Individualized care for at-risk older adults

描述(由申请人提供)：我们建议在“高危老年人的个性化护理”方面进行博士后前和博士后培训，采用过渡护理的概念框架，以便：1)招募高素质的博士后和博士后实习生，致力于老龄化研究，重点是过渡和对高危慢性病老年人的个性化护理；2)准备一系列复杂的方法，旨在解决重大临床问题或测试创新方法，以在所有环境和过渡和护理状态下加强对这一人群的护理；3)为这些实习生提供持续的指导，以确保高生产率的学术生涯；以及，4)扩大跨中心协作和跨学科老龄化研究的能力。我们的目标和培训计划与NIH路线图和NINR优先事项保持一致。具体地说，该培训计划旨在：1)培养学员，使他们深入了解高危老年人的关键过渡点，以及适用于下一轮针对这一人群的研究的关键问题；2)向精通适用于老龄和过渡期护理关键问题的方法的经验丰富的导师提供深入的研究经验；3)利用护理学院和大学的资源，确保过渡和老龄研究中的跨中心和跨学科接触和机会；以及，4)促进在老龄过渡中进行临床相关研究，从而对科学做出重大贡献。宾夕法尼亚大学护理学院的教员在干预措施方面拥有强大的历史和令人印象深刻的组合，这些干预措施显著提高了高危老年人及其照顾者的生活质量和过渡性护理。将全部或部分研究致力于老年人的教职员工的特别优势领域是针对个人和系统的以护士为中心的干预；临床相关研究的制作和翻译；以及关注具有各种文化、种族和民族背景的老年人，他们的需求从维持身体功能到心理健康，以及面临从慢性病过渡到他们不太可能康复的问题。在这个五年的培训计划中，每年将支持四名博士后和四名博士后实习生。我们的目标是以可持续的方式为过渡和老龄化中的一大批学者做出贡献，他们将进一步推进老年学知识的进步，拓宽跨学科老龄化研究的重要基础，并为过渡科学和高危老年人的个性化护理做出贡献。

DESCRIPTION (provided by applicant): We are proposing pre- and post-doctoral training in "Individualized Care for At-Risk Older Adults" employing a conceptual framework of transitional care in order to: 1) recruit highly qualified pre- and post-doctoral trainees dedicated to aging research focused on transitions and individualized care for at risk chronically ill elders; 2) prepare trainees in an array of sophisticated methods designed to address significant clinical issues or test innovative approaches for enhancing care of this population across all settings and transitions n care status; 3) provide sustained mentorship to these trainees to assure highly productive scholarly careers; and, 4) expand capacity for cross-center collaboration and interdisciplinary research in aging. Our goals and training program are consistent with the NIH Roadmap and NINR priorities. Specifically, this training program is designed to: 1) prepare trainees with in-depth knowledge of key transition points for at risk older adults and the critical questions appropriate to the next iteration of research on this population; 2) provide intensive research experiences with seasoned mentors well-versed in methods appropriate to critical questions in aging and transitional care; 3) utilize the resources in the School of Nursing and the University to assure cross-center and interdisciplinary exposure and opportunities in transitions and aging research; and, 4) facilitate the conduct of clinically relevant research in aging transitions leading to significant contributions to the science. Faculty at the School of Nursing at the University of Pennsylvania has a strong history and impressive portfolio in interventions that have significantly enhanced quality of life and transitional care for at risk older adults and their caregivers. Particular areas of strength among faculty who dedicate all or part of their research to older adults are nurse-centered interventions aimed at the individual, as well as the system; production and translation of clinically relevant research; and attention to aging persons of all cultural, racial and ethnic backgrounds with needs ranging from the maintenance of physical function to mental health, and who face transitions from chronic illnesses from which they are unlikely to recover. In this five year training program, four pre- and four post- doctoral trainees will be supported annually. Our goal is to contribute in sustainable ways to a critical mass of scholars in transitions and aging who will further the advancement of knowledge in gerontology, broaden a significant base in interdisciplinary aging research, and be positioned to contribute to the science of transitions and individualized care for at risk older adults.