Goal-Based Care Planning in Regional Geriatric Services for Older Persons Living with Frailty

Authors

  • Laura I.L. Poulin Trent University; Seniors Care Network
  • Mary E. Blinkhorn Trent University; Seniors Care Network
  • Stacey A. Hawkins Seniors Care Network
  • Kelly A. Kay Seniors Care Network
  • Mark W. Skinner Trent University

DOI:

https://doi.org/10.5770/cgj.21.318

Keywords:

frailty, goal-based care planning, older adults, goal-setting, geriatric services, patient-centred care

Abstract

Background

Older adults living with frailty represent a complex group who are increasingly accessing regional geriatric services. Goal-based care planning is the industry standard in the care of older adults, yet few studies illustrate how goal-based care planning is being conducted with this population. Understand-ing how frailty impacts goal-based care planning in regional geriatric services is key to improving patient care.

Methods

In this “Go-Along” method of data collection, nine observa-tional experiences were conducted, nine responses from the Interprofessional Role Shadowing Tool were obtained, and eight responses to follow-up questions were received. Open coding of the data was performed retrospectively, and indexed themes were identified.

Results

Although the Geriatric Clinicians indicated that goal-based care planning and frailty were central to practice, the observa-tions indicated no clear process to patient-centred goal-setting or frailty identification in practice. The results infer a gap between theoretical knowledge and practical application.

Conclusions

A clear process to goal-based care planning in interprofessional geriatric services is needed. This objective requires practical education that emphasizes the skills necessary to implement goal-setting within unique, interprofessional care environments. Further research is necessary to establish if frailty identification is necessary in goal-based care planning, or if a patient-centred approach is more advantageous in practice.

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Published

2018-12-10

How to Cite

1.
Poulin LI, Blinkhorn ME, Hawkins SA, Kay KA, Skinner MW. Goal-Based Care Planning in Regional Geriatric Services for Older Persons Living with Frailty. Can Geriatr J [Internet]. 2018 Dec. 10 [cited 2024 Feb. 25];21(4):297-302. Available from: https://cgjonline.ca/index.php/cgj/article/view/318

Issue

Section

Original Research