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Tijdschrift voor Gerontologie en Geriatrie
Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie 1/2015

01-02-2015

Integrale interventie ter voorkoming van functieverlies bij ouderen tijdens ziekenhuisopname: het Zorgprogramma voor Preventie en Herstel

Auteurs: A. J. B. M. de Vos, K. J. E. Asmus-Szepesi, T. J. E. M. Bakker, P. L. de Vreede, J. D. H. van Wijngaarden, E. W. Steyerberg, J. P. Mackenbach, A. P. Nieboer

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 1/2015

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Integrated approach to prevent functional decline in hospitalized elderly

Background

Hospital related functional decline in older patients is an underestimated problem. Thirty-five procent of 70-year old patients experience functional decline during hospital admission in comparison with pre-illness baseline. This percentage increases considerably with age.

Methods/design

To address this issue, the Vlietland Ziekenhuis in The Netherlands has implemented the Prevention and Reactivation Care Programme (PReCaP), an innovative program aimed at reducing hospital related functional decline among elderly patients by offering interventions that are multidisciplinary, integrated and goal-oriented at the physical, social, and psychological domains of functional decline.

Discussion

This paper presents a detailed description of the intervention, which incorporates five distinctive elements: (1) Early identification of elderly patients with a high risk of functional decline, and if necessary followed by the start of the reactivation treatment within 48 h after hospital admission; (2) Intensive follow-up treatment for a selected patient group at the prevention and Reactivation Centre; (3) Availability of multidisciplinary geriatric expertise; (4) Provision of support and consultation of relevant professionals to informal caregivers; (5) Intensive follow-up throughout the entire chain of care by a casemanager with geriatric expertise. Outcome and process evaluations are ongoing and results will be published in a series of forthcoming papers.
This article is an edited translation of the previously published article ‘Integrated approach to prevent functional decline in hospitalized elderly: the Prevention and Reactivation Care Program (PReCaP), BMC Geriatrics 2012;12:7, AJBM de Vos, KJE Asmus-Szepesi, TJEM Bakker, PL de Vreede, JDH van Wijngaarden, EW Steyerberg, JP Mackenbach, AP Nieboer.
vorige artikel Transitie van een psychogeriatrische dagbehandeling in het verpleeghuis naar een laagdrempelige dagbehandeling in de wijk: een pilotonderzoek
volgende artikel Het gebruik van de MMSE als screeningsinstrument voor dementie bij oudere Turkse en Marokkaanse migranten
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Metagegevens
Titel
Integrale interventie ter voorkoming van functieverlies bij ouderen tijdens ziekenhuisopname: het Zorgprogramma voor Preventie en Herstel
Auteurs
A. J. B. M. de Vos
K. J. E. Asmus-Szepesi
T. J. E. M. Bakker
P. L. de Vreede
J. D. H. van Wijngaarden
E. W. Steyerberg
J. P. Mackenbach
A. P. Nieboer
Publicatiedatum
01-02-2015
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 1/2015
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/s12439-014-0100-6

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