The Program of All-Inclusive Care for the Elderly (PACE) in Improving Medical Surgical and Mental Health Care: a Literature Review

Kushariyadi

doi:10.58545/jkmi.v2i1.53

Authors

Kushariyadi Department of medical surgical nursing Faculty of Nursing, University of Jember, Indonesia https://orcid.org/0000-0002-5654-5427

DOI:

https://doi.org/10.58545/jkmi.v2i1.53

Abstract

Models of care services for the elderly in terms of medical surgical care and mental health need to be improved. Elderly with disabilities are at high risk of adverse health outcomes, and the best model of care has yet to be determined. A good holistic care model to empower every individual in society to improve the quality of care needs to be recommended. For example, comprehensive health care programs such as the Program of All-Inclusive Care for the Elderly (PACE) for adults and the elderly. The research objective was to determine the effectiveness of PACE in improving medical-surgical care and mental health. The search strategy for English-language studies relevant to the topic was carried out using the ScienceDirect database, limited from 2011 to 2021. The keywords used were “PACE”, “Medical Surgical Treatment”, “Mental Health”, “elderly”. Article full text reviewed to select studies that fit the criteria. The inclusion criteria in this review are: the nursing service program model, namely PACE. The search used the keywords above with the ScienceDirect database that matched the inclusion criteria for only 7 articles. The PACE service model improves services in Medical Surgical and Mental Health care, and implement a collaborative care model using a comprehensive interdisciplinary team.

Keywords:

Mental Health, Medical Surgery, PACE

Downloads

Download data is not yet available.

References

Bain, K.T., Knowlton, C.H., & Turgeon, J. 2017. Medication risk mitigation: coordi- nating and collaborating with health care systems, universities, and re- searchers to facilitate the design and execution of practice-based research. Clin Geriatr Med. 2017;33(2):257e281.

Bankes, D.L., Amin, N.S., Bardolia, C., Awadalla, M.S., Knowlton, C.H., & Bain, K.T. 2019. Medication-related problems encountered in the Program of All-Inclusive Care for the Elderly: An observational study. Journal of the American Pharmacists Association xxx (2019) 1-9. https://doi.org/10.1016/j.japh.2019.10.012.

Bouwmeester, C. 2012. The PACE program: home-based long-term care. Consult Pharm. 2012;27(1):24e30.

Bouwmeester, C., Kraft, J., & Bungay, K.M. 2015. Optimizing inhaler use by pharmacist-provided education to community-dwelling elderly. Respir Med. 2015;109(10):1363e1368.

Burke, A., Hall, G., & Tariot, P.N., 2013. The clinical problem of neuropsychiatric signs and symptoms in dementia. Continuum (Minneap Minn) 19, 382-396.

Chávez, E.M., & Lederman, B. 2016. On Lok PACE: where oral healthcare is an integral part of healthcare. Generations. 2016;40(3):104-107.

Chen, L.Y., Wu, Y.H., Huang, C.Y., Liu, L.K., Hwang, A.C., Peng, L.N., Lin, M.H., & Chen, L.K., 2017. Predictive factors for dementia and cognitive impairment among residents living in the veterans' retirement communities in Taiwan: Implications for cognitive health promotion activities. Geriatr Gerontol Int 17 Suppl 1, 7-13.

Chen, L.Y., Hsu, T.J., Ke, L.J., Tsai, H.T., Lee, W.T., Peng, L.N., Lin, M.H., & Chen, L.K., 2020. Care for Older Adults with Dementia: PACE Day Care or Residential Dementia Care Units?. Archives of Gerontology and Geriatrics. https://doi.org/10.1016/j.archger.2020.104310.

Cheng, S.T., 2017. Dementia Caregiver Burden: a Research Update and Critical Analysis. Curr Psychiatry Rep 19, 64.

Covington, L.P., McCarrell, J., & Hoerster, N.S. 2016. Prevalence of anticholinergic medication use in the Program of All-Inclusive Care for the Elderly. Consult Pharm. 2016;31(3):168e174.

Damiano, P., Reynolds, J., Herndon, J.B., et al. 2019. The patient-centered dental home: A standardized definition for quality assessment, improvement, and integration. Health Serv Res 2019;54:446e454.

Doan, J., Zakrzewski-Jakubiak, H., Roy, J., Turgeon, J., & Tannenbaum, C. 2013. Preva- lence and risk of potential cytochrome P450-mediated drug-drug in- teractions in older hospitalized patients with polypharmacy. Ann Pharmacother. 2013;47(3):324e332.

