Comprehensive Acute Care at Home Service for Older Adults
This service, led by a dedicated consultant geriatrician and multidisciplinary team, focuses on providing acute care at home for older individuals at risk of hospital admission. The inclusion criteria, referral process, and interventions offered are outlined, emphasizing the aim of maintaining patients at home during acute illnesses or health deterioration.
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Presentation Transcript
Acute Care at Home Service Dedicated Consultant Geriatrician led multidisciplinary team Primary focus is on maintaining older people at home/Nursing/Residential in the event of an acute illness or unexpected deterioration in health Provides triage, assessment, diagnosis and treatment as an alternative to in-patient care to those at risk of or potentially requiring admission to hospital treatment.
Criteria Inclusion Over 65 years (Under 65 considered on individual basis if hospital admission would be detrimental) Exclusion Requires resuscitation Chest Pain Live in the Southern Trust Area Acute Surgical or Orthopaedic Crisis Patients must have been assessed as requiring acute care i.e. deemed to be at the point of hospital admission. Stroke Haemostasis / GI Bleeding Can be managed safely in a community setting Mental Health picked up through Home Treatment Crisis response
Who can refer? GP GP OOH NIAS Community Specialist Nurse teams including Heart Failure and Community Respiratory Teams. Urgent Care Centre Dr/ Nurse.
How to refer: Referrer to contact the AC@H central line 02837563590. This is manned Mon to Sunday 9-5. Weekend New Referrals within existing staff and changes as per staffing levels, communicated prior to weekend to potential referrers. Details taken by clerical staff and given to triage Dr. Triage Dr to consider based on criteria and capacity within that geographical area and inform referrer of outcome Single point of contact: Triage Dr may redirect referral to ED/OPAU (stood down at present)/NA admission/RAC/ICS Aim for referral to treatment time <2hrs.
AC@H Interventions include: Bloods and COVID swab Point of Care Testing and access to diagnostics Other interventions include: IV antibiotics IV fluids Subcut fluids Oxygen Analgesia Anticipatory medications
