Enhancing Independence in Elders with Serious Illness

项目摘要/摘要 西奈山OAIC的创新使命是刺激、发展和资助定向研究 在改善患有严重疾病的老年人的生活质量和独立性方面，他们的 家人和其他照顾者。在过去的9年里，OAIC已经成为一个 在提高我国重病患者护理质量运动中的关键贡献者 医疗保健系统。我们已经：1)创造了新一代老年姑息护理研究人员 他们正在解决我们最脆弱患者的最紧迫问题；2)增强 改善重病老年人生活质量和独立性的证据基础 他们的照顾者通过创新和尖端研究；以及3)创建了一个全国性的网络 老年姑息治疗研究人员。本次续签申请的目的是1)扩展 一项全面的跨学科研究计划，专注于提高生活质量， 独立性、功能以及改善老年护理的开发和测试模式 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人 CARE研究；3)扩展研究基础设施，支持新的和正在进行的研究 研究重病老年人的护理；以及4)开发一个研究中心，在 老年医学和姑息治疗的跨学科专业将成为 这两个专业没有很好地解决的研究。 我们通过以下方式推进老年姑息治疗及其翻译研究的工作 考虑到全方位的翻译研究，并通过一个全面的框架 联系和协调的活动，从创建受训人员渠道开始，支持 他们的研究开发，为研究提供基础设施和资源，培养和 促进合作研究，并以有针对性的努力将工作传播到 改善老年人及其家人的生活。我们汇集了研究资源，网址为 西奈山，吸引该地区的其他专家，并利用全国专家网络和 通过国家姑息治疗研究中心的受训人员。为了放大OAIC的影响， 我们还提出新的创新倡议，包括成立一个新的胡椒中心。 姑息治疗网络和两个交叉主题，重点是痴呆症和通常- 被忽视的翻译研究的最后一步--将研究结果采纳到 练习一下。通过战略性地利用地方和国家资源并建立在其他 对于成功的项目，OAIC建议通过创建一个 涉及面广，影响重大，覆盖全国。

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.