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Related Experiment Videos

Community care. Home service.

B Croxson1, L Llewellyn, K Burdett

  • 1Institute of Child Health, Great Ormond Street Hospital.

The Health Service Journal
|May 27, 1999
PubMed
Summary
This summary is machine-generated.

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A new nurse-led community service successfully provided emergency care for 155 older adults in six months, preventing hospital admissions. Most patients recovered within 72 hours, demonstrating the scheme's effectiveness in community-based healthcare.

Area of Science:

  • Geriatric Medicine
  • Community Health Services
  • Nursing Practice

Background:

  • Hospital admissions for older adults can be reduced through effective community-based interventions.
  • Early supported discharge schemes aim to facilitate timely recovery at home.

Purpose of the Study:

  • To evaluate the initial impact and operational capacity of a nurse-led community emergency service designed to prevent hospital admissions.
  • To identify patient demographics, referral reasons, and outcomes for this novel healthcare model.

Main Methods:

  • A nurse-led scheme provided emergency community services for up to 72 hours.
  • Data was collected on 155 service users over the first six months of operation.
  • Referral reasons, patient age, and discharge status were recorded.

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Main Results:

  • The service cared for 155 people, with a mean age of 79 years.
  • Common referrals included chest infections, pneumonia, and post-injury support.
  • Over 75% of patients were discharged from the scheme within the 72-hour timeframe.
  • The scheme operated below full capacity, influenced by initial General Practitioner (GP) opposition.

Conclusions:

  • Nurse-led community emergency services can effectively manage acute conditions in older adults, facilitating early discharge.
  • Addressing GP concerns is crucial for optimizing the capacity and reach of such preventative healthcare initiatives.
  • This model shows promise for reducing hospital admission rates and supporting community-based recovery.