| Elder case management by registered nurses. | |
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MedLine Citation:
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PMID: 23211403 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE/OBJECTIVES: : Before integrating advanced practice registered nurse (APRN) case management, we compared managed Medicare clients' hospital admissions for 12 months prior to and 12 months after registered nurse (RN) or social worker case management. PRIMARY PRACTICE SETTING(S): : Our clients are cared for by a multispecialty physician group and five local hospitals. FINDINGS/CONCLUSIONS: : The 12-month admissions dropped from 351 to 101. There was a 75.5% reduction for Level 1 clients, a 72% reduction for Level 2 clients, and a 25% reduction for Level 3 clients. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: : (1) RNs, APRNs, and social workers are educated to holistically manage care for elders with chronic disease who require physiological, psychosocial, spiritual, and environmental interventions, not just disease treatment. (2) The complex interaction between aging and chronic disease in elders necessitates RN, social worker, and/or APRN case management. (3) Although RNs, social workers, and APRNs can work independently, dyads may be more effective. |
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Authors:
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Kathleen M Baldwin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Professional case management Volume: 18 ISSN: 1932-8095 ISO Abbreviation: Prof Case Manag Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2012-12-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101291585 Medline TA: Prof Case Manag Country: United States |
Other Details:
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Languages: eng Pagination: 15-22 Citation Subset: N |
Affiliation:
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Dr. Baldwin, PhD, RN, is the nurse researcher for Gordian Health Management Group. She holds diploma in nursing from the Western Pennsylvania Hospital School of Nursing, a BS, MS, and PhD from Texas Woman's University and is certified in three advanced practice specialties-ANP, GNP, and Adult Health CNS. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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