Registered nurses in hospital geriatric departments
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Registered nurses in hospital geriatric departments care for older patients with support, nursing and early rehabilitation needs following the concept of activating therapeutic nursing. The aim is to regain and maintain everyday competencies, with as much help as necessary and as little as possible; key areas are relationship building, mobility and self care. They take the nursing history and a geriatric basic assessment covering everyday competence, pain, nutrition, continence, pressure ulcer and fall risk. In early rehabilitation complex treatment they take part in the weekly team meeting with the medical lead and therapy disciplines and contribute nursing goals. For this treatment at least one registered nurse must hold a geriatric specific additional qualification of at least 180 hours, as provided by curricular geriatric further training programmes.
Profession by country
Fields of use and typical tasks
Geriatrie
Evidence from: DE, AT, CH
- Activating therapeutic nursing for all activities patients cannot perform themselves
- Mobility training, gait training and washing and dressing training
- Contributing to assessing resources and deficits as the basis of the multiprofessional therapy plan
- Taking part in the weekly team meeting of all professions on progress, goals and measures
- Modern wound care and palliative care by nurses with the relevant additional qualification
- Coordinating clothing, aids and support with meals with relatives
Specializations
Devices and systems they use
Who they work with
- Geriatricians
- Physiotherapists
- Occupational therapists
- Speech and language therapists
- Psychologists and neuropsychologists
- Social services
- Pastoral care
- Nutrition counselling
Frequently asked questions
Who carries out the nursing assessment?
Registered nurses: they take the nursing history and geriatric basic assessment, for example using the Barthel index, FIM, MNA and pain scales.
How is fall risk assessed?
With standardised methods such as Timed Up and Go, the Tinetti test and the Esslingen fall scale.
How does the team coordinate?
In a weekly team meeting with the specialist medical lead and at least one representative each of nursing and therapy disciplines; each profession contributes an aligned therapy goal.
Which staffing is recommended?
The German geriatrics association recommends a ratio of 1:6 to 1:8 on day shift and 1:25 on night shift for geriatric facilities.
What role do aids play?
Instructing patients in the use of aids, such as the nurse call, is part of the activating methods.
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Related target groups
Same work area
Same specialty
Sources
- Aktivierend-therapeutische Pflege in der Geriatrie (ATP-G), Deutsche Gesellschaft für Aktivierend-therapeutische Pflege e. V. (DGATP) und Bundesverband Geriatrie e. V., bereitgestellt von der Akademie der Johannesstift Diakonie (DE)
- Geriatrische Fachweiterbildung Pflege 2025 (Ausschreibung), Akademie der Johannesstift Diakonie (DE)
- Akutgeriatrie (Patienteninformation), Klinikum Chemnitz gGmbH, Geriatriezentrum (DE)
- Angehörigeninformation Geriatrie, Asklepios Kliniken, Abteilung Geriatrie (Standort Bad Wildungen laut Kontaktangaben) (DE)
- Akutgeriatrie und Remobilisation, Klinikum Schärding, Oberösterreichische Gesundheitsholding GmbH, Klinikum Schärding (AT)
- Prozesshandbuch Akutgeriatrie/Remobilisation, 2. Auflage, Gesundheit Österreich GmbH im Auftrag der Bundesgesundheitsagentur (AT)
- Akutgeriatrie (Patienteninformation), Solothurner Spitäler AG, Akutgeriatrie (CH)
- Akutgeriatrie (Flyer), Kantonsspital Münsterlingen, Spital Thurgau AG (CH)
- Inside the ACE unit: A new model of hospital care for older adults, Intermountain Health, Good Samaritan Hospital (Lafayette, Colorado) (US)
- Geriatric Resource Nurse (GRN) Model / Geriatric Patient Care Associate (GPCA), UCLA Health Nursing (US)
- Acute Care for Elders (ACE) Inpatient Unit, Kent Hospital, Care New England (Warwick, Rhode Island) (US)
- Acute Care of the Elderly (ACE) Unit, Penn Medicine Princeton Health (New Jersey) (US)