Our Parents were once young and vibrant as we are today. It's our responsibility to get them comfortable, healthy and happier in their old age, to allow them live their full life spans with dignity.


Acute Care for Elders SUB-Unit (ACE)

 ACE promises to change how patients over the age of 65 experience health-care by taking a completely different approach to treating and diagnosing these patients when they come into the emergency room or enter the hospital. 

ACE fills a void in specialized multidisciplinary elderly care by building upon progressive concepts put forth by the Hartford Institute for Geriatric Nursing’s NICHE (Nurses Improving Care for Healthsystem Elders) Network at New York University’s College for Nursing.

This segment of our population is dealing with unique problems. Their bodies react and respond much differently, slower than someone in their 40s and even 50s. No matter how good their health is, at over 65, they will have some build-up of plaque in their arteries that make them different from younger patients.

Our multi-disciplinary team of medical professionals take an evidence-based medicine approach to what may be wrong. They treat and eliminate step by step the common health conditions prevalent in older people. With Geriatric syndrome, patients over the age of 65 tend to experience a loss of functionality, impaired cognition such as delirium, and immobility or instability walking or standing when admitted to the hospital. These conditions in the older population, however, do not necessarily imply a primary diagnosis of the usual suspects: stroke, diabetes, Alzheimer’s, and dementia.

Aging patients do not necessarily run fevers, and yet they may be suffering from a fever-like delirium. They may not feel pain or exhibit the symptoms commonly related to aliments in a younger patient. They may be registering alarmingly high blood sugar levels, but it may not be related to insulin. Instead it could be due to anxiety (from) sitting in the emergency room with no food or drink for over an hour.

The staff at the ACE sub-unit identify the risk factors at admission and an interdisciplinary team with shared objectives target these risk factors in order to preserve and restore physical and mental function. The result is that ACE Sub-unit patients are less likely to be discharged to a nursing home.

Training is the key to GSF’s successful NICHE-certified ACE Sub-unit. GSF encourages nurses, doctors, and medical technicians throughout the GSF facility to apply for their NICHE certification and attend ACE training classes. The center distributes a Geriatric Institutional Assessment Profile (GIAP) survey to all medical personnel to assess attitudes and best practices concerning elder patient care, and to evaluate the staff’s existing knowledge concerning geriatric syndromes and institutional guidelines for elderly care. Because there can be a social stigma attached to working with the elderly, extensive training in that area helps break down barriers and misconceptions some medical professionals may have about working in a geriatric ward.

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