ACE units typically have bright lights, flooring that prevents falls, and an activity room for congregate meals, visiting and therapy. The latter is meant to encourage patients to get out of bed and move around, thus reducing the risk for functional decline due to immobility. The staff members on the unit, including nurses, social workers and therapists, have special training in care of older adults, and protocols to promote best geriatric practice, such as not using physical restraints, removing Foley catheters, and early ambulation.
Studies have shown that patient and nursing satisfaction is generally higher in ACE units than on traditional hospital floors.9 In many cases, ACE units produce cost savings. Initial development costs are usually offset by shorter lengths of stay and reduced patient costs. The units have also been shown to make more efficient use of scarce hospital staff, concentrating staff efforts on the patients who need more care.