Nursing Leadership - Geriatric Evaluation and Management

Running Head: NURSING LEADERSHIP
Nursing Leadership
Name of the Student
Name of the University
Author Note

The geriatric evaluation and management is one inpatient unit order related with the care
of multi-disciplinary geriatrician team. It consists of the comprehensive team owners and health
servers allied with it. It is aimed at managing the complex conditions related with cognitive
dysfunctions, disability and chronic illness (Morishita et al. 1998). In the geriatric treatment or
the GEM which is a diagnostic process, a team is sometimes used for including the management
and evaluation to the needs and the evaluation of the multiple issues, the cognitive, physical,
social, spiritual, financial which can leave impact on the health of older adults. The geriatric
evaluation and management or GEM Service model is uniquely aimed at improving the functions
of the older people having multidimensional health requirements. This service model provides
the specialist assessment and management through interdisciplinary team along with the
assessment and the planning occurring within the GEM (Maestu et al. 2007). The geriatric
evolution and Management Services in Australia provide the care through which the primary
treatment goal is being improved especially for the people who have multidimensional needs.
The needs are connected with the medical conditions such as aging and include reducing
the mobility, depression, incontinence, delirium and others. The people who have complicated
psychological problems and the people are usually of 60 above age group avail the services of
GEM (Whitley et al.2017). It is usually managed by the conditions of having special expertise in
the GEM. It incorporates the multidisciplinary management plan which is properly documented
in medical record of people. This plan of care consists of the negotiated goals in the time frames
and the assessment of the functional capacity.

The GEM patients are usually older in age and have frailer immunity. They are likely to
have the multi morbidity that is required to become considered during development of treatment
regime. The young patients can also be taken care of through GEM specifically when there are
some technical issues connected with disabilities. There can be complicated social issues also
that need a multi system approach for planning and assessment. The GEM patients can have
some diverse range of diagnosis and the automatic and the neurological situations are accounted
for around 70% of the admissions of GEM. There is also a 30% more counting the cardiac the
medical conditions are the pulmonary diseases (Hung et al.2017). Review of the diagnostic
connected groups recognizes long range of condition where the more prevalent ones are
rehabilitation, dementia infections, injuries, disorders of the nervous system, cardio pulmonary
field along with unstable angina, the chronic obstructive diseases, gastrointestinal diseases and
some other factors that leave impact on health. The GEM Service model for provides a specialist
management and assessment through interdisciplinary team consisting of the nursing medical
and allied health.
The key members of the health team take up the task of the initial assessment and their
expertise consists of nursing, psycho therapy, physiotherapy, occupational therapy, social work
medical and others. The other health professionals are called when there is a need of special
treatment. The complexity of the access of full range the cohort is generally needed which also
includes the neuropsychology and psychology further and a formal assessment of the admission
and discharge functionality is also required and is recently amended by the department of GEM
assessment.

The aged care in Australia which is also known as elderly care signifies the provision of
services for meeting the unique requirements of older people in Australia. It includes both the
personal care residential care, aged care, the home nursing, domestic assistance, meal
preparation, transport equipments and aids. Across Australia, people avail the subsidiary services
that help them a lot in terms of keeping the costs affordable and manageable. The people of
Australia who are eligible for the subsidies of the government are expected to contribute to the
expenses of the service if they can afford it. Considerably, the population of Australia is getting
older because of the longer life expectance and the lower rates of fertility. As of the reports of
2016, the national census shows that one among 6 Australians are now aged over 65. It is further
anticipated that by the year 2050, there will be 8.7 million older Australians and by the 2096
there will be 9 million people over 65 years. Therefore, it is quite evident that aging population
increase will need more help in the aged care. In the year 2012, it is found that the government
has introduced many reforms which move towards the aged care that is consumed directed along
with more market driven environment that the service providers can be chosen by the consumers
(Whitley et al.2017).. As a response, the private business providers are further entering into the
market which has been dominated historically.
Hence, it is evident that the country will be in need of service models like GEM or
geriatric evaluation and management for looking after the health of older people in the Australian
context. Regarding the comprehensive geriatric assessment, it can be said that the GEM fashion
group is prepared of people who have multiple functional, medical and the cognitive condition
that need a comprehensive assessment (Dent et al. 2018). Also, the geriatric assessment is aimed
at identifying the pre-hospital functions and the issues as depression, malnutrition, the cognition
along with the capacity of managing the activities of daily living added to the recent level of

