TAILIEUCHUNG - Reducing Functional Decline in Hospitalized Elderly

The full MNA® is a validated screening tool that identifies elderly persons who are malnourished or at risk for malnutrition. The full MNA® is the original version of the MNA® and takes 10-15 minutes to complete. The revised MNA®-SF is a short form of the MNA® that takes less than 5 minutes to complete. It retains the accuracy and validity of the full MNA®. Currently, the MNA®-SF is the preferred form of the MNA® for clinical practice in community, hospital, or long term care settings, due to its ease of use and practicality. . | Chapter 11. Reducing Functional Decline in Hospitalized Elderly Ruth M. Kleinpell Kathy Fletcher Bonnie M. Jennings Background The elderly or those older than 65 years currently represent percent of the . population and are projected to increase to 20 percent of the population by 2030 growing from 35 million to 72 million in 2 By 2050 12 percent of the population or one in eight Americans will be 75 years of age or In 2002 the elderly accounted for million 41 percent of the million hospitalizations in the United States 4 and these numbers are expected to increase significantly as the population ages. Targeting the care needs of the hospitalized elderly and awareness of risks for illness-related complications are urgent concerns for managing acute health care conditions in this Hospitalization and Patient Safety Considerations for the Elderly It is estimated that almost half of adults who are hospitalized are 65 years of age or older although those older than 65 years represent only percent of the population. The proportion of hospitalized adults who are elderly is only expected to increase as the population The average hospital length of stay for patients age 65 and older has decreased to days down from days in Shorter lengths of stay heighten the challenge to properly assess and address the care needs of older adults during hospitalization as well as their discharge needs. The focus of assessment and care is generally on resolving the immediate problem that triggered hospitalization less attention is given to the underlying risk of functional decline and the vulnerability to hospital-associated complications. A primary focus for improvement in health care is on promoting patient safety and avoiding injuries to This becomes especially important for hospitalized elders who are at risk for functional decline due to altered mobility levels as well as iatrogenic risks. For the frail .

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