Precision Care for Older Persons

Precision Care for Older Persons With Hip Fractures

This study aims to 1) develop an Advanced Person-Centered (APC) Smart Home Care Model that is able to predict patient outcomes; and 2) evaluate the effectiveness of this model by assessing improvements in care and recovery for older individuals post hip fracture.

The APC Smart Home Care Model will be developed as follows: a) incorporate a prediction system based on ML data available from our prior studies; b) incorporate an enhanced feedback system using results from the prediction system, which will allow family caregivers to receive timely alerts and facilitate interactions between home care nurses and caregivers; and c) the APC prediction system will be further developed to allow for implementation of targeted home nursing interventions that can be individualized to meet the specific needs of each family caregiver and the person recovering from hip fracture. A mixed-methods approach will be employed to examine the effectiveness of the system, using a combination of quantitative and qualitative data.

Inclusion Criteria:

1. ≥ 60 years old,
2. had been transferred from the emergency department to the hospital due to a unilateral hip fracture,
3. repair of the hip fracture involved either hip arthroplasty or internal fixation, 4) their primary place of residence was northern Taiwan

Exclusion Criteria:

1. severity of cognitive impairment (a CMMSE score of < 10),
2. known to be terminally ill,
3. has no primary family caregiver,
4. residing in an institutional care facility