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Patient problems and advanced practice nurse interventions during transitional care.

M D Naylor1, K H Bowles, D Brooten

  • 1University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania 19104-6096, USA. Naylor@nursing.upenn.edu

Public Health Nursing (Boston, Mass.)
|April 12, 2000
PubMed
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Advanced practice nurses (APNs) identified common problems in elderly patients transitioning from hospital to home. Their interventions were documented, revealing key links between patient issues and nursing care strategies for improved elder health outcomes.

Area of Science:

  • Geriatric Nursing
  • Healthcare Management
  • Patient Discharge

Background:

  • Elderly patients face challenges during hospital discharge and home transition.
  • Effective discharge planning and home follow-up are crucial for this population.
  • The role of advanced practice nurses (APNs) in managing post-discharge care requires further elucidation.

Purpose of the Study:

  • To identify common problems encountered by elderly patients after hospitalization.
  • To document interventions utilized by APNs during home follow-up.
  • To analyze the relationship between patient problems and APN interventions.

Main Methods:

  • Secondary analysis of patient records documented by APNs.
  • Content analysis and coding of care logs using the Omaha System's Problem Classification and Intervention Schemes.

Related Experiment Videos

  • Identification of the 10 most frequent patient problems and associated APN interventions.

    • Main Results:

    • Detailed description of the 10 most frequent problems experienced by elderly patients post-discharge.
    • Documentation of specific interventions APNs employed to address these problems.
    • Established linkages between identified patient problems and APN care strategies.

    Conclusions:

    • APNs play a vital role in managing the complexities of elderly patient care during hospital-to-home transitions.
    • Understanding the common problems and effective interventions enhances post-discharge care models.
    • This study contributes to the knowledge base regarding APN contributions to elder care.