Ellen, M.E., Demaio, P., Lange, A., & Wilson, M.G. 2017. Adult Day Center Programs and Their Associated Outcomes on Clients, Caregivers, and the Health System: A Scoping Review. Gerontologist 57, e85-e94.

Falvey, J.R., Gustavson, A.M., Price, L., Papazian, L., & Stevens-Lapsley, J.E., 2019. Dementia, Comorbidity, and Physical Function in the Program of All-Inclusive Care for the Elderly. J Geriatr Phys Ther 42, E1-E6.

Fretwell, M.D., Old, J.S., Zwan, K., & Simhadri, K., 2015. The Elderhaus Program of All-inclusive Care for the Elderly in North Carolina: improving functional outcomes and reducing cost of care: preliminary data. J Am Geriatr Soc 63, 578-583.

Hirth, V., Baskins, J., & Dever-Bumba, M. 2009. Program of all- inclusive care (PACE): past, present, and future. J Am Med Dir Assoc. 2009;10(3):155-160.

Hwang, A.Y., Gums, T.H., & Gums, J.G. 2017. The benefits of physician-pharmacist collaboration. J Fam Pract. 2017;66(12):E1eE8.

Institute of Medicine. 2012. Improving Access to Oral Health Care for Vulnerable and Underserved Populations. Wash- ington, DC: National Academies Press; 2012.

Isetts, B.J., Buffington, D.E., Carter, B.L., Smith, M., Polgreen, L.A., & James, P.A. 2016. Evaluation of pharmacists’ work in a physician-pharmacist collaborative model for the management of hypertension. Pharmacotherapy. 2016;36(4):374e384.

Katz, R.V., Smith, B.J., Berkey, D.B., et al. 2010. Defining oral neglect in institutionalized elderly: A consensus definition for the protection of vulnerable elderly people. J Am Dent Assoc 2010;141:433e440.

Knowlton, CH. 2015. Medication risk mitigation matrix: a pharmaceutical care opportunity for precision medication. J Am Pharm Assoc (2003). 2015;55(4):354e358.

Maayan, N., Soares-Weiser, K., & Lee, H., 2014. Respite care for people with dementia and their carers. Cochrane Database Syst Rev, CD004396.

Mamo, S.K., Nirmalasari, O., Nieman, C.L. et al. 2017. Hearing care intervention for persons with dementia: A pilot study. Am J Geriatr Psychiatry 2017;25:91e101.

Mamo, S.K., Mayhew, S.J., McNabney, M.K., Rund, J., & Lin, F.R., 2018. Age-related hearing loss and communication at a PACE Day Health Center. JAMDA (2018) 1-2. The Society for Post-Acute and Long-Term Care Medicine. https://doi.org/10.1016/j.jamda.2018.01.005.

Morton, C., Prichett, L., & McNabney, M. 2020. Opioid Prescriptions and Health Care Utilization at End of Life in a Program of All-Inclusive Care for the Elderly. JAMDA 21 (2020) 1357-1366. https://doi.org/10.1016/j.jamda.2020.05.043.

Nguyen, T.T.T., The, T.H.N., McFarland, P.L., Chiem, M.N.T., Huynh, T.Q., Tran, T.T.T., & Nguyen, T.V., 2019. Dementia Prevalence Among Older Hospitalized Patients in Vietnam and Dementia Understanding of Their Caregivers. Aging Medicine and Healthcare 10, 128-132.

Oishi, M.M., Momany, E.T., Cacchione, P.Z., Collins, R.J., Gluch, J.I., Cowen, H.J., Damiano, P.C., & Marchini, L. 2019. Setting the PACE for frail older adults in the Community. An underused opportunity for furthering medical-dental integration. http://jada.ada.org 2019. https://doi.org/10.1016/j.adaj.2019.10.001.

Oishi, M.M., Momany, E.T., Collins, R.J., Cacchione, P.Z., Cowen, H.J., Damiano, P.C., & Marchini, L. 2021. Dental Care in Programs of All-Inclusive Care for the Elderly: Organizational Structures and Protocols. JAMDA xxx (2021) 1-5. https://doi.org/10.1016/j.jamda.2021.02.012.

Sellers, V.R. 2011. The Nursing Facility and PACE: Friends not Foes. JAMDA – MARET 2011.

Weiss, A.J., Wier, L.M., Stocks, C., & Blanchard, J. 2019. Overview of Emergency Department Visits in the United States, 2011: Statistical Brief #174. Agency for Healthcare Research and Quality (US). Available at: http://www.ncbi.nlm.nih.gov/books/ NBK235856/. Accessed July 15, 2019.

W.H.O., 2017. Global action plan on the public health response to dementia 2017– 2025, Geneva.