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    The modified Hospital Elder Life Program: adapting a complex intervention for feasibility and scalability in a surgical setting

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    Authors
    Chen, Cheryl Chia-Hui
    Saczynski, Jane S.
    Inouye, Sharon K.
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Department of Medicine, Division of Geriatric Medicine
    Document Type
    Journal Article
    Publication Date
    2014-05-01
    Keywords
    Aged
    Evidence-Based Practice
    Feasibility Studies
    Health Services for the Aged
    *Hospitals
    Humans
    *Surgical Procedures, Operative
    Geriatric Nursing
    Geriatrics
    
    Metadata
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    Link to Full Text
    http://dx.doi.org/10.3928/00989134-20140110-01
    Abstract
    The purpose of this article is to provide the rationale and methods for adapting the Hospital Elder Life Program (HELP). The HELP is a complex intervention that has been shown to reduce rates of delirium and functional decline. However, modification of the program may be required to meet local circumstances and specialized populations. We selected three key elements based on our prior work and the concept of shared risk factors and modified the HELP to include only three shared risk factors (functional, nutritional, and cognitive status) that were targeted by three nursing protocols: early mobilization, oral and nutritional assistance, and orienting communication. These protocols were adapted, refined, and pilot-tested for feasibility and efficacy. We hope by reporting the rationale and protocols for the modified HELP, we will advance the field for others adapting evidence-based, complex nursing interventions.
    Source
    J Gerontol Nurs. 2014 May;40(5):16-22. doi: 10.3928/00989134-20140110-01. Epub 2014 Jan 21.Link to article on publisher's site
    DOI
    10.3928/00989134-20140110-01
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/37275
    PubMed ID
    24443887
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.3928/00989134-20140110-01
    Scopus Count
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