Enhancing Independence in Elders with Serious Illness

增强患有严重疾病的老年人的独立性

• 批准号: 10441439
• 负责人: R. Sean Morrison
• 金额: $ 138.87万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10441439
• 关键词: Academy; Acute; Address; Adoption; Adult; Age; Aging; American; Americas; Antibiotics; Brain Diseases; Capsicum; Caregivers; Caring; Cessation of life; Chronic; Chronic Care; Chronic Disease; Chronically Ill; Clinical; Collaborations; Communication; Confusion; Consultations; Data; Data Analyses; Data Management Resources; Degenerative Disorder; Dementia; Dependence; Device or Instrument Development; Diagnosis; Disease; Distress; Elderly; Family; Family Caregiver; Foundations; Funding; Generations; Geriatrics; Growth; Health; Health Services Research; Healthcare; Healthcare Systems; Heart Diseases; Human; Individual; Infrastructure; Leadership; Life; Longevity; Lung diseases; Malignant Neoplasms; Measurement; Measures; Medical; Medicine; Mentors; Methods; Minority; Mission; Modeling; Modern Medicine; Movement; Names; Organ; Palliative Care; Patients; Physicians; Pilot Projects; Population; Population Growth; Population Research; Public Health; Quality of Care; Quality of life; Recording of previous events; Reporting; Research; Research Design; Research Infrastructure; Research Methodology; Research Personnel; Research Training; Resources; Scoring Method; Service delivery model; Societies; Stroke; Support System; Talents; Techniques; Testing; Time; Training; Training Programs; Translational Research; Translations; Work; base; behavioral health; care systems; cognitive performance; continuing medical education; education research; effectiveness research; evidence base; experience; family support; frailty; improved; innovation; medical specialties; metastatic colorectal; neglect; neuromuscular; physical symptom; population based; preference; programs; psychological symptom; recruit; research and development; research to practice; response; theories; undergraduate student

PROJECT SUMMARY/ABSTRACT The Mount Sinai OAIC's innovative mission is to stimulate, develop, and fund research directed at improving the quality of life and independence of older adults with serious illness, their families, and other caregivers. Over the past 9 years of existence, the OAIC has emerged as a key contributor in the movement to improve quality of care for the sickest patients in our nation's healthcare system. We have: 1) created a new generation of geriatric palliative care researchers who are addressing the most pressing problems of our most vulnerable patients; 2) enhanced the evidence base for improving quality of life and independence in seriously ill older adults and their caregivers through innovative and cutting edge research; and 3) created a national network of geriatric palliative care researchers. The objective of this renewal application is 1) to expand a comprehensive transdisciplinary research program focused on improving quality of life, independence, and function and on developing and testing models of improving care for older adults living with serious illness; 2) to identify, recruit, and train leaders in aging and palliative care research; 3) to expand a research infrastructure that will support new and ongoing research in the care of seriously ill older adults; and 4) to develop a research center that bridges the transdisciplinary specialties of geriatrics and palliative care and that will serve as a model for research that has not been well addressed by these two specialties. We approach the work of advancing research in geriatric palliative care and its translation by considering the full range of translational research and through a comprehensive framework of connected and coordinated activities that starts with creating a pipeline of trainees, supporting their research development, providing infrastructure and resources for research, nurturing and facilitating collaborative research, and ends with targeted efforts to disseminate the work to improve the life of older persons and their families. We bring together research resources at Mount Sinai, engage other experts in the region, and leverage a national network of experts and trainees through the National Palliative Care Research Center. To amplify the OAIC's impact, we also propose new innovative initiatives, including the formation of a new Pepper Center Palliative Care Network and two cross-cutting themes focused on dementia and the often- neglected and final step of translational research—the adoption of the findings of research into practice. By strategically leveraging local and national resources and building on other successful programs, the OAIC proposes to maximize its impact by creating a Center that is comprehensive in scope, significant in its local impact, and national in its reach.

项目总结/摘要 西奈山OAIC的创新使命是刺激，发展和资助研究方向 在改善患有严重疾病的老年人的生活质量和独立性方面， 家庭和其他照顾者。在过去的9年里，审计和调查办公室已经成为一个 在运动中的关键贡献者，以提高护理质量的最生病的病人在我们国家的 医疗保健系统。我们已经：1）创造了新一代的老年姑息治疗研究人员 谁正在解决我们最脆弱的病人的最紧迫的问题; 2）加强 改善重病老年人生活质量和独立性的证据基础， 通过创新和前沿研究，帮助他们的护理人员;以及3）创建了一个全国性网络 老年姑息治疗研究人员的研究。本次更新申请的目的是1）扩大 一个全面的跨学科研究计划，重点是提高生活质量， 独立性和功能以及制定和测试改善老年人护理的模式 患有严重疾病的成年人; 2）识别，招募和培训老龄化和姑息治疗方面的领导者 护理研究; 3）扩大研究基础设施，支持新的和正在进行的研究 研究在照顾重病老年人;和4）发展一个研究中心， 老年医学和姑息治疗的跨学科专业，这将成为一个模式， 这两个专业还没有很好地解决的研究。 我们的做法，在老年姑息治疗及其翻译推进研究的工作， 考虑到全方位的翻译研究，并通过全面的框架， 连接和协调的活动，首先是建立一个培训人员的管道，支持 他们的研究发展，提供基础设施和资源的研究，培养和 促进合作研究，并有针对性地努力传播工作， 改善老年人及其家庭的生活。我们汇集了研究资源， 西奈山，让该地区的其他专家参与，并利用全国专家网络， 通过国家姑息治疗研究中心培训学员。为了扩大OAIC的影响， 我们还提出了新的创新倡议，包括成立一个新的胡椒中心 姑息治疗网络和两个跨领域的主题，重点是痴呆症和经常- 翻译研究的最后一步--将研究成果应用于 实践通过战略性地利用地方和国家资源， 成功的计划，OAIC建议通过创建一个中心， 其范围广泛，在当地影响重大，在全国范围内。