Stacking stones: the art and science of improving care of older adults

2017-11-15

University of Virginia. School of Medicine

Our society is aging, and, thanks partly to the science and success of advanced health care, the journey into one’s last years is often long and richly rewarding. But our medicalization of aging also means that older adults are longtime patients entangled in complex, costly, fragmented, and sometimes ad-libbed “systems” of individualized care that are challenging for them and their caregivers to navigate. When elders’ health and functional status changes, ways of managing their care may come undone, just when robust attention is most needed to effect transitions in their care—and the goals of care. 

In this Medical Center Hour, distinguished gerontologist Mary Naylor offers her pioneering approach to the design, evaluation, and dissemination of health care innovations that has at once improved outcomes for chronically ill older adults and their caregivers and lowered health care costs. Her collaborative work with an interprofessional team has yielded the Transitional Care Model, a cost-effective model led by an advanced-practice nurse that improves the transitions of frail elders as they move through both their final years and our fractured health care system.

The Zula Mae Baber Bice Memorial Lecture, School of Nursing
The Koppaka Family Foundation Lecture in Medical Humanities, School of Medicine
Co-presented with the School of Nursing and the Center for Biomedical Ethics and Humanities, School of Medicine

Naylor, Mary Duffin (Speaker); Fontaine, Dorrie K. (Moderator); Childress, Marcia Day (Moderator); University of Virginia. School of Medicine

Claude Moore Health Sciences Library

Filmed lectures

Older people--Care; Geriatric health care teams; Gerontology

Medical Center Hour

Claude Moore Health Sciences Library

English

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1 online resource (1 video file, 57:51 min.) : sound, color