标题：Evaluation of the activity of a Functional and Interdisciplinary (Social and Healthcare) Geriatric Unit (FISHGU) for hospitalized patients at an acute hospital
出版社：Utrecht University, Maastricht University, Groningen University
摘要：Introduction : The Functional and Interdisciplinary (Social and Healthcare) Geriatric Unit (FISHGU) or “UFISS de Gariatría in Spanish” (Unidad Funcional Interdisciplinar Sociosanitaria) is a multidisciplinary team provides management and multidimensional geriatric assessment for hospitalized patients at acute care hospital. They also play a role in the coordination of resources between the different levels of care. The FISHGU (UFISS de Geriatría) of Hospital Sociosanitario Francolí (HSSF) was created and set up in 2002. The team is composed of 2 physicians experienced in geriatric medicine, 1 clinical nurse specialist and 1 social worker. It is located on the 2nd Floor of HSSF, and the standard hours of workdays are 35 hours a week and 7 hours a day from 08:00 to 15:00 hours. Its scope of activity is hospital wards of acute care hospital, basic areas of primary care and coordination with other hospitals. Aims : - Our team completed multidimensional geriatric assessments. - Inpatient care of elderly with multiple co-morbidities (Chronic Complex Patients and Terminal Chronic Diseases Patients) that requires global and close attention (physical, psychological and social) to the special needs (occupational and physical therapy, etc) and geriatric syndromes that arise in this vulnerable population. Functions : - Acute hospital-wide consultation team with direct control over implementation of recommendations. - An ORTHOGERIATRIC collaborative intervention program for fragility fractures. - Comprehensive discharge planning with acute hospital wards. - Coordination with Nurse Case Manager of acute hospital. - Coordination of resources between the different levels of care (primary care teams, intermediate care facilities and acute hospital care).
