNC-led CGA. Through repeated applications with hospitalized patients, this study demonstrated that GNCs could complete a CGA and identify clinically actionable findings. This study also uncovered clinical geriatric concerns that would not have otherwise been identified via traditional nursing assessments. The results highlight contribution of a GNC-led CGA as a mechanism to support care process improvements to address common geriatric concerns in the acute care setting. [Journal of Gerontological Nursing, 44(12), 25-34.].

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Consultants*
  • Delivery of Health Care / standards*
  • Feasibility Studies
  • Female
  • Geriatric Assessment / methods*
  • Geriatric Nursing / standards*
  • Humans
  • Male
  • Middle Aged
  • Nurse's Role*
  • Pilot Projects
  • Practice Guidelines as Topic*
  • United States
  • Young Adult