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Related Experiment Videos

Nursing the chronically critically ill patient.

Miriam Carasa1, Grace Nespoli

  • 1Respiratory Care Unit, Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029, USA. miriam_carasa@mountsinai.org

Critical Care Clinics
|July 27, 2002
PubMed
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This study highlights a successful advanced practice nursing model for complex chronic illness (CCI) patients, emphasizing interdisciplinary care and patient-centered discharge planning. The model offers transferable strategies for improving care delivery and addressing the unique needs of CCI patients and their families.

Area of Science:

  • Nursing
  • Healthcare Management
  • Patient Care

Background:

  • Care for Complex Chronic Illness (CCI) patients presents unique challenges.
  • Existing healthcare systems may lack adequate facilities for long-term ventilator-dependent or pulmonary rehabilitation patients.
  • The human element in care is crucial, despite financial constraints.

Purpose of the Study:

  • To share the experiences of patients and healthcare providers in a specialized unit for CCI patients.
  • To increase understanding of the challenges and opportunities in CCI patient care from a nursing perspective.
  • To present a transferable advanced practice nursing model for CCI patient care.

Main Methods:

  • Implementation of an advanced practice nursing model at Mount Sinai Hospital.

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  • Utilizing an interdisciplinary approach involving physicians, nurse practitioners (NPs), and nurses.
  • Employing clinical care pathways, algorithms, and standard protocols.
  • Conducting formal discharge planning meetings with patients, families, NPs, and social workers.

    • Main Results:

    • The advanced practice nursing model successfully meets the needs of both CCI patients and healthcare providers.
    • Key transferable aspects include interdisciplinary collaboration, standardized protocols, and comprehensive discharge planning.
    • Full nurse participation enhances cost-effectiveness and maximizes positive patient outcomes.

    Conclusions:

    • The presented nursing model demonstrates success in managing complex chronic illness patients.
    • Aspects of the model are adaptable to other health systems, even with modifications for environments without nurse practitioners.
    • Emphasizing the person beyond the disease is vital for high-quality, cost-effective CCI patient care.