This work was supported in part by the Summa Health System Foundation and Summa Health System Health Services Research and Education Institute. This work was presented in part at the 1998 and 2000 Annual Meetings of the American Geriatrics Society.
Developing a Stroke Unit Using the Acute Care for Elders Intervention and Model of Care
Article first published online: 24 OCT 2003
Journal of the American Geriatrics Society
Volume 51, Issue 11, pages 1660–1667, November 2003
How to Cite
Allen, K. R., Hazelett, S. E., Palmer, R. R., Jarjoura, D. G., Wickstrom, G. C., Weinhardt, J. A., Lada, R., Holder, C. M. and Counsell, S. R. (2003), Developing a Stroke Unit Using the Acute Care for Elders Intervention and Model of Care. Journal of the American Geriatrics Society, 51: 1660–1667. doi: 10.1046/j.1532-5415.2003.51521.x
- Issue published online: 24 OCT 2003
- Article first published online: 24 OCT 2003
- hospital care;
- stroke unit;
- inter-disciplinary team
The Acute Care for Elders (ACE) model of care is a multicomponent intervention that improves outcomes for older patients hospitalized for acute medical illnesses. Likewise, stroke units improve outcomes for patients with acute stroke, yet the descriptions of their structure and approach to stroke management are heterogeneous. The purpose of this article is to describe how implementing the ACE model of care, using a continuous quality-improvement process, can serve as a foundation for a successful stroke unit aimed at improving stroke care. The ACE intervention (a prepared environment, interdisciplinary team management, patient-centered nursing care plans, early discharge planning, and review of medical care) was amplified in a community teaching hospital for stroke-specific care by creating a stroke interdisciplinary team, evidence-based stroke orders and protocols, and a redesigned environment. Administrative data show that the ACE model can be successfully adapted to create a disease-specific program for stroke patients, having the potential to improve the process of care and clinical stroke outcomes.