Related Experiment Videos
The association between specific nurse case management interventions and elder health
Constance Schein1, Anita J Gagnon, Lisa Chan
1Saint Anne of Winona-Benedictine Health System, Winona, Minnesota, USA.
Journal of the American Geriatrics Society
|April 9, 2005
Summary
Nurse case management focusing on coping assistance interventions improved daily functioning in frail older adults. This nursing support enhanced instrumental activities of daily living, demonstrating a positive impact on functional status over time.
Area of Science:
- Gerontology
- Nursing Science
- Public Health
Background:
- Frail older adults often experience decline in functional ability and quality of life.
- Nurse case management (NCM) is a model of care aimed at improving health outcomes for complex patient populations.
- Specific nursing interventions within NCM require further investigation for their impact on older adults.
Purpose of the Study:
- To examine the association between specific nursing interventions within NCM and the quality of life and functional ability of older adults.
- To identify which NCM nursing interventions are most effective in improving health outcomes for community-dwelling frail older persons.
Main Methods:
- A longitudinal study design was employed.
- 175 community-dwelling frail older persons (>=70 years) at risk for hospitalization participated.
- Nursing interventions (coping assistance, lifespan care, risk management, physical comfort promotion) were recorded over 10 months. Outcomes were assessed using standardized questionnaires (SF-36, OARS-FAQ) and medical record review.
Main Results:
- Older adults receiving coping assistance interventions showed improved instrumental activities of daily living (IADL) functioning.
- Despite functional improvements, participants in the coping assistance group reported lower general health, role-emotional, and mental health scores.
Conclusions:
- Coping assistance, as part of NCM, is independently associated with improved functional status in frail older adults.
- Understanding the relationship between specific nursing activities and health outcomes is crucial for optimizing NCM strategies and interpreting trial results.
Related Concept Videos
01:28Current Trends in Nursing I
Current trends in nursing include:
01:22Nursing Diagnosis
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome is...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome is...
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...