[The geriatric team in transitional patient management].
The transition team has its place in pre- and postdischarge nursing and therapeutic care, on the basis of a geriatric assessment. Core members of the team are, in the sequence of the scheduled performance in-hospital, nurse, occupational therapist, physiotherapist and social worker, supplemented by a team physician. Two-thirds of all treatments were in the hospital, one-third in an outpatient setting up to 4 weeks after discharge. Cooperation with outpatient services has been good.
Oster
P
P
Geriatrisches Zentrum Bethanien am Klinikum, Universität Heidelberg.
Nikolaus
T
T
Schlierf
G
G
Gnielka
M
M
Lempp-Gast
I
I
Suck-Röhrig
U
U
Gartner
U
U
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D002908:Chronic Disease / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D009788:Occupational Therapy; D010348:Patient Care Team; D010351:Patient Discharge; D026741:Physical Therapy Modalities
Das geriatrische Team in der Ubergangsbetreuung.