[The interdisciplinary orthogeriatric ward round : Recommendations for the clinical routine].

Der Unfallchirurg
J HeckO Krause

Abstract

An orthogeriatric co-management can improve the quality of care for geriatric trauma patients. The aim of this study was the establishment of treatment recommendations for the clinical routine in order to improve the quality of care for geriatric trauma patients. Over a period of 7 months, 226 patients were discussed and visited once a week on 29 defined days, taking into account current laboratory results, vital signs, the medication as well as the clinical assessment by the nursing personnel. Besides physicians of different medical specialties (trauma surgery, geriatrics, clinical pharmacology, microbiology), members of the nursing staff and case managers took part in the ward rounds. On average, three treatment recommendations were made per patient visit (two pharmacological and one non-pharmacological recommendation [e.g. concerning fluid and delirium management]). The pharmacological and non-pharmacological recommendations were divided into several subcategories. The most frequent pharmacological recommendation was the discontinuation of a drug (30.4% of all pharmacological recommendations). The pharmacotherapy of geriatric patients requires careful consideration of contraindications, adverse drug reactions, duplicate medi...Continue Reading

References

Jul 11, 2012·Therapeutic Advances in Gastroenterology·Joel J HeidelbaughPaul C Walker
Aug 25, 2015·Nefrología : publicación oficial de la Sociedad Española Nefrologia·Rosa Maria Garcia CaminJordi Coderch
Jul 17, 2016·Zeitschrift für Gerontologie und Geriatrie·A RöslerD Kopf
Jan 18, 2017·Journal of Internal Medicine·M KatsoulisA Trichopoulou
Jul 9, 2017·Infectious Disease Clinics of North America·Taison Bell, Naomi P O'Grady
Aug 16, 2017·Zeitschrift für Gerontologie und Geriatrie·M Gosch, C Kammerlander
Sep 23, 2018·Infectious Disease Clinics of North America·Emily K Shuman, Carol E Chenoweth

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