\n<\/p>\n
As part of the broader effort moving healthcare beyond hospital walls, another initiative is to bring specialist geriatric care directly into nursing homes.<\/p>\n
“Seniors already account for about 40 per cent of (all) acute hospital admissions, and many of these are avoidable,\u201d said Dr Sharen Lim, consultant in geriatric medicine at Woodlands Hospital.<\/p>\n
Furthermore, Dr Lim said that nursing home residents are admitted at a higher rate than the elderly population in the community, making it increasingly important to strengthen care within these homes.<\/p>\n
To reduce hospitalisation among frail elderly residents in nursing homes, Woodlands Hospital piloted a programme at Ren Ci @ Woodlands nursing home, where a team comprising a geriatrician, an advanced practice nurse and a community nurse worked alongside nursing home staff.<\/p>\n
The team reviewed residents\u2019 health, adjusted care plans and supported nursing home staff at the facility.\u00a0<\/p>\n
After the one-year pilot involving 300 residents, unplanned hospital admissions and emergency department visits fell by about a third. More than 60 per cent of residents also did not need hospital admissions during the period.<\/p>\n
Reducing unnecessary hospital transfers can make a significant difference for residents, said assistant nurse clinician Anushiya Rajendran from Ren Ci @ Woodlands.<\/p>\n
\u201cHospital visits can be very tiring for the residents,\u201d she said, adding that fewer trips to the hospital have also given seniors more time to spend on meaningful activities.<\/p>\n
She said that having direct access to specialist support has boosted the nursing home staff\u2019s confidence in managing residents with complex medical needs.<\/p>\n
Woodlands Hospital hopes to expand the THRIVE (Transforming Health and Resilience In Vulnerable Elders) programme to more nursing homes beyond Ren Ci @ Woodlands, while building a more sustainable model of care.<\/p>\n<\/div>\n
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