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