New Nurse-Led program aims to keep frail seniors out of the hospital and living well

This study tests a program called INFA, where nurses identify frail older adults (age 65+) in the hospital and create a personalized care plan to address issues like mobility, nutrition, and fall risk. The goal is to help patients maintain their ability to perform daily activities like bathing and dressing after they go home. The program involves a team of specialists and community referrals, and the study will compare outcomes like hospital readmissions and quality of life between those who receive INFA and those who get usual care.