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Pathfinder: The benefits of using alternative care pathways for older adults who dial 999/112

Pathfinder: The benefits of using alternative care pathways for older adults who dial 999/112 1IntroductionOlder people who attend the Emergency Department (ED) are at greater risk of experiencing adverse events, such as pressure ulcers [1], infection [2], adverse drug events [2], falls [1–3], functional decline [1–3], or delirium [4]. Previous research shows that people aged ≥65 years welcome alternative care pathways to the ED [5, 6].Pathfinder is a collaboration between Beaumont Hospital Physiotherapy and Occupational Therapy (OT) Departments and the National Ambulance Service (NAS), offering alternative care pathways at home, at the time of an Emergency Medical Services (EMS) call. The Pathfinder model represents a new care model in Ireland where, traditionally, all patients are transported to the ED following an EMS call, unless they decline transport.The team comprises a ‘Rapid Response’ element and, uniquely to pre-hospital emergency care, a ‘Follow-up’ component. The ‘Rapid Response’ consists of an Advanced Paramedic (AP) and either a Clinical Specialist /Senior OT or Clinical Specialist/Senior Physiotherapist. It operates from 8am-8pm Monday to Friday. This team is only activated for EMS calls, and responds to calls triaged as ‘non-serious & non-life-threatening’ using the Advanced Medical Priority Dispatch System (AMPDS), including non-traumatic back pain, falls, and people who are generally unwell. The team also accepts crew referrals from higher http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Physiotherapy Practice and Research IOS Press

Pathfinder: The benefits of using alternative care pathways for older adults who dial 999/112

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Publisher
IOS Press
Copyright
Copyright © 2022 © 2022 – IOS Press. All rights reserved
ISSN
2213-0683
DOI
10.3233/ppr-220663
Publisher site
See Article on Publisher Site

Abstract

1IntroductionOlder people who attend the Emergency Department (ED) are at greater risk of experiencing adverse events, such as pressure ulcers [1], infection [2], adverse drug events [2], falls [1–3], functional decline [1–3], or delirium [4]. Previous research shows that people aged ≥65 years welcome alternative care pathways to the ED [5, 6].Pathfinder is a collaboration between Beaumont Hospital Physiotherapy and Occupational Therapy (OT) Departments and the National Ambulance Service (NAS), offering alternative care pathways at home, at the time of an Emergency Medical Services (EMS) call. The Pathfinder model represents a new care model in Ireland where, traditionally, all patients are transported to the ED following an EMS call, unless they decline transport.The team comprises a ‘Rapid Response’ element and, uniquely to pre-hospital emergency care, a ‘Follow-up’ component. The ‘Rapid Response’ consists of an Advanced Paramedic (AP) and either a Clinical Specialist /Senior OT or Clinical Specialist/Senior Physiotherapist. It operates from 8am-8pm Monday to Friday. This team is only activated for EMS calls, and responds to calls triaged as ‘non-serious & non-life-threatening’ using the Advanced Medical Priority Dispatch System (AMPDS), including non-traumatic back pain, falls, and people who are generally unwell. The team also accepts crew referrals from higher

Journal

Physiotherapy Practice and ResearchIOS Press

Published: Jun 18, 2022

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