Document Detail


Elder case management by registered nurses.
MedLine Citation:
PMID:  23211403     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
Kathleen M Baldwin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Professional case management     Volume:  18     ISSN:  1932-8095     ISO Abbreviation:  Prof Case Manag     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291585     Medline TA:  Prof Case Manag     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15-22     Citation Subset:  N    
Affiliation:
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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