The Comprehensive Geriatric Assessment, the Geriatric Assessment Team and the role of the Advanced Practice Nurse

Levati, Sara and Barca, Romina (2021) The Comprehensive Geriatric Assessment, the Geriatric Assessment Team and the role of the Advanced Practice Nurse. In: ICN Congress 2021, 2-4 novembre 2021, online.

Full text not available from this repository.


Introduction: Today, many health systems around the world are facing the aging of the population, with a consequent increase in hospital admissions of elderly patients. This requires reflection on the needs of frail elderly and complex care based on a multidimensional, interdisciplinary and specialized approach. Aim: Identify suggestions for the implementation of the assessment process and multidimensional Geriatric care in acute context, with a focus on the Advance Practice Nurse. Methods: The study consisted of two phases: In phase 1, a rapid review was conducted to provide an overview of the existing models focusing on the comprehensive geriatric assessment, the interdisciplinary approach and the role of healthcare professionals specialised in geriatric care, such as the APN. In phase 2, a series of qualitative interviews explored the opinion of healthcare professionals (geriatrician, nurse, physiotherapist, occupational therapist, psychologist and social worker) concerning the elements of the multidimensional assessment and the care of the elderly in the specialist geriatrics departments at the Beata Vergine Hospital in Mendrisio (Switzerland). Results: The rapid review identified eight different models of geriatric care in acute settings. Data were collected and models compared in relation to the projects' aim: the interdisciplinary work and its application, the role and skills of nurses, as well as the patients 'outcomes. From the thematic analysis of the interviews conducted, emerged that the diagnostic and rehabilitation process in the Geriatric departments is based on multidimensional assessments conducted and discussed regularly by professionals specialized in geriatric care, with the aim of identifying common areas of intervention and shared assistance plans. In addition, healthcare professionals suggested that the presence of nurses with advanced skills and extensive know-how, such as APNs, could improve patient outcomes, quality of care and the development of nurses´ knowledge and roles. Conclusions: Taking care of the elderly has become a priority. APNs have shown to possess advanced skills that allow them to make a significant contribution in defining care strategies aimed at improving the quality of geriatric care. Thanks also to their leadership and training skills, APNs could be a point of reference for professionals who participate in the definition of a multidimensional care process.

Actions (login required)

View Item View Item