Table 2 Summary of findings from previous state-wide survey of AFH care in Queensland [12]
Key AFH construct | Reported strengths and limitations |
|---|---|
Clinical and executive leadership | Developing clinical leadership Limited executive leadership Limited coordination (e.g. planning, monitoring, linkages) |
Respected and involved consumers | Established systems for protecting decision making and advance care planning Limited involvement of older person in care planning and feedback |
Skilled and compassionate staff | Limited training of hospital staff in care of older people Limited graduate education across all disciplines |
Evidence-based assessment and management | Established systems for recognising and preventing pressure injuries, falls, adverse drug reactions and malnutrition Developing systems for integrated assessment, care planning and discharge planning Limited systems for recognising and preventing functional decline and delirium |
Connected systems | Established systems for referral to subacute and post-acute care Poor communication between emergency department and residential care facilities |
Well-designed physical environments | Developing use of older person friendly design principles in specialist units Limited use at organisational level |