Implementation of a line of care for older adults in a teaching hospital
ABSTRACT Objective: To outline the design and implementation processes of a Line of Care for older adults at a teaching hospital in Southern Brazil. Methods: This cross-sectional study was conducted at the Hospital de Clínicas de Porto Alegre using the improvement model based on Plan-Do-Study-Act...
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| Format: | Article |
| Language: | English |
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Universidade Federal do Rio Grande do Sul
2025-06-01
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| Series: | Revista Gaúcha de Enfermagem |
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| Online Access: | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472025000100434&lng=en&tlng=en |
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| _version_ | 1849683728213737472 |
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| author | Lisiane Manganelli Girardi Paskulin Roberta Rigo Dalla Corte Helena Barreto dos Santos Bruno Simas da Rocha Francine Melo da Costa Simone Augusta Finard Tiago Oliveira Teixeira Renato Gorga Bandeira de Mello |
| author_facet | Lisiane Manganelli Girardi Paskulin Roberta Rigo Dalla Corte Helena Barreto dos Santos Bruno Simas da Rocha Francine Melo da Costa Simone Augusta Finard Tiago Oliveira Teixeira Renato Gorga Bandeira de Mello |
| author_sort | Lisiane Manganelli Girardi Paskulin |
| collection | DOAJ |
| description | ABSTRACT Objective: To outline the design and implementation processes of a Line of Care for older adults at a teaching hospital in Southern Brazil. Methods: This cross-sectional study was conducted at the Hospital de Clínicas de Porto Alegre using the improvement model based on Plan-Do-Study-Act (PDSA) cycles. The results analyzed were collected from the institution's databases for the period between 2019 and 2024. A descriptive statistical analysis was performed on the data. Results: The Care Line was implemented for hospitalized patients in wards and emergency departments, as well as for outpatients, considering the prevalent conditions in older adults. The actions were related to mental health, mobility, and drugs used, from the perspective of the older patients and their caregivers, developed according to the improvement model. Stand out the formation of a team of champions, situational diagnoses, the construction of multiprofessional protocols for the care of the older adult, and the prevention and treatment of delirium, as well as the monitoring of processes to guide new actions based on the results obtained. Conclusion: The Care Line is being implemented through a program grounded in the science of improvement and practices for older adults' care, enhancing clinical practice, education, and care management. |
| format | Article |
| id | doaj-art-1b3e0171d9904c9b824e8f3925c9b51a |
| institution | DOAJ |
| issn | 1983-1447 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Universidade Federal do Rio Grande do Sul |
| record_format | Article |
| series | Revista Gaúcha de Enfermagem |
| spelling | doaj-art-1b3e0171d9904c9b824e8f3925c9b51a2025-08-20T03:23:43ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-14472025-06-014610.1590/1983-1447.2025.20240181.enImplementation of a line of care for older adults in a teaching hospitalLisiane Manganelli Girardi Paskulinhttps://orcid.org/0000-0003-1444-4086Roberta Rigo Dalla Cortehttps://orcid.org/0000-0002-0296-3666Helena Barreto dos Santoshttps://orcid.org/0009-0007-3513-9386Bruno Simas da Rochahttps://orcid.org/0000-0003-4014-9339Francine Melo da Costahttps://orcid.org/0000-0003-3390-2601Simone Augusta Finardhttps://orcid.org/0000-0001-5425-2279Tiago Oliveira Teixeirahttps://orcid.org/0000-0001-5162-1868Renato Gorga Bandeira de Mellohttps://orcid.org/0000-0003-4944-0085ABSTRACT Objective: To outline the design and implementation processes of a Line of Care for older adults at a teaching hospital in Southern Brazil. Methods: This cross-sectional study was conducted at the Hospital de Clínicas de Porto Alegre using the improvement model based on Plan-Do-Study-Act (PDSA) cycles. The results analyzed were collected from the institution's databases for the period between 2019 and 2024. A descriptive statistical analysis was performed on the data. Results: The Care Line was implemented for hospitalized patients in wards and emergency departments, as well as for outpatients, considering the prevalent conditions in older adults. The actions were related to mental health, mobility, and drugs used, from the perspective of the older patients and their caregivers, developed according to the improvement model. Stand out the formation of a team of champions, situational diagnoses, the construction of multiprofessional protocols for the care of the older adult, and the prevention and treatment of delirium, as well as the monitoring of processes to guide new actions based on the results obtained. Conclusion: The Care Line is being implemented through a program grounded in the science of improvement and practices for older adults' care, enhancing clinical practice, education, and care management.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472025000100434&lng=en&tlng=enAged peopleHealth services for the agedQuality of HealthcareTotal Quality Management |
| spellingShingle | Lisiane Manganelli Girardi Paskulin Roberta Rigo Dalla Corte Helena Barreto dos Santos Bruno Simas da Rocha Francine Melo da Costa Simone Augusta Finard Tiago Oliveira Teixeira Renato Gorga Bandeira de Mello Implementation of a line of care for older adults in a teaching hospital Revista Gaúcha de Enfermagem Aged people Health services for the aged Quality of Healthcare Total Quality Management |
| title | Implementation of a line of care for older adults in a teaching hospital |
| title_full | Implementation of a line of care for older adults in a teaching hospital |
| title_fullStr | Implementation of a line of care for older adults in a teaching hospital |
| title_full_unstemmed | Implementation of a line of care for older adults in a teaching hospital |
| title_short | Implementation of a line of care for older adults in a teaching hospital |
| title_sort | implementation of a line of care for older adults in a teaching hospital |
| topic | Aged people Health services for the aged Quality of Healthcare Total Quality Management |
| url | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472025000100434&lng=en&tlng=en |
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