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Frailty
Published in K. Rao Poduri, Geriatric Rehabilitation, 2017
In a hospital setting, where frail patients are especially vulnerable to bad outcomes, an analogous model of care, called Acute Care for Elders (ACE), can be utilized [49]. Hospitals that have ACE units aim to treat acutely ill or injured older patients across a variety of medical and surgical problems utilizing multiple services to minimize iatrogenic complications and functional decline or improve function if decline has occurred. The following benefits have been observed employing components of the ACE model: decreases in falls, delirium, functional decline, hospital length of stay, discharge to a nursing home, and costs [50].
Causality in the Associations Between Exercise, Personality, and Mental Health
Published in Henning Budde, Mirko Wegner, The Exercise Effect on Mental Health, 2018
In univariate twin studies, “nature” and “nurture” can be separated by comparing the phenotypic resemblance between monozygotic (MZ) and dizygotic (DZ) twins. When twins are reared together in the same home they share part of their environment and this sharing of the family environment is the same for MZ and DZ twins. The important difference between the two types of twins is that MZ twins share (close to) all of their genotypes, whereas DZ twins share on average only half of the genotypes segregating in that family (Falconer & Mackay 1996). This distinction is the basis of the classical twin study. If the phenotypic resemblance within MZ pairs is larger than in DZ pairs, this suggests that additive genetic factors (A, Figure 3.2) influence the phenotype. If the phenotypic resemblance is as large in DZ twins as it is in MZ twins, this indicates common/shared environmental factors (C) as the cause of the familial resemblance (Van Dongen, Slagboom, Draisma, Martin, & Boomsma 2012). The extent to which MZ and DZ twins do not resemble each other is ascribed to the unique (or non-shared) environmental factors (E). These include all unique experiences like differential jobs, accidents or other life events, and in childhood, differential treatment by the parents, and non-shared friends and peers. Shared environmental factors are defined as those environmental factors that are shared within a family, such as parenting style, family functioning, neighbourhood, or socio-economic status. Additive genetic factors represent the sum of all linear effects of the genetic loci that influence the phenotype. The heritability of a phenotype is defined as the relative proportion of the total variance explained by genetic factors. The univariate twin model is sometimes also called the ACE model, referring to the three different types of factors that are typically modelled as affecting the phenotype of interest (Neale & Cardon 1992). The univariate ACE model is depicted in Figure 3.2.
Need assessment and operational feasibility indices for a geriatric inpatient facility in a tertiary care teaching hospital
Published in International Journal of Healthcare Management, 2020
Vasudha CK, Bryal Dsouza, Bhaskaran Unnikrishnan, Rajesh Kamath, Nikitha Apuri
Acute care model: The ACE model is one of many models of care in geriatrics. It emphasizes patient-centered care rather than the usual focus on diseases/diagnoses, with frequent (e.g. daily) medical reviews, interdisciplinary team rounds, early discharge planning (from Day 0), and team communication with relevant caregivers (e.g. with other physicians and family members). The model also emphasizes prevention of functional decline, cognitive stimulation, and environmental modifications that promote safety, with a homely outlook in the care setting rather than the usual institutional outlook. In addition to these virtues, the ACE model is a low- tech, high- touch model, and well suited to resource-limited health facilities.
Towards an “age-friendly-hospital”: Older persons’ perceptions of an age-friendly hospital environment in Nigeria.
Published in Cogent Medicine, 2020
Perpetua Lum Tanyi, André Pelser
While there is increasing interest in the application of Senior Friendly Hospital models in developed countries, relatively little has examined specific issues concerning senior friendly hospitals in developing countries such as Nigeria and lack of knowledge and evidence of senior-friendly hospital models is obvious in this area. There is no special health care services or hospitals for the elderly in Nigeria, except in the case of the University of Benin Teaching hospital (UBTH) where a geriatric unit was created in 2013. The University of Benin Teaching Hospital (UBTH) in Nigeria was established in 1973 and created its geriatrics unit in October 2013. A prepared environment and trained interdisciplinary teams are pivotal in providing effective healthcare services for the elderly (Obehi, 2016). In developing the inpatient services, Obehi (2016) adopted the acute care for elders (ACE) model and worked in tandem with the “ABCs” of implementing ACE units. Results in the face of limited resources revealed that it was possible to establish a functional geriatrics unit with a trained interdisciplinary team. Family participation is central in their practice. Since October 2013, residents and house officers in internal medicine have been undertaking 4- and 12-weekly rotations, respectively. According to Obehi (2016), there is a robust academic program, which includes once-weekly geriatric pharmacotherapy seminars, once-weekly interdisciplinary seminars, and 2-weekly journal club meetings alternating with seminars on geriatric assessment tools. The purpose of this research, therefore, was to examine older people’s perception of an aged friendly hospital environment at the University of Benin Teaching hospital, Nigeria.
An Evaluation of Achieving Condom Empowerment (ACE)-Plus in Foster Care Agencies in New York City
Published in American Journal of Sexuality Education, 2022
Scott Herrling, Heather Hirsch
ACE-Plus builds on the ACE model by adding a second session focused on promoting dual-method contraceptive use. Given the results of the previous study, the results found here are a bit curious. While the results favor treatment youth regarding communication, the results related to contraceptive use favored the control youth, though not significantly. Given the myriad sources of implementation data gathered, it’s reasonable to assume the ACE-Plus program was delivered with fidelity.