Individualized care for at-risk older adults

描述（由申请人提供）：我们建议采用过渡护理的概念框架进行“高危老年人个性化护理”的前期和博士后培训，以便：1)招募高素质的前期和博士后培训，致力于老龄化研究，专注于高危慢性病老年人的过渡和个性化护理；2)为受训者准备一系列复杂的方法，旨在解决重大的临床问题，或测试创新方法，以在所有环境和护理状态的过渡中加强对这一人群的护理；3)为这些受训者提供持续的指导，以确保高产的学术生涯；4)扩大老龄化领域跨中心合作和跨学科研究的能力。我们的目标和培训计划与NIH路线图和NINR优先事项一致。具体而言，该培训计划旨在：1)使受训者深入了解高危老年人的关键过渡点以及适用于该人群下一轮研究的关键问题；2)提供丰富的研究经验，拥有经验丰富的导师，精通适用于老龄化和过渡性护理关键问题的方法；3)利用护理学院和大学的资源，确保跨中心和跨学科的接触和机会，在过渡和老龄化研究；4)促进衰老转变的临床相关研究的开展，从而对科学做出重大贡献。宾夕法尼亚大学护理学院的教师在干预措施方面有着悠久的历史和令人印象深刻的组合，这些干预措施显著提高了生活质量，并为有风险的老年人及其照顾者提供了过渡性护理。将全部或部分研究奉献给老年人的教师的特殊优势领域是针对个人和系统的以护士为中心的干预；临床相关研究成果的产生和翻译；关注所有文化、种族和族裔背景的老年人，他们有从维持身体机能到精神健康的各种需求，他们面临着从不太可能康复的慢性病的过渡。在这个为期五年的培训计划中，每年将资助4名博士预科生和4名博士后。我们的目标是以可持续的方式为转型和老龄化领域的大量学者做出贡献，这些学者将进一步推动老年学知识的进步，拓宽跨学科老龄化研究的重要基础，并定位于为风险老年人的转型科学和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.