functioning. Therefore, the name of CGA is to restore the function having minimized the
connection with impaired function, incontinence along with the incognitive impairment and
optimize the arrangements of community living. As far as the acknowledgement of concerned, it
always ensures that the preferences of the older person are prioritized when developing the plan
of care. The determination of the private function is quite essential in the planning of the care for
recognizing earlier any challenges around the discharge place (Hamaker et al. 2018). The care
plan is reviewed routinely by the treatment team for determining the progress of the patient
against the goals that are set. Features of CGA are geriatric medical input built planning and
interdisciplinary assessment along with the concentration on the medical, the functional,
psychological, social capacities of older patients and the focus on the function restoration, the
compensation of the lost function and also the goal oriented approach of the people (Chodosh et
al.2018). Therefore in this regard, it can be said that the service model is definitely a revolution
in the field of aged care and this is going to help the Australian people in terms of managing and
treating the increasing aging population.
It is found that there are many leadership challenges that come across while treating the
older patients in the field of healthcare. The challenges improve the reimbursement healthcare
policy , the technology leadership, worker shortage and others. All the new performance based
models ensure the inexpensive management. Apparently there are some challenges related with
healthcare providers . They are required to think of the business that needs fundamental change
in the ways of their doing business and providing service to the clients. The leaders in the
healthcare should be prepared for leading the team through all the changes. Also the leaders in
today's world need to have the operation in constant certainty (Droz et al.2017).. They are
supposed to have confidence in adapting any such changes quickly which might come about in

the regulation and the healthcare policies. Leaders also need to become competent and suitable in
terms of understanding, evaluating, assisting the technologies. They are supposed to make the
business decisions regarding the right usage of right tools for acquiring and implementing
acoustic operations. Additionally, they are also supposed to be considerate in terms of hiring and
training the right staff. The integrative leadership can be considered as the emerging leadership
approach which helps in fostering the collective action for many types of barriers for achieving
the best. It further brings the leadership concept together along with the practices which are
rooted in five major sectors of the society such as non-profit business, government,
communication, media for staff (Yokom et al. 2018). It is concentrated on the leadership
development at all of the level starting with individual to the Global. Among many benefits of
the integrated leadership the organizational ones are really considerable.
The integrated leadership approach can benefit the teams and their organizations through
many ways. It can be found that change is constant in all of the organizations and the leaders
consistently struggle during attempting the guidance to the teams through some complex
changes. During the period of organizational overhauling, the managers can make use of this
leadership for communicating in a particular style which helps in balancing the actual reality
with the touch of empathy and addressing the potential fear, frustration and loss of the staffs. The
integrative leadership also helps in influencing, pursuing and communicating with people which
makes the leaders quite effective in relating with others (Chodosh et al.2018).. It further helps
people who are in job to make a work life balance in a suitable way. The leadership approach
helps the managers in helping the women by taking initiative on the career decisions founded on
the external factors as location and internal motivation. This is the way through which the leaders
can support people based on the theme being able to match the career selections to the personal

strength and preferences and reducing the stress and improving the performance. This is the way
through which the factors can be implemented among the team members and make the health
service suitable to the needs of the patients having followed the geriatric evaluation and
management service model in the Australian context

References
Chodosh, J., Connor, K.I., Batra, T. and Osterweil, D., 2018. A Comprehensive Geriatric
Evaluation Center for High-Need Patients in an Under-Resourced Community. J Gerontol
Geriatr Res, 7(481), p.2.
Dent, E., Wright, O., Hoogendijk, E.O. and Hubbard, R.E., 2018. Nutritional screening and
dietitian consultation rates in a geriatric evaluation and management unit. Nutrition &
Dietetics, 75(1), pp.11-16.
Droz, J.P., Albrand, G., Gillessen, S., Hughes, S., Mottet, N., Oudard, S., Payne, H., Puts, M.,
Zulian, G., Balducci, L. and Aapro, M., 2017. Management of prostate cancer in elderly patients:
recommendations of a task force of the International Society of Geriatric Oncology. European
urology, 72(4), pp.521-531.
Hamaker, M.E., te Molder, M., Thielen, N., van Munster, B.C., Schiphorst, A.H. and van Huis,
L.H., 2018. The effect of a geriatric evaluation on treatment decisions and outcome for older
cancer patients–A systematic review. Journal of geriatric oncology, 9(5), pp.430-440.
Hung, C.H., Tang, T.C., Wang, C.J., Liu, L.K., Peng, L.N. and Chen, L.K., 2017. Impact of
living arrangements on clinical outcomes among older patients with dementia or cognitive
impairment admitted to the geriatric evaluation and management unit in Taiwan. Geriatrics &
gerontology international, 17, pp.44-49.
Maestu, I., Muñoz, J., Gómez-Aldaraví, L., Esquerdo, G., Yubero, A., Torregrosa, M.D. and
Romero, R., 2007. Assessment of functional status, symptoms and comorbidity in elderly
patients with advanced non-small-cell lung cancer (NSCLC) treated with gemcitabine and
vinorelbine. Clinical and Translational Oncology, 9(2), pp.99